Abstract:
:Establishing a working therapeutic relationship with psychiatrically hospitalized adolescents presents special challenges to the hospital treatment team. Many adolescent patients deny their problems or any responsibility for them, and defy efforts to engage them in active collaboration. However, once the treatment team understands the specific clinical and developmental reasons for their reluctance to participate, most patients can become profitably involved in treatment. The author discusses the concept of the therapeutic alliance, suggesting that many hospitalized disturbed adolescents do not reach this optimal level of involvement. Clinical vignettes illustrate the precursors to and levels of genuine collaboration, as well as interventions that facilitate collaborative behavior.
journal_name
Bull Menninger Clinjournal_title
Bulletin of the Menninger Clinicauthors
O'Malley Fsubject
Has Abstractpub_date
1990-01-01 00:00:00pages
13-24issue
1eissn
0025-9284issn
1943-2828journal_volume
54pub_type
杂志文章abstract::With the development of reliable diagnostic tools for the dissociative disorders, earlier implementation of appropriate therapy is now possible. The Structured Clinical Interview for DSM-IV Dissociative Disorders-Revised (SCID-D) (Steinberg, 1994b), an extensively field-tested semistructured interview, can assist clin...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::Of the physicians who took the American Board of Psychiatry and Neurology (ABPN) Examination, Part II, in 1995, 41% failed. The Accreditation Council for Graduate Medical Education (ACGME) requires that residency psychiatry programs conduct an organized evaluation of residents' clinical skills at least twice during th...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract::The authors developed the Trauma History Screen to screen for potentially traumatic events in women admitted for specialized treatment of trauma-related disorders. The questionnaire contains 14 items assessing commonly occurring traumas, and respondents indicate the frequency with which they have experienced the traum...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::Obsessive-compulsive disorder (OCD) is a common and disabling disorder. The most effective psychological treatment for OCD is currently exposure with response prevention (ERP). Although ERP is an effective therapy, recovery rates are relatively modest, so there is room for improvement. Metacognitive therapy (MCT) for ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2018.82.4.375
更新日期:2018-10-01 00:00:00
abstract::The multifaceted nature of grief and the enormous variation in individual clients' responses to losses make it necessary for therapists to have wide background knowledge and well-developed skills in counseling and/or psychotherapy. The author describes an innovative method of facilitating grief resolution using precom...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract::Discrepancies in mental representations between self-aspects and significant others are associated with depression, personality disorders, emotional reactivity, and interpersonal distress. The Computerized Implicit Representation Test (CIRT) is a novel measure developed to assess discrepancies in mental representation...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2015.79.4.335
更新日期:2015-10-01 00:00:00
abstract::The author hypothesizes that erotomania, or de Clérambault's syndrome, occurs in two forms: the clinically accepted delusional erotomania, in which patients believe that another person is in love with them; and borderline erotomania, in which no delusion is present, yet an extreme disorder of attachment is apparent in...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1989-11-01 00:00:00
abstract::Although psychoanalysis and psychodynamic psychotherapy have flourished theoretically and in practice for an increasingly widespread population of patients, the mental health professions have in recent decades experienced a hegemony of managed care, a preoccupation with pharmacological approaches at the expense of psy...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2013.77.1.23
更新日期:2013-01-01 00:00:00
abstract::In the literature on siblings of schizophrenic individuals, recurrent experiential themes include guilt feelings, a fear of madness in oneself, and a wish to escape the turbulence that surrounds the schizophrenic person. In psychotherapy conducted by the author with three siblings of schizophrenic individuals, the sib...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract::Four new antipsychotic medications--clozapine, risperidone, olanzapine, and quetiapine--have been introduced in the United States during the past decade. These new medications now account for the majority of antipsychotic prescriptions. The author reviews specific issues related to the use of traditional antipsychotic...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:2000-01-01 00:00:00
abstract::Obsessive-compulsive (OC) symptoms have been associated with trauma exposure. Although no studies have specified relations between type of trauma and OC symptom presentations, this information may inform personalized care for this complex population. Thus, this study used profile analysis via multidimensional scaling ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc_2020_84_04
更新日期:2020-01-01 00:00:00
abstract::The authors discuss the countertransference reactions that arise in staff who work in a hospital outpatient clinic with children with HIV and AIDS. Countertransference feelings such as guilt, anger, and helplessness can be easily aroused when working with a young, impoverished, dying population. Factors that precipita...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract::Sleep disorders are so common that approximately 38% of the general population complains about a current sleep problem and 52% complains about a current or past sleep problem. Psychiatric factors are prominent in virtually all sleep disorders, either as primary factors (insomnia and adult parasomnias) or as significan...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1989-05-01 00:00:00
abstract::A psychoanalytically oriented combined treatment is considered beneficial for severely disturbed borderline patients, especially during an acute crisis. The proposed treatment comprises hospitalization and specialized psychotherapeutic inpatient treatment, individual psychoanalytic psychotherapy, and psychiatric manag...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.68.4.337.56640
更新日期:2004-10-01 00:00:00
