Evaluation der Psychodramatherapie in einer Einrichtung für traumatisierte Jungen mit sexuell übergriffigem Verhalten

In 2010 a formal external treatment evaluation for the institution Rumpelstilzchen by the institute TEQS was installed. Every 6 months the boys are interviewed by a member of the institute staff and the view of each boy on the course of his treatment is examined in an interview. Parallel to this, the therapists and care staff answer the same questions and give their assessment to the course of each boy’s treatment (questionnaire).The degree of the agreement of the assessments between clients, therapists and care staff is viewed as an indicator for the potential success of the treatment. In case of discrepancies between the assessments a process of supervision is recommended in order to gain a joint case understanding. The results of the first two points of measurement in the treatment evaluation for 24 boys are presented in this article. In addition a member of the institute’s research staff interviewed 10 ex-clients with regards to their experiences of the psychodrama therapy group specifically (qualitative interview). The results were examined by content analysis and are presented as well. The results are discussed.     

Narcissistic Foundation of the Erotic Transference

Institutionalizing psychoanalysis despoils what it means to create. Training should be student driven, with no imposed rules or regulations, no licensing or credentialing, and in the ideal institute teachers would teach for the love of their craft. Then, instead of disdaining a dogma-ridden, seemingly irrelevant profession, the public might rediscover its love affair with a process that offers richly absorbing intimacy and thrilling insights.     

The Mother,the Infant and the Matrix

The author describes his ongoing experience in creating an entirely new psychoanalytic training institute from the merger of two currently operating institutes. The goals, ideals, conflicts, and vicissitudes of the merger process are described, along with the more difficult and elusive effort to turn out skilled and emotionally balanced analysts who are, to whatever extent possible, also decent human beings.     

独立学院学生总体幸福感调查

目的描述独立学院学生总体幸福感的特点。方法采用总体幸福感问卷对中国矿业大学徐海学院学生和中国矿业大学学生总体幸福感进行调查和分析。结果独立学院学生的总体幸福感显著高于全国常模;独立学院男生在健康担心因子上得分低于女生;独立学院城市学生的焦虑因子和总体幸福感总分得分都显著高于农村学生,忧郁愉快因子则低于农村学生;独立学院学生的焦虑因子得分显著高于中国矿业大学学生。结论独立学院学生的总体幸福感与性别、生源地、专业相关。     

Masked depression: Progressive somatization as a response to object loss

Summary The case history of a 46-year-old man is presented in an attempt to demonstrate progressive somatic equivalents of the psychic process of internalization as a means of coping with object loss, both before and after the fact. Practically, the paper underscores the importance of recognizing the entity of masked depression as early as possible in order to institute proper therapy, as well as the futility of reassurance in attempting to deal with the somatic manifestations of the illness. Lesse in a clinical survey has shown conclusively that the prognosis of such conditions is directly related to the duration of symptomatology, and that 84% of patients in the study had been ill for more than one year prior to psychiatric consultation.     

Psychoanalysis as Inquiry and Discovery,Not Suspicion

The traditional psychoanalytic institute and culture, I argue, breed a “hermeneutic of suspicion” (Ricoeur, 1970) that is contrary to what is needed to promote a two- (or more) person psychology. Instead of suspicion, I recommend in my ideal psychoanalytic institute, a hermeneutic of inquiry and discovery, that requires emotional intelligence, equanimity, and respect in dealing with different points of view and different people. I also imagine an ideal curriculum and clinical training program to support a new hermeneutic that would reduce the defensive splitting and destructive dynamics that have abounded in the 100-year history of psychoanalysis.     

Sullivan's Participant Observation

This essay suggests ways of enhancing institute membership beyond the point of graduation. It argues further that we should assume—and address the fact—that areas of relative insufficiency and the need to learn more are endemic to one's postgraduate development as a psychoanalyst. The institute can be a safe and, indeed, vital place for stimulating this professional growth.     

Oskar Vogt (1870–1959)

Oskar Vogt (1870-1955) and his wife Cecile (1875-1962) were neurologists and neuroanatomists with a strong interest in the cytoarchitectonics and myeloarchitectonics of the brain and in the functional anatomy of the basal ganglia. In the 1920s, Vogt created a multi-disciplinary brain research institute, the Kaiser-Wilhelm-Institut fur Hirnforschung in Berlin-Buch, with divisions for e.g. neuroanatomy, neurohistology, neurophysiology, neurochemistry, and genetics. Oskar Vogt's scientific activities are discussed briefly with special regard to his former co-worker Brodmann. After being dismissed from office by the Nazi government in 1937, the Vogts continued their work in a privately funded institute in Neustadt, in the Black Forest.     

