Zertifizierung, Rezertifizierung und Aufrechterhaltung der Zertifizierung in forensischer Psychiatrie in den USA

Certification in forensic psychiatry in the United States has previously included testing for the appropriate fund of knowledge and in various ways and degrees the skills needed to practice this subspecialty competently. Today explicit attention is increasingly being given to supporting methods for forensic psychiatrists to systematically identify and then fortify areas of weakness in forensic knowledge and skill sets. The development of certification in forensic psychiatry can be traced through four phases: (1) certification in general psychiatry by the American Board of Psychiatry and Neurology (ABPN) a prerequisite for certification in forensic psychiatry in each of the three certification phases to follow, (2) certification in forensic psychiatry by the American Board of Forensic Psychiatry (ABFP), (3) certification and recertification in forensic psychiatry by the ABPN and (4) certification, recertification and maintenance of certification by the ABPN. The level of actual competence has always been a challenge to assess adequately and today is both supported and further challenged by measures designed to encourage a lifetime of learning and focused self-improvement required through the ABPN??s maintenance of certification program.     

A Bayesian Approach for Estimating Mediation Effects With Missing Data

Methodologists have developed mediation analysis techniques for a broad range of substantive applications, yet methods for estimating mediating mechanisms with missing data have been understudied. This study outlined a general Bayesian missing data handling approach that can accommodate mediation analyses with any number of manifest variables. Computer simulation studies showed that the Bayesian approach produced frequentist coverage rates and power estimates that were comparable to those of maximum likelihood with the bias-corrected bootstrap. We share an SAS macro that implements Bayesian estimation and use 2 data analysis examples to demonstrate its use.     

The Distribution of the Product Explains Normal Theory Mediation Confidence Interval Estimation

The distribution of the product has several useful applications. One of these applications is its use to form confidence intervals for the indirect effect as the product of 2 regression coefficients. The purpose of this article is to investigate how the moments of the distribution of the product explain normal theory mediation confidence interval coverage and imbalance. Values of the critical ratio for each random variable are used to demonstrate how the moments of the distribution of the product change across values of the critical ratio observed in research studies. Results of the simulation study showed that as skewness in absolute value increases, coverage decreases. And as skewness in absolute value and kurtosis increases, imbalance increases. The difference between testing the significance of the indirect effect using the normal theory versus the asymmetric distribution of the product is further illustrated with a real data example. This article is the first study to show the direct link between the distribution of the product and indirect effect confidence intervals and clarifies the results of previous simulation studies by showing why normal theory confidence intervals for indirect effects are often less accurate than those obtained from the asymmetric distribution of the product or from resampling methods.     

The Activities of The Scandinavian Societies

Freud's concept of the death instinct has given rise to many different interpretations which have often been contradictory. It is in fact already possible to discern two diametrically opposite meanings of this concept in Freud's work from 1920—Beyond the Pleasure Principle—in which he first introduced the concept of the death instinct. In this paper, it is argued that both these meanings are relevant in describing psychical life, although only one of these meanings actually qualifies for the concept “death instinct”. Beyond the Pleasure Principle was written in order to try to understand some everyday, as well as clinical phenomena which could not be explained by the so-called pleasure principle. Freud postulated something beyond the pleasure principle, which initially seemed to have to do with binding energy. I will preserve this idea and attempt to develop it within the context of a phenomenological analysis of time. The temporalization of the subject involves a very basic affirmation of existence, in that the subject experiences something constant, something that can be said to possess the quality of a gestalt. I propose that that which is beyond the pleasure principle—this binding of energy—should be understood as the opposite of the idea of a primordial death instinct striving towards death. In this case, that which is beyond the pleasure principle reflects an original affirmation of existence, which could be said to correspond to Freud's first meaning of the death instinct. The second meaning—for which the name “death instinct” seems to be applicable—concerns the discharge of energy, which from a temporal point of view shows itself as a tendency to dissolution. The concept of the death instinct in its various meanings is discussed in connection with phenomenological reflections on time, which is a different approach from Freud's attempt to ground the death instinct in biology.     

ON THE ACTIVITIES OF THE SCANDINAVIAN PSYCHOANALYTIC SOCIETIES

This article discusses some basic problems of the theory of science connected with understanding the psychoanalytic process. The epistemology of psychoanalysis is seen in relation to the specific status of time, space and causality. It is argued that in psychic life, time and space cannot be a priori categories in the Kantian sense because they are constituted in psychic development and in the dynamics of the psyche and can be abolished in psychopathological conditions as well as in the unconscious. Psychic causality is discussed in relation to Freud's concepts of Nachträglichkeit and overdetermination and remarks are made on the necessity to consider the complex nature of psychic causality when doing research.     

“0–20 ÅR I PSYKOANALYTISK PERSPECTIV”

The subject of this article is body-related linguistic identity and the need for a “word man”, i.e., an author or a psychoanalyst, to stay in close contact with that identity. The account describes the journey of the author and other persons from word to linguistic identity.     

An Assessment of the Utility of Suicide Prediction*

ABSTRACT: Efforts to predict a future event assume varying levels of confidence depending on its base rate and the error rate of the prediction instrument. Most researchers working with suicide prediction instruments seem tacitly to assume they will be able to predict a future suicide most of the time. Applying basic decision theory on a neuropsychiatric hospital population indicates that researchers using a prediction schedule will be unlikely to predict a future suicide beyond a 20% level of efficiency. Contrary to the general clinical view, eliminating false negatives was shown to be more practical than eliminating false positives in increasing the efficiency of a predictive schedule.     

Do we need an existential philosophy of the railway? Why then a philosophy of sport?

A lively debate has arisen about the need and the character of phenomenology—of phenomenology in general and of sports phenomenology in particular. This paper responds to Irena Martínková and Jim Parry who ‘defended’ philosophical phenomenology against my critique of their book about phenomenological approaches to sport. Where the defense maintains the existence of one single and correct phenomenology, understood as a sort of existential philosophy, this paper argues for a diversity of different types of phenomenology and more concretely for a phenomenological method that goes ‘back to phenomena.’