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Brief Reports: Depressive Phenomena In Infants, Vanshdeep Sharma, Md

Jefferson Journal of Psychiatry

Interest in childhood depression is demonstrated by an increasing amount of research in the area. A review of literature suggests that depression as a clinical entity is observable in children ( I ).

Body-Snatching: Medicine And The Cartesian Threat, Mark D. Sullivan, Md, Phd

Jefferson Journal of Psychiatry

Twentieth century physicians are proud to be biological scientists. It is this feature above all others that distinguishes us from our predecessors. Because it is the badge of our progress in medicine, biology is often considered the essential core of medical care. Indeed, we can become so focused upon the biology inmedicine that all other aspects of caring for patients fade into a murky background of ill-defined sentimentality.

Different Perspectives Of Psychiatry Within Two Neighboring Residency Training Programs, Bruce Rosenblum, Md

Jefferson Journal of Psychiatry

This paper arises out of my fortunate opportunity to observe two very different psychiatric residency training programs. While a fourth-year resident at a large, psycho dynamically-oriented private psychiatric hospital, I was able to do a consultation liaison rotation at a neighboring academic institution at the vanguard of biological psychiatry. I left the familiar, we ll-manicured suburban grounds for the inner city of Baltimore to be one of the first experiments in "cross-fertilization" between these residency training programs. Although the two institutions are located in the same city and stem from the early history of American psychiatry, they have been worlds …

Dynamic Considerations In Psychiatric Crisis Intervention, Keith Cheng, Md

Jefferson Journal of Psychiatry

One of the most challenging tasks for psychiatrists and psychiatric residents is emergency room triage. This task becomes more frequent as more patients depend on the emergency room for psychiatric treatment. Various social and economic pressures account for an increased utilization of psychiatric triage. The government funds that were to provide community care for the ex-patients of state hospitals have never materialized in adequate amounts (1). Many of these patients become dependent transients who in a crisis must use the emergency room as a psychiatric clinic. To keep premiums down, some insurance companies have eliminated their outpatient psychiatric coverage, often …

Treatment Of Mental Disorders In Pregnancy: A Review Of Neuroleptics, Antidepressants, And Lithium Carbonate, Lawrence L. Kerns, Md

Jefferson Journal of Psychiatry

Pregnancy is frequently complicated by the development or recurrence of a serious mental disorder; neurotic, major affective, and psychotic illnesses have all been observed (1-4). When a major mental disorder arises in a pregnant woman and threatens the health or life of the patient and/or fetus, it should be treated early and aggressively to minimize complications and forestall the advance of the disease. Nonbiologic methods like individual psychotherapy, couples or family therapy, social casework, and hospitalization in a supportive, structured milieu should form the first line of treatment. Electroconvulsive therapy (ECT) may be the treatment of choice for some patients, …

Masochistic Personality Disorder: A Diagnosis Under Consideration, A. Kenneth Fuller, Md

Jefferson Journal of Psychiatry

In the past three decades, few diagnoses in psychiatry have had a more turbulent history than the personality disorders (1). Labels such as inadequate, emotionally unstable, and asthenic personalities entered the official nomenclature and were later withdrawn. Borderline, antisocial and compulsive personality disorders are additions that have become entrenched in the classification of mental disorders. The turmoil maintains its course with a diagnosis of Masochistic Personality Disorder under consideration to join the existing categories of personality disorders in the revised edition of DSM-III (DSM-III-R) (2).

The category of Masochistic Personality Disorder does not exist in the three earlier versions of …

Faculty Advisor's Column, Harvey J. Schwartz, Md

Jefferson Journal of Psychiatry

The challenge of understanding and treating the increasing number of patients who suffer from some form of eating disorder has been addressed at length in the past issues of the JeJferson Journal. Beginning in the July 1985 issue, Dr. Eric Levin presented a clinical and theoretical report entitled "Bulimia as a Masturbatory Equivalent." The last issue contained an "In Response" column by Dr. C. Philip Wilson, a foremost authority on the psychoanalytic approach to this problem. This issue brings forth further commentary by Dr. Jeffrey Jonas, a recognized leader in the pharmacologic concept of treatment. The differences in approach are …

Editor's Column: Remarkable Conversations, Jeffrey R. Sarnoff, Md

Jefferson Journal of Psychiatry

Over the past year or so, several of us who are intimately involved in the editing and production of this journal have been personally challenged by the emergence of serious illness in either ourselves or our immediate fami lies. In each instance, the psyc hiatrist so affected has maintained the degree of equilibrium necessary to permit continuing, effective participation in this enterprise.Given this, the question emerges: Why do we do the work that has led us from a journal with a press run of four hundred copies in 1983, to a journal with a national circulation of seven thousand copies …

Editorial Staff

Jefferson Journal of Psychiatry

List of Editorial Staff for Volume 4, Issue 2, Spring 1986 issue of the Jefferson Journal of Psychiatry.

Letter To The Editor

Jefferson Journal of Psychiatry

Dr. Chessick responds to Dr. Dorn's Review of why Psychotherapists fail.

In Response: A Discussion Of "Bulimia As A Masturbatory Equivalent", C. Philip Wilson, Md

Jefferson Journal of Psychiatry

My research and that of my colleagues in the psychodynamic cause, structure and treatment of patients with bulimic anorexia nervosa correlates with and confirms the hypotheses presented by Levin ( 1) that bulimic symptoms may represent a masturbatory equivalent.

In our recently published book, Fear of Being Fat: The Treatment of Anorexia Nervosa and Bulimia (2) we confirmed Sperling's findings (3) that unresolved preoedipal fixations to the mother contribute to difficulties in psychosexual development and that anorexic girls and boys displace sexual and masturbatory conflicts from the genitals to the mouth.

In Search Of The "Fundamental Rule" Of Supportive Psychotherapy, Jeffrey R. Sarnoff, Md

Jefferson Journal of Psychiatry

Early in my first year of residency training in psychiatry, while working between acute-care inpatient units and a busy crisis service, it appeared that virtually every patient was said to have been treated with supportive psychotherapy, in conjunction with psychotropic medication. This appearance was deceiving, and if not for thorough supervision, reading, discussion with faculty and peers, and autocritical review, I might still believe that my earliest, and perhaps sickest, patients were indeed treated with supportive psychotherapy. In retrospect, some were and some were not; the explanation for this discrepancy came with the realization that I did not have very …

Learning And Teaching Psychoanalytic Psychotherapy, Ann E. Steel, Md

Jefferson Journal of Psychiatry

Book review of:

AN INTRODUCTION T O PSYCHOTHERAPY

Sidney Tarachow, M.D.

New York: International University Press, Inc.,1963. 332 pp., $32 .50

Canoe Trip, David Mitchell, Md

Jefferson Journal of Psychiatry

"Perfect," he said as he carved his knife into the surgical wound, exposing another layer of fascia. We were standing in the operating theatre: he, the surgical chief resident, and I, a third-year medical student. It was the first of many appendectomies I would scrub in for during my surgical rotation. The patient was a I2-year-old boy who had come to the Grand Valley Hospital emergency room that day. He had a low-grade fever, sweats, and periumbilical pain that had migrated to the right lower quadrant of his abdomen. After quizzing me on various anatomical structures, removing the inflamed appendix, …

Folie Á Deux, Ulhas Mayekar, Md

Jefferson Journal of Psychiatry

Folie a deux, also called dual psychosis, involves the transfer of delusional ideas from a psychotic individual to a nonpsychotic individual within the framework of a close relationship, with the eventual in corporation of the delusional system into the psyche of the previously non psychotic individual.

Diagnosis In The Neuroleptic Malignant Syndrome, James H. Dallman, Md, Cpt, Mc

Jefferson Journal of Psychiatry

Neuroleptic malignant syndrome (NMS) is an uncommon, potentially lethal complication of treatment with antipsychotic medication. First described in American journals by Delay and Deniker in 1968 (1), this syndrome has been reported for many years in the European and Japanese literature.

Decision Trees For Use In Childhood Mental Disorders, Henry A. Doenlen, Md

Jefferson Journal of Psychiatry

The third edition of The Diagnostic and Statistical Manual ofMental Disorders (DSM-III) (1) provides specific diagnostic categories for use in childhood mental disorders, even though these diagnoses are not limited to children. In addition, many of the diagnostic categories used for adults are considered appropriate for use in children. DSM-I II instructs the clinician to diagnose children by first considering the section "Disorders First Evident in Infancy, Childhood, or Adolescence" before considering the disorders described elsewhere. However, this may lead to problems because some major diagnostic categories such as affective disorders and schizophrenia are not included …

The Neuropsychiatric Syndrome Of A Psychomotor Seizure Disorder In Shakespeare's Othello, The Moor Of Venice, Alan J. Cohen, Md

Jefferson Journal of Psychiatry

Many of Shakespeare's characters suffer from the myriad of medical and surgical ailments that afflict mankind. Although many of these diseases serve merely to enhance the subtle shading of character in Shakespearean drama, certain disorders seem to provide a vital focus for the basic theme and plot development of the plays. No group of disorders is more implicated by the behavior and thought patterns of Shakespeare's characters than neuropsychiatric disease. Othello, the Moor of Venice stands out as a striking example of a tragedy

in which the main character suffers grievous consequences from a disease that affects …

Carbamazepine In Treatment Of The Violent Psychotic Patient, Lauren A. Pate, Md

Jefferson Journal of Psychiatry

Violence in the psychiatric setting may be perpetrated by patients with a variety of diagnoses including character disorders, episodic dyscontrol syndromes, and drug or alcohol intoxication. The violent behavior of aggressive psychotic patients is typically the most bizarre, unpredictable, and the least responsive to intervention with neuroleptics or lithium carbonate. Carbamazepine, an established anticonvulsant, has achieved growing prominence as an adjunctive measure in treatment of the violent psychotic. This paper will review the literature and summarize the posited pharmacological mechanisms, reported side effects, and clinical experience with carbamazepine in controlling the symptoms of violence and aggression in psychosis.

The Stress Factor: Exploring The Possibility Of A Psychological Component To Cancer, Bernard M. Edelstein, Md

Jefferson Journal of Psychiatry

As dwellers in the same house, it seems only logical that psyche and soma would be interdependent , that well-being in one would promote health in the other, and that illness in one would soon become manifest in its partner. Yet quantifying this intuitive relationship has long been a difficult task. Establishing a mechanism for disease-heart disease, infectious disease, neoplastic disease which can withstand the scrutiny of experimental rigor, is difficult enough. To introduce a seemingly not quantifiable entity such as psychology in the form of stress or anxiety presents such great complexity that for a long time it seemed …

To Promote The Creative Process: Intellectual Property Law And The Psychology Of Creativity, Gregory N. Mandel

Notre Dame Law Review

The article discusses creativity under intellectual property (IP) law in the U.S. and the U.S. Constitution. The author examines Article I of the U.S. Constitution which was the basis for the U.S. Congress' enactment of copyright and patent laws. He argues that large-scale collaborative projects are very common in the 21st century and are found in government, private, and university research markets.

Scary Monsters: Hybrids, Mashups, And Other Illegitimate Children, Rebecca Tushnet

Notre Dame Law Review

The article discusses a proposed exemption to the U.S. Digital Millennium Copyright Act (DMCA) in 2010 for the creation of mashup or remix videos comprised of previously released materials and music. The author examines the work of several artists, including Michael Newman, Luminosity, and Gianduja Kiss. In the author's opinion, the laws need to adapt to the changing cultures which embody transformative creations such as remix videos and songs.

Taking It On The Chenery: Should The Principles Of Chenery I Apply In Social Security Disability Cases, Bryan C. Bond

Notre Dame Law Review

The article analyzes whether or not the principles laid out in SEC v. Chenery (318 U.S. 80) from 1943 should apply to Social Security disability cases in the U.S. The author examines various aspects of social security disability case practice as of September 2011, including the judicial review provisions of the U.S. Social Security Act, the arguments for and against the application of Chenery to social security cases, and the burden of the remand process on the courts and the parties.

Genius Against Copyright: Revisiting Fichte's Proof Of The Illegality Of Reprinting, Mario Biagioli

Notre Dame Law Review

The article discusses the dichotomy between idea and expression in copyright law in 2012 by focusing on philosopher Johann Gottlieb Fichte's 1793 work "Proof of the Unlawfulness of Reprinting: A Rationale and a Parable." The author argues that the legal community has overlooked parts of Fichte's claims and have chosen to only apply personal expression to authors. Originality in authorship is also examined in defining what is and is not covered under U.S. copyright law.

Creativity, Improvisation, And Risk: Copyright And Musical Innovation, Olufunmilayo B. Arewa

Notre Dame Law Review

The article discusses U.S. copyright law and its influence on creativity and musical innovation. The author states that the benefits of copyright are commonly thought to outweigh the actual costs. As the author points out, the goal of early copyright legislation was to provide incentives for the continued creation of works. The role of visual bias in musical copyrights is examined. The author calls for a better understanding of musical creativity within the scope of copyright law.

Cloud Cover: Privacy Protections And The Stored Communications Act In The Age Of Cloud Computing, Hien Timothy M. Nguyen

Notre Dame Law Review

The article discusses the U.S. Stored Communications Act (SCA) and privacy in light of the cloud computing technology innovations of the early 21st century. The author examines various aspects of online privacy laws in the U.S., including the lack of protection for internet communications under the Fourth Amendment to the U.S. Constitution, the application of the SCA to online information, and technological advancements such as cloud computing in the post-SCA adoption era.

The Economic Situation, 2011 September, Bruce Yandle

Publications

Quarterly report on the economic situation of the United States and South Carolina.

The Role Of Creativity In Trademark Law, Jeanne C. Fromer

Notre Dame Law Review

The article discusses various aspects of U.S. trademark law, including the differences between it and the patent and copyright branches of intellectual property law, trademark's promotion of creativity, and the expansion of coverage under trademark law. The author examines the role of creativity in trademark law by analyzing the 2010 legal dispute between Stefani Germanotta, also known as entertainer Lady Gaga, and her ex-boyfriend and music producer Rob Fusari.

Atypical Inventions, Sean B. Seymore

Notre Dame Law Review

The article discusses U.S. patent law as of September 2011 and the author's view that the patent laws need to evolve to encompass the ever-growing changes within the scientific and technical communities regarding atypical inventions. The author examines various aspects of the U.S. patent laws, including the structural bias of the U.S. patent laws against accidental inventions, a proposed alternative legal framework to resolve any disparities, and the process of patenting an impossible invention

Harvesting Intellectual Property: Inspired Beginnings And Work-Makes-Work, Two Stages In The Creative Processes Of Artists And Innovators, Jessica Silbey

Notre Dame Law Review

The article discusses intellectual property (IP) law in the U.S. as of September 2011 and provides a collection of stories and data from artists, scientists, and engineers about the processes they use and the manner in which they create and innovate in their fields. The author delves into various aspects of creativity and innovation, including the inspired beginnings of projects, the daily work employed to develop an invention, and the relation of IP incentives to the creative process.