Treatment of a four-year-old and her mother

Treatment approaches that only address very young children's environments or their family systems and exclude the child are frequently insufficient. Often direct psychotherapy of the preschool child should be the treatment of choice. This article uses a theoretical perspective that integrates ego psychology and systems theory to enable assessment and treatment from a dual perspective. Case illustration is presented.     

Two accounts of the management of racial different in psychotherapy

Abstract

In this paper, the authors present material from their clinical work, in which racial difference impinges directly on the psychotherapeutic encounter. They examine the primitive origins of racism from a psychoanalytic view point and discuss their management of related issues within the framework of psychoanalytic psychotherapy.

Part of a session from a psychotherapy group is described by Sue Davison, in which one member is excluded as part of a dramatisation entered into by all the group members for defensive purposes. The therapist, by calling attention to the painful reality which was banished from awareness, enabled the group members to recover their capacity to think, rather than re-enact the trauma.

The case study by Fakhry Davids describes work with a woman whose struggle in life is against a racist, intolerant mother. This mother is projected onto her black therapist, and a session is described in which the dynamics of this projection begin to be unravelled. Her therapist is experienced as an intolerant, oppressive mother to whom the patient's own hatred and intolerance has become attached, and the patient is enabled to take back some of these projections. The defences she uses illustrate a common way in which so-called “liberals” disown their hidden racism.     

The treatment of strabismus in the four to ten year old child

Approximately 6% of children have strabismus, a condition where the eyes are not straight and do not work together. The condition is described and the problems created are discussed, including its effect on appearance and performance. Treatments available to correct strabismus and their success rates are presented. Most children can be treated effectively to restore normal appearance and binocular function.a Diplomate in Binocular Vision and Perception, American Academy of Optometry, Fellow, College of Optometrists in Vision Development, and in private practice, Garden City, New York.     

Gender Socialization,Countertransference and the Treatment of Men with Eating Disorders

Knowledge about the treatment of eating disorders is largely based on the experience of women with these disorders. The motivations, beliefs, vulnerabilities and developmental factors that cause and perpetuate eating disorders in men are often gendered. Engaging men in therapy and helping them build and sustain motivation requires therapeutic sensitivity to the impact of these gendered factors. Therapists’ sensitivity to these factors inevitably activates personal experiences with gender and provides an important source of information about patients’ experiences. This article focuses on how gender socialization and internalized views of masculinity affect client, therapist and the co-created therapeutic relationship. Male and female therapists can use awareness of gender influences to improve their ability to detect and communicate their gendered countertransference reactions. The article concludes with a discussion of how gendered assumptions and emotional reactions can affect treatment team interactions and treatment program protocols.     

Insulin resistance and management of the menopause: a clinical hypothesis in practice

Insulin resistance (IR) is associated with a number of metabolic abnormalities including glucose intolerance, dyslipidemia and central obesity (the metabolic syndrome), which predispose to cardiovascular disease, diabetes mellitus and some cancers. The incidence of many of these conditions increases after the menopause, a time when IR also increases. Medical intervention to help alleviate menopausal symptoms, frequently vasomotor in origin, usually involves hormone replacement therapy (HRT), but some women may only experience partial symptom relief. We have hypothesized that this may be due to concurrent IR. Our approach is therefore to manage menopausal symptoms in conjunction with the treatment of any concurrent IR, achieved through a combination of hormone replacement, dietary intervention and, if necessary, an insulin sensitizer. We suggest that this approach may not only improve symptom relief but may also reduce the risk of developing more serious health complaints in the future.     

Estimating free-roaming cat populations and the effects of one year Trap-Neuter-Return management effort in a highly urban area

Free-roaming cat populations are increasing in urban areas around the world. Management strategies remain controversial, as attempts to rapidly minimize the impact of cats may conflict with finding an ethical means of population reduction in this domesticated species. Trap-Neuter-Return (TNR) is a non-lethal strategy which can theoretically lead to population decline with an ethical approach. The present study aimed to estimate free-roaming cat populations and also to measure the efficacy of a one-year TNR campaign in a highly urban area. Using a sight/resight methodology, we examined free-roaming cat populations in four sites across two neighbourhoods (Harlem and Bedford-Stuyvesant) in New York City. Sampling was repeated after 1 year, during which an intensive TNR effort occurred in each of those areas. Results from this study found population estimates range from 2.6-4.1 cats/km. Additionally, we found between 78-98% turnover in each study area. After one year of TNR, the proportion of sterilised individuals in our treatment sites increased to 50%. Model results suggest there is no evidence that sterilised individuals are more likely to be encountered, indicating that sterilisation may not affect movement patterns of cats. Free-roaming cats occur at high densities at all study sites, though populations varied, even within the same neighbourhood. We found evidence of considerable migration within study sites, which further complicates the application of a sterilisation management strategy. Management strategies directed toward free-roaming cats, such as TNR, may require a broad-scale approach, involving different facets of the community and should occur over multiple years.     

