Psychiatry under tyranny: A report on the political abuse of Romanian psychiatry during the ceausescu years

Romanians suffered incredible deprivations of every sort during the decades of Communist dictatorship. Most of the country’s 1,000 psychiatrists, and most of their patients, were victimized by the political system. A few psychiatrists actively engaged in practices amounting to torture. Many, however, became willing or unwilling participants in the political abuse of their profession. Such political abuses were fostered by abusive legislation and abusive law enforcement by the secret police. Abuses included: mass detentions in psychiatric hospitals of dissidents and political undesirables; abusive interpretation of the laws in detaining persons not suffering from mental illness; false, politically motivated diagnoses and treatment; and detention in secret facilities. While there are honest efforts to come to grips with the past, to compensate victims of psychiatric abuse, and to institute proceedings against abusers, there is also much resistance to reform. Reform-minded Romanian psychiatrists deserve the support of their western colleagues in the effort to restore Romanian psychiatry. In particular, professional colleagues all over the world are asked to comment on the draft law currently pending before the Romanian parliament, which is intended to restore the rule of law to the practice of psychiatry in Romania. Report of a consultative mission to Bucharest, on behalf of the Geneva Initiave on Psychiatry, 7 June to 12 June 1992, by Nanci Adler, Historian-Sovietologist, Geneva Initiative on Psychiatry, Amsterdam, The Netherlands; G.O.W. Mueller, Distinguished Professor of Criminal Justice, Rutgers — The State University of New Jersey, U.S.A.; Mohammed Ayat, Professor of Criminology and Penal Law, Université de Fes, Faculté des Sciences Juridiques, Economiques et Sociales, FEs, Morocco. The Geneva Initiative on Psychiatry is a nongovernmental, nonprofit organization, dedicated to the introduction and preservation of ethical practices in the psychiatric profession, in accordance with medical ethics, the Universal Declaration of Human Rights, and U.N. standards and guidelines. Headquartered in Amsterdam, the organization is currently providing technical and financial assistance to the newly established free, independent, democratic psychiatric associations in Russia, Ukraine, Romania, and other countries. The General Secretary of the organization is Robert van Voren; the board is composed of professionals from some twenty countries. This article was based on meetings at governmental and parliamentary offices, nongovernmental organizations, and embassies as well psychiatric institutions with, among others, the following persons: Dr. Lucian Alexandrescu, V-P Radu Ciuceanu, Mr. Comsa, Proc. Gen’l. Ulpiu Cereceanu, Mr. Nistor Cristea, Mr. Dinu Ianculescu, Prof. Dr. George Ionescu, Miss Cristina Luzoscu, Dr. Zaharia Nicolae, Mr. Iancu Petrescu, Dr. Dan Prelipcianu, Min. Mircea Ionescu-Quintus, Dr. Aurel Romila, Av. Nicolae Stefanescu-Draganesti, Dir. Dr. Tomescu, Dr. Alexandru Trifan, Dr. Valeriu Tuculescu, and numerous victims, diplomats, and Romanian citizens.     

Behavioral and Attitudinal Correlates of Masculinity: A National Survey of Male Counselors

In this study the authors investigated the relationship between the Male Role Norm Scales (MRNS; Thompson & Pleck, 1987) and gender-related attitudes and behaviors in a sample of 367 male counselors drawn from American Counseling Association (ACA), formerly the American Association for Counseling and Development (AACD), members. Results indicated that this group of men did not, in general, endorse traditional male roles as measured by the MRNS. When a degree of affiliation with these roles was found, however, it was predictive of violence proneness, intimacy style, and degree of perceived similarity to father. Implications for training and counseling are discussed.     

Employment and Roles of Counselors in Employee Assistance Programs

The authors studied employment and roles of master's-level counselors in employee assistance programs (EAPs) and the services offered by different types of EAP organizations. The study focused on programs, workshops and seminars: assessment; counseling; consultation; and evaluation and marketing services offered by EAPs. Master's-level counselors were found to be similar to those with Master's of Social Work (MSW) degrees in employment rate and percentage of EAP staff. Both groups were the most frequently employed and constitute the greatest percentage of the professional mental health staff in EAPs. Also, counselors were found to be involved in all of the service areas studied within each type of EAP. Differences in counselors' roles among EAP types are discussed.     

