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Letters To The Editor Aug 2011

Letters To The Editor

Jefferson Journal of Psychiatry

Letters to the Editor for the Jefferson Journal of Psychiatry, Volume 3, Number 2, July 1985.


Psychotherapy Or Pseudotherapy?, Lawson R. Wulsin, Md Aug 2011

Psychotherapy Or Pseudotherapy?, Lawson R. Wulsin, Md

Jefferson Journal of Psychiatry

What is psychotherapy? I wish I knew . Thick books and long talks still leave me wondering. Hours of patients and almost as many hours of supervision leave the question hanging. I know what ECT is and how to give a good trial of arnitryptiline, but I am never quite sure if what I am offering is true psychotherapy. Admittedly I am young and have only been wet for five years. But I have had one experience in my short time that put the question in perspective by putting it backwards, that is, what is notpsychotherapy, or what is pseudotherapy?


A Patient With Aids, Susan Ball, Md, Stephen Hauptman, Do, Jean Helz, Md, Sheila Murphey, Md, Beth Shindell, Mss Aug 2011

A Patient With Aids, Susan Ball, Md, Stephen Hauptman, Do, Jean Helz, Md, Sheila Murphey, Md, Beth Shindell, Mss

Jefferson Journal of Psychiatry

Susan Ball , M.D.. Chief Resident: Mr. B, a thirty-five-year-old white male, was admitted to the medical service with chief complaints of fever, chills, and increasing shortness of breath. This was Mr. B's second admission. His first was six month s ago for pneumonia, leukopenia, and lymphadenopathy of unknown etiology. At that time he was treated with antibiotics; he improved and was discharged. Since that time Mr. B reported continuing to feel weak and lethargic. Two weeks before this admission he noted the onset of fever, chills, sore throat, and a nonproductive cough. He initially saw …


Bulimia As A Masturbatory Equivalent, Eric Levin, Md Aug 2011

Bulimia As A Masturbatory Equivalent, Eric Levin, Md

Jefferson Journal of Psychiatry

Introduction

In the last few years much has been written about those who binge-eat and then purge. These people, most of whom are women, resort to extreme measures to avoid gaining weight while not foregoing the gratification of eating.

Most recent papers on this disorder have focused upon description, classification, and the search for neurobiological causality . Little has been presented on the psychodynamics of bulimia that would help us understand the symbolic significance of this disorder. The following case presentation illustrates how bulimia may present as a neurotic symptom, and as such may be overdetermined, yet representative of a …


Letters To The Editor Aug 2011

Letters To The Editor

Jefferson Journal of Psychiatry

Letters to the Editor to the Jefferson Journal of Psychiatry.


Problems With Separation In An Identical Twin, Henry A. Doenlen, Md Aug 2011

Problems With Separation In An Identical Twin, Henry A. Doenlen, Md

Jefferson Journal of Psychiatry

Introduction

During residency we learn to apply the theories of development to understand and help our patients. These theories are based upon the relationship between a single childand his parents as he struggles to separate and individuate. Identical twins have special problems in that not only do they have to separate from their parents, but also from each other.


The Use Of Art Therapy In A Patient With Chronic Schizophrenia, Robert Morrow, Md Aug 2011

The Use Of Art Therapy In A Patient With Chronic Schizophrenia, Robert Morrow, Md

Jefferson Journal of Psychiatry

The artistic drawings of psychiatric patients have been of increasing interest to mental health professionals over the last hundred years. In the 1870's Simon speculated on the relationship between the art of psychotics and their illnesses (1) . Freud and Jung made observations about the symbolism of art work. By the 1940's Naumberg developed a system of art therapy relying heavily on psychoanalytic theory that is now a therapeutic discipline in its own right (2).

In the inpatient milieu art therapy is commonly offered in conjunction with other therapies that make up the inpatient experience. The art therapist often shares …


Caring For Survivors Of Sudden Death In The Emergency Ward, Jeffrey Sarnoff, Md Aug 2011

Caring For Survivors Of Sudden Death In The Emergency Ward, Jeffrey Sarnoff, Md

Jefferson Journal of Psychiatry

Frequently, emergency physicians have to interact with family and friends of persons who have died suddenly, often unexpectedly. These interactions are in complex ways difficult for both emergency ward (EW) staff and for survivors of sudden death. It may be that the way in which this crisis is managed will be a major determinant in how these survivors will remember the incident of sudden death, and how they will cope with it psychologically and physiologically.


Misuses Of Computers By Adolescents, Henry A. Doenlen, M.D. Jul 2011

Misuses Of Computers By Adolescents, Henry A. Doenlen, M.D.

