Brief Psychiatric Treatment and Symptom Improvement in University Students

Abstract

A total of 242 university students seen in an outpatient mental health clinic were evaluated for symptom changes during treatment using both a self-report inventory and chart notations. Specific clusters of major presenting and major improving symptoms, based on combined frequency and severity measures, were obtained for each of the largest diagnostic groups. Self-rated improvement on major symptoms ranged from 81.8 to 88.4% for patients with anxiety neurosis, depressive neurosis, and adjustment reaction, while personality disorder patients reported 54.5% improvement. Chart-based overall improvement rates were uniformly lower (36.4 to 77.3%) than corresponding self-report figures for each diagnostic group. The extent to which chart-rated overall improvement correlated with self-rated improvement on specific symptoms was analyzed.     

Computer-Assisted Sensate Focus: Integrating Technology with Sex Therapy Practice

It is well established that computer technology can be ethically, legally, usefully, and efficaciously integrated with the psychosocial treatment of mental health conditions such as anxiety and depression. There is, however, a paucity of literature regarding how these applications could be applied to sex therapy. This article will briefly review the adaptation of computer technology to mental health treatment, provide a rationale for using computer applications in sex therapy, and demonstrate how computer technology could be applied to Masters and Johnson's sensate focus technique. The Sensate Focus Prototype (an Internet-delivered therapeutic module) presented is a working application designed for use by psychotherapists and researchers.     

Working in collaboration—a therapeutic intervention for abused children

In this article we report and reflect upon a service offered in one locality of the UK to children who have been abused. The evaluation shows the value of close working relationships between agencies, and the very positive way that such interventions are viewed by the children and those involved with their care. It is also evident that an eclectic style of therapeutic work is able to produce improvement in aspects of the children's behaviour, most particularly in the area of family life and relationships. Copyright © 2005 John Wiley & Sons, Ltd.     

Cryptosporidium and Dairy Cattle in the Catskill/Delaware Watershed: A Quantitative Risk Assessment

We carried out a study to estimate the public health risk posed by dairy cattle located in New York City's Catskill/Delaware watershed, as measured by daily C. parvum-like oocyst loading. A Monte Carlo simulation model that takes into account the nature of the dairy cattle population within the target area, age-specific incidence/prevalence rates, as well as differential fecal production and oocyst-shedding intensity rates was used to address the objectives. Additionally, the model was designed to distinguish between zoonotic and nonzoonotic species/genotypes of Cryptosporidium. Total estimated daily C. parvum-like oocyst shedding across all age/production categories was estimated at 4.15 x 10(10). The zoonotic C. parvum comprised 93.5% of this load. It was estimated that preweaned calves produce 99.5% of the total daily C. parvum ocyst burden. The recently described nonzoonotic C. bovis was estimated to have a daily load of 2.2 x 10(9) oocysts across all age/production strata. C. parvum deer-like genotype was estimated to have a total daily load of 1.3 x 10(9) oocysts. The results of this study support earlier assertions that strategies aimed at reducing the cryptosporidial risk posed by dairy cattle to public health will be most efficacious if aimed at preweaned calves.