Psychological implications of childhood meatotomies

This paper informs clinicians about the nature of childhood meatotomies, and presents two cases which suggest that the presence of a meatotomy in the developmental history of male clients should alert clinicians to the potential significance of particular body damage fears and body integrity issues in the client.     

The Fourth Wave of Feminism: Psychoanalytic Perspectives Introductory Remarks

This introductory paper traces a century of 4 waves of feminism from a psychoanalytic perspective. The first phase focused on political change as the suffragette movement was undertaken at the turn of the 20th century by feminist activists who lobbied successfully for women's right to vote; the second phase, a broad sociopolitical-cultural movement located in the 1960s and 1970s, focused on consciousness-raising around gender issues, women's liberation (Betty Friedan, Kate Millet, Simone de Beauvoir, Bela Abzug, Gloria Steinem), and job and economic parity. With sexual freedom and job opportunities more established for women, the third phase evolved in the 1980s and 1990s, emphasizing women exploring gender pluralities; “having it all”; and juggling career, sex, and motherhood. The fourth wave moved into the 21st century as women turned toward spiritual concerns about the planet and all its beings, putting themselves in the service of the world, ecology, and the downtrodden.     

The Phallus and the Person: Commentary on Paper by Taras Babiak

This discussion of Babiak's clinical account traces the macrotrajectory of Bart's therapeutic process toward broadly competent personhood rather than narrowly phallic compensation. The steps toward accomplishing this complex macrotransition are delineated in the microtrajectory of the “crunch” session between Babiak and Bart, during which Babiak traverses shock and challenge by introducing between them empathic recognition, evidence of mentalization, survival of boundaries and containing limits, down-regulation of raw affective urgency, “paternal” improvisation and a metaphorization of concrete action imperatives, interpretive linking, and a negotiation process that widened potential space for an eventual approach to intersubjectivity.     

Financial decision-making abilities and financial exploitation in older African Americans: Preliminary validity evidence for the Lichtenberg Financial Decision Rating Scale (LFDRS)

ABSTRACT

This study examines preliminary evidence for the Lichtenberg Financial Decision Rating Scale (LFDRS), a new person-centered approach to assessing capacity to make financial decisions, and its relationship to self-reported cases of financial exploitation in 69 older African Americans. More than one third of individuals reporting financial exploitation also had questionable decisional abilities. Overall, decisional ability score and current decision total were significantly associated with cognitive screening test and financial ability scores, demonstrating good criterion validity. Study findings suggest that impaired decisional abilities may render older adults more vulnerable to financial exploitation, and that the LFDRS is a valid tool.     

Multidimensional Family Therapy: A Science‐Based Treatment System

MDFT is a family‐based intervention for adolescent substance abuse and associated mental health and behavioural problems (Liddle, 2010). Integrative in several ways, MDFT uses an ecological or contextual conceptual framework to understand the developmental tasks of teens and their families. Research‐derived knowledge about risk and protective factors, and proximal causes, correlates and contributors to adolescent drug and related problems inform clinical thinking and interventions with every case. A multisystems approach, MDFT assesses and intervenes in four areas: (1) the adolescent as an individual and a member of a family and peer network; (2) the parent(s), both as individual adults and in his or her role as mother; father or caregiver; (3) the family environment and family relationships, as manifested in day‐to‐day family transactional patterns; and (4) extrafamilial sources of influence such as peers, school and juvenile justice. Interventions are made within and coordinated across domains. Progress in one area or with one person has implications for and use in others. Individual meetings with parent(s) and teen set the stage for family sessions, and family meetings may offer content and new outcomes that need to be brought to extrafamily meetings with juvenile justice or school personnel. MDFT was developed and tested as a treatment system rather than a one‐size‐fits‐all approach. A treatment system offers different versions of a clinical model that vary according to factors such as clinical sample characteristics (older versus younger adolescents, juvenile justice involved versus no involvement in juvenile justice systems), and treatment parameters (type of clinical setting and treatment dose).     

The Lichtenberg Financial Decision Screening Scale (LFDSS): A new tool for assessing financial decision making and preventing financial exploitation

ABSTRACT

One of the challenges in preventing the financial exploitation of older adults is that neither criminal justice nor noncriminal justice professionals are equipped to detect capacity deficits. Because decision-making capacity is a cornerstone assessment in cases of financial exploitation, effective instruments for measuring this capacity are essential. We introduce a new screening scale for financial decision making that can be administered to older adults. To explore the scale’s implementation and assess construct validity, we conducted a pilot study of 29 older adults seen by APS (Adult Protective Services) workers and 79 seen by other professionals. Case examples are included.