The case of Peter and Susan: The psychotherapeutic treatment of an acute psychotic episode at the Arbours Crisis Centre

The case of Peter and Susan is an example of multiple crisis intervention at the Arbours Crisis Centre in London. Both were treated by psychoanalytic psychotherapy together with intensive interpersonal support in a live-in therapeutic milieu, with successful results.An extended discussion about the work of the Arbours Association in London will be published by Human Sciences Press as a chapter entitled, An Alternative Sanctuary: The Arbours Crisis Centre, in the forthcoming book,Healing Human Systems, edited by U. Reuveni and R. & J. Speck. For further information about the Centre write to: The Arbours Association, 41a Western Park, London N.8.     

Toward a psychology of courage: Implications for the change (healing) process

Courage is a virtue which has been held in highest regard by all societies. In an age in which courage and its companions, human dignity and commitment, seem sadly lacking, it is imperative that we reacquaint ourselves with the implications of these attributes. In this paper we demonstrate the integral relationship between courage and intimacy and the importance of the concept of therapeutic caring to their development. We also introduce the theory of the double in which the self, in the act of intimacy, seeks to come together with its contradictory and disavowed attributes. These concepts are related to a psychotherapeutic paradigm in which we examine the requirements courage, intimacy, and caring impose upon practitioner and client.Paper presented at the 25th winter meeting of The American Academy of Psychoanalysis, New York City, December, 1981.     

Sociology and psychology within the scope of scientific dishonesty

A survey is undertaken based on qualitative analyses of the cases of scientific misconduct from the Danish Committee on Scientific Dishonesty’s first five years of collecting data, with additional information from selected international sources, in which underlying psychological motivations can be judged. An carlier version of this paper was presented at a symposium, Scientific Misconduct. An International Perspective, organised by The Medical University of Warsay, 16 November, 1998.     

Suicide and Suicidal Attempts in the United States: Costs and Policy Implications

The national cost of suicides and suicide attempts in the United States in 2013 was $58.4 billion based on reported numbers alone. Lost productivity (termed indirect costs) represents most (97.1%) of this cost. Adjustment for under‐reporting increased the total cost to $93.5 billion or $298 per capita, 2.1–2.8 times that of previous studies. Previous research suggests that improved continuity of care would likely reduce the number of subsequent suicidal attempts following a previous nonfatal attempt. We estimate a highly favorable benefit–cost ratio of 6 to 1 for investments in additional medical, counseling, and linkage services for such patients.     

Effects of medical resonance therapy music on patients with psoriasis and neurodermatitis—A pilot study

Stress medicine has shown that emotional disharmony can be a substantial factor for skin diseases. The harmonisation of the emotional status and a corresponding reduction of stress hormones by the Medical Resonance Therapy Music^® (MRT-Music) as shown in other studies (1,2,3,4) inspired us to investigate its benefits for patients with psoriasis vulgaris and neurodermatitis (neurodermatitis constitutionalis atopica). Over a period of 14 days we measured the parameters of blood pressure, heart rate, stimulus to scratch and the degree of sickness in two, respectively four groups of 68 patients in total: two experimental groups (psoriasis/neurodermatitis) and two control gropus. All patients received the normal treatment of our hospital, the experimental groups were additionally treated with 3 × 30 minutes of MTR-Music per day, while the controls were asked to somehow relax during this time. In the experimental groups the measurements showed to somehow relax during this time. In the experimental groups the measurements showed a reduction of blood pressure and heart rate and revealed an enhanced reduction of the stimulus to scratch and an enhanced reduction in the degree of sickness. Interestingly the effects of MRT-Music were stronger with the psoriasis patients than with the neurodermatitis patients. The results of this pilot study convinced us to offer the treatment with the Medical Resonance Therapy Music to all our patients.     

