The Epidemiology of Homicide followed by Suicide: A Systematic and Quantitative Review

This systematic review of population based studies of homicide followed by suicide was conducted to examine the associations between rates of homicide‐suicide, rates of other homicides and rates of suicide. The review analysed 64 samples, including the case of an outlier (Greenland) that were reported in 49 studies. There was a significant association between the rates of homicide‐suicide and those of other homicides in studies from the U.S.A. Outside the U.S.A. there was no clear association between homicide‐suicide and other homicide but there was modest but significant association between rates of suicide and homicide‐suicide. Homicide‐suicide appears to be closer in epidemiological terms to homicide than suicide in regions with high rates of homicide and measures to reduce homicide in these regions may also reduce homicide‐suicide.     

Evaluating the performance of departments of psychotherapy

Conceptual and practical issues which surround attempts at assessing the efficiency of psychotherapy departments are surveyed and the advantages and disadvantages associated with performance indicators reviewed. The issues of assessing efficiency in general and the selection of appropriate indicators at both national and local levels are discussed. It is concluded that it is possible to find indicators which reflect the value of a psychotherapeutic service to the community within which it is based, and that the identification of a generally agreed set of such parameters is a matter of priority.     

Fighting like a girl fighting like a guy: gender identity, ideology, and girls at early adolescence

In this chapter we explore the phenomenon of "girls fighting like guys" by listening to adolescent girls' justification for physical fighting with other girls. We argue that physical girlfighting is a particular kind of gendered performance--a performance of identity that expresses, at least in part, an answer to the question, "Who am I?"--that both perpetuates and challenges the usual notions of masculinity and femininity and the differential power associated with these discourses. We present a sociocultural approach to identity that we believe not only holds promise for helping us to understand girl-fighting behavior but also highlights the clear interrelationship between social identity and personal identity. We conclude by highlighting several implications of this analysis for those who work with girls (and boys) in educational and clinical settings.     

An Institution for Change: Developing a Family Day Unit

This paper describes the theory and structure of a day unit designed to intervene in the systems of families who present with severe or multiple problems to agencies attempting to help them, but who are difficult to engage in a therapeutic pact and unresponsive to attempts at outpatient therapy. An analysis of these families is offered in terms of the relations between internal and external boundaries and difficulties in making transitions in the daily contexts of life. The principles of the unit are described in terms of the creation of an artificial extended family, the intensification of sequence and patterns of interaction, and the making and traversing of boundaries. Particular attention is paid to the function of agency interventions in family patterns and to redefining the relationship between family and agencies.     

Islamic Bioethics and Animal Research: The Case of Iran

Despite growing interest in Islamic bioethics, little work has been done on research ethics in Islam, and even less on animal research ethics. This essay explores religious and scientific insights into the lives of animals used as research subjects, particularly in Iran. The inner lives of animals and their relationship to their Creator as relayed by the Qur'an, ethological research on animal minds, and neuroethical reflection on painience (the ability to feel and process pain as noxious [injurious] and explicitly hurtful) are brought together to question the current, relatively unrestricted use of research animals in Iran. The essay concludes that Islamic sources and the desire of Iranian clinicians to treat laboratory animals in line with them could poise Muslims to take the lead in developing alternatives to animal research. Further, recent suggestions that human and animal research guidelines and protections should be brought closer together are examined in light of these findings.