Changing Concepts of Psychoanalytic Medicine Edited by Sandor Rado and George G. Daniels

A meta-analysis was conducted combining results from nine studies, using seventy-five outcome measures of 349 subjects. Only studies that contrasted group, individual, and control treatments with a pretest-posttest design were selected. Estimates of effect sizes were calculated for group, individual, and control treatments across all studies, according to treatment modality (psychotherapy, counseling, or psychoeducation), type of control (no treatment or some treatment), date of the study (1955–1969 or 1977–1982), and the subjects' age (adult, adolescent, or child). Results indicated that both group and individual treatments had a measurable effect that was consistently greater than that of controls. Further, (1) counseling produced much more of an effect than either therapy or psychoeducation; (2) the more recent treatments produced larger effects than the older studies; and (3) group treatments were more effective than individual methods in the treatment of adolescents, but were less effective in the treatment of children.     

Having an interpretation

I investigate what it means to have an interpretation of our language, how we manage to bestow a determinate interpretation to our utterances, and to which extent our interpretation of the world is determinate. All this is done in dialogue with van Fraassen’s insightful discussion of Putnam’s model-theoretic argument and of scientific structuralism.     

An exploratory study of the relationship between diverse life events and specific personality disorders in a sample of suicide attempters

Personality disorder (PD) increases risk for suicidal behavior. Certain life events (LE) can precipitate suicidal behaviors in patients with PD. A fundamental question is whether specific combinations of LE and PD increase suicidal risk. Four hundred forty-six suicide attempters (SA) were recruited from emergency rooms. We used a healthy control group (n = 515) to identify the best cut-off point for the instrument used to diagnose PD. We used the DSM-IV version of the International Personality Disorder Questionnaire-Screening Questionnaire, the Mini International Neuropsychiatric Interview, and the Social Adjustment Scale to assess PD, Axis I disorders, and LE, respectively. After controlling for Axis I disorders, we found that "Death of spouse" preceded suicidal acts in those with antisocial PD (FET p = 0.024) and patients with narcissistic PD attempted suicide after being Fired at work (FET p = 0.002), among others. Our data suggest the presence of particular LE-PD associations in suicide attempters. Some LE-PD relationships appear independent of Axis I disorders in suicide attempters. This may offer a basis for specific targeted therapies or prevention programs aimed at decreasing suicidal risk.