Mentoring in the Academic Medical Setting: The Gender Gap

Mentoring is an essential part of success in the academic medical center. The provision of effective mentoring is key to the success of the increasing numbers of women entering medicine. However, the gender distribution within the hierarchy of medicine has not changed in that the power still resides with men in the system. Currently, men are attempting to mentor women, and so as the proportion of women in medicine continues to grow, they will become more influential in this setting and will become increasingly responsible for providing mentoring to men. In either case, effective communication across gender lines is an essential aspect of the mentoring process. Psychologists in academic medical settings can provide guidance to faculty and staff on the critical aspects of social development and communication, which may affect how women and men are mentored and the success of this mentoring process, whether across or within gender lines.     

动觉监督早期介入对动作技能形成的影响

通过人工动作技能项目和典型职业操作技能项目的训练活动,研究了动觉监督早期介入对动作技能形成的影响,结果表明早期进行动觉监督训练可以更为充分、有效地发挥动觉监督的作用,提高动作技能形成的成绩和效率。据此讨论了“视觉为主转化为动觉为主”监督机制观点的局限性,认为自觉的职业操作技能训练活动无须遵循这一结论;提出了含有动觉训练的职业操作技能训练模式。     

How I became a Jungian analyst

This paper is a reflection on the significance of 80 years of my life and the 40 years of it I have spent working as a Jungian analyst in Europe and in Israel. If my Jewish identity and my experience of the tragic events of the Holocaust have profoundly influenced the course of my life, it has been my training as a Jungian analyst in Zürich that permitted me to establish a new relationship with the traditional Jewish symbols and created the possibility of a new way of experiencing what it means to be a Jew. This new understanding has in turn helped me both in my work with Holocaust survivors and victims of Israel's various wars and in my theoretical reflections on this subject.     

Where Has All the Psyche Gone? Searching for Treatments That Focus on Psychological Issues

The field of psychotherapy can be aided by adopting an integrative model that follows a comprehensive biopsychosocial perspective. Unfortunately, recent advances in the field of psychopharmacology have appeared to overshadow the gains that can be made through psychotherapy. Psychotherapists need to protect the psyche that lies at the core of their treatment. Psychotherapy can promote changes in cognitive processes that help to reduce psychiatric symptoms and enhance adaptive functioning. Psychotherapists should not neglect the role of biological or social factors in the etiology or treatment of mental illness. Many clients benefit from a comprehensive biopsychosocial model and interdisciplinary collaboration among mental health professionals. Psychotherapists can maintain a strong emphasis on psychological functioning, while colleagues from other fields focus on the biological and social aspects of mental illness. Furthermore, it seems important for psychotherapists to emphasize the unique qualities of psychotherapy that are distinct from the social support that is provided from a close and confiding friendship.     

Are American children's problems still getting worse? A 23-year comparison

Child Behavior Checklists were completed in home interviews by parents of 7–16-year-olds in 1976, 1989, and 1999. Competence scores decreased from 1976 to 1989, but increased in 1999. Problem scores increased from 1976 to 1989 and decreased in 1999 but remained higher than in 1976. Items, empirically based scales, and DSM-oriented scales showed similar patterns for demographically similar nonreferred samples assessed in 1976, 1989, and 1999 and for national samples that included referred children assessed in 1989 and 1999. For the 114 problem items that were common to the 1976, 1989, and 1999 assessments, the Q correlation was .98 between the mean scores on the 114 items in 1976 versus 1989 and was .94 between the mean scores on the 114 items in 1976 vs. 1999. This indicated very high stability in the rank ordering of item scores across intervals up to 23 years. For all children, the 1-year prevalence rate for mental health services use was 13.2% in 1989 versus 12.8% in 1999. For children with deviant Total Problems scores, the 1989 prevalence for service use was 30.5 versus 26.6% in 1999. Neither difference was statistically significant.     

