`Reference' to D. Z. Phillips

International Journal for Philosophy of Religion -     

U.S. mental health policy. Doomed to fail.

Changes in the de facto system of mental health care in the last decade reflect organizational and entrepreneurial responsiveness to changes in health policy, not mental health policy. Various other actions described here reduced statutory or institutional leadership roles in mental health and increased the pace at which mental health policy was becoming dependent on health policy. In turn, U.S. health policy in the 20th century has been inherently flawed. The short-term general hospital--the "doctors' workshop"--emphasizing acute care and surgery, has been the cornerstone of U.S. health policy throughout the 20th century. The mimicry of health services by mental health leads to demonstrably more expensive and less effective mental health care and dooms mental health policy to failure.     

Assessing vulnerability to suicide.

Three hundred members of the American Association of Suicidology (30% of those who apparently received the questionnaire) participated in a survey in which case histories of two men who had committed suicide and two who had not were presented. Respondents assessed the vulnerability to suicide of each man, recorded their levels of confidence in their assessments, and provided information about themselves. The two men who killed themselves were rated as less vulnerable to suicide than the other two men, and as less vulnerable than one would expect by chance. Respondent characteristics that predicted to accuracy in assessing vulnerability were gender and level of involvement in research. The findings are discussed in terms of the limitations of theoretical models as well as characteristics of the respondents and nature of the study design.