Search

This work proposes an initial survey on the origins of American clinical psychology between the nineteenth and twentieth century, against a backdrop of historiographical interpretation that hypothesizes a "plurality of matrices" of clinical psychology, linked to different theoretical perspectives and different socio-cultural contexts. Particular attention is focused upon the main foundational issues of the discipline, drawing from some of the writings of Lightner Witmer, to whom we owe the founding of the first "clinical psychology" for subjects in childhood characterized by "retardation or physical defects interfering with school progress"; and of a lesser-known scholar, John E.W. Wallin. Both authors, indeed, worry themselves anxious to define clinical psychology, differentiating it from other medical and psychological branches; to establish which is the field of competence of the clinical psychologist; and to outline their training and specify the aims and contents of their intervention. Attention is then addressed to the relationship psychologists-psychiatrists at the time of its emergence, making specific reference to a document of the New York Psychiatrical Society--which represents one of the first attempts to exclude clinical psychologists from the field of mental health--and reporting also on the response to this position signed by Shepherd Franz. After an allusion to the Italian situation from the 1950s to today, the article concludes by emphasizing that at least some of the basic questions that clinical psychology had to deal with at its birth are still present, though filtered through the intense debate that has taken place over the years, and consequently supporting the importance of a historical component in the training of contemporary clinical psychologists.

Historians typically describe the 3000 World War II conscientious objectors who served in American psychiatric hospitals and training schools in the Civilian Public Service (CPS) as "people of conscience." This phrase captures the diverse motivations of the conscientious objectors but neglects the differences among these motivations. Members of several communities served in the CPS, but half of all volunteers in mental health facilities were Mennonites. After the war, only Mennonite CPS veterans engaged their own community in a discussion about their responsibilities to people with mental illness, which led directly to the foundation of eight mental health facilities, seven of which continue to serve people with mental illness. In this review of materials published by Mennonites, we explore the difference that Mennonite religious ideology, especially the ideas of discipleship and nonresistance, made in their response to people with mental illness. Understanding these differences is critical for any attempts to replicate their success in engendering community care, in which direct conversation and encounter are critical.

The original article by Strupp and Hadley (1977) is summarized, and its implications for practice, theory, and research are spelled out. The article anticipates constructivism in theory and practice and makes an important point about the independent value of the perspectives of the patient, the therapist, and society. However, contemporary research shows little incorporation of this valuable work.

The new D. Lgs. N 81, 2008 Article 28 paragraph 1 sanctions that the risk assessment must involve all the possible risks to safety and health of workers, including the work-related stress factors. Stressors at work may vary as to: quantity of work assigned, whether excessive or inadequate; lack of recognition or reward for good job performance; degree of responsibility; precariousness of work; emotional pressures exerted on workers; violence and harassment of psychological nature, poor balance between work and private life. The need man has to understand the causes of his psycho-physical and social disease are old. Only the words we use when dealing with the topic has changed over the time: once it was Alienation now it is Burn-out. The concept of alienation, which has been very important over the time, has many different aspects and has had countless interpretations (which have followed one another), the psycho-analytical, the sociological analysis and the Marxist one, Burnout is actually a syndrome characterized by three interrelated dimensions: exhaustion, cynicism and inefficacy. Therefore it is important to prevent, eliminate or reduce problems related to occupational stress. Among preventive measures, the Europe Agreement identified in the management and in the communication the information necessary to define the goals of the company and the role each employee has. Moreover information and formation are considered the necessary elements to increase awareness and understanding of the problem, its potential causes and possible ways of approading it. Our research group, has developed targeted questionnaires, biological indicators and medical instrumental examinations the occupational doctors can make use of to assess these issues.

The authors describe the panorama of psychiatry in Portugal. Starting with the emergence of psychiatry with a humanizing stamp, in 1848, cover the six major periods of development of this speciality in Portugal, proposed by Barahona Fernandes, and add a seventh period that corresponds to the last quarter of the 20th century. They highlight the figures with greater emphasis during these periods, as well as their contributions to the speciality, not forgetting the essential role of Ordens Hospitaleiras (Hospitallers Orders). The transition period for mental health is examined in the light of the socio-political conditions of that time. The authors then describe both the teaching of psychiatry, and the actual training program of that medical speciality in Portugal. In this regard, the authors address the on-going mental health policies and their consequences on the current situation on the ground. Aspects such as the prevalence of mental disorders in Portugal, the current status of training in psychiatry, the sub-specialities of psychiatry and allied professions, the main areas of research, workforce issues and human rights issues are also analysed. Finally, the authors end with a few words about the future and the challenges of psychiatry in Portugal.