Blame and Responsibility

This paper looks at judgments of guilt in the face of alleged wrong-doing, be it in public or in private discourse. Its concern is not the truth of such judgments, although the complexity and contestability of such claims will be stressed. The topic, instead, is what sort of activities we are engaged in, when we make our judgments on others' conduct. To examine judging as an activity it focuses on a series of problems that can occur when we blame others. On analysis, we see that these problems take the form of performative contradictions, so that the ostensible purposes of assigning guilt to others are undermined.There is clear evidence from social psychology that blame is especially frequently and inappropriately attributed to individuals in modern Western societies. On the other hand, it has often been observed how suspicious we are about the activity of judging – thus a widespread perception that a refusal to judge is somehow virtuous. My suggestion is that the sheer difficulty of attributions of responsibility, in the face of a complex and often arbitrary moral reality, frequently defeats us. This leads to a characteristic set of distortions when we blame, so that it is no surprise that we have become suspicious of all blaming activities.Yet, the paper argues, these problems need not arise when we hold others responsible. This paper therefore investigates what, exactly, can be questionable about attempts to assign guilt, and the structural logic that lies behind these problems – what will be called, adapting a term from social psychology, a belief in a just world. Such a belief takes for granted what needs to be worked for through human activity, and therefore tends to be counter-productive in dealing with misdeeds and adverse outcomes.     

“A Forgotten History” and Related Risks for Speech Genre Users in Trauma Mental Health: A Commentary

This paper utilizes the concept of the speech genre as defined by the Russian literary scholarly Mikhail Bakhtin to examine several discourses related to trauma psychotherapy. It explores the theme of A Forgotten History in trauma mental health and then relates it to current problematic patterns in trauma mental health work with international survivors of human rights violations. It considers the theme of A Forgotten History which has been an important narrative in shaping the trauma mental health movement. It argues that it may put genre users at risk of undesirable practices, and cites as examples current trends in torture treatment and trauma training being used with international survivors of human rights violations. Several recommendations for how the trauma mental health field can better conduct itself as a speech genre are proposed.     

Comparing the Strengths and Difficulties Questionnaire and the Child Behavior Checklist: Is Small Beautiful?

The Strengths and Difficulties Questionnaire (SDQ) is a brief behavioral screening questionnaire that can be completed in 5 minutes by the parents or teachers of children aged 4 to 16; there is a self-report version for 11- to 16-year-olds. In this study, mothers completed the SDQ and the Child Behavior Checklist (CBCL) on 132 children aged 4 through 7 and drawn from psychiatric and dental clinics. Scores from the SDQ and CBCL were highly correlated and equally able to discriminate psychiatric from dental cases. As judged against a semistructured interview, the SDQ was significantly better than the CBCL at detecting inattention and hyperactivity, and at least as good at detecting internalizing and externalizing problems. Mothers of low-risk children were twice as likely to prefer the SDQ.     

Reviews

Books Reviewed: Is God a Virus? Genes, Culture and Religion byJohn Bowker Religion and Science: Historical and Contemporary Issues byIan Barbour The Origins of Virtue by Matt Ridley Nature's Grace: Essays on H. N. Wieman's Finite Theism by Marvin C. Shaw The Divine Constitution by Jeh-Tween Gong     

Generosity: a psychological and interpersonal motivational factor of therapeutic relevance

This paper examines the role of generosity in analysis. Generosity represents a complex constellation of cognitions and affects that is antithetical to those states of super-ego harshness that characterize many forms of human psychopathology. In development, generosity is evoked by idealization, and a dynamic axis of idealization-generosity promotes relational proximity between the child and its caretakers, and eventually fosters separation and individuation. Generosity is highly sensitive to adverse conditions, and requires environmental conditions that are conducive to psychosomatic well-being. The imaginal basis of generosity is rooted in the myth of the 'hero and the return', which is the mythic foundation of the analyst's role as psychopomp. It is argued that the generosity of the analyst is a cardinal therapeutic factor in treatment.