IS A LITTLE (PSYCHIATRIC) KNOWLEDGE A DANGEROUS THING?

One hundred thirty-four participants completed a revised Menstrual Distress Questionnaire (MDQ), which included criteria for premenstrual dysphoric disorder (PMDD). Two weeks later the participants again completed the revised MDQ after reading either the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) diagnostic criteria for the PMDD or a copy of the same criteria retitled "Episodic Dysphoric Disorder," with all menstrual cycle references removed. Knowledge of the diagnosis did not affect women's perceptions of their own menstrual cycle-related symptoms, but it increased participants' perceptions of premenstrual changes as a problem for women in general. Chi-square analyses revealed that participants were more willing to attach a psychiatric diagnosis to women they know if they believed the diagnosis was related to the menstrual cycle.     

Development of a Culturally Responsive Group Counseling Model for Mexican American Adolescents

This article discusses a group counseling model specifically targeted for Mexican American adolescents with behavior problems including substance abuse. An integrated model is proposed, with the model assumptions clearly articulated and specific therapeutic goals addressed in a culturally responsive manner. Foci of the model are ethnic identity, affective expression, and life choices. Preliminary findings indicate that the youths are retained in the groups at a higher rate than predicted. To live in the Borderlands means you are neither hispana India negra espanola ni gabacha, eres mestiza, mulata, half-breed caught in the crossfire between camps while carrying all five races on your back not knowing which side to turn to, run from; To survive the Borderlands you must live sin fronteras be a crossroads. —Gloria Anzaldua (1987)     

The diagnostic fallacy: A critique of Jane Mercer's concept of mental retardation

Jane Mercer's influential book on mental retardation is criticized because it essentially reverts to traditional “diagnosticism”—the assumption that retardation is an entity of biological origin and unfavorable sequelae, rather than a set of behaviors stemming from a diversity of causes. It is argued that this view point is fallacious because it is oversimplified and educationally irrelevant. Instruction is rarely affected by knowledge of original etiology, and therefore elaborate pluralistic assessment procedures designed to unravel cause are not helpful. Criteria and instruments appropriate for classification are discussed in terms of the purposed to be served by school designations.     

Bereavement after a Physician-Assisted Suicide: A Speculation Based on Theory

Despite the recent Supreme Court ruling upholding the ban on physician-assisted suicide, the practice continues in the United States. A majority of Americans support physician-assisted suicide, and several surveys document its use by physicians and nurses. This article explores the anticipated bereavement experience of significant survivors following a physician-assisted suicide. Theoretical approaches to bereavement frame the discussion of possible reactions to suicidal death: (1) psychodynamic, (2) attachment theory, (3) crisis theory, and (4) cognitive theory. Three case scenarios illustrate potential survivor reactions, with suggested intervention approaches.