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This study examines the outcome of a social rehabilitation program for clients who were defined as socially disabled as a result of severe emotional disorder. Results indicate that a relatively successful subgroup was comprised of clients who had a psychotic diagnosis and a history of acute psychiatric hospitalization. An unsuccessful sub-group was comprised of clients who had neurotic and characterological diagnoses. They had no hospitalizations. This population we define as 'silent disabled.' They present a life style of chronic social disability with attendant chronic marginal emotional compensation. This latter population typically does not receive mental health services. The needs for social rehabilitation are quite different for the two sub-groups. Observations of the differences between populations are presented along with suggestions for different social rehabilitation programs. [ABSTRACT FROM AUTHOR]

Prior tensions between science and religion have dissolved and coalesced into new alliances based on ideology and philosophy. This general cultural pattern is reflected in the realignment of interests and interactions between paychiatry and religion. There are increasing numbers of mental health professionals with devout religious commitments and involvement in religiously oriented mental health activities; while clergy have developed new organizational structures to reflect many diverse mental health interests, including pastoral counseling, community mental health chaplains, hospitals chaplains, and expanded parish ministries. Clinical and research literature has continued to rapidly proliferate, while a unique genre of pastoral care and counseling literature has emerged. A decade ago there was hope for an amicable alliance between specialists in psychiatry and in religion. That irenic quest has shifted into overlapping goals and roles, with tensions between those engaged in universalistic norms and those seeking to develop particularistic norms. [ABSTRACT FROM AUTHOR]

Prior tensions between science and religion have dissolved and coalesced into new alliances based on ideology and philosophy. This general cultural pattern is reflected in the realignment of interests and interactions between psychiatry and religion. There are increasing numbers of mental health professionals with devout religious commitments and involvement in religiously oriented mental health activities; while clergy have developed new organizational structures to reflect many diverse mental health interests, including pastoral counseling, community mental health chaplains, hospital chaplains, and expanded parish ministries. Clinical and research literature has continued to rapidly proliferate, while a unique genre of pastoral care and counseling literature has emerged. A decade ago there was hope for an amicable alliance between specialists in psychiatry and in religion. That irenic quest has shifted into overlapping goals and roles, with tensions between those engaged in universalistic norms and those seeking to develop particularistic norms. [ABSTRACT FROM AUTHOR]

A psychiatrist, an ethicist, and a pastoral counselor comment on the ways in which they conceive of homosexuality in their work, reflection, and efforts at counseling. Although each writes in isolation from the others, a surprising degree of consensus emerges. All three cite the problem of unclear terms and the peril of labeling. Each distinguishes between homosexuality as a state of being and homosexual acts or behavior. Mansell Pattison, the psychiatrist, comments on prejudice, norms, sickness, and deviancy and their relevance for understanding homosexuality, before suggesting a model himself. Stanley Hauerwas, the ethicist, seeks a context that will allow us to think seriously about homosexuality from an ethical point of view. John Patton, the pastoral counselor, argues that the major contribution of a counselor is to avoid labeling and preconceived notions about homosexuality and to relate to the counselee in such a way as to help him clarify what he seeks. [ABSTRACT FROM AUTHOR]

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