Behavioral family therapy symposium

Abstract

The Albert Einstein College of Medicine/Montefiore Medical Center (AECOM/MMC) Department of Psychiatry and the Gralnick Foundation/ High Point Hospital jointly sponsored the Second Annual Einstein Symposium on November 7, 1985 commemorating the centennial year of Yeshiva University. The symposium, focusing on Behavioral Family Therapy, opened with the presentation of the Einstein Award for Research in Psychiatry to B. F. Skinner by Herman van Praag, Chairman of the Department of Psychiatry. After Skinner's discussion of the role of emotions in behavior analysis, several nationally renowned clinical researchers in the field of behavioral family therapy presented findings of their recent work.     

Ambulante Behandlung von Sexualstraftätern

Treatment of sexual offenders is still a controversial issue for both forensic clinical practice and research. The methods to evaluate efficacy and effectiveness in the field of forensic psychiatry and psychotherapy show many distinctive characteristics. Especially outpatient treatment of sexual offenders takes place in a conflict of interest. This article aims to illustrate several potentials and difficulties in the field of sexual offender treatment using the example of the Hamburg Institute for Sex Research and Forensic Psychiatry at the University Medical Center Hamburg-Eppendorf (UKE).     

II. Symposium für Empirische Forschung in der Forensischen Psychiatrie, Psychologie und Psychotherapie am 25. und 26. Oktober 2012 in Hamburg

The Second Symposium for Empirical Research in Forensic Psychiatry, Psychology and Psychotherapy was held on 25th–26th of October 2012 in Hamburg. The symposium offers young scientists in the field the opportunity to present their research studies. In total 15 papers were presented at the symposium which will be briefly described in this article. The following four topics were discussed:

1. Innovative measurement tools for violent and sexual offenders,
2. Risk assessment tools for violent and sexual offenders,
3. Physiological and neuropsychological assessment of violent and sexual offenders,
4. Treatment approaches for violent and sexual offenders.

The conference is organized annually either by the University Medical Center Hamburg-Eppendorf (Institute for Sex Research and Forensic Psychiatry), the Saarland University Medical Center (Institute for Forensic Psychology and Psychiatry) or the Asklepios Medical Center Göttingen (Ludwig-Meyer-Institute for Forensic Psychiatry and Psychotherapy). The best three research presentations are honoured with the Ludwig Meyer Award of the Asklepios Psychiatry Niedersachsen GmbH, the Eberhard Schorsch Award of the German Society for Sex Research and the Hermann Witter Award of the Southwest German Academy of Forensic Psychiatry. The proceedings of the conference are expected to be published in autumn 2013 by the Wissenschaftliche Verlagsgesellschaft Berlin.     

Introduction: The social network paradigm

The social network paradigm is a construct for analysis of social relationships developed in social anthropology. As a concept, however, the social network paradigm has undergone parallel development in several academic and clinical streams of research and practice. Basic research and clinical questions are presented for further exploration in the development of the paradigm.This work was supported in in part by grant #AA03506-01AL from the national Institute of Alcohol Abuse and Alcoholism, awarded to the University of California, Irvine, Department of Psychiatry.     

A family system perspective on custody and adoption

This paper will define the conceptual models of an internalized family image and an external psychological family as derived from psychoanalytic and family therapy studies, and relate these models to several issues impinging on custody, adoption, and foster care. Several suggestions based on these models and illustrated by clinical material will be presented which, if applied by families, and mental health, social, and legal authorities, can facilitate the creation of a psychological family, or at least an ambiance imbued with the concepts of a psychological family, for use in the construction of a family image by unrooted children.Dr. Sonne is Clinical Professor of Psychiatry and Human Behavior, Jefferson Medical College; Visiting Clinical Professor of Psychiatry, Hahnemann Medical College; Emeritus Director Clinical School, Family Institute of Philadelphia; Senior Attending, Institute of the Pennsylvania Hospital.     

Attacked by the gods or by mental illness? Hybridizing mental and spiritual health in Okinawa

In 1972, the reversion to Japanese rule brought with it many changes for Okinawans, among them the widespread introduction of psychiatry. Psychiatry was not well received at first due to the extensive presence of shamans, who had traditionally dealt with Okinawans’ spiritual and psychological afflictions. Both psychiatrists and shamans claimed to be able to heal those who were labelled ‘mentally ill’ or ‘mentally disordered’ by psychiatrists. This conflict between systems over the body of the patient/client is relevant to debates today about both the perceived value of generic mental health diagnosis and treatment regimes compared with indigenous healing,1 See Kleinman (, ); WHO (2001).  [Google Scholar] and the question of isolating how markers or symbols of identity are employed in patients’ help-seeking choices. We examine three cases from the 1970s of patients who were diagnosed as suffering from both schizophrenia and an indigenous condition known as kami daarii.     

An Overview of Primary Care Family Psychology

This paper describes the application of family psychology to the primary care setting—in service, education and training, and scholarship. Primary care family psychology integrates family systems with biopsychosocial theory, yielding an approach that is uniquely suited to the generalist demands of primary care. This approach attends especially to the effects of relationships on health and healthcare, using the family as a potential resource to the patient just as the healthcare team is a resource to the clinician. Training opportunities in primary care family psychology are growing. The University of Rochester School of Medicine and Dentistry fellowship is described as an example, with core primary care family psychology training in four different clinical sites: Family Medicine, Internal Medicine, Pediatrics, and Obstetrics/Gynecology. Susan H. McDaniel is Professor of Psychiatry & Family Medicine, Director of Family Programs & the Wynne Center for Family Research in Psychiatry, and Associate Chair of Family Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York. Dr McDaniel also directs the Primary Care Family Psychology Fellowship. Picter LeRoux is Associate Professor of Psychiatry & Pediatrics, and Director of the Family Therapy Training Program in Psychiatry, University of Rochester School Medicine and Dentistry, Rochester, New York. Dr. LeRoux also heads the Pediatric Track of the Primary Care Family Psychology Fellowship.     

Free Will and Psychosis: Theoretical and Therapeutic Implications

In this article the determinants of psychotic disorder and correlated free will is examined. Althought there is empirical evidence for significant cognitive, emotional and neurobiological correlates of psychosis the precise impact of these abnornalities on free will is largely unclear. More research is needed into a) the role of free will into psychotic etiology and maintenance and b) the impact of different categories of psychotic disorder on free will of the patient. Director of “W. Kahn Institute of Theoretical Psychiatry and Neuroscience” and advisor Psychiatry appointed by the European Commision (Leonardo da Vinci).     

Three forms of stress in Cambodian adolescent refugees

Sixty-nine Cambodian adolescents and young adults were interviewed to determine their experience as children surviving the Pol Pot regime (1975–1979);their first-year experience of resettlement in this country; and their experience of stressful events during the past year. Current DSM-III-R diagnostic status was also determined. A strong relationship between earlier war trauma, resettlement strain, and symptoms of posttraumatic stress disorder (PTSD) was found. In contrast, the strongest relationship with depressive symptoms was found for recent stressful events. These results are discussed in light of current findings from stress and PTSD research.Dr. Clarke is Assistant Professor of Psychiatry in the Division of Child Psychiatry, Oregon Health Sciences University, Portland, Oregon. Dr. Sack is Director of the Division of Child Psychiatry and Principal Investigator of the Khmer Adolescent Project. Brian Goff is a Research Assistant.This project was supported by the National Institutes of Mental Health [NIMH] grant #5-RO1-MH42927-02, Dr. William H. Sack, M.D., Principal Investigator.     

Film and video

The Ninth Configuration: Radical Psychiatry Meets the Christ. Lorimar Productions, distributed in video by New World Video     

Book reviews

Allan Levy (Editor), Focus on Child Abuse—Medical, Legal and Social work Perspectives
Group for the Advancement of Psychiatry, Psychiatric Prevention and the Family Life Cycle     

Re:Views

Experiencing: A Humanistic Theory of Psychology and Psychiatry; Alvin R. Mahrer Liking Myself; Patricia Palmer The Mouse, the Monster, and Me; Patricia Palmer     

Entropic communication in families with adolescents

This paper discusses the value of the concepts of entropy and negentropy in assisting our understanding of destructive and constructive energy shifts in communication, with particular emphasis on examining entropic-negentropic processes in disordered family communication during adolescence. The concepts are defined, their operation in life in general is discussed, and three clinical case examples are presented.1979, FallPaper presented at the 3rd Reunion: Panamerican Forum for the Study of Adolescence, Mexico D.F., Mexico, Feb. 4, 1975.Clinical Professor of Psychiatry and Human Behavior, Jefferson Medical College; Visiting Clinical Professor of Psychiatry, Hahnemann Medical College; Emeritus Director Clinical School, Family Institute of Philadelphia; Senior Attending, Institute of the Pennsylvania Hospital.     

Beyond mind–body dualism: embracing pluralism in psychiatric research—introduction to the special issue, “Psychiatry and Its Philosophy”

Synthese - The special issue, “Psychiatry and Its Philosophy,” focuses on addressing the mindbrain dualism and connected problems in the clinical and scientific contexts of psychiatry....     

In-depth continuing education for clergy in mental health: Ten years of a large scale program

This paper describes an interdenominational continuing education program for parish clergy in the mental health dimension of pastoral work. The program is in its eleventh year and has reached a significant proportion of the clergy, representing a wide range of religious, ethnic, and socio-economic groups, within a large urban community. The format utilizes case-oriented, small group discussion focused on the clergy's own pastoral work. It emphasizes preventive educational activities along with the development of basic counseling and mental health skills. Ongoing evaluation indicates that the program constitutes an effective, economical, and flexible tool for continuing education with clergy.Dr. Wasman is Assistant Professor of Psychology, Dr. Corradi is Assistant Professor of Psychiatry, and Dr. Clemens is Assistant Clinical Professor of Psychiatry in the Department of Psychiatry, School of Medicine, Case Western Reserve University, Cleveland, Ohio, 44106. This work has been supported in part by the National Institute of Mental Health Grant MH11929 and by grants from the Cleveland Foundation, The Grant Foundation, Inc., and The Cuyahoga County Board of Mental Health and Retardation. The authors wish to thank Dr. Milton Matz, the current Director of the Pastoral Psychology Service-Institute, Case Western Reserve University, for his advice and cooperation in preparing this article.     

Working towards a new psychiatry - neuroscience, technology and the DSM-5

This Editorial introduces the thematic series on 'Toward a New Psychiatry: Philosophical and Ethical Issues in Classification, Diagnosis and Care' .     

An Empirical Study of the Production of Affectively Toned Items

(Masserman, J. H. Principles of Dynamic Psychiatry. Philadelphia: Saunders, 1946. Pp. 322.) Reviewed by C. H. Patterson.     

The growth and development of an infant mental health program: An integrated perspective

This article details the development of the Infant Mental Health Clinical and Training Program at the University of Colorado School of Medicine from 1976 to the present. The article discusses the clinical sites where the program takes place, which include the Neonatal Intensive Care Unit, outpatient child psychiatry clinic, and day treatment programs. Trainees from several mental health disciplines participate in the program, including predoctoral psychology externs, interns from the Clinical Psychology Internship, residents from the Child Psychiatry Training Program, and postdoctoral research fellows in developmental psychopathology. Recently, the Infant Mental Health Program has also been able to offer its own training positions. The philosophical models of clinical service and training are outlined. The article concludes by looking at future directions and challenges for the Infant Mental Health Program. © 1997 Michigan Association for Infant Mental Health     

The rhetorician's craft, distinctions in science, and political morality

In his response to Szasz' Secular Humanism and Scientific Psychiatry, the author considers the use of rhetorical devices in Szasz' work, Szasz' avoidance of acknowledging psychiatry's scientific distinctions, and Szaszian libertarianism versus liberalism.