The impact of the therapeutic environment

This paper emphasizes the impact of the setting, space, and general physical properties of the clinic upon the difficult patient's profound neediness and absence of inner regulatory structure. Moreover, the clinic's administrative style and requirements often related to fiscal restraints, demands for accountability for both how funds are spent and treatment outcome, all impinge upon the patient. Humanizing clinics so they have the capacity for psychotherapeutic holding and provision of safety for difficult patients are discussed in detail in this contribution.     

Robustness of normal theory methods in the analysis of linear latent variate models

The structure of the covariance matrix of sample covariances under the class of linear latent variate models is derived using properties of cumulants. This is employed to provide a general framework for robustness of statistical inference in the analysis of covariance structures arising from linear latent variate models. Conditions for normal theory estimators and test statistics to retain each of their usual asymptotic properties under non-normality of latent variates are given. Factor analysis, LISREL and other models are discussed as examples.