A freshman-sophomore psychiatry course, "To the Asylum and Back: Implications of Efforts to Deinstitutionalize the Mentally Ill," offered at the University of California at Los Angeles is described. The topic was chosen because it constitutes a major dilemma that has developed in recent years in American psychiatry. (Author/MLW)

Compares the functioning of true-positive, false-positive, and true-negative adolescents on clinical and psychosocial functioning. False-positive persons did not differ significantly from the true-positive (diagnosed) participants on most of the measures of psychosocial dysfunction, indicating that "false positive" is not a benign…

Examines ways to apply control theory to the clinical practice of psychology. Offers general methods to assess psychological problems and to facilitate healthful change. Profiles what constitutes mental health from a control systems perspective, emphasizing the control of variables to achieve desired ends. (CH)

Objective: Adolescents' functional impairment has become increasingly important as a criterion for diagnosis and service eligibility as well as a target of therapeutic intervention in mental health settings. This study examines three critical issues in measuring functioning: 1) agreement between parent and adolescent reports of functioning, 2)…

As part of a broader study aimed at evaluating perceived alliance with service providers and level of satisfaction with services received, 103 monolingual Spanish speaking Hispanic women were interviewed. Participants were receiving ongoing behavioral health treatment at three different community service provider sites located in the greater New…

Proposes concept of a flexible frame through which the therapeutic relationship can both permit primitive defenses to emerge and serve as a basis for a corrective emotional experience. Containment, confrontation, and interpretation are presented as a three-fold strategy for effective engagement and treatment of the multisymptom patient. Provides…

Examines machismo (strict adherence to traditional masculine gender identity) in terms of Bem's gender schema theory. Uses the example of a Mexican immigrant family facing social and cultural changes to demonstrate the dynamics of machismo and how it might lead to emotional problems and physical symptoms in Hispanic men and their families.…

Grounded in a comprehensive model of Tourette syndrome (TS) and related disorders, this state-of-the-art volume provides a multidisciplinary framework for assessment and treatment. Leading authorities present the latest knowledge on the neurobehavioral underpinnings of TS, its clinical presentation, and how to distinguish it from frequently…

Examines the concept of social network as a mediating construct linking psychiatric epidemiology and community mental health. Presents a selective review of studies investigating the structural and interactional features of the social networks of psychiatrically impaired persons. Implications of results are discussed. (Author)

Presents paradigmatic case of "failure to know" involving a 36-year-old man treated in psychoanalytic therapy. Reviews issues such as the construction of narrative meaning, the concept of alexithymia, and the object-relational concept of the "unthought known." Discusses transference-countertransference matrix. (JBJ)

Counseling psychologists would be wise to distinguish themselves from other specialists by adopting an educational paradigm in which counseling psychologists function as teachers or trainers. In this role, they provide experiences designed to establish, increase or broaden desired skill, knowledge or motivation. The educational paradigm is broad…

Describes characteristics, employment setting, and professional practices of health service-provider psychologists. Discusses their current status in psychology, the distribution of health care practitioners, patterns of specialization in service delivery, and populations being served by these practitioners. (Author/MJL)

The advent of managed health care has seen mental health practitioners from non-psychology disciplines become administrators of mental health systems. This tendency has resulted in psychologists having little authoritative input into the administration of mental health services. The purpose of this paper is to explore the possibilities of…

Professional competency in psychologists wishing to treat children and families is an area of considerable concern and disagreement. Three types of practitioners comprise the bulk of the problem: clinical psychologists, who lack specific child-oriented training; developmental psychologists, who wish to serve children but lack traditional clinical…

This study evaluated the effectiveness of 2 versions of an 8-session forgiveness group intervention for divorced individuals. Participants (randomized, n = 192; analyzed, n = 149) were randomly assigned to a secular forgiveness condition, a religious forgiveness condition, or a no-intervention comparison condition. Measures of forgiveness and…