Addressing the relatively recent concern of public health in the issue of mental health problems, the evolution of the concept of mental illness in the occidental pre-modern history is revised, as well as the reasons why it remained outside the mainstream of the professional healing activity. The differences between the naturalist and the supernatural views are explored as well.

Psychiatrists working with the National Aeronautics and Space Administration in the late-1950s feared the worst of the men they examined to be America's first astronauts: that they would be impulsive, suicidal, sexually aberrant thrill-seekers. The examiners, though, were surprised - and a little disappointed - when tests revealed the would-be astronauts to be sane, poised professionals able to absorb extraordinary stresses. A Space Age malady with no incidence among human populations, 'space madness' is the stuff of Hollywood: a cultural manifestation of popular fears of a lonely, dehumanizing, and claustrophobic future among the stars., (Copyright © 2011 Elsevier Ltd. All rights reserved.)

Albert Deutsch, journalist, advocate for the mentally ill, and honorary APA Fellow died 50 years ago. Author of The Mentally Ill in America and The Shame of the States, he believed in the obligation of individuals and institutions to advocate for patients. In 1961, he was in the midst of a vast project to assess the state of the art in psychiatric research. This article recalls aspects of Deutsch's life and work and places him in the historical context of individuals who have shown great compassion for disabled persons.

Aims:   This paper aims to describe the development of psychiatry of old age in Victoria, Australia, from the 1950s to the present. Social and political aspects which contributed to service development are discussed., Methods:   A qualitative, narrative literature review was undertaken., Conclusions:   Today there is a comprehensive statewide aged persons mental health service, comprising of inpatient and residential units and community teams., (© 2011 The Authors. Australasian Journal on Ageing © 2011 ACOTA.)

In many ancient cultures, hospitality was a significant moral and religious practice in responding to the needs of strangers. Although largely trivialized in contemporary society, the practice of hospitality continues to create contexts that contribute to individual and communal flourishing and that resist several dehumanizing social trends. A recovery of the practice can help faith communities connect their moral and theological commitments to the needs of children, families, and neighborhoods., (© 2011 American Orthopsychiatric Association.)

This paper examines the impact ofWorldWar II and its aftermath on the mental health sector, and traces the resulting transformations in US psychiatry and psychology. Focusing on the years between 1940 and 1970, it analyses the growing federal role in funding training and research in the mental health sector, the dominance of psychoanalysis within psychiatry in these years, and the parallel changes that occurred in both academic and clinical psychology.

Various explanations have been given for the positive association between religiosity and physical health. Using data from two waves of the National Survey of Midlife in the United States (1995, 2005) and retrospective data on the importance of religion in the home in which respondents were raised we find that psychological resources, operationalized by measures of emotional and psychological well-being, mediate the effect of this early exposure to religion but only on self-rated health and physical symptomatology; chronic illnesses and health limitations on activities of daily living are unaffected.

In the 1950s, the term "deprivation" entered American psychiatric discourse. This article examines how the concept of deprivation permeated the field of mental retardation, and became an accepted theory of etiology. It focuses on sensory deprivation and cultural deprivation, and analyzes the interventions developed, based on these theories. It argues that the controversial theory of cultural deprivation derived its scientific legitimization from the theory of sensory deprivation, and was a highly politicized concept that took part in the nature-nurture debate.

Student mental health services were created at many American universities during the interwar years in association with the mental hygiene movement of that era. In Canada, psychologists and psychiatrists became focused on the well-being of schoolchildren during this period, but services for university students were minimal or non-existent at most institutions until well after the Second World War. Influenced by American trends and in tune with rising public concern over the problems students were experiencing on Canada's burgeoning campuses, student organizations, in co-operation with the Canadian Mental Health Association, began a concerted campaign for improved services in the early 1960s. Through conferences, seminars, and surveys, they revealed the extent of student distress, and by 1965 their efforts were attracting increasing media attention and having a direct impact on university student health policies. Their campaign then entered a new phase, transformed by the same radicalization that infused the wider student movement in the wake of the Berkeley free speech protests. Dissatisfied with the institutional response and distrustful of the motives behind the services now provided, activists questioned the very meaning of 'mental health' in the context of their deeper critique of the university and society. By the end of the decade, the student mental health movement had run its course, but it left a lasting legacy in the ongoing reform of university health services and in attitudes towards student mental health.