Three Pathways of Seclusion Reduction Programs to Sustainability: Ten Years Follow Up in Psychiatry

From 2004 onwards, above 50 seclusion reduction programs (SRP) were developed, implemented and evaluated in the Netherlands. However, little is known about their sustainability, as to which extent obtained reduction could be maintained. This study monitored three programs over ten years seeking to identify important factors contributing to this. We reviewed documents of three SRPs that received governmental funding to reduce seclusion. Next, we interviewed key figures from each institute, to investigate the SRP documents and their implementation in practice. We monitored the number of seclusion events and the number of seclusion days with the Argus rating scale over ten years in three separate phases: 2008–2010, 2011–2014 and 2015–2017. As we were interested in sustainability after the governmental funding ended in 2012, our focus was on the last phase. Although in different rate, all mental health institutes showed some decline in seclusion events during and immediately after the SRP. After end of funding one institute showed numbers going up and down. The second showed an increase in number of seclusion days. The third institute displayed a sustained and continuous reduction in use of seclusion, even several years after the received funding. This institute was the only one with an ongoing institutional SRP after the governmental funding. To sustain accomplished seclusion reduction, a continuous effort is needed for institutional awareness of the use of seclusion, even after successful implementation of SRPs. If not, successful SRPs implemented in psychiatry will easily relapse in traditional use of seclusion.

     

Évaluation de la pratique sportive comme outil de valorisation d’élèves présentant des troubles du comportement

The objective of this study is to analyze the effect of sports programs in basketball on physical self-esteem of adolescents with conduct disorders placed in a French rehabilitation institute (N = 24). The Physical Self Inventory has been administrated 11 time over a period of 11 months. Results show a stability of scores in global self-esteem, physical self-worth, physical condition and sport competence for the groups who had participated in basketball interspecialized establishment and integrated meets and the physical education group. In conclusion, this study shows that sport practice is not a means of enhancement for students with conduct disorders behavioral disturbances schooled in an rehabilitation institute.     

The new drugs (chlorpromazine & reserpine): administrative aspects. 1956

The article on the new drugs reprinted below appeared in the February 1956 issue of Mental Hospitals. It is based on a discussion held during the Seventh Mental Hospital Institute in October 1955 in Washington, D.C. Chlorpromazine and reserpine had been available in the United States less than two years when the institute participants met to discuss how their hospitals were coping with the demands of the new treatments. In a commentary and analysis beginning on page 333, Robert Cancro, M.D., considers the broader impact of the introduction of neuroleptics and examines the concerns of the 1956 institute participants in the context of today.     

The rehearsal: an experiment in psychoanalytic education.

During the year 1972–1973 the psychoanalysts in Cincinnati organized and conducted a series of seminars designed to prepare themselves as a faculty for a new psychoanalytic institute. Although every area has its special history and variables, we imagine that some of our experiences have carry-over and relevance for those planning to initiate psychoanalytic educational programs in their communities, whether they be on a larger scale, such as those leading to provisional institute status, or on a smaller scale, such as initiating one or more new courses in a curriculum.     

独立学院大学新生心理健康状况调查

目的调查分析独立学院大学新生心理健康状况。方法采用症状自评量表（SCL-90）,通过整群抽样方法选取中国矿业大学徐海学院2009级全体新生,共测评了1798个有效样本,并进行了比较分析。结果独立学院新生中存在中度以上心理问题的学生占3.23%;男生在敌对因子上得分显著高于女生,在恐怖因子上得分显著低于女生;理工科学生在人际关系敏感和敌对因子上得分均显著高于文科学生;独立学院大一新生SCL-90各因子得分均显著低于国内青年组和国内大学生常模水平。结论独立学院新生具有良好的心理健康水平。     

Early diagnosis of Parkinson's disease and initiation of treatment

The diagnosis of Parkinson's disease remains a clinical diagnosis with no confirmatory laboratory or imaging studies available. The classic diagnostic criteria include 2 of 3 cardinal motor features of parkinsonism (resting tremor, cogwheel rigidity, and bradykinesia) on examination. Interest in a "premotor diagnosis" of Parkinson's disease is based on the hope that neuroprotective therapy could be initiated earlier and affect disease course. However, there is no proven method to diagnose Parkinson's disease prior to the onset of motor signs and there is no proven neuroprotective treatment. Once the diagnosis is made, the neurologist must decide, with the patient, whether to institute treatment at the time of diagnosis or whether to institute treatment when functional disability evolves. There are multiple possible initial pharmacologic choices for the initial treatment of Parkinson's disease, including monoamine oxidase type B inhibitors, dopamine receptor agonists, and levodopa/carbidopa.     

Research,Curriculum, and Diversity

The ideal psychoanalytic institute will prepare outstanding clinicians of varied backgrounds, who can exchange insights about how each culture produces different conditions for mental health. The ideal institute will also do clinical outcome research, to insure the survival of the psychoanalytic field. Candidates would not only learn psychoanalytic ideas, but also see them in the context of findings from other fields, including experimental psychology, neuroscience, anthropology, sociology, philosophy, sexology, and literature.     

