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

authors： Schulz SC

更新日期：2000-01-01 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

authors： Bright R

更新日期：1999-10-01 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

authors： Allen JG,Huntoon J,Evans RB

更新日期：1999-07-01 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

authors： Warnock JK,Nelson DA

更新日期：1999-01-01 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

authors： Sundin EC,Armelius BA

更新日期：1998-10-01 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

authors： Horton PC

更新日期：1998-07-01 00:00:00

abstract：:In recent years, there has been increased attention to the physical complaints of musical performers. Lockwood (1989) reviewed ailments encountered by physicians who treat musicians and maintained that "complaints of purely psychic origin are very unusual" (p. 225). The author disagrees with Lockwood's position. This ...

journal_title：Bulletin of the Menninger Clinic

authors： Nagel JJ

更新日期：1998-01-01 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

authors： Hyler SE,Schanzer B

更新日期：1997-10-01 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

authors： Munich RL

更新日期：1997-04-01 00:00:00

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

authors： Steinberg M,Hall P

更新日期：1997-01-01 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

authors： Kay J

更新日期：1996-07-01 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

authors： Mayers AM,Svartberg M

更新日期：1996-04-01 00:00:00

abstract：:Many patients referred to an OB/GYN psychological consultation clinic were found to be suffering from the emotional effects of early traumatization. Obstetrical and gynecological conditions possess a unique power to reactivate psychological damage originally engendered by trauma. A contemporary psychodynamic model of ...

journal_title：Bulletin of the Menninger Clinic

authors： Josephs L

更新日期：1996-01-01 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

authors： Gallagher RE,Nazarian J

更新日期：1995-07-01 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

authors： Zerbe KJ

更新日期：1995-04-01 00:00:00

abstract：:The author elaborates on her earlier findings and discussion on parallel processes in supervision and psychotherapy (Doehrman, 1976) by focusing on the supervision of more "troublesome" patients, in particular adolescents and those with borderline disorders. She also focuses more intensively on trouble spots in superv...

journal_title：Bulletin of the Menninger Clinic

authors： Adelson MJ

更新日期：1995-01-01 00:00:00

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 traini...

journal_title：Bulletin of the Menninger Clinic

authors： Tasman A

更新日期：1994-10-01 00:00:00

abstract：:As a result of psychotic crises, Vincent van Gogh was hospitalized several times during a period of about a year and a half from December 1888 to May 1890. The author focuses on van Gogh's intense intrapsychic struggle during this relatively brief but critical time. He discusses how van Gogh's painting not only reflec...

journal_title：Bulletin of the Menninger Clinic

authors： Meissner WW

更新日期：1994-07-01 00:00:00

abstract：:Psychotic mood disorders represent a complex group of syndromes in which depression and/or mania are accompanied by delusions, hallucinations, or both. The presence of psychotic features has a profound influence on the course and treatment response of mood disorders, and psychotic disorders in turn are influenced by c...

journal_title：Bulletin of the Menninger Clinic

authors： Dubovsky SL

更新日期：1994-04-01 00:00:00

abstract：:The causes of therapist-patient sex are complex and multidetermined. Efforts to understand why psychotherapists transgress sexual boundaries are hampered by the lure of reductionism and oversimplification. Most of those who examine this issue would prefer to categorize all such therapists as "bad" and "corrupt" as a w...

journal_title：Bulletin of the Menninger Clinic

authors： Gabbard GO

更新日期：1994-01-01 00:00:00

abstract：:Asking patients to interpret proverbs is a traditional method of assessing abstract thinking ability. Familiarity with a proverb increases the likelihood of interpreting it correctly. Differences in proverb familiarity among patients could lead clinicians to incorrectly conclude that a patient is thinking concretely, ...

journal_title：Bulletin of the Menninger Clinic

authors： Haynes RM,Resnick PJ,Dougherty KC,Althof SE

更新日期：1993-10-01 00:00:00

abstract：:Self-mutilative behavior is common among patients with multiple personality and other dissociative disorders. Nursing staff members face particular challenges in managing these patients because one act of self-mutilation can disrupt the entire inpatient milieu. The authors present an approach to nursing care that focu...

journal_title：Bulletin of the Menninger Clinic

authors： Pawlicki CM,Gaumer C

更新日期：1993-07-01 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

authors： Schreier HA

更新日期：1992-10-01 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

authors： Berg M

更新日期：1992-07-01 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

authors： Rosenbaum JF

更新日期：1992-04-01 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

authors： Keller LE

更新日期：1992-04-01 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

authors： Safier EJ

更新日期：1992-01-01 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

authors： Lansky MR

更新日期：1991-10-01 00:00:00

abstract：:Since Tarasoff first established the duty of psychotherapists to warn or otherwise protect third parties when a patient is considered dangerous, the mental health literature has continued to address the two most controversial issues in that case: the questionable ability of clinicians to predict violent behavior, and ...

journal_title：Bulletin of the Menninger Clinic

authors： Kaufman M

更新日期：1991-07-01 00:00:00

abstract：:In recent years, the dichotomy between psychotherapy and pharmacotherapy vis-à-vis the treatment of mood disorders has begun to be resolved as the benefits of integrating the two modalities are increasingly recognized. This new understanding has expanded the scope of successful treatment, but it has also complicated t...

journal_title：Bulletin of the Menninger Clinic

authors： Hyland JM

更新日期：1991-04-01 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

authors： Eisdorfer C

更新日期：1991-04-01 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

authors： Titelman D

更新日期：1991-01-01 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

authors： Milch WE

更新日期：1990-07-01 00:00:00

abstract：:The universality of anxiety-producing situations for professionals who conduct psychotherapy is evident from a survey of 88 practicing psychotherapists whose responses are summarized by the author. The therapist's anxieties are viewed in terms of threatened loss of control, loss of relationship, injury to or loss of c...

journal_title：Bulletin of the Menninger Clinic

authors： Menninger WW

更新日期：1990-04-01 00:00:00

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 tea...

journal_title：Bulletin of the Menninger Clinic

authors： O'Malley F

更新日期：1990-01-01 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

authors： Meloy JR

更新日期：1989-11-01 00:00:00

abstract：:The transition into the male Oedipus complex is complicated by the fact that there is no "change of object" as in female development. For the boy, the mother is both the object of preoedipal attachment to an omnipotent internal object and of oedipal desire for an external whole object. The psychological-interpersonal ...

journal_title：Bulletin of the Menninger Clinic

authors： Ogden TH

更新日期：1989-09-01 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

authors： Manfredi RL,Vgontzas A,Kales A

更新日期：1989-05-01 00:00:00