Symbolic violence and the neighbourhood: the educational aspirations of 7-8 year old working-class girls

This article focuses on the experiences of 7-8 year old working-class girls in Belfast, Northern Ireland and their attitudes towards education. It shows how their emerging identities tend to emphasize relationships, marriage and motherhood at the expense of a concern with education and future careers. The article suggests that one important factor that can help explain this is the influence of the local neighbourhood. In drawing upon Bourdieu's concepts of symbolic violence and habitus and Elias' notion of figuration, the article shows how the local neighbourhood represents the parameters of the girls' social worlds. It provides the context within which the girls tend to focus on social relations within their community and particularly on family relationships, marriage and children. It also provides the context within which the girls tend to develop strong interdependent relationships with their mothers that also tend to encourage and reinforce the girls' particular gendered identities. The article concludes by arguing that there is a need for more research on working-class girls and education to look beyond the school to incorporate, more fully, an understanding of the influence of the family and local neighbourhood on their attitudes towards education and their future career aspirations.     

Taking her hand: Becoming,time and the cultural politics of the white wedding

Abstract

This article attempts a cultural analysis of the white wedding as an event that can be viewed as the crystallisation of several moments of identification, both temporal and spatial. Written in three sections, each located within a different philosophical literature, the article focuses on the significations that surround the emblem of ‘the hand’, playing on all the associations that gather around that emblem, and making critical consideration of a series of crucial boundaries of cultural differentiation.     

Sarah was a butch: sexual identity, gender practices, and Sarah's place as mother in the Jewish National Pantheon

Three fields of discourse regarding a masculine-like woman connect at a point that the queer field calls intersex, medical practice calls a sexual disorder, and rabbinic literature terms aylonit. The queer discursive field focuses on the freedom to choose an identity, but not the freedom from choosing one. The medical field focuses on sexual practice as the source of determining "normal" sexuality. In the discursive field of Jewish law there are no demands, because the Halakhic authority determines gender identity on behalf of the individual, maintaining ambiguity.     

Countertransference Bias in Child Custody Evaluations Is Just a Horse of a Different Color: A Rejoinder to Martindale and Gould

ABSTRACT

The authors' reply to Martindale and Gould's critique of Pickar's article (2007a, this issue), “Countertransference Bias in the Child Custody Evaluator.” Martindale and Gould's objections to considering an evaluator's countertransference reactions as a potential source of bias are addressed by focusing on these four areas: (1) Whether it is useful to introduce the term “countertransference bias” to identify a potential source of distortion in custody evaluations; (2) How the empirical literature on countertransference in the context of psychotherapy might apply to the child custody evaluation process; (3) Clarification of areas of agreement and disagreement with Martindale and Gould, and (4) The importance of evaluator attempts at “debiasing.” We conclude that gaining awareness of countertransference reactions can only enhance the evaluator's ability to provide the most objective custody evaluation possible.     

天津市环城四区旧住宅小区物业管理体系的探讨

随着北方经济中心城市定位的确立,天津市委、市政府结合天津市的区位优势．进一步加大了改革开放的力度．加快了城市建设和改造的步伐．使城市整体布局趋于完善．功能得到大幅提升．同时也促进了城市经济的快速发展．城镇居民的生活水平和居住环境得到了根本性改变。     

Changes in body weight and fat mass of men and women in the first year of college: A study of the "freshman 15"

Students entering their first year of college are faced with many stresses and changes, including changes in eating and exercise behavior. A common but often undocumented myth among college students is that there is a high risk of gaining 15 pounds of weight during freshman year. The objective of this study was to measure changes in body weight and percentage of body fat among first-year college students. Using a digital scale with bio-electrical impedance, the authors measured height, weight, and percentage of body fat for a sample of students who volunteered to be weighed during a health assessment in the university dining halls. The authors sent e-mails inviting those same students to complete a second measurement in February of the academic year. Sixty-seven of the 217 students who volunteered for the health assessment agreed to undergo a second set of measurements in the spring. The mean change in body weight was 2.86 pounds (1.3 kg, SD = 4.0 kg), and the mean change in percentage of body fat was 0.7% (SD = 4.0%). For those students who gained weight only, the mean increase in body weight (as measured by body mass index, weight divided by height in kg/m2) was 6.82 pounds (3.1 +/- 2.4 kg) and percentage of body fat was 0.9 +/- 3.8%. The authors found that the first year of college is a period in which weight and fat gain may occur. The exact causes behind these changes are unclear and warrant further research to plan or improve intervention and prevention.     

Overcoming a collective action frame in the remaking of an antinuclear opposition

Recent research on social movements considers collective action frames and collective identities to be resources or achievements of social movement activity because they symbolicly link individuals to a collective cause. This paper maintains that a collective action frame operates at a sociocultural level and can be redefined by groups external to a movement. Nuclear power proponents worked to suppress the first cycle of protest against nuclear plants by redefining the movements' collective identity, such that individuals were unable to recognize movement organizations as representative of their interests. Citizens within the Ten Mile Radius, a group opposed to the licensing of the Seabrook nuclear power plant, initiated a second cycle of protest by overcoming the collective action frame imposed on the movement. This case suggests that the articulation and the representation of dissent is constrained due to the inability of social movement groups to retain control over their own collective identity. An earlier version of this paper was presented at the Eastern Sociological Society annual meeting, Baltimore, Maryland, April 1994.