Psychoanalytic patients in the U.S., CANADA,and Australia: I. DSM-III-R disorders,indications, previous treatment,medications, and length of treatment

To determine the demographics, DSM-III-R disorders diagnosed, indications used in recommending psychoanalysis, previous treatment histories, use of medication, and length of treatment in patients in psychoanalysis in the U.S., Canada, and Australia, a mail survey of practice was sent to every other active member of the American Psychoanalytic Association and every member of the Australian Psychoanalytical Society. This supplemented an earlier survey sent to all Ontario psychoanalysts. The response rates were 40.1 % (n = 342) for the U.S., 67.2% (n = 117) for Canada, and 73.9% (n = 51) for Australia. Respondents supplied data on 1,718 patients. The employment rate for patients increases as analysis progresses (p < .0001). The mean number of concurrent categories of disorders (Axis I, Axis II, and Disorders First Evident in Childhood) per patient at the start of treatment is 5.01 (SD = 3.66; median = 4; mode = 3). There are no statistically significant differences across countries. Mood, anxiety, sexual dysfunction, and personality disorders are most common. American Psychiatric Association / American Psychoanalytic Association peer review criteria for indicating psychoanalysis are followed for 86.5% of patients. Over 80% of patients in all three countries had undergone previous treatments prior to analysis. In the U.S., 18.2% of analysands are on concurrent psychoactive medication; in Australia, 9.6%. The mean length of analyses conducted in the U.S. is 5.7 years, in Australia 6.6, and in Canada 4.8. Psychoanalytic patients in all three countries have similar rates of DSM-III-R psychopathology, and many indications of chronicity.     

The impact of parental attachment and supervision on fear of crime among adolescent males

This paper examines the effect of parental attachment and supervision on fear of crime among adolescent males. Earlier work has suggested that feelings of powerlessness and association with deviant peers have a significant impact on adolescent fear of crime. As the nature of the parent-adolescent relationship is also a key predictor of adolescent self-concept and quality of peer relationships, we felt that parental attachment and supervision should also impact fear of crime. Using self-report surveys from 318 incarcerated adolescent males, we examine the effect of parental attachment and supervision, along with other demographic and contextual variables, on fear of criminal victimization, perceived safety, and perceptions of risk. The results indicate that those boys who are most attached to their parents are less fearful of criminal victimization and feel safer in their environment than do their counterparts with weaker parental attachments. Additionally, those boys whose parents supervise them closely are more fearful of criminal victimization, but have lower levels of perceived risk of victimization. Implications and ramifications for social policies and future research are also discussed.