Abstract:
:Psychiatric residency training faces an uncertain future related both to ongoing changes in the health care delivery system and to the current state of knowledge within psychiatry itself. The author discusses issues concerned with financing, models of training, clinical settings, generalist versus subspecialist training, psychotherapy training, caring for the chronically mentally ill, selection, assessment of quality, and enhancement of the quality of training. He concludes that, whatever form health care takes, psychiatric educators must maintain a commitment to acquiring and communicating new knowledge as the essential basis for a high-quality education.
journal_name
Bull Menninger Clinjournal_title
Bulletin of the Menninger Clinicauthors
Tasman Asubject
Has Abstractpub_date
1994-10-01 00:00:00pages
475-85issue
4eissn
0025-9284issn
1943-2828journal_volume
58pub_type
杂志文章abstract::Obsessive-compulsive disorder (OCD) is a debilitating condition that does not always respond well to treatment. People with OCD often require a great deal of assistance from caregivers or family members, which is referred to as family accommodations. Caregivers may experience a great deal of stress, depression, and ot...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2015.79.1.1
更新日期:2015-01-01 00:00:00
abstract::The psychological impact that has emerged following the terrorist attacks on September 11, 2001, raises unique and challenging treatment considerations for the psychoanalyst. The shared trauma of these horrifying events affected many individuals on many levels. This essay considers how analysts will need to demonstrat...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.68.1.1.27728
更新日期:2004-01-01 00:00:00
abstract::The author traces some of the literature related to such concepts as the development of the therapeutic alliance and collaboration in the inpatient and residential psychiatric treatment of disturbed adolescents. The more recently developed concept of "mentalization" is discussed, especially with its relevance to the p...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.67.2.150.23442
更新日期:2003-04-01 00:00:00
abstract::The author questions the classical psychoanalytic assumptions that anxiety in posttraumatic nightmares arises from the same conflict represented in the manifest content of the nightmare, that such nightmares have no latent content, and that the day residue is insignificant. Such assumptions obscure the function of the...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1991-10-01 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::Cognitive-behavioral therapy (CBT) has been found to be effective in the treatment of anxiety disorders such as obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD). There is a gap, however, between reports of controlled clinical trials and actual clinical use of the methods of CBT in general m...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract::Modern treatment of schizophrenia emphasizes pharmacology and nonspecific rehabilitative strategies, but there is renewed interest in psychologically oriented treatments as well. Borrowing from dynamic, cognitive-behavioral, and psychoeducational traditions, the authors describe a program aimed at teaching patients wi...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1995-07-01 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::Social phobia is a very frequent mental disorder characterized by an early onset, a chronic unremitting course, severe psychosocial impairments and high socioeconomic costs. To date, no manual for the psychodynamic treatment of social phobia exists. After a brief description of the disorder, a manual for a short-term ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2007.71.1.56
更新日期:2007-01-01 00:00:00
abstract::The authors investigated the effectiveness of acceptance and commitment therapy (ACT) for the treatment of death anxiety and obsessive-compulsive disorder (OCD) with eight adult women in Iran. The ACT protocol was conducted in weekly solo sessions with each participant for 8 weeks (45 minutes each). The results were a...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2020.84.suppA.1
更新日期:2020-10-01 00:00:00
abstract::Existing research indicates that anxiety disorders are three times as common in women as in men. Yet true gender-based research is still in its infancy. The author discusses key areas affecting the occurrence of anxiety disorders in women, including medical conditions, epidemiological and diagnostic perspectives, work...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1995-04-01 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::Psychoanalytic treatment of addiction is often ineffective because therapists fail to recognize addiction as a discrete disorder. The author reviews psychoanalytic theories of addiction and presents an alternative concept comprising biological, behavioral, and psychological characteristics. She compares the structural...
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::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::Recent discharge from a psychiatric inpatient facility is associated with a high risk of suicide. There are multiple factors that may contribute to this increase in risk. Psychodynamic considerations about the patient's subjective experience of suicidality, hospitalization, and discharge are often overlooked but are c...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:10.1521/bumc.2016.80.1.80
更新日期:2016-01-01 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::Individuals with obsessive-compulsive-disorder (OCD) may have difficulties in using feedback from rewarding and punishing experiences to optimally guide future decisions. The current aim was to examine how adults with OCD use associative learning feedback to direct attention toward learned stimuli when the action-outc...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.2019.83.2.128
更新日期:2019-04-01 00:00:00
abstract::Psychodynamic clinicians cite psychic structure and structural changes observed in treatment as sources of important information about unconscious psychological processes and configurations. Empirical studies have had difficulty demonstrating that psychic structure measures something different from psychiatric symptom...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract::Literature on the assessment of suicide risk in individuals with schizophrenia is summarized, including the risk factors shared in common with the general population, illness-specific risk factors, and times of heightened risk in the course of the illness. Because depression emerges as a significant risk factor, it is...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc.68.3.231.40405
更新日期:2004-07-01 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::Children with borderline personality disorder are known to have a variety of school problems, including low achievement. Clinicians working with these youngsters have estimated that one third or more may be learning disabled; however, no empirical studies have confirmed these estimates. The author reports the results ...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::It is not uncommon for patients with obsessive-compulsive disorder (OCD) to present with symptoms that suggest possible risk. This can include apparent risk, which reflects the content of obsessional fears, and genuine risk arising as the unintended consequence of compulsive behaviors. In both situations, risk can cau...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:10.1521/bumc_2019_83_06
更新日期:2020-01-01 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
abstract::Commercial films on videotape may be helpful in teaching medical students, residents, and other mental health trainees about various topics in psychiatry. Recommendations are made on the use of specific films, scenes, and characters to illustrate the DSM-IV diagnostic criteria for borderline personality disorder (BPD)...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract::A woman was 3 years postmastectomy when she presented a dream whose manifest content suggested a new malignancy. A Pap smear showed carcinoma-in-situ. She lived another 8 years, during which time she had a number of new dreams that correctly raised the likelihood of an active cancer despite normal physical exams and n...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract::In therapy, suicidal borderline patients often use the therapist as a "selfobject," an object that regulates the patient's narcissistic equilibrium. To demonstrate this concept, the author presents the case history of a young woman who created a "selfobject transference" by means of attacks on the therapist similar to...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
abstract::Over the past decade the treatment of schizophrenia has changed in each of its biopsychosocial domains. Advances in neuroscience, particularly in the knowledge of the receptor site, led to increased effectiveness of antipsychotic medication. Development of more sophisticated psychoeducational and rehabilitative techni...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章
doi:
更新日期:1997-04-01 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::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::Caregiving is the act of attending to someone or of providing services to an individual in need. It is a complex activity, with ethical, psychosocial, and demographic dimensions, as well as clinical, technical, and community service components. The author describes the complexities of caregiving and the burdens on the...
journal_title:Bulletin of the Menninger Clinic
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 00:00:00