Friday, December 21, 2012
Sunday, December 16, 2012
Saturday, December 15, 2012
Tuesday, December 11, 2012
Tuesday, December 04, 2012
Thursday, November 29, 2012
Wednesday, November 28, 2012
The abstract of the third article in the list is: BACKGROUND: Psychotherapy is apparently an insufficient treatment for some patients with mood or anxiety disorder. In this study the effectiveness of short-term and long-term psychotherapies was compared with that of psychoanalysis. METHODS: A total of 326 psychiatric outpatients with mood or anxiety disorder were randomly assigned to solution-focused therapy, short-term psychodynamic and long-term psychodynamic psychotherapies. Additionally, 41 patients suitable for psychoanalysis were included in the study. The patients were followed from the start of the treatment and assessed 9 times during a 5-year follow-up. The primary outcome measures on symptoms were the Beck Depression Inventory, the Hamilton Depression and Anxiety Rating Scales, and the Symptom Check List, anxiety scale. Primary work ability and functional capacity measures were the Work Ability Index, the Work-subscale of the Social Adjustment Scale, and the Perceived Psychological Functioning Scale. RESULTS: A reduction in psychiatric symptoms and improvement in work ability and functional capacity was noted in all treatment groups during the 5-year follow-up. The short-term therapies were more effective than psychoanalysis during the first year, whereas the long-term therapy was more effective after 3years of follow-up. Psychoanalysis was most effective at the 5-year follow-up, which also marked the end of the psychoanalysis. CONCLUSIONS: Psychotherapy gives faster benefