Mental Health and Other Service Use by Youth in Therapeutic Foster Care and Group Homes

Little is known about what additional services youth receive while they reside in out-of-home treatment settings. However, such information may be crucial for explaining effectiveness and variation in outcomes for youth in such settings. Our research examines patterns of multi-sector service use for youth in two settings—Therapeutic Foster Care and group homes. Data come from in-person interviews with Treatment Foster Parents and Group Home Staff for a NC state-wide sample of youth with psychiatric disorders and aggressive behavior. Findings indicated high rates of service use by youth in both settings. Analyses indicated significant differences in service types used by youth in each setting, yet similar volume of service use between settings. Clinical and demographic factors did not significantly influence types of services received. Differences in service patterns between the two groups indicated that youth in TFC were more likely to receive community-based, individualized services while youth in group homes were more likely to receive more restrictive services.     

Romancing the Family: Umberto Eco’s <Emphasis Type="Italic">Baudolino</Emphasis>

Referencing Umberto Eco’s novel Baudolino, the author discusses issues concerning the authenticity of the narrative, specifically the distortions in the story presented to the audience and doubts surrounding the veracity of the tale. The act of narration is associated with the shame caused by the abuse and neglect that is an integral part of this story. The ambivalence of the protagonist—to tell his story and to keep it (and his true identity) concealed—associates narration, a creative act, with lying. Trauma generates the lies and hiddenness as a means of coping with abuse and indifference. In order to deal with the feelings of inadequacy caused by his humble birth, the traumatized protagonist lies: he romanticizes his family origins, the illusion of being the offspring of distinguished parents. His attempt to win the love of the parents, by being both good and all-knowing, is one of the motivating forces of his family romance. Telling lies makes the protagonist omniscient: he is the only one who knows if and when he is telling the truth. Paradoxically, the narrator creates and undermines that image of omniscience by revealing the thought processes of one character while leaving opaque those of the protagonist, and by denying the trueness of the tale affirmed when he presents as objective his own subjective sentiments by indirectly attributing them to the protagonist. The uncertainty that underpins the narration is indicative of the storyteller’s absence. This vacancy structures the work because it allows kindred spirits, nonjudgmental readers (listeners) who willingly suspend disbelief, to enter the world of the narrator. This uncritical participation counters the chaos of the storyteller’s reality, as they create their own new world where the split parental images are united.     

Something Covered with an Old Blanket”: Nancy and Other Dead Mothers in <Emphasis Type="Italic">Oliver Twist</Emphasis>

In Powers of Horror: An Essay on Abjection, Julia Kristeva outlines her theory of abjection as a simultaneous fascination and horror stemming from sensorial reminders of the subject’s primal, psychological relation to the mother. In this essay, I show how these psychological perspectives can potentially result in acts of physical violence, which I call the “abject response.” Applied to literature, a study of the abject response explains why sexually active female characters, such as Nancy, the prostitute, in Oliver Twist, suffer extreme acts of physical violence: not simply because they are sexual, as critics of Victorian domestic ideology most often argue, but rather because their particularly female bodies give them an agency which threatens to destroy the mastery of women on which Victorian male identity is based. Reading Oliver Twist through the lens of Kristeva reveals the ways in which Sikes, Nancy’s murderer, psychically links her sexuality to the fatal potential he perceives in her body. This threatening construction of women’s sexuality derives from an imbalanced focus in the male psyche on the repulsion aspect of abjection, a focus socially inscribed as a threatening power, which is used to justify violent usurpations of the feminine in masculine constructions of gender.     

Der menschliche Kontext von Psychotherapien

Zusammenfassung  In der vorliegenden Arbeit wird ein allgemeiner konzeptueller Rahmen vorgestellt, der die Analyse der Struktur und der Funktionen solcher komplexen Systeme, wie das menschliche Interaktionsverhalten und die Interaktionserfahrung—z. B. in der Psychotherapie—, ermöglicht. Auf der Grundlage der Handlungstheorie von Parsons und Shils (1951) wird durch systematische paarweise Kontrastierungen, durch Kombinationen der resultierenden Begriffe und durch die Betrachtung der Schnittstellen bzw. Grenzzonen ein Netzwerk von miteinander zusammenhängenden Konzepten gewonnen. Schritt für Schritt wird aus den Ausgangskonstrukten des sozialen, kulturellen, Persönlichkeits- und organismischen Systems ein flexibles Netzwerk von empirischen Konzepten abgeleitet. Mit Hilfe des so entstandenen konzeptuellen Rahmens werden die Wechselwirkungen zwischen scheinbar divergenten Aspekten der Psychotherapie aufgezeigt und die Vielfalt der Kriterien illustriert, die in Verbindung mit dem Generischen Modell der Psychotherapie (Orlinsky u. Howard 1987) zur Untersuchung der Auswirkung von therapeutischen Prozessen auf die Lebensführung und die Persönlichkeit von Patienten verwendet werden können.

