Uncovering the Value and Meaning of a Horticulture Therapy Program for Clients at a Long-Term Adult Inpatient Psychiatric Facility

This qualitative study investigated the value and meaning of the Greenhouse Program and its impact on recovery goals of residents with severe and persistent mental illness at an adult, long-term psychiatric facility. Eight participants and two occupational therapists were interviewed. Findings revealed two main themes, relating to the essence of the program and personal growth of the participants, supplemented by six sub-themes. The findings suggest that initiatives, such as the Greenhouse Program, are an appropriate intervention that occupational therapy professionals can use in adult inpatient psychiatric facilities.     

THE CHURCH AND MENTAL HEALTH: THEOLOGICAL AND PRACTICAL RESPONSES

Over the past few years, the number of Christian projects and charities working in the mental health sector in the United Kingdom has increased dramatically. At the same time, scientific and medical understandings of mental health have been advancing rapidly. These parallel trends beg a serious question: is the Christian Church's response to mental health authentically engaging with a changing scientific picture? Are theological questions like responsibility, sin, redemption, and reconciliation taking account of a changing landscape? This is not a theoretical question, but has major practical consequences for developing practical pastoral responses.     

Survivors of Torture: Realities, Responsible Care, and Rehabilitation

This paper provides an overview of special issues and challenges for the psychiatrist providing care to a survivor of government sponsored torture. Case examples illustrate cultural concerns, issues of confidentiality, transference, dual loyalties, and provider responsibilities. The author hopes to stimulate interest in others to learn more about working with this challenging and rewarding group of patients.     

Reflections on the use of patient records: Privacy,ethics, and reparations in the history of psychiatry

One of the most common questions we get asked as historians of psychiatry is “do you have access to patient records?” Why are people so fascinated with the psychiatric patient record? Do people assume they are or should be available? Does access to the patient record actually tell us anything new about the history of psychiatry? And if we did have them, what can, or should we do with them? In the push to both decolonize and personalize the history of psychiatry, as well as make some kind of account or reparation for past mistakes, how can we proceed in an ethical manner that respects the privacy of people in the past who never imagined their intensely personal psychiatric encounter as subject for future historians? In this paper, we want to think through some of the issues that we deal with as white historians of psychiatry especially at the intersection of privacy, ethics, and racism. We present our thoughts as a conversation, structured around questions we have posed for ourselves, and building on discussions we have had together over the past few years. We hope that they act as a catalyst for further discussion in the field.     

A Jungian approach to dreams reported by soldiers in a modern combat zone

Treating combat deployed soldiers is becoming more prevalent and needed in psychiatry. Modern combat produces unique psychological challenges, including those without criteria for post-traumatic stress disorder (PTSD). This article will attempt to share the primary author's experience with psychotherapy in a combat zone, along with understanding the general themes of dreams the author encountered while being deployed. Toward that end, the primary author [RW] discusses his personal experiences in Iraq working with soldiers whom he saw and treated while in theatre, with a particular focus on the dreams they reported. The co-authors [EG and MI] afterward collaborated with the primary author to formulate and provide insight into the dreams from a Jungian perspective.     

《黄帝内经》时间医学思想对急性心肌梗死时间节律的解释

《黄帝内经》“天人相应”理论比较完备地奠定了中医关于人体生物节律知识的基础,强调人体自然节律与四季日月昼夜节律之间的密切关系。在急性心肌梗死发病呈现显著的时间节律特征,以中医时间学理论进行解释,充分掌握急性心肌梗死发病的规律性,指导高危人群合理作息,减少急性心梗的发生。     

SPECIES,TEPEES, SCOTTIES,AND JOCKEYS: SELECTED BY CONSEQUENCES

“Ideas are like species: they must evolve.” This claim forms the conceptual core of an engaging book by Jonnie Hughes (2011), On the Origin of Tepees. Hughes asks: If evolution by natural selection explains the origin of the human species, then does selection by consequences also explain the origin of what we humans make and do? This question prompts consideration of three important analogies: between natural selection and artificial selection, between the law of natural selection and the law of effect, and between biological evolution and cultural evolution. These analogies in turn stimulate examination of the notions of purpose, design, and agency. Finally, discussion moves to the selectionism of Darwin and Skinner; although still controversial, this view remains the best way for natural science to understand the origins of adaptive behavior.     

ON THE PRESCRIBING ANALYST

The value of medication for some patients in psychoanalysis serves to highlight the potential challenges of the medical analyst and invites exploration into possible motivations for assuming the prescribing role. Prescribing medication is one way in which the medical analyst integrates the dual identities of physician and analyst while dealing with significant cultural influences and intrapsychic tensions. Technical challenges posed by assuming the prescribing role are explored, as are the potential benefits of split treatment. The educational implications of this argument are discussed in relation to identity formation for candidates who are physicians.     

Psychiatric diagnoses, ‘thought styles’, and ex post facto fact fallacies

Living in two-way, dialogical relations with our surroundings, rather than in monological, one-way causal relations with them, means that we can no longer treat ourselves as inquiring simply into a world of objective ‘things’ already existing in the world around us. We need to see ourselves instead as always acting ‘from within’ a still-in-process world of flowing streams of intermingling activities affecting us as much, if not more, than we can affect them. In such a world as this, instead of discovering pre-existing things in our inquiries, we continually bring such ‘things’ into existence. So, although we may talk of having discovering certain nameable ‘things’ in our inquiries, the fact is, we can only see such ‘things’ as having been at work in people’s activities after they have performed them. This, I want to argue, is also the case with all our diagnostic categories of mental distress – thus to see the ‘things’ they name as the causes of a person’s distress is to commit an ex post facto fact fallacy. Something else altogether ‘moves’ people in the performance of their actions than the nameable ‘things’ we currently claim to have discovered in our inquiries.