Training psychiatric teams to do family systems acute psychiatry

This article presents an account of a comprehensive eighteen‐day, multi‐team, multidisciplinary training approach to family systems inpatient acute psychiatry. It has been developed and tested as part of the SYMPA project (systems therapy in acute psychiatry), which aims to establish systemic case conceptualizations and interventions as routine practice in acute psychiatry. Content, didactic characteristics and specifications of this training are discussed. To illustrate the practical implementation of the training, specifically designed exercises are described and a clinical case is included. The article concludes by presenting first results of the research on implementation indicating that the training had a significant impact on the quantity and quality of conversations with patients.     

Anorexia Nervosa,Major Depression,and Suicide Attempts: Shared Genetic Factors

The extent to which genetic and environmental factors influenced anorexia nervosa (AN), major depressive disorder (MDD), and suicide attempts (SA) were evaluated. Participants were 6,899 women from the Swedish Twin Study of Adults: Genes and Environment. A Cholesky decomposition assessed independent and overlapping genetic and environmental contributions to AN, MDD, and SA. Genetic factors accounted for a substantial amount of liability to all three traits; unique environmental factors accounted for most of the remaining liability. Shared genetic factors may underlie the coexpression of these traits. Results underscore the importance of assessing for signs of suicide among individuals with AN.     

On the development of a benign superego- thoughts arising from psychoanalytical work with children and grownups

ABSTRACT

The human psyche unfolds through the internalization of the presence of the object; little by little the child makes the functions and characteristics of the object her own. Part of the internalization of the primary objects result in the superego formation. When the internalized object is reliably present, protecting and need fulfilling the superego will be formed into a benign inner structure, which has self-observing, self-regulatory and ideal forming functions. A good internal object lays the basis for a well- functioning and protective superego, whereas an object experienced as too distant and not there when needed results in internalizations which build a harsh and persecuting superego. The focus in this article is on the development of a benign superego.