Thoughts on autism with special reference to a paper by melanie klein

The article begins with a brief exploration of the various aspects of adolescent's psychic qualities as these are described in Greek mythology. It is argued that myths are an integral part of the way that adolescence is perceived and myths play an important role in adolescents' psychic and external world, as well as in their mythological thinking. Connections are made with the attraction towards the creation of myths about adolescence in ancient and contemporary societies. Three clinical vignettes from adolescents' psychoanalytic psychotherapy are presented in an effort to support the idea of the value and importance of mythology in adolescence in the clinical practice. Through the clinical material, we try to explore how psychic and developmental disturbances, which might lead to psychopathology, are reflected in family and personal myths and also in the mythological thinking of adolescents.     

Integrated first-level psychosocial response to disasters in low- and middle-income countries

The widespread occurrence of disasters in recent times has largely been attributed to climate change, with its long-term consequences on the welfare and mental well-being of individuals and communities. Increasingly, studies indicate that victims of disasters may experience a range of mental health issues, with post-traumatic stress disorder (PTSD) and major depressive disorder ranking as the most common. Low- and middle-income countries (LMICs) face unique challenges in providing proper rehabilitation and adequate mental health services after a disaster, due to poverty, lack of educational opportunities, lack of awareness and knowledge of disaster, and lack of resources and infrastructure. Despite these challenges, some LMICs have made efforts to address mental health needs in the aftermath of disasters. However, they are faced with the challenge of implementing formalised mental health support programmes. Moreover, immediate mental health support should be provided to victims of disasters to ameliorate the psychopathologies that may develop afterwards. The current approach of providing mostly physical and social relief neglects the psychosocial implications of disasters on victims. The biopsychosocial model of health, which is being advocated for, suggests that treatment should encompass all aspects of an individual's life, and thus, a team of mental health workers can provide holistic interventions to aid victims in their recovery process by making efforts to involve them in the emergency response teams usually employed during disasters.     

Measuring Myths about Domestic Violence: Development and Initial Validation of the Domestic Violence Myth Acceptance Scale

The past 2.5 decades have seen explosive growth in research and practice in the area of intimate partner violence (IPV), especially of perpetrators. In the present paper, the author reflects on his observations of key developments in the field and examines research that has increased our understanding of batterers, who they are, and how we might best work with them to end IPV. Issues and controversies that surround batterer treatment and research with batterers are also examined. The author calls for continued development of an empirical base to guide theory development and practice standards, as well as increased dissemination and translation of research into formats that are useful to clinicians.     

First Year Post-Katrina: Changes in Occupational Performance and Emotional Responses

The purpose of this retrospective study was to determine whether Hurricane Katrina affected the occupational performance and emotional states of New Orleans area residents affected by the hurricane over the first year post-Katrina. A purposeful sample of 143 adults who lived in the New Orleans area just prior to Katrina completed a questionnaire one year after Katrina. Participants were asked to rate their satisfaction with their occupational performance and emotional states at four time periods: August 2005, before Katrina; September 2005, one month after Katrina; March 2006, six months post-Katrina; and September 2006, one year post-Katrina. The most notable findings were that both satisfaction with occupational performance and emotional states showed marked declines during the month immediately following Katrina, with some recovery six months post-Katrina, and further recovery a year after Katrina. At one year post-Katrina however, the recovery of satisfaction with occupational performance and emotional states approached, but did not quite reach pre-Katrina baseline responses. Further, women did not fare as well as men post-Katrina, on both variables. Limitations of the study, implications of findings for the theory and practice of occupational therapy in the area of disaster responses, and possible future research are discussed.     

