Psychoanalysis of the older patient

A small informal poll of local colleagues revealed that despite their interest in the subject, many had doubts about the possibility of analyzing persons aged sixty or over successfully. Their specific questions are collated and are offered as a sample of the questions in the minds of many analysts everywhere. Selected material from the ongoing analysis of a sixty-four-year-old patient is presented that bears on some of the questions raised. In addition, changes in the patient are noted. These are discussed in terms of changes in function, which are equated with structural change. The major thrust of the paper is that development continues throughout the life course, and that the criteria for analyzability remain constant. The chronological age of the adult by itself is not an indicator of eligibility or of suitability for psychoanalysis.     

Profiles of adolescents' clothing practices: purchase, daily selection, and care

The purpose of this study was to examine the clothing practices in the daily selection, care, and purchase of clothing by adolescents in order to determine the extent these practices are performed independently or influenced by others, and to identify the factors involved in the activities. Clothing Practice Profiles were developed for both sexes in the three age groups corresponding to divisions in the Oregon 4-H program. The age group comparison revealed increasing frequency of independent activity in all three clothing practice areas (selection, care, and purchase) as age increased. Parental influence appeared to decrease with increasing age. Siblings' influence was minimal. Peer influence on selection and purchase practices increased. Media influence on daily clothing selection practices and clothing purchase practices in terms of wearing or buying identical or similar clothing was minimal. Media influence in advertisements increased with age, but purchases of advertised clothing items remained about the same. Age group comparisons were also made for selection factors and other care and purchase practices, including responsibilities for care of the member's and family's clothing, planning clothing purchases, sources of funds and methods of paying for clothing, use of clothing label information, and purchase factors.     

Combining psychodynamic and behavioral treatment approaches in the treatment of hospitalized adolescents

This article describes a treatment approach for hospitalized adolescents which attempts to address the "response generalization" problem encountered with behaviorally based treatment milieus. The program is described and preliminary data is given to support its techniques. The treatment program attempts to combine behavioral/objective techniques that are so effective in program management, with subjective/clinical strategies.     

Suicidal thoughts and their relationship to family stress and personal problems among high school seniors and college undergraduates

This study investigated the incidence of serious suicidal thoughts (ST's) among 207 high school seniors and 901 college students, and the relationship between ST's and family stress, drinking and drug-abuse problems, and delinquency in these groups. Over 10% of the high school and over 6% of the college students reported ST's. Those considering suicide attempts in both groups were more likely than their classmates to view their parents as having many conflicts with each other, to think of their relationship with their father as poor, to see at least one of their parents as either angry or depressed much of the time, and to perceive themselves as having a drinking or drug-abuse problem. These findings support the call for comprehensive counseling programs at both the high school and college levels.