Provider and family beliefs regarding the causes of severe mental illness

The study examined mental health providers' and families' of adults with severe mental illness beliefs regarding the etiology of mental illness. A countywide sample of 87 providers and family members was collected over a course of six months as part of a consensus building process to institute family education. Beliefs regarding the biological basis of mental illness are not replacing family causation beliefs for providers and families. Instead, providers and families hold biological and family causation theories regarding the etiology of mental illness simultaneously. Providers with less family contact were more likely to believe that families may cause mental illness, when controlling for race, gender, education, and years working in mental health. Families with negative provider experience are also more likely to hold family causation beliefs, when controlling for race, gender, and education. Further research is needed to explore the effects of provider and family beliefs regarding the etiology of mental illness on provider–family contact and collaboration.     

Origins and establishment of the schizophrenia research programme at Royal Park Psychiatric Hospital

This paper documents the initial phase of a new research direction which began in 1984 at Royal Park Hospital. Attention is focussed on the place of the university and the research institute in the psychiatric hospital and on the perceived need for concerted research on the major psychoses in Australia. The focal point of the Royal Park research programme, the Aubrey Lewis Clinical Research Unit, has been open since October 1984. The development of the unit's research activities during the initial few years of its existence required an awareness of specific scientific, administrative and political issues. These are discussed in detail in order to convey something of the process, as well as the content of such development, and in an attempt to provide some assistance to others undertaking similar developments.     

Surgical Outcome of Epilepsy Caused by Cortical Dysplasia

Summary:  Purpose: Cortical dysplasia (CD) is the second most common pathologic entity in surgically treated epilepsy. To delineate its surgical outcome and prognostic factors, we performed a retrospective analysis of patients operated on at a single institute.
Methods: Between September 1994 and December 2000, 128 cases with CD were operated on at our institute. The male/female ratio was 85:43, and the mean age was 27 years (SD, 7.6 years). The mean postoperative follow-up period was 26.9 months (SD, 12.0 months). Seizure outcome and severity of CD were classified according to Engel's and Mischel's classifications, respectively. Severity of CD was mild in 69, moderate in 21, and severe in 38. Lobar distribution was temporal in 54, frontal in 48, and others in 26. Cortical resection, lobectomy, or hemispherectomy was done in all patients. Univariate analysis was done followed by multivariate analysis by using computerized statistical software.
Results: Postoperative seizure outcome was Engel class I in 58 (45.3%), II in 17 (13.3%), III in 16 (12.5%), and IV in 37 (28.9%). Transient postoperative complications occurred in 14 (10.9%) patients without mortality or permanent neurologic impairment. Multivariate analysis revealed severity of CD and frontal lobe resection as independent prognostic factors for worse outcome (p = 0.001 and 0.003, respectively).
Conclusions: Epilepsy surgery for CD achieved 45.3% seizure-free rate with 10.9% transient postoperative complications in our institute. Worse postoperative seizure outcome was observed in cases with mild CD and frontal lobe resection.     

Participants' assessment of a training institute in behavior therapy

This evaluation of the Eleventh Annual June Institute in Behavior Therapy conducted at Temple University Medical School in 1976 found that participants reported significant increases in knowledge, confidence and use of behavioral principles and techniques from before to after the institute, many of which were maintained at 2-yr follow-up. The goal of instructing trainees in principles of learning, the performance of behavioral analyses, and the use of specific behavior therapy techniques with a variety of clinical problems was achieved. The goal of proselytization was also achieved inasmuch as the institute trainees increased their use of behavior therapy, taught behavior therapy to others, and became more behavioral in their clinical orientation. Some participants learned and proselytized more than others, and the relation of various participant characteristics to outcome is examined. The most frequently mentioned recommendation was for future institutes to provide even more practicum time. The limitations of the present study and suggestions for future studies are discussed.     

Proper management of the rotational vertebral artery occlusion secondary to spondylosis

A 66-year-old man with cervical spondylosis noticed severe vertigo when turning his head to the right. He underwent subclavian arteriography elsewhere, which showed a block of the contrast medium in the right vertebral artery (VA) at the C5/6 level when the patient turned his head to the right. After referral to our institute, however, postcontrast CT scan revealed an attenuated shadow of the venous plexus around the right VA at the C3/4 level. Repeated selective angiography with rotation of the head after visualization of the entire VA verified the level of obstruction to be at C3/4. Resection of the C4 transverse process through an anterior approach with drilling of the C3/4 spondylotic spur of the uncinate processi completely resolved the arterial impingement and the symptom. When evaluating rotational VA occlusion, dynamic angiography with selective catheterization is essential in determining which level is affected. The postcontrast CT scan is also useful because it suggests the level even without head rotation.