Should Psychotherapy be taught to Psychiatric Residents? A Debate.

Much of this discussion was inspired by a debate held at the 1984 APA Annual Meeting, entitled Does Psychodynamic Theory Have Little Relevance to Contemporary Psychiatric Care? We saw the need for a debate, resident generated, that would address a corollary issue in residency training. Our program will include an introduction, a debate involving statements for the affirmative, that is, that psychotherapy should be taught to psychiatric residents, and two statements for the negative, that psychotherapy should not be taught to psychiatric residents. Concluding remarks will follow. If our title is provocative , if what we have to say inspires you to participate in this critical discussion, either by way of pleasing, stimulating, or offending you, then we have served our purpose well

Effect of Race and Sex on Primary Care Physicians' Diagnosis and Treatment of Late-Life Depression

To examine primary care physician (PCP) contributions toward racial and sex differences in the diagnosis and treatment of late-life depression. Design : Survey using a computerized instrument incorporating video interviews and text, with volunteer PCPs randomly assigned to one of four standardized video vignettes of an elderly patient depicting late-life depression. Vignettes differed only in the patient/actor's race (white/African-American) or sex. Setting : American Academy of Family Physicians meeting, San Diego, California, 2002. Participants : One hundred seventy-eight U.S.-practicing postresidency PCPs who were asked to participate in a clinical decision-making study. Measurements : The computerized survey instrument assessed PCPs' diagnoses, first-line treatment and management recommendations, and judgment of personal characteristics/behaviors for the patients in the vignettes. Results : Eighty-five percent of all PCPs correctly diagnosed the elderly patient(s) with major depression. There were no significant differences in the diagnosis of depression, treatment recommendations, or PCP assessment of most patient characteristics by the race or sex of the patient/actor in the vignette, but PCP characteristics, most notably the location of medical school training (U.S. vs international), affected the likelihood of a depression diagnosis and treatment recommendations. Conclusion : Given standardized symptom-pictures, PCPs are just as likely to diagnose and treat depression in African-American as in white older people, suggesting that bias based simply on apparent patient race is not a likely explanation for the lower rates of depression diagnosis and treatment in older African Americans. PCPs who have trained at international medical schools may benefit from targeted training initiatives on the diagnosis and treatment of late-life depression.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/65962/1/j.1532-5415.2005.53255.x.pd

Anglican clergy husbands securing middle-class gendered privilege through religion

Traditionally, clergy wives have been obliged to assist the Church in an unpaid capacity; such work has been feminised, associated with the assumed competencies of women (Denton 1962; Finch 1980, 1983; Murphy-Geiss 2011). Clergy husbands are a relatively recent phenomenon in the Church of England, emerging when women started to be ordained as deacons in 1987 and priests in 1994. Based on interviews with men whose wives were ordained as priests in the Church of England, this article will explore the dynamics of class and gender privilege. Most clergy husbands were middle class, defined through educational, occupational and cultural markers (Bourdieu 1984). The narratives highlighted how gender and class privilege was maintained and extended through the clergy spouse role. The interweaving dynamics of class and gender privilege secured preferential outcomes for participants; outcomes that were less evidenced in relation to working-class spouses. Using Bourdieu’s (1984) concepts of habitus, field and capital and Verter’s (2003) conceptualisation of spiritual capital, this article will highlight the complex ways in which gender and class advantage is perpetuated and sustained, using the Anglican parish as the analytical context, thereby emphasising the role religion plays in consolidating privilege

Biological and Taxonomic Notes on a Rare Phanaeine Dung Beetle, Phanaeus Alvarengai Arnaud (Coleoptera: Scarabaeidae)

Vulinec, Kevina, Edmonds, W. D., Mellow, David J. (2003): Biological and Taxonomic Notes on a Rare Phanaeine Dung Beetle, Phanaeus Alvarengai Arnaud (Coleoptera: Scarabaeidae). The Coleopterists Bulletin 57 (3): 353-357, DOI: 10.1649/639, URL: http://dx.doi.org/10.1649/63