Community-based management of psychotic clients: The contributions of D. W. and Clare Winnicott

While the term management connotes images of impersonal care, D. W. Winnicott repeatedly used this term to describe the responsive environmental holding that is central to all human development. Influenced by observations of how normal mothers and families address the physical and psychic needs of children, he and his wife, Clare, a distinguished British social worker, operationalized this concept in finding and supporting facilitating environments with a wide range of disturbed children and adults. Using case material from a contemporary community program for the mentally ill, this paper will review the Winnicotts' important, but often neglected, perspectives on the environmental management of psychotic adults.Presented at the Washington School of Psychiatry, January 14, 1989. I would like to thank Janice Quiter and the Archives of Psychiatry of The New York Hospital-Cornell Medical Center for their assistance in researching the D. W. Winnicott collection.     

On Learning and Teaching Family Therapy

This paper explores some ideas about the process of learning to be a family therapist. It considers the questions: how does one learn to think like a family therapist? How is family therapy best taught? How is it learned? The author's experiences in learning and teaching are described. It is argued that family therapy differs from other approaches to therapy in some fundamental respects, and that learning to ‘be’ a family therapist is a different kind of task than learning to be a practitioner of other therapeutic approaches. The paper examines some key theoretical constructs, especially the idea of ‘levels’ of thinking, which are seen as central to both the learning and practice of family therapy.     

地球的电子神经系统——全球感测网

“全球感测网”就像是地球的电子皮肤或电子神经系统一般，由许许多多、各式各样的传感器所连结而成，这些传感器彼此沟通、合作且不眠不休地监测我们的世界。     

The Shag‐Band Menace: Tracing the Spread of a Contemporary Legend

The internet enables analysts to better track rumors and contemporary legends through time and space. Comments about sex bracelets reveal waves of concentrated attention; the spread of particular variants display a similar pattern. The diffusion of such stories reflects constructions of childhood and adolescent sexuality as social problems.     

Subject‐level matching for imbalance in cluster randomized trials with a small number of clusters

In a cluster randomized controlled trial (RCT), the number of randomized units is typically considerably smaller than in trials where the unit of randomization is the patient. If the number of randomized clusters is small, there is a reasonable chance of baseline imbalance between the experimental and control groups. This imbalance threatens the validity of inferences regarding post‐treatment intervention effects unless an appropriate statistical adjustment is used. Here, we consider application of the propensity score adjustment for cluster RCTs. For the purpose of illustration, we apply the propensity adjustment to a cluster RCT that evaluated an intervention to reduce suicidal ideation and depression. This approach to adjusting imbalance had considerable bearing on the interpretation of results. A simulation study demonstrates that the propensity adjustment reduced well over 90% of the bias seen in unadjusted models for the specifications examined. Copyright © 2013 John Wiley & Sons, Ltd.