This article reflects on two experiences of applying qualitative life course research in development studies. The first methodology centred on the elicited narratives of older people in Buenos Aires exploring their lifetime relations with their children and their current well-being. The second employed semi-structured interviews with young adults in Zambia to investigate their trajectories towards economic empowerment. In both methodologies, the roles of linked lives and of wider social, economic and political changes were central. The article contributes to critical reflection on methodological choices and trade-offs, by focusing on dilemmas that arise from a desire to address policy makers and more quantitatively-orientated researchers. It explores three themes: the challenges of making sense of disparate narratives of linked lives; the possibilities for engaging with individual subjectivities; and different strategies for situating individual experiences in dynamic social, economic and political contexts.

Anger is a common reaction to stressful life events. However, little is known about anger’s use and efficacy as a coping strategy for racism. Is anger a coping strategy for racism that improves mental health? Or does anger operate in an opposing way, deteriorating mental health? The analyses for this research focused on a probability sample of African Americans who reported experiences of acute (n = 246) or chronic (n = 120) racial discrimination in a survey interview. General linear model results revealed that using anger to cope with racial discrimination negatively affected the general well-being and psychological distress of African Americans. These findings raise concerns about the effectiveness (or lack therefore of) of anger as a common coping mechanism for racism, given the deleterious effects it may have on African Americans’ mental health.

Sigmund Freud's five long case histories have been the focus of seemingly endless fascination and criticism. This article examines how the long case-history genre developed and its impact on the professionalization of psychoanalysis. It argues that the long case histories, using a distinctive form that highlighted the peculiarities of psychoanalytic theory, served as exemplars in the discipline. In doing so, the article extends John Forrester's work on "thinking in cases" to show the practical implications of that style of reasoning. The article illustrates how the form disappeared once the theoretical basis of the movement was set. The genre never became institutionalized, although the content of the five long case histories did, because of Freud's accepted role as theoretician of psychoanalysis.

Objective. Few social scientists have examined how Internet usage, including using the Internet for health purposes, may affect mental health. This study assesses whether the type or amount of online health activities and the timing of Internet use are associated with psychological distress.Methods. We use data from the National Cancer Institute's 2005 Health Information National Trends Survey.Results. When we compare Internet users to non-Internet users, using the Internet and using the Internet for health purposes are negatively associated with distress. However, among Internet users, the number of online health activities is positively associated with distress. Greater distress is also associated with using the Internet on weekdays and looking online for information on sun protection.Conclusions. Internet usage is not necessarily positively associated with psychological distress. The effects depend on the type, amount, and timing of Internet usage.

This study examines disparities in the long-term health, emotional well-being, and economic consequences of the 2005 Gulf Coast hurricanes. Researchers analyzed the responses of 216 Black and 508 White Hurricane Katrina survivors who participated in the ABC News Hurricane Katrina Anniversary Poll in 2006. Self-reported data of the long-term negative impact of the hurricane on personal health, emotional well-being, and finances were regressed on race, income, and measures of loss, injury, family mortality, anxiety, and confidence in the government. Descriptive analyses, stepwise logistic regression, and analyses of variance revealed that Black hurricane survivors more frequently reported hurricane-related problems with personal health, emotional well-being, and finances. In addition, Blacks were more likely than Whites to report the loss of friends, relatives, and personal property.

In this paper we consider the potential of autobiographical narratives for accessing "storied knowledge" in research around geographies of health voluntarism. We firstly consider what is meant by elicited autobiography and how the narrative approach has been used in research more broadly. Drawing on fieldwork undertaken in Manchester, UK and Auckland, New Zealand we then demonstrate how this approach has helped us to map out and unpack the career journeys of mental health activists working within and across the voluntary and statutory sectors. Through our autobiographical narratives we illustrate how this approach has enabled us to elicit important insights into the triggers and trajectories underpinning mental health activism and how events and moments in time have provided critical junctures in these trajectories. We consider places as sites of significance in activist career paths; and as central to the researcher-participant gestalt within which the autobiography is elicited and recounted. The autobiographical process, we suggest, offers reflective insights into mental health activism that might not otherwise be gained using more conventional methodologies., (Copyright © 2010 Elsevier Ltd. All rights reserved.)

