Involving the family in the evaluation and treatment of the child patient: A psychodynamic approach

The purpose of this article is to provide psychotherapists with a tool for family evaluation using the basic principles of psychodynamic work; and to introduce a transitional format for therapists who have practiced family evaluations in their training institutions and now need to adapt this model to the private practitioner's office. A case example illustrates: (1) Use of the therapist's unconscious for diagnosis of the child and its family, (2) joining the family's intersubjective space, and (3) use of play and therapist's neutrality as ways that the psychodynamically oriented clinician involves the family in the evaluation and treatment of the child.     

Gender,psychological well-being and somatic cardiovascular risk factors

The purpose of this study is to determine associations between cardiovascular risk factors and subjective experience of psychological general well-being with special reference to gender-related differences. One hundred fifty white-collar workers in a car manufacturing plant in Sweden participated in a health care screening program. Subjective experience of psychological well-being was significantly correlated with cardiovascular risk factors among both men and women. There were, however, marked differences between the genders. For men, the following specific psychological variables were significantly correlated with cardiovascular risk factors: estimation of general health, anxiety, self-control and vitality. For women, more complex significant relationships between the two sets of variables were found. Moreover, the direction of the correlations differed between the genders. For example, men with cardiovascular risk factors, such as increased blood pressure, blood lipids and body mass index, reported significantly morepositive estimation of their general health. For women the relation was the opposite with a significantly positive correlation (p-0.004) between experience of good health and a low risk factor profile indicating the concordance between physiological and psychological parameters. Possible reasons for these sex differences are discussed.     

The postmodern counsellor: Some implications for practice,theory, research and professionalism

What is postmodernism? What are the implications of the death of God, science and the subject for counselling? Further questions include: To what extent does postmodernism, show that behavioural, humanistic, existential, and most psychoanalytic theories are delusional in that they would have the clients/patients believe that they are the core, the centre, the subject? What are the dangers of seeing ‘others’ practically, theoretically and when conducting research as either enhancing our narcissism and/or the counselling order? In terms of an ethical practice, can the postmodern counsellor stop counselling from reverting to a technique orientated mechanism of professional vested interests, and instead find a better way for us all to put the other first?     

Requiem for “schizophrenia”

In this article a brief overview of the treatment of chronic psychosis for the last two centuries is covered, with particular emphasis on many scientifically demonstrated causes of chronic organic psychosis and their medically successful treatment, including recent neurotransmitter manipulations. With respect for the important contributions of Bleuler, the term “schizophrenic” is considered as an unscientific and unprovable nosological construct, which has hampered the successful resolution of chronic psychosis and has outlived its usefulness in the lexicon of modern psychiatry.     

Maternal employment and socioeconomic status as factors in daughters' career salience: Some substantive refinements

Research on children of working mothers has indicated that an important relationship exists between maternal employment and subsequent career salience of female offspring. Effects caused by socioeconomic factors have been noted in this relationship but have not been examined either systematically or over time. In the present study, socioeconomic differences were controlled for examination of longitudinal data on established critical factors in career salience of female college graduates. Multiple regression models were estimated for three points in time, covering an eight-year period, for subsamples of single and married women. Details about mother's employment history, respondent's recollection of the attitudes of family members concerning that employment, and indicators of daughter's sex-role ideology were independent variables. Maternal employment was significantly related to both single and married daughters' career salience but in opposite directions and accounted for only a minimum of the observed variance. Related maternal employment variables are associated with career salience of single women early in their postbaccalaureate careers and are not associated with the career salience of married women until somewhat later. Sex-role ideology was important for the career salience of married women but not for single women. The importance of a generalizable context for these findings is discussed.Support for this research was provided in part by a grant from the University of Wisconsin Graduate School and NIMH Grant Number MH-13112 to the Departments of Sociology and Psychiatry, Duke University. This research was based on a part of the author's doctoral dissertation.     

The Del Greco Assertive Behavior Inventory

Previous research in the area of assertiveness training has been examined with respect to the definitions of assertive, aggressive, and nonassertive behavior and the prominent assertion model. Logical inconsistencies have led to a refinement of the definitions of these behaviors, the inclusion of passive aggressive behavior, and the testing of a new two-dimensional model of assertion. The present study has developed a psychometric test to measure assertive, aggressive, nonassertive, and passive aggressive behavior in the college dormitory population. In addition, support was demonstrated for the validity of the two dimensional model of assertion. The instrument development was divided into four phases: item generation, item evaluation and revision, reliability testing and item analysis, and validity testing. Data analysis supported the two-dimensional model of assertion. In addition, an 86-item Del Greco Assertive Behavior Inventory designed for use with college dormitory students has weathered preliminary validity and reliability testing.     

How do group meetings make a community Therapeutic?

Summary Following an abrupt shift from a therapeutic community with emphasis on group meetings to a hierarchical medical model on a mental hospital floor, disturbed patients required extensive individual nursing care. This increased work load for the nursing staff resulted in admissions having to be limited to the rare cases who needed little or no nursing care. As patients were discharged, the vacancy rate went up to approximately 20% for a week and remained high for another two weeks. Nursing staff-patient relations deteriorated.Subsequently, it was possible to resume the emphasis on the groups of a therapeutic community and to observe the contrast. The experience showed how groups can effect and support a therapeutic community. It clarified some of the mechanisms by which groups positively affected disturbed patients. Some mechanisms by which the staff, community, and group meetings favorably influenced the nursing staff-patient relationship and intrastaff communications became clear also.