Introducing the living with illness group: A specialized treatment for patients with chronic schizophrenic conditions

This paper introduces a specialized psychotherapy/psychoeducational group treatment for patients with chronic psychotic symptoms who receive only partial benefit from psychotropic medications, psychotherapy, and milieu/activities therapy. The goal of the group is to assist patients to accurately identify the feelings, thoughts, and behaviors that are dysfunctional symptoms of their disability and then use the functional aspects of their brain as well as learned coping strategies to compensate for their disability. The group format, philosophy, procedures, and typical topics of discussion are detailed.The authors would like to thank Bruce Levine, Ph.D., and Terry Fujeoko, Ph.D., for their assistance with the initial formation of the group. Mr. Howe and Dr. Fujeoko originated the Living with Illness group and began the first group in 1985 at Waterbury Hospital Health Center, Waterbury, CT.     

Intrusions in preschoolers’ recall of traumatic childhood events

We investigated the presence of intrusions in preschoolers’ memories for traumatic incidents by examining 30-, 36-, and 48-month-olds’ initial and 6-month recall of traumatic events that required emergency room treatment. The basic findings were (1) the number of preschoolers who produced an intrusion at the 6th month’s interview declined with age, (2) only the youngest preschoolers produced reliably more intrusions at 6 months than initially, (3) the amount of intruded information did not vary with age, and (4) the amount of information correctly recalled about the target traumatic event increased with age and was not affected by the presence of intrusions at any age. That preschoolers were able to recall considerable information concerning the target event, regardless of whether they did or did not produce intrusions, has implications for the veracity of their memories of trauma in real-life situations over extended retention intervals.     

Confidentiality in the military

This article presents and analyzes options military physicians face regarding whether or not to respect gay servicepersons' confidentiality. This situation is considered to be generic to others that involve similar conflicts. Dilemmas arising before and after the emergence of HIV-related diseases are discussed. Recommendations regarding psychiatrists' ethical obligations when conducting forensic exams are compared with military physicians' obligations to respect servicepersons' confidentiality. It is suggested that military psychiatrists should violate servicepersons' confidentiality under some circumstances, but generally should warn them in advance that they will do so. Possible exceptions exist when warning servicepersons would increase the likelihood that justice would be violated or substantial harm would occur.     

Everyday conceptions of object fall: explicit and tacit understanding during middle childhood

Adults make erroneous predictions about object fall despite recognizing when observed displays are correct or incorrect. Prediction requires explicit engagement with conceptual knowledge, whereas recognition can be achieved through tacit processing. Therefore, it has been suggested that the greater challenge imposed by explicit engagement leads to elements of conceptual understanding being omitted from prediction that are included in recognition. Acknowledging that research with children provides a significant context for exploring this "omission hypothesis" further, this article reports two studies with 6- to 10-year-olds, each of which used prediction and recognition tasks. Study 1 (N=137) focused on understanding of direction of fall, and Study 2 (N=133) addressed speed. Although performance on the recognition tasks was generally superior to performance on the prediction tasks, qualitative differences also emerged. These differences argue against interpreting explicit level understanding purely in terms of omission of tacit constructs, and the article outlines alternative models that may account for the data.