Between 1900 and 1939 the regional government in Catalonia discussed a complete reform of the psychiatric institutions inherited from the nineteenth century. The debate was centred on the Spanish government's lack of interest in mental health policies and the growing demand for services. The projects developed between 1900 and 1939 opened a wide-ranging discussion on the role of ethnic and cultural factors in shaping mental illness, and the need to adapt the new facilities to the ethnic features of Catalonia. This study explores the production of Catalan psychiatric discourses and their ideological roots, and the development of public policies up to the end of the Spanish Civil War (1936-39). The paper concludes with a discussion of the influence of pre-war Catalan mental health policies on the wartime practice of psychiatry and, later, on the development of the French psychothérapie institutionnelle after World War II.

A century has passed since Klifford Beers published his work "A mind that found Itself". This paper has inspired the shift of mental hygiene towards the prevention of mental disorders and health improvements. At the beginning of this millenium, with much improved scientific knowledge, experience and possibilities, but confronted with new challenges we are observing the tempestuous historical features which have influenced the development of mental health care. Mental health is crucial for the welfare of a society and its individuals, since such disorders are not only the cause of emotional suffering, but they also deteriorate the quality of life, cause alienation and discrimination of an individual. At the same time, they are a great economic burden to the society as they require long-term therapy and often result in poor productivity. In order to decrease the burden of mental disorders it is required to stimulate prevention and improvement of mental health of the population within the framework of national policies, legislation and financing.

Objective: We aimed to clarify questions regarding Lord Clive's early suicidal behavior and mental health., Method: We examined various historical texts., Results: Clive suffered gallstones with episodes of cholecystitis. We could find no evidence that Clive engaged in suicidal behavior in his early life, nor evidence of a mood disorder (depression or bipolar disorder) throughout his life or at the time of his death., Conclusions: Although reports of famous people who have suffered mental disorders may help to decrease the stigma associated with these conditions, there is a need for caution before make such a diagnosis. In the case of Lord Clive, we could find no evidence of a major mood disorder.

The emergence of grief as a topic worthy of psychological study is an early 20th century invention. Freud published his influential essay on mourning and melancholia in 1917. Since he proposed the concept of "grief work," contemporary psychologists have examined his theory empirically and have claimed that grief is a pathology that should be included within the psychological domain. How, and why, has grief theory evolved within the discipline of psychology in this way? In what ways do these changes in the understanding of grief coincide with other historical developments within the discipline? In this article, I trace the development of grief, originally conceived by Freud within a psychoanalytic and nonpathological framework, to the current conceptualization of grief within the disease model. I show how grief theory has evolved within the discipline of psychology to become (a) an object worthy of scientific study within the discipline, and subsequently, (b) a pathology to be privatized, specialized, and treated by mental health professionals.

This paper addresses the context in which ethical and human right issues as they pertain to psychiatry are discussed in Latin America. Dependency and institutional instability are singled out as pervading characteristics influencing the analysis of issues and the design of mental health policies. According to the landmark 1990 Declaration of Caracas all countries in the region have progressed towards implementing measures designed to improve the condition of the populations regarding mental health care and research. Several principles are now universally accepted and, while there is still room for improvement, provision of services and better contexts for scientific development make it possible to expect advances in the future.

Katrina was the most devastating and deadliest hurricane in recent U.S. history. The storm was particularly destructive for residents of the Mississippi Gulf Coast where sustained winds of 135 mph and a storm surge of 32 feet literally obliterated the built and modified environments. Limited research exists on the chronic (32 months) mental health impacts of survivors in this geographical area. Random-digit dialing telephone surveys were administered in Harrison and Hancock counties (Mississippi) in April and May 2008 and data were collected on a number of mental health outcomes. The results of the calculation of Oridinary Least Squares (OLS) regression models revealed that females, African Americans, and less-educated residents manifested the most severe mental health impacts. Most important, consistent findings for depression and Katrina-related psychological stress indicate that residents who were separated from family members, had maximum residential damage, and suffered severe financial problems remained significantly impacted 32 months after Katrina’s landfall. A secondary stressor, in the form of having applications to the Mississippi State Grant Program denied or not processed also predicted personal depression. The implications of these findings are discussed.

While many commentators have held that the concept "alienation" is of crucial importance when attempting to understand human existence, others have held that it is an inherently empty concept that we should abandon. In this article, I refute the latters' charge by showing that each conception of "alienation" is underpinned by a normative ontological conception of the preferable, or authentic, self and show that the concept "alienation" has ethical, existential and socio-political uses. From this I conclude that, when properly understood, the concept "alienation" can provide us with vital insights into human existence.

Previous research has demonstrated that people who report same-sex experience tend to have poorer mental health than heterosexual people in adolescence and adulthood. Yet, little is known about how same-sex experience is associated with changes in mental health between the two life stages. Using data from the National Longitudinal Study of Adolescent Health (n = 12,056), this study assesses patterns of same-sex experience between adolescence and young adulthood and their consequences for changes in depressive symptoms, binge drinking, and drug use. Compared to people with no same-sex experience, those who report such experience only in adolescence show greater levels of mental health problems in adolescence, but they do not show any worse mental health changes during the transition into young adulthood. People who develop their first same-sex experience in young adulthood, however, tend to show worse changes, consistent with the argument that entry into a stigmatized role is psychologically harmful. Among females, those who report same-sex experience in both life stages also show worse mental health changes, indicating that the continuity in minority status contributes to their cumulative disadvantage. However, these differences are modest, and substantial amounts of variations in mental health changes are observed within each group. Findings are used to address the dynamic aspect of mental health disparity linked to sexuality.

This paper presents an empirical study of the effects of urban growth controls on the intercity commuting of workers. Growth controls (land use regulations that attempt to restrict population growth and urban sprawl) have increased housing prices and diverted population growth to uncontrolled cities. It has been suggested that resulting changes in local labour supply might stimulate intercity commuting from uncontrolled to controlled cities. To test this hypothesis, a gravity model of commuting flows between places in California is estimated using alternative econometric methods (OLS, Heckman selection and count-data). The possibility of spatial dependence in commuting flows is also taken into consideration. Results suggest larger commuting flows to destination places that restrict residential growth.

Freud considered Franz Alexander, the first graduate of the Berlin Psychoanalytic Institute and an assistant in the Berlin Polyclinic, to be "one of our strongest hopes for the future." Alexander went on to become the first director of the Chicago Institute for Psychoanalysis in 1932 and modeled some of the Chicago Institute's mission on his Berlin experiences. He was also a researcher in psychosomatic medicine, a prolific writer about psychoanalysis and prominent in psychoanalytic organizations. As he proposed modifications in psychoanalytic technique, he became a controversial figure, especially in the elaboration of his ideas about brief therapy and the corrective emotional experience. This paper puts Alexander's achievements in historical context, draws connections between the Berlin and Chicago Institutes and suggests that, despite his quarrels with traditional psychoanalysis, Alexander's legacy may be in his attitude towards psychoanalysis, characterized by a commitment to scientific study, a willingness to experiment, and a conviction about the role of psychoanalysis within the larger culture.

This paper shows how the community of Latin-American and Spanish psychiatry represents a solid platform for the so-called 'continental thought' to meet the analytical Anglo-Saxon thought. It reviews what both Latin America and the Spanish and Portuguese languages represent in the American continent; the relation between Spanish psychiatry and Spanish-speaking psychiatry in America during the twentieth century; the reality of psychiatric research and profession in Latin America; the evolution of Spanish psychiatry in the twentieth century from the post civil war diaspora to the beginning of the twenty-first century, and research on mental health in Spain and the foreseeable future.