abstract::Prayer is commonplace at times of illness. But what do people pray for? After reviewing recent work in the cognitive science of religion, the authors argue that pray-ers preferentially ask for psychological as opposed to physical outcomes because these are easier to accommodate God's intervention in the healing proces...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:10.1521/bumc.2012.76.3.235
更新日期:2012-07-01 00:00:00
abstract::With maturity, the field of family therapy has shifted from its exclusive focus on the family's current interactional patterns to an increasing emphasis on the individuals who compose the family. This shift has been apparent in therapists' recognition of the impact of chronic mental disorders (e.g., schizophrenia, man...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1992-01-01 00:00:00
abstract::Empirical evidence challenges the discriminant validity of the "biologically based mental illness" (BBMI) construct. Data indicate that interventions such as psychotherapy, placebo, and medication yield similar changes in brain function when effective. Drug and brain imaging studies show that psychological and biochem...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.69.2.157.66506
更新日期:2005-04-01 00:00:00
abstract::Caregiver-child attachment results in a cognitive-emotional schema of self, other, and self-other relationships. Significantly disrupted attachments may lead to pathogenic internal working models, which may have deleterious consequences; this indicates the need for early attachment intervention. The authors consider t...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2013.77.3.250
更新日期:2013-07-01 00:00:00
abstract::This research was initiated by the remark that new technologies allow young adults (from 18 to 25 years old) to have a faster and more direct access to the world, as well as a social life that is both broader and hidden from parental view. The aim of this research is therefore to understand better the role of new tech...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2015.79.2.174
更新日期:2015-04-01 00:00:00
abstract::Via a national survey and in-depth interviews, the author investigated training psychoanalysts' views on religion and spirituality and the impact of such views on their treatment practices. The training analysts surveyed described being appreciative of a patient's religious or spiritual worldview when it allowed for f...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.67.4.347.26984
更新日期:2003-10-01 00:00:00
abstract::This article explores the role of the primary clinician as an integral member of the modern inpatient psychiatric treatment team, as it is practiced on the Professionals in Crisis program at The Menninger Clinic. The modern inpatient team consists of individuals from multiple disciplines and acts as an embodiment of t...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.67.1.5.23448
更新日期:2003-01-01 00:00:00
abstract::This paper summarizes a theoretical argument for the use of a mentalization-based approach to the systemic problem of school bullying. The Peaceful Schools Project of the Menninger Department of Psychiatry, Baylor College of Medicine, is an experimental test of this model. Data is presented from a randomized controlle...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1521/bumc.2005.69.4.282
更新日期:2005-10-01 00:00:00
abstract::Effective evaluation and management of patients with anxiety disorders require an integrated theoretical model that predicts risk for the disorder as a consequence of constitutional vulnerability shaped by developmental experience and activated or influenced by environmental factors. From this perspective, the author ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1992-04-01 00:00:00
abstract::Munchausen syndrome by proxy, in which a seemingly caring and concerned mother is simultaneously harming her child, can best be understood in terms of the mother's need for a relationship with a physician that is rooted in a profound sense of early abandonment. This understanding broadens the definition of perversions...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1992-10-01 00:00:00
abstract::Two hundred sixty-four adolescents were surveyed in order to study the kinds and frequencies of self-comforting strategies they use. Fifty prompts with space to identify additional ones were provided. Significant differences were reported as determined by two-tailed t-tests. Gender was discriminating in both choice an...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.66.3.259.23369
更新日期:2002-07-01 00:00:00
abstract::A substantial literature documents the psychological, medical, and economic benefits of attending to the emotional needs of parents whose children are hospitalized on the pediatric intensive care unit (PICU) or neonatal intensive care unit (NICU). Synthesizing the PICU/NICU literature with current findings from the fi...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:2000-04-01 00:00:00
abstract::Dualistic thinking continues to pervade psychoanalytic views of psychopathology. The author points out the shortcomings of this perspective as represented in Mark Swoiskin's article, "Psychoanalysis and Medication: Is Real Integration Possible?" She contends instead that the latest scientific evidence does not support...
journal_title:Bulletin of the Menninger Clinic
pub_type: 评论,杂志文章
doi:10.1521/bumc.65.2.160.19397
更新日期:2001-04-01 00:00:00
abstract::To examine the effects of the patient-level mechanisms of change postulated by cognitive-behavioral theory and psychodynamic theory, thirty-three patients in eclectic therapy completed questionnaires at two time points. Decreases in automatic thoughts and immature defenses were each associated with lower symptoms, and...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2005.69.3.206
更新日期:2005-07-01 00:00:00
abstract::The Compass Program at The Menninger Clinic was designed to assess and treat emerging adult psychiatric patients with severe disorders. Establishing a collaborative therapeutic relationship with these challenging patients is an essential step in facilitating effective assessment and treatment for them. The author pres...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2018.82.3.173
更新日期:2018-07-01 00:00:00
abstract::Significant social and economic pressures on academic medicine to become more cost conscious and scientifically accountable have led to new tensions in psychiatric residency training. Failure to distinguish between changes in practice derived from scientific advances and those derived from other sources has major impl...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00