Social Support Mediates the Effects of Dual-Focus Mutual Aid Groups on Abstinence from Substance Use

Background: Specialized 12-step based groups have emerged to address the needs of persons recovering from both substance abuse and psychiatric illness. Objective: This study investigates the role of social support in mediating the association between mutual aid participation and subsequent substance use for dually diagnosed persons. Method: A cohort of Double Trouble in Recovery (DTR) members in New York City were studied prospectively over a two-year period. Findings: Longer DTR participation during the first year of the study was associated with lower substance use in the second year; that effect was partially explained by the maintenance of high level of social support. Conclusion: These findings speak of the enduring influence of 12-step attendance on reducing substance use, and underline the importance of both 12-step attendance and supportive networks for dually diagnosed persons.     

先秦音乐与儒家的礼乐理想

中国古代音乐的基本理论在先秦时期已初具系统。从音律上看,先秦音乐与现代音乐或西方古代音乐不存在本质上的不同,但在音阶的选用上,人们把“五声”视为最理想的音阶,所追求的音乐意念是“和”。先秦儒家在继承周代礼乐制度的基础上提出了“礼以别宜、乐以敦和”的礼乐理想作为治国平天下的基本途径,不仅使礼乐之间的互补关系得到进一步发展,还使“乐”的含义发生了深刻的转化。所谓乐,不仅指声音的和谐,更重要的是内心的愉悦,即“无声之乐”。它所强调的是个人对差别性社会规范即礼的发自内心的认同,并从生活践履中获得和乐的内在体验。     

The relation between attention deficit hyperactivity disorder and substance abuse: what role does conduct disorder play?

This paper presents a comprehensive review of the literature examining the relation between childhood attention deficit hyperactivity disorder (ADHD) and substance abuse. A number of researchers have statistically controlled for conduct disorder (CD) when examining the ADHD—substance-abuse relation. These studies have generally found that the ADHD—substance-abuse relation disappears when the high overlap between ADHD and CD is taken into account. On this basis, one may conclude that ADHD is unimportant to substance abuse. However, there is some evidence from both empirical studies and related fields that ADHD and CD may interact to afford a higher risk for substance abuse than may either disorder alone. Thus, ADHD appears to be important to substance abuse in that it interacts with CD to increase the risk. This paper calls for more research that directly examines the joint effects of ADHD and CD on risk for substance abuse. There is also a need for more research that examines gender differences, and mechanisms of the relations among ADHD, CD, and substance abuse.     

Evidence for the substantia nigra pars compacta as an essential component of a memory system independent of the hippocampal memory system

The aim of the present study was to test if the nigrostriatal pathway is an essential component for a water maze cued task learning and if it works independently of the hippocampal memory system. This hypothesis was tested using an animal model of Parkinson's disease in which male Wistar rats were lesioned in the substantia nigra pars compacta (SNc) by the intranigral infusion of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP), thus causing a partial depletion of striatal dopamine. SNc-lesioned and sham-operated animals were implanted bilaterally with guide cannulae above the dorsal hippocampus in order to be tested after the administration of 0.4 microl 2% lidocaine or saline into this structure. The animals were tested in a spatial or in a cued version of the water maze, memory tasks previously reported to model hippocampal-dependent spatial/relational and striatal-dependent S-R learning, respectively. Hippocampal inactivation, but not SNc lesion, impaired learning and memory in the spatial version of the water maze. An opposite situation was observed with the cued version. No significant interaction was observed between the SNc lesion and hippocampal inactivation conditions affecting scores in the spatial or in the cued version of the water maze. These results suggest that the nigrostriatal pathway is an essential part of the memory system that processes S-R learning and that it works independently of the hippocampal memory system that processes spatial/relational memories.     

Research on Dead Infants

This paper examines the ethicalproblems that arise when research is carriedout after autopsy on dead infants. It comparesthe right of parents against that of the publicinterest in matters of research on dead minors. The basis for the respect that is widelyaccorded to the body of a dead person isexamined and is shown to ground the parentalinterest. A discussion of the nature of thefamily suggests that `informed consent' is notthe best term to apply to the process ofparental consultation. Some reasons areprovided against using this term in the contextin which bereaved parents are consulted aboutautopsy and research on their dead infants. Itis suggested that a term such as `authorize'might better apply to this situation.     

Reifying Analogy in Natural Theology

Karl Schmitz-Moormann argues that the doctrines of God and Creation, usually explicated in Roman Catholic theology by using the analogy of being, must rather be conceived in light of evolution and an analogy of becoming. God the Trinity, characterized by unity, information, and freedom, provides the image toward which the creation tends in its evolutionary processes. Informed by Teilhard and others, the author hereby provides more of a new research program for theology's engagement with natural science than a fully developed theology.