Jefferson Journal of Psychiatry

One subject that has been a topic of much recent publicity and concern has been that of computer misuse. Teenage computer programmers gaining entry into the systems of universities, hospitals and businesses have caused the most concern . The duplication of copyrighted programs and information has also been reported to cause loss of considerable money. There seems to be a subpopulation of people who spend considerable time working with computers. These individuals may do so to the exclusion of other aspects of life such as human interaction . This paper will present both my observations of this behavior and my …


Discussion Of The Paper By David A. Scola, M.D. On “The Hemispheric Specialization Of The Human Brain And Its Application To Psychoanalytic Principles”, Howard Field, M.D., Paul J. Fink, M.D., Thomas Swirsky-Sacchetti, Ph.D. Jul 2011

Discussion Of The Paper By David A. Scola, M.D. On “The Hemispheric Specialization Of The Human Brain And Its Application To Psychoanalytic Principles”, Howard Field, M.D., Paul J. Fink, M.D., Thomas Swirsky-Sacchetti, Ph.D.

Jefferson Journal of Psychiatry

Dr. Scola proposes a bold and far-reaching synthesis of psychoanalytic theory, developmental neurobiology and neurophysiology of behavior. Freud found this task so frustrating in 1895 that he renounced neurology in favor of a purely psychologic approach (or so Freud claimed; Frank Sulloway sees it differently). Hypotheses that unconscious mental life is situated in the right cerebrum and that defense mechanisms are related to neuroanatomic connections are intriguing. The presentation does not include evidence which contravenes these theories. Sperry presented some evidence that the right hemisphere is self-aware and self-evaluative (I). One great problem in all cross disciplinary studies is the …


The Hemispheric Specialization Of The Human Brain And Its Application To Psychoanalytic Principles, David A. Scola, M.D. Jul 2011

The Hemispheric Specialization Of The Human Brain And Its Application To Psychoanalytic Principles, David A. Scola, M.D.

Jefferson Journal of Psychiatry

Volumes of research have been accumulated over the past decade concerning hemispheric specialization of the human brain. Likewise, over the past century, psychoanalysts have painstakingly unraveled through their clinical observation many of the mysteries of intrapsychic functions. Yet little has been written concerning attempts to integrate these seemingly divergent viewpoints.

It was Freud's hope that a neural basis for his clinical observations and psychological explanations of the human mind would eventually be established . This was not possible in his day, however, so this idea was gradually abandoned. With the advent of computers and high technology, perhaps it is time …


Report To Congressional Committees: Proprietary Trading, United States: Government Accountability Office (Gao) Jul 2011

Report To Congressional Committees: Proprietary Trading, United States: Government Accountability Office (Gao)

Documents

Report to Congressional Committees: Proprietary Trading -- Regulators Will Need More Comprehensive Information to Fully Monitor Compliance with New Restrictions when Implemented


Hollywood's Other America: Neoliberalism, Us Hegemony, And The Construction Of An Imaginative Geography Of The Americas In Contemporary Us Film, Brent Smith Jul 2011

Hollywood's Other America: Neoliberalism, Us Hegemony, And The Construction Of An Imaginative Geography Of The Americas In Contemporary Us Film, Brent Smith

Foreign Languages & Literatures ETDs

This thesis explores the production of Latin America as a space in Hollywood films in the context of neoliberal hegemony and the shifting power relations of late capitalist globalization. Drawing on Edward Said's notion of 'imaginative geographies' I examine the way in which Hollywood representations of Latin America have constructed a spatio-temporal imaginative geography of the Americas that structures US knowledge of Latin America, arguing that these representations form part of a neocolonial discourse that legitimates neoliberal economic expansion and direct US military or political intervention in Latin America. In contemporary US film, this geographic imaginary is produced through representations …


Snyder V. Phelps: The Destruction Of The Equilibrium Between The Right To Free Speech And The Right To Protection From It, Stewart Berkeley Jul 2011

Snyder V. Phelps: The Destruction Of The Equilibrium Between The Right To Free Speech And The Right To Protection From It, Stewart Berkeley

University of Miami National Security & Armed Conflict Law Review

No abstract provided.


Snyder V. Phelps: Finding The Light At The End Of The Tort, Brendan Mackesey Jul 2011

Snyder V. Phelps: Finding The Light At The End Of The Tort, Brendan Mackesey

University of Miami National Security & Armed Conflict Law Review

No abstract provided.


Snyder V. Phelps: The Demise Of Constitutional Avoidance, Emily Horowitz Jul 2011

Snyder V. Phelps: The Demise Of Constitutional Avoidance, Emily Horowitz

University of Miami National Security & Armed Conflict Law Review

No abstract provided.


Sustainable Collaborations For Opal Depository Collections: Meeting The Needs, Bridging The Gaps, Jane Wu Jul 2011

Sustainable Collaborations For Opal Depository Collections: Meeting The Needs, Bridging The Gaps, Jane Wu

Library Faculty & Staff Scholarship

The United States federal government publications were little known and underutilized in the majority of the OPAL (Ohio Private Academic Libraries) depository libraries, as the majority of the collections were not in the online catalog before 1998. The limited financial and human resources of these small academic libraries demanded effective collaboration among the libraries, the commercial vendors and service providers, the local administrations, and the library staff members to automate the collection. However, making collaboration work at operational and strategic levels can be a daunting management challenge.


The Sustainable Development Principle In United States Environmental Law, Michael P. Healy Jul 2011

The Sustainable Development Principle In United States Environmental Law, Michael P. Healy

Law Faculty Scholarly Articles

The American public perceives the principle of sustainable development and sustainability, the shorthand nomenclature, through green-tinted lenses. Whether the user of the term is academic, corporate, or governmental, the advocate of sustainability is understood as an advocate of protecting the environment. The international legal understanding of the principle of sustainable development, however, is more ambiguous than this popular American understanding.

Part II of this Article describes the important principle of sustainable development in modern international environmental law. It discusses how the sustainable development principle has evolved from its initial appearance in the 1987 Brundtland Commission Report through its central position …


The New Eu Framework For Financial Crisis Management And Resolution, European Central Bank (Ecb) Jul 2011

The New Eu Framework For Financial Crisis Management And Resolution, European Central Bank (Ecb)

Documents

No abstract provided.


Lasting Implications Of The General Motors Bailout, A Hearing Before The Subcommittee On Regulatory Affairs, Stimulus Oversight And Government Spending Of The Committee On Oversight And Government Reform, U.S. House Of Representatives: Committee On Oversight And Government Reform Jun 2011

Lasting Implications Of The General Motors Bailout, A Hearing Before The Subcommittee On Regulatory Affairs, Stimulus Oversight And Government Spending Of The Committee On Oversight And Government Reform, U.S. House Of Representatives: Committee On Oversight And Government Reform

Documents

No abstract provided.


“We Will Hold Our Land:” The Cherokee People In Postrevolutionary North America, 1781-1792, Kevin T. Barksdale Jun 2011

“We Will Hold Our Land:” The Cherokee People In Postrevolutionary North America, 1781-1792, Kevin T. Barksdale

History Faculty Research

In June of 1783, Spain’s newly-appointed Governor of Louisiana Estevan Miro convened a conference of southeastern Indians in Pensacola with representatives from the dominant regional Amerindian groups, including the Choctaw, Chickasaw, and Creeks in attendance. Among the attendees at the West Florida congress was a small contingent of Chickamauga Cherokee, led by their principal chief Dragging Canoe. During the parlay, Governor Miro implored the Indians to “not be afraid of the Americans,” promised to provide guns and ammunition in their ongoing efforts to prevent the further loss of their lands, and urged them to “continue to fight against American” westerners.


Fhfa Report To Congress 2010, United States: Federal Housing Finance Agency (Fhfa) Jun 2011

Fhfa Report To Congress 2010, United States: Federal Housing Finance Agency (Fhfa)

Documents

No abstract provided.


Framing Health Care Across The Pond: A Comparative Content Analysis Of Elite Newspapers In The Us And Uk During The 2009 American Health Policy Debate, Jackson Bales Foote Jun 2011

Framing Health Care Across The Pond: A Comparative Content Analysis Of Elite Newspapers In The Us And Uk During The 2009 American Health Policy Debate, Jackson Bales Foote

Theses

This study analyzes content from eight leading newspapers in the United States and United Kingdom during ten months of the 2009 American health care policy debate, identifying emergent issue-specific health care frames that manifest themselves in key framing devices, like metaphors, exemplars, catchphrases, and depictions. This exploratory, quantitive frame analysis is conducted in a cross-cultural context to facilitate generalizable comparisons about how the news media in different countries frame social welfare policy through symbolic and rhetorical elements. A principal component analysis is used to reduce the health care-specific variables into four frames: access, choice, rising costs, and market competition. The …


United States Court Of Appeals For The District Of Columbia Circuit: Vern Mckinley V. Board Of Governors Of The Federal Reserve System, United States District Court: District Of Columbia Jun 2011

United States Court Of Appeals For The District Of Columbia Circuit: Vern Mckinley V. Board Of Governors Of The Federal Reserve System, United States District Court: District Of Columbia

Documents

No abstract provided.


Supporting Alternative Incentive Mechanisms For Digital Content: A Comparison Of Canadian And Us Policy, Michael B. Mcnally Jun 2011

Supporting Alternative Incentive Mechanisms For Digital Content: A Comparison Of Canadian And Us Policy, Michael B. Mcnally

FIMS Publications

This paper compares the Government of Canada’s copyright focused approach for encouraging the production of digital content with the U.S. Government’s adoption of a range of incentive systems for the production of content through a content analysis of government policy papers. The first part of the paper examines Canadian policy outlined in the Improving Canada’s Digital Advantage consultation paper and the proposed amendments to the Copyright Act (Bill C-32). The paper argues the government is overly reliant on copyright to encourage the production of creative digital content. Though Bill C-32 would expand the definition of fair dealing and create a …


Aircraft­Borne Thermal And Visible Imagery Acquisition And Ground Data­ Instrument Recovery Of Caves, Mojave Desert, California, J. Judson Wynne Jun 2011

Aircraft­Borne Thermal And Visible Imagery Acquisition And Ground Data­ Instrument Recovery Of Caves, Mojave Desert, California, J. Judson Wynne

KIP Data Sets and Technical Reports

Explorers Club Flag Report (Flag # 139) Submitted: 17 June 2011 Jut Wynne 1,2, Murzy Jhabvala 3, Brittany Wells 4, Marty Trout 4, Dave Decker 5, Daniel R. Ruby 6, Keith Muhlestein 7, Doug Billings 8, James Rice 8, Brian Taylor 9, Daniel Loewen 10, Jacques Vachon 4and Nathalie A. Cabrol 1 1SETI Institute, Carl Sagan Center, Mountain View, CA; 2Colorado Plateau Research Station and Department of Biological Sciences, Northern Arizona University, Flagstaff; 3NASA, Goddard Space Flight Center, Greenbelt, MD; 4NASA, Dryden Flight Research Center, Edwards, CA; 5Department of Earth and Planetary Sciences, University of New Mexico, Albuquerque, NM; 6Fleischmann …


Potential Water Quality Changes Due To Corn Expansion In The Upper Mississippi River Basin, Silvia Secchi, Philip W Gassman, Manoj Jha, Lyubov Kurkalova, Catherine L Kling Jun 2011

Potential Water Quality Changes Due To Corn Expansion In The Upper Mississippi River Basin, Silvia Secchi, Philip W Gassman, Manoj Jha, Lyubov Kurkalova, Catherine L Kling

Articles

While biofuels may yield renewable fuel benefits, there could be downsides in terms of water quality and other environmental stressors, particularly if corn is relied upon exclusively as the feedstock. The consequences of increased corn production will depend importantly on where (and how) the additional corn is grown, which, in turn, depends on the characteristics of land and its associated profitability. Previous work has relied on rules of thumb for allocating land to increased acreage based on historical land use or other heuristics. Here, we advance our understanding of these phenomena by describing a modeling system that links an economics-driven …


97th Annual Report 2010, Federal Reserve System: Board Of Governors Jun 2011

97th Annual Report 2010, Federal Reserve System: Board Of Governors

Documents

No abstract provided.


Summaries Of New Decisions, U.S. Department Of Justice: Office Of Information Policy Jun 2011

Summaries Of New Decisions, U.S. Department Of Justice: Office Of Information Policy

Documents

No abstract provided.


Evaluation Of The Use Of Patient-Focused Simulation For Student Assessment In A Surgery Clerkship., Gerald A Isenberg, Katherine W Berg, Judith A Veloski, Dale D Berg, J J. Veloski, Charles Yeo Jun 2011

Evaluation Of The Use Of Patient-Focused Simulation For Student Assessment In A Surgery Clerkship., Gerald A Isenberg, Katherine W Berg, Judith A Veloski, Dale D Berg, J J. Veloski, Charles Yeo

Department of Surgery Faculty Papers

BACKGROUND: The purpose of this study was to evaluate the use of simulated patients in conjunction with anatomic and tissue task-training models to assess skills.

METHODS: Faculty reviewed the objectives of the clerkship to identify skills to be acquired. Three cases were developed related to rectal examination, suturing, and inserting intravenous lines and nasogastric tubes. Student scores were based on their ability to gather data from simulated patients and perform procedures on simulation models.

RESULTS: A total of 670 students were assessed between 2006 and 2009. Alpha reliability coefficients were .97 for Communication/Interpersonal Skills, .71 for Procedures, and .58 for …