Association between substance use disorders and self- and other-directed aggression: An integrated model approach

Our study's objective is to determine whether substance use disorders’ association with aggression differs according to the type of substance and/or the form of aggression, within the same population. We used data from the National Survey on Drug Use and Health across 2008–2014, with a pooled sample of 270,227 adult respondents. We used regression models to estimate the odds ratios for those having alcohol and/or drug use disorder(s) perpetrating (a) each form of aggression compared with no aggression and (b) other-directed compared with self-directed aggression. Alcohol use disorder alone and drug use disorder(s) alone were both associated with significantly increased odds of committing self-directed, other-directed, and combined aggression. Individuals with drug use disorder(s) alone were more likely to commit other-directed than self-directed aggression (adjusted odds ratio = 1.46, 95% CI = 1.04–2.05). Individuals with alcohol use disorder alone were not likely to commit one over the other (adjusted odds ratio = 1.20, 95% CI = 0.90–1.61). In conclusion, the integrated model of aggression based on the stress–diathesis model is a relevant framework to study risk factors for aggression. Further research is needed to identify longitudinal predictors of directionality of aggression.     

The cognitive locus of distraction by acoustic novelty in the cross-modal oddball task

Unexpected stimuli are often able to distract us away from a task at hand. The present study seeks to explore some of the mechanisms underpinning this phenomenon. Studies of involuntary attention capture using the oddball task have repeatedly shown that infrequent auditory changes in a series of otherwise repeating sounds trigger an automatic response to the novel or deviant stimulus. This attention capture has been shown to disrupt participants' behavioral performance in a primary task, even when distractors and targets are asynchronous and presented in distinct sensory modalities. This distraction effect is generally considered as a by-product of the capture of attention by the novel or deviant stimulus, but the exact cognitive locus of this effect and the interplay between attention capture and target processing has remained relatively ignored. The present study reports three behavioral experiments using a cross-modal oddball task to examine whether the distraction triggered by auditory novelty affects the processing of the target stimuli. Our results showed that variations in the demands placed on the visual analysis (Experiment 1) or categorical processing of the target (Experiment 2) did not impact on distraction. Instead, the cancellation of distraction by the presentation of an irrelevant visual stimulus presented immediately before the visual target (Experiment 3) suggested that distraction originated in the shifts of attention occurring between attention capture and the onset of the target processing. Possible accounts of these shifts are discussed.     

Suicidal Behavior in the Western Pacific Region: Characteristics and Trends

Current knowledge of suicidal behavior in the Western Pacific region is relatively limited when compared to other areas of the world. This area is characterized by a wide diversity of social, economic, and cultural aspects that do not permit any homogenous reading of suicide phenomena. Data from countries of the region included in this article suggest the existence of important differences among nations in terms of gender, age, and methods of suicide, as well role of mental illness. In addition, the Western Pacific region appears to be affected by higher rates of suicide than other areas in the world, with signs of progressive worsening in recent years and worrying predictions for the next two decades. The Suicide Trends in At‐Risk Territories (START) Study, initiated by the World Health Organization Regional Office in Manila, seeks to research the incidence of both fatal and nonfatal suicidal behavior in countries of the region and to implement interventions for suicide attempters. This ambitious project is expected to standardize data collection procedures and improve the knowledge cultural factors in suicide.     

Nonfatal Suicidal Behavior Among Chinese Women Who Have Been Physically Abused by Their Male Intimate Partners

Three hundred fifty‐three women (median age = 32 years) admitted to the emergency rooms of nine general hospitals serving rural areas in China were interviewed for nonfatal suicidal behavior. Spousal conflict was the most commonly reported cause for their suicidal behavior and one third of respondents reported being victims of physical abuse by their spouses. Compared to non‐abused women, abused women were younger, had more disturbed family relationships, and experienced less financial hardship and more divorce. No differences were found between the groups in the proportion who reported psychiatric symptoms or in the level of suicidal intent; however, abused women were less impulsive and expressed more sadness at not having been successful in ending their lives.