Psychodynamic psychotherapy for children and adolescents: a critical review of the evidence base

For many years psychoanalytic and psychodynamic therapies have been considered to lack a credible evidence-base and have consistently failed to appear in lists of ‘empirically supported treatments’. This study systematically reviews the research evaluating the efficacy and effectiveness of psychodynamic psychotherapy for children and young people. The researchers identified 34 separate studies that met criteria for inclusion, including nine randomised controlled trials. While many of the studies reported are limited by sample size and lack of control groups, the review indicates that there is increasing evidence to suggest the effectiveness of psychoanalytic psychotherapy for children and adolescents. The article aims to provide as complete a picture as possible of the existing evidence base, thereby enabling more refined questions to be asked regarding the nature of the current evidence and gaps requiring further exploration.     

Killing the dead: evolution of melancholic identifications underlying suicide attempts in adolescence

Psychic processes underlying suicidal behaviours during adolescence and their evolution are explored. A longitudinal study was conducted of thirty adolescent patients hospitalised following a suicide attempt. Clinical interviews were used combined with the Rorschach Test and the Thematic Apperception Test (TAT) a few days after the suicide attempt and one year later. Results initially showed common forms of psychic adjustment: melancholic identifications were linked to an excessive dependence on objects. One year later, these forms of psychic adjustment changed: for many adolescents, the melancholic identifications shifted and self-image improved. The emergence of representations of murder fantasies immediately after the suicidal behaviour allowed a possible transformation of violence into symbolisation. A case study illustrates these psychic changes.     

Premature twins on a neonatal intensive care unit

This paper presents observations of boy and girl twins on a neonatal intensive care unit, following them through from 10 days old to return home. The observer hypothesizes about the experience of the twins as they progress, based on detailed notes of their actions. The preoccupations of the parents are incorporated, as are reactions and interventions of staff. The place and possible functions of such observation by a child psychotherapist attached to such a unit are elaborated in the concluding section.     

Shock tactics to counter AIDS: The australian experience

Abstract

The use of shock tactics to motivate people to learn more about AIDS and to take appropriate protective action characterised the approach adopted by the national health authorities in Australia during 1987. The rationale underlying this approach is critically examined, particularly in the light of results obtained from surveys of community concern and knowledge about AIDS in the state of South Australia before the campaign and after it had been in progress for some five months. Contrary to expectations no significant increases in either personal or social concern were found; in fact, among older respondents personal concern had decreased significantly. Levels of knowledge about AIDS, in general, remained unchanged, apart from an increase in acceptance of the safety of blood transfusions from a very low to a somewhat higher level. Among a minority of respondents (29%) who approved of the campaign and also believed they had been influenced by it, personal and social concern about AIDS, but not knowledge, was significantly greater than among others. The view that fear-inducing techniques can be used to bring about increases in knowledge about AIDS was not supported, although some positive effects on the social attitudes of respondents most affected by the campaign are suggested.     

Mother of God: A History of the Virgin Mary

Starting from the context in which there is an increasing emphasis on ecclesial revitalisation and churchplanting, the analytical model of the Australian National Church Life Survey (NCLS) research is introduced and described in its background and characteristics. The model shows particular interest in a specific church profile which is created based on local church surveys. The article describes the profile, examines the theological concepts and argues for in-depth empirical research in a Dutch context concerning the use of the profile.     

The Behavioral Genetics of Religiousness

Behavioral geneticists have sought to characterize the genetic and environmental contributions to individual differences in religiousness. Behavioral genetic methodology is described and twin and adoption studies of religiousness are reviewed. It is concluded that familial resemblance for religiousness is due largely to shared environmental factors in childhood and adolescence, but to genetic factors in adulthood. Additional evidence shows that there is a genetic correlation between religiousness and antisocial and altruistic behavior. Claims for the discovery of a “God gene” are premature and unlikely, as any genetic influence is likely to represent the aggregate effect of many genetic factors.     

The interior and the abject: uses and abuses of the female in the middle ages

In this paper I argue that during the High Middle Ages definitions of the female as distinct from the life led by women played a crucial role in defining social boundaries and solidifying new systems of power. I suggest that there were two female figures that were crucial to these definitions: the mother and the virgin. While the mother image was invoked to describe the internal functioning of the Christian community, the virgin metaphor drew the external boundaries and defined the Christian community's relation to the non‐Christian other.     

Politicised religion and the religionisation of politics

The dilemmas of dealing with difference are currently at the heart of our society. Among the anomalies of our age is the survival and even flourishing of complex systems of values based on religion. However, we see that mosques flourish, ethnic associations with religious undertones multiply and religion is present in the public sphere through conflicts about religion or persons believed to be religious. Islam is a much discussed topic. The line between private and public religion is as thin as ever, and I would argue so is the line between religion and politics. This can be observed at two levels. First, the invocation of religion in the political discourse, leading to the politicisation of religion and second, as the influence religion has on political life, the religionisation of politics.     

Health Literacy,Health Inequality and a Just Healthcare System

Limited health literacy is a pervasive and independent risk factor for poor health outcomes. Despite decades of reports exhibiting that the healthcare system is overly complex, unneeded complexity remains commonplace and endangers the lives of patients, especially those with limited health literacy. In this article, we define health literacy and describe the empirical evidence associating health literacy and poor health outcomes. We recast the issue of poor health literacy from within the ethical perspective of the least well-off and argue that poor health outcomes deriving from limited health literacy ought to be understood as a fundamental injustice of the healthcare system. We offer three proposals that attempt to rectify this injustice, including: universal precautions that presume limited health literacy for all healthcare users; expanded use of technology supported communication; and clinical incentives that account for limited health literacy.     

Why Do Police Arrest Victims of Domestic Violence? The Need for Comprehensive Training and Investigative Protocols

After all the positive changes in the criminal justice system over the last ten to fifteen years concerning the response to incidents of domestic violence, there remains the problem of battered women who are arrested as perpetrators of domestic violence. The reasons for these arrests are complex and varied. They range from the patriarchal structure of criminal justice agencies, to the staffing of these agencies, and finally to the inappropriate and inadequate training of police officers. This article includes real life examples of cases where victims were arrested, and why these arrests occurred. It also includes suggestions on how to minimize these illegal arrests.