High-Trait and Low-Trait Angry College Students: A Comparison of Family Environments

In this study the authors investigated differences in the family environments of high- and low-trait angry college students. High-trait angry students described their family environments as significantly less cohesive, less emotionally expressive, more conflictual, and more disorganized than did their low-trait angry counterparts. Implications of the findings to the counseling of students with anger-related problems are discussed.     

A Review of Gerald Caplan's Theory and Practice of Mental Health Consultation

Gerald Caplan's Theory and Practice of Mental Health Consultation (1970), considered to be a classic seminal work in the field of consultation, is reviewed. First, the author presents Caplan's general definition of consultation along with what may be considered the general principles or procedures of consultation. Then the author presents Caplan's procedures and principles as relevant to each type of consultation. Next, each of Caplan's four models of consultation is described. Last, these four models are compared in terms of the professional role of the consultee, the primary goal of consultation, and the target of consultation intervention.     

Interrelationships among students' study activities,self-concept of academic ability,and achievement as a function of characteristics of high-school biology courses

This investigation focused on the interrelationships among students' study activities, students' self-concept of academic ability ratings, students' academic achievement, and instructional practices in 12 high school biology courses. Using a framework derived from a previous investigation, course features were classified into those that appear to (a) place demands on, (b) support, or (c) compensate for student engagement in particular study activities. Students' study activities, self-concept of academic ability ratings, and achievement were measured with experimenter-developed instruments. Results are reported for (a) characteristics of instruments and course features, (b) relationships between central factors of the investigation, and (c) multi-level relationships between course features and student variables. Results at the student level indicated that self-concept of academic ability and, to a lesser extent, students' study activities were positively associated with student achievement. Students' self-concept of academic ability ratings were also linked to students' engagement in generative, proactive study activities. At the course level the supportive practices of providing challenging homework assignments and extensive feedback on student coursework were associated with student engagement in effortful, generative, proactive study activities. The provision of extensive feedback was also associated with high student achievement. Multi-level relationships were analysed using hierarchical linear modelling (HLM) analyses. These analyses revealed, for example, that in courses in which little or no feedback is given on homework assignments, the relationship between achievement and student engagement in diligent effort management activities was enhanced. Other HLM analyses were conducted to examine the mediating role of course features on the relationship between students' self-concept of academic ability and their study activities and achievement. For example, the presence of challenging course demands was associated with an enhancement of the relationship between self-concept of academic ability and achievement whereas the presence of instructor provisions (supports and compensations) designed to reduce course demands was associated with a reduction in this relationship.     

Distinguishing deviant and non-deviant nurses using the personnel reaction blank

Personnel Reaction Blank (PRB) scores and biographical data were obtained from two groups of registered nurses; a deviant group, represented by those who had official actions taken against their nursing license by the Minnesota Board of Nursing (n=53) and a non-deviant group of nurses (n=79) randomly selected from a broader population. The hypothesis that the deviant group of nurses would exhibit lower PRB scores, on average, compared to the non-deviant group was confirmed. The mean PRB scores for the deviant nurses (m=32.43) were significantly lower (p.01) than for the randomly selected non-deviant nurses (m=35.06). A multiple regression logit analysis showed that in addition to PRB scores, college degree, sex, and household income variables were also significantly related (p.001) to deviant and non-deviant group assignment; nonetheless, PRB significantly differentiated these groups after holding these variables constant.This study is based on the Masters thesis research of the first author. We acknowledge the help of the study subjects who contributed their time and effort.     

Safety locus of control and employees' accidents

This study further established the criterion-related validity of the Safety Locus of Control Scale. The safety scale was designed to predict employment applicants' propensity for on-the-job accidents. In this study, 283 hospital employees with moreexternal safety locus of control orientations reported significantly more occupational accidents, as well as more severe and costly injuries, than workers with moreinternal safety attitudes (p<.05 in all cases). Implications of these results are discussed.Research study presented at the 1988 Annual Conference of the Association of Human Resources Management and Organizational Behavior, Long Beach, California, October 26–29.     

Route-finding: A measure of everyday executive functioning in the head-injured adult

This is an ecological test of adaptation in head-injured adults, reporting reliability and validity of the Executive Function Route-finding Task (EFRT; Boyd and Sautter, 1985). A Likert scale was used to rate executive aspects of route-finding such as task formulation, strategy of approach, detection and correction of errors, and dependence on cueing among 31 head-injured young adults within a large rehabilitation facility. The Task has high inter-rater reliability and acceptable concurrent validity with other neuropsychological constructs.