WHAT FAMILY THERAPISTS MIGHT LEARN FROM CHILD PSYCHIATRY

Recent articles in child psychiatry in America are reviewed, with emphasis on those studies ofinterest to family therapists. Major areas covered include: normal development, deviant development, and the impact of trauma. Differences from the "family therapy" literature include: multi-causal explanations, respect for scientific studies, reviews of progress in knowledge, and a deep-rooted ethical commitment to the welfare of children.     

Sociology: After the linguistic and multicultural turns

This paper offers an analysis of the continuing crisis in sociology that is different from those that have appeared in the literature. In contrast to the ideological and technical readings, it suggests that the origins of the crisis are to be found in the hermeneutic challenge that has resulted from the linguistic and multicultural turns. Both of these developments have given rise to new discourses within the academy that are competing with subfields such as the sociology of the arts and race/ethnic relations. The nature and impact of this new competition is examined in greater detail through the case of the sociology of race. The analysis reveals that these competitive challenges are hermeneutic in nature and not primarily technical or ideological. The paper concludes with some suggestions for crisis resolution.     

Pelvic inflammatory disease

Pelvic inflammatory disease (PID), an infection of the fallopian tubes that is becoming increasingly common, is characterized by pain in the abdomen and other symptoms similar to those of appendicitis and ectopic pregnancy. A variety of organisms has been associated with it: gonococcus, chlamydia, and mycoplasma, almost all of which are sexually transmitted. They can also enter the pelvic cavity through several mechanisms (flare-ups of infection following menstruation; IUD insertions; abortions; and operations which involve entering the pelvic cavity). Gonococcal and chlamydial infections are usually asymptomatic and can live in the mucous membranes of the mouth, eye, and anus as well as in the urogenital tract. PID attacks usually occur during and immediately after menstruation when there is no mucus plug in the fallopian tube at that time. To control PID, women have to diagnose seemingly minor infections and treat them appropriately. Women who are having routine gynecological checkups should be tested for gonococcus and vaginal infections. Although IUD use has been associated with PID attacks, other forms of contraception - pills, condoms, and foam, protect against PID attack.     

Non-salary retention incentives for social workers in public mental health

While workers' reasons for leaving jobs are myriad, little is known of what might induce workers to remain in jobs. The literature reports that money, alone, is not sufficiently persuasive as an incentive. This study of social workers in the public mental health system in Colorado reveals the incentive value of a set of non-salary retention measures. The findings of the study show that measures which furthered professional enrichment, contribution to the profession, and the exercise of professional autonomy are rated most highly. Cross-tabulations with some demographic variables reveal significant findings. Recommendations for implementing the findings are presented.     

Bite Mark Evidence in Crimes Against Persons

Abstract

Bite marks are often found on victims of homicide, sex crimes, and child abuse. Since this type of physical evidence often links victims and assailants, it is essential that bite mark evidence be recognized and properly preserved. The superior courts of several states and United States military courts have accepted this evidence as admissible.

This article is intended to familiarize college and university health workers and security personnel with the appearance of bite marks as they may be found on victims. Further, it describes techniques of photography and related procedures, necessary for the preservation of this essential evidence. Photographs of actual bite marks and diagrams illustrating correct techniques for photography are included. This article is intended to alert college health and security personnel that early recognition and preservation of bite mark evidence is essential to investigative procedures.     

Some remarks on the paper by Julia Ericksen et al., ‘Fertility patterns and trends among the Old Order Amish’

At the present time there are very few populations, whose members do not practise contraception at all, or only to a very limited extent, and for whom accurate data on nuptiality and fertility exist. Among populations of European residence or origin, there are only a few groups who reject any limitation of families for religious reasons. One of these, the Hutterites, has already been studied; the other, the Old Order Amish, is studied in Ericksen's papers, and my preceding remarks point to the importance of this study.     

Multiplicity: discussion points from the Statisticians in the Pharmaceutical Industry multiplicity expert group

In May 2012, the Committee of Health and Medicinal Products issued a concept paper on the need to review the points to consider document on multiplicity issues in clinical trials. In preparation for the release of the updated guidance document, Statisticians in the Pharmaceutical Industry held a one‐day expert group meeting in January 2013. Topics debated included multiplicity and the drug development process, the usefulness and limitations of newly developed strategies to deal with multiplicity, multiplicity issues arising from interim decisions and multiregional development, and the need for simultaneous confidence intervals (CIs) corresponding to multiple test procedures. A clear message from the meeting was that multiplicity adjustments need to be considered when the intention is to make a formal statement about efficacy or safety based on hypothesis tests. Statisticians have a key role when designing studies to assess what adjustment really means in the context of the research being conducted. More thought during the planning phase needs to be given to multiplicity adjustments for secondary endpoints given these are increasing in importance in differentiating products in the market place. No consensus was reached on the role of simultaneous CIs in the context of superiority trials. It was argued that unadjusted intervals should be employed as the primary purpose of the intervals is estimation, while the purpose of hypothesis testing is to formally establish an effect. The opposing view was that CIs should correspond to the test decision whenever possible. Copyright © 2013 John Wiley & Sons, Ltd.