自然灾难后身心反应的影响因素:研究与启示

所有经历自然灾难的人都会出现应激反应。随着时间的推移, 这些反应或消退, 或转化为一种创伤后成长(PTG), 或恶化为创伤后应激障碍(PTSD)等。根据危险因素模型, 这一过程受三类因素影响:(1)前灾难因素, 如性别、年龄等;(2)当下灾难因素, 如创伤暴露程度等;(3)后灾难因素, 如社会支持、复原特征等。其中, 后灾难因素得到了更多的关注。在危险-保护因素模式及机体主动模式的基础上, 分析了后灾难因素的作用机制, 通过研究的整合, 探讨了其对于灾后研究和干预的启示。     

Some Must Die

The transplantation and procurement of human organs has become almost routine in American society. Yet, organ transplantation raises difficult ethical and psychosocial issues in the context of “controlled” death, including the blurring of boundaries between life and death, self and other, healing and harming, and killing and letting die. These issues are explored in the context of the actual experiences of organ donors and recipients, brain death, the introduction of non‐heartbeating donor protocols, and the increasing reliance on living donors. The author draws on a thematic analysis of the way that organ transplantation is presented in the media, films, and science fiction and on his clinical experience as a psychiatrist working with transplant patients, their families, and the nurses and physicians who care for them.     

Making Meaning of the September 11 Attacks: Spanish- and Mandarin-Speaking Focus Groups

This article examines experiences and perceptions related to the September 11, 2001, attacks among members of two immigrant groups (Spanish-speaking and Mandarin-speaking) in New York City. Focus groups were conducted 1–2 years after the attacks. Qualitative analysis was conducted using ATLAS.ti. Three major themes emerged: (a) Immediate Experience of the Attacks, (b) Evolving Psychological Adjustment, and (c) Long-Term Issues of Public Concern. The groups’ discussions diverged with temporal progression across these themes, reflecting increasing congruence with broad conceptualizations of their respective cultures. The findings suggest that, over time, culture increasingly influenced the meaning these people made of the disaster.     

Placing Age Differences in Cultural Context: A Comparison of the Effects of Age on PTSD After Disasters in the United States, Mexico, and Poland

Criterion symptoms of posttraumatic stress disorder (PTSD) were measured 6–12 months after Hurricane Andrew in the United States (non-Hispanic n = 270), Hurricane Paulina in Mexico (n = 200), and the 1997 flood in Poland (n = 285), using English, Spanish, and Polish versions of the Revised Civilian Mississippi Scale. The samples ranged in age from 18 to 88. Linear and quadratic effects of age were tested by using hierarchical multiple regression, with the effects of gender, trauma, and education controlled. Among Americans, age had a curvilinear relation with PTSD such that middle-aged respondents were most distressed. Among Mexicans, age had a linear and negative relation with PTSD such that younger people were most distressed. Among Poles, age had a linear and positive relation with PTSD such that older people were most distressed. Thus, there was no one consistent effect of age; rather, it depended upon the social, economic, cultural, and historical context of the disaster-stricken setting.     

Fostering a “Group Ethos”: Truth or Dare!

A group ethos permeates the two Special Issues of Group dedicated to the future of group psychotherapy in the 21st century. This ethos is elaborated through a parable, an integration of authors' conclusions, and a brief exploration of the myths and basic assumptions about group leadership and followership that characterized the 20th century. A new basic assumption is proposed for the 21st. BaC suggests that members are drawn to groups for the unconscious collaboration necessary to discover something between them, as yet untold—something that may hold the key to their own fates and to the human condition.     

Implementing Skills for Psychological Recovery at a Psychology Training Clinic During COVID-19

The COVID-19 global pandemic has disrupted the routine provision of community mental health services, which is especially concerning given that emerging data suggest a rise in mental health concerns related to the COVID-19 crisis (Xiong et al., 2020). Thus, it seems imperative to provide trauma-informed services that are tailored to clients’ coping with the pandemic and can be effectively delivered via telehealth. The goals of these important services would be to mitigate current distress, help prevent the onset of long-term mental health problems, and facilitate client safety during a public health crisis. The present article provides an overview of adoption and telehealth implementation of the Skills for Psychological Recovery (SPR) secondary prevention program within a psychology training clinic. Initial clinical outcome data supported the program’s success in reducing mental health symptoms among individuals in psychological distress due to the COVID-19 crisis; however, the results were more striking for adults than for youths. The article concludes with recommendations for broader implementation and future directions for clinicians, supervisors, organizations, and researchers.