Objectives: This article examines the effect of election outcomes on suicide rates by combining the theory of social integration developed by Durkheim with the models of rational choice used in economics., Methods: Theory predicts that states with a greater percentage of residents who supported the losing candidate would tend to exhibit a relative increase in suicide rates. However, being around others who also supported the losing candidate may indicate a greater degree of social integration at the local level, thereby lowering relative suicide rates. We therefore use fixed-effects regression of state suicide rates from 1981 to 2005 on state election outcomes during presidential elections to determine which effect is stronger., Results: We find that the local effect of social integration is dominant. The suicide rate when a state supports the losing candidate will tend to be lower than if the state had supported the winning candidate-4.6 percent lower for males and 5.3 percent lower for females., Conclusion: Social integration works at many levels; it not only affects suicide risk directly, but can mediate other shocks that influence suicide risk.

In 2007, a survey was conducted to measure the levels of workplace engagement for British Columbian civil servants. Following the Heskett et al. model of the “service profit chain” (1994, 2002), the government's primary concerns were the increasing attrition rates and their effects on service delivery. Essentially, the model demonstrated that employees who were more engaged were more committed to their work and more likely to stay within the civil service and that this culminated in improved customer service. Under the joint rubrics of absenteeism and job satisfaction, this study uses a construct of engagement (i.e., job satisfaction) to test whether different levels of engagement have any effect on the amount of sick time (absenteeism) an employee incurs. Specifically, the author looks at whether there is any correlation between the amount of sick time used and an individual's level of engagement and proposes that there is an inverse negative relationship: as job engagement increases, sick time used decreases. Testing the old adage “A happy employee is a healthy employee,” this research demonstrates that, though a more engaged employee may use less sick time, the differences in use between highly engaged employees and those not engaged are fairly marginal and that correlations are further confounded by a host of other (often missing) factors.

The experience, "voice," and perceptions of the "individual refugee" is conspicuous by its virtual absence from academic research. The few studies dealing with black adn minority ethnic experiences from an emic perspective in relation to mental health do not specifically refer to refugees or asylum seekers. This article explores the use of oral history techniques when researching Ethiopian forced migrants in the U.K. Based on two pilot research projects which explored Ethiopian culture and experience in reference to mental health adn well-being, it will focus on some of the complexities and challenges encountered. This article acknowledges the need for an understanding of cultural traditions as well as history and experience when planning and implementing such research as this proved to be an essential part of the research process, ensuring that individual stories and truths were allowed to evolve. The oral history approach for this research therefore ensured that the experiential knowledge of the Ethiopian forced migrant participants was given space, authenticity, and validity.

This paper examines racial differences in physical health and mental well-being in Guyana, South America: a country with cultural ties to the Caribbean. It explores the complex relationship among race, socioeconomic status and health outcomes which in developed societies continues to be of significant research interest. Utilizing a random probability sample of over 900 adults, the analyses provide information on the general physical and mental health status of this population and examine the differences by racial groups when other factors are controlled. The results indicate significant age-specific racial differences in physical and mental health in Guyana. Higher rates of diabetes, arthritis or rheumatism, back and breathing problems among Indo-Guyanese when compared to other groups were noted. Racial differences in physical health were attenuated when gender and educational levels were controlled.

Fundamental differences in the philosophy of history as an academic discipline are briefly explored, primarily from two perspectives. The traditional psychiatric and mental health nursing historian objectively uses primary sources in order to be able to make 'truth' claims about the past. The post-modern psychiatric nursing historian, on the other hand, constructs truth claims, rather than discovers them, and in the process of doing so creates historical discourses that are different from the past. To the postmodern psychiatric nursing historian, all histories are fictions, created with the use of imagination, and have characteristics that are similar to the literary constructions that are more traditionally identified as fiction. A variety of literature is used in order to explore such claims, and the conclusion is drawn that, with caution and careful attention to the rigorous use of historical method, fiction can be used as a valid source for historical research in psychiatric and mental health nursing.

Freud (and later commentators) have failed to explain how the origins of psychoanalytical theory began with a positivist investment without recognizing a dual epistemological commitment: simply, Freud engaged positivism because he believed it generally equated with empiricism, which he valued, and he rejected "philosophy," and, more specifically, Kantianism, because of the associated transcendental qualities of its epistemology. But this simple dismissal belies a deep investment in Kant's formulation of human reason, in which rationality escapes natural cause and thereby bestows humans with cognitive and moral autonomy. Freud also segregated human rationality: he divided the mind between (1) an unconscious grounded in the biological and thus subject to its own laws, and (2) a faculty of autonomous reason, lodged in consciousness and free of natural forces to become the repository of interpretation and free will. Psychoanalysis thus rests upon a basic Kantian construction, whereby reason, through the aid of analytic techniques, provides a detached scrutiny of the natural world, i.e. the unconscious mental domain. Further, sovereign reason becomes the instrument of self-knowing in the pursuit of human perfection. Herein lies the philosophical foundation of psychoanalytic theory, a beguiling paradox in which natural cause and autonomous reason - determinism and freedom - are conjoined despite their apparent logical exclusion.

During the Great Depression, with conditions grim, entertainment scarce, and educational opportunities limited, many South Dakota farm women relied on reading to fill emotional, social, and informational needs. To read to any degree, these rural women had to overcome multiple obstacles. Extensive reading (whether books, farm journals, or newspapers) was limited to those who had access to publications and could make time to read. The South Dakota Free Library Commission was valuable in circulating reading materials to the state's rural population. In the 1930s the commission collaborated with the USDA's Extension Service in a popular reading project geared toward South Dakota farm women. This "Reading in the Home" program greatly increased reading opportunities and motivations. Of particular interest to rural women were tales of pioneer life featuring strong protagonists. Through these stories, farm women found validation and encouragement to persevere. Reading also broadened horizons and challenged assumptions. For the depression-era farm woman, reading books and other materials provided recreation, instruction, and inspiration in a discouraging time.

This article examines the British child guidance movement's claim to scientific status and what it sought to gain by the wider acceptance of such a claim. The period covered is from the movement's origins in the 1920s to the end of the Second World War, by which point it had been incorporated into the welfare state. This was also an era when science commanded high intellectual and cultural status. Child guidance was a form of psychiatric medicine that addressed the emotional and psychological difficulties that any child might experience. It thus saw itself as a form of preventive medicine and as a component of the international movement for mental hygiene. Child guidance was organized around the clinic and employed the knowledge and skills of three distinct professions: psychiatrists, psychologists and psychiatric social workers. Its claim to scientific status was underpinned by the movement's clinical and organizational approach and in turn derived from developments in the laboratory sciences and in academic medicine. There were, however, those even within the movement itself who challenged child guidance's purported scientific status. Such objections notwithstanding, it is suggested here that at least in its own terms the claim was justified, particularly because of the type of psychiatric approach which child guidance employed, based as it was on a form of medical holism.

According to the Penrose's law, outlined on the basis of a comparative study of European statistics, there is an inverse relationship between the number of psychiatric beds and prison population. Based on international data, interrelationship among prison, asylum, psychiatric disease and criminal action are investigated in the present study, paying particular attention to the event of deinstitutionalization. Prevalence of mental and addictive diseases as well as psychological disturbances in prison is characterized by epidemiological data. As proposed by Penrose, an inverse relationship between the number of psychiatric beds and prison population can be observed in Hungary, too. To get a deeper insight into the mainstream of the events, economic, sociological, philosophical, as well as therapeutic aspects initializing deinstitutionalization are highlighted in the course of analysis. On the basis of data, it can be assumed that members the same population are confined to both systems. The author arrives at the conclusion that deinstitutionalization has in fact led to trans-institutionalization, because of, on one hand, the limited capacity of community treatment facilities; on the other hand, the community treatment itself cannot provide adequate treatment options to those suffering from severe, chronic mental diseases or comorbid states. In addition, the rate of financial support and the methods for prevention and treatment are insufficient to protect patients from the effects of revolving door.

The radical psychiatrist R.D. Laing's first book, "The Divided Self" (1960), is informed by the work of Christian thinkers on scriptural interpretation -- an intellectual genealogy apparent in Laing's comparison of Karl Jaspers's symptomatology with the theological tradition of "form criticism." Rudolf Bultmann's theology, which was being enthusiastically promoted in 1950s Scotland, is particularly influential upon Laing. It furnishes him with the notion that schizophrenic speech expresses existential truths as if they were statements about the physical and organic world. It also provides him with a model of the schizoid position as a form of modern-day Stoicism. Such theological recontextualization of "The Divided Self" illuminates continuities in Laing's own work, and also indicates his relationship to a wider British context, such as the work of the "clinical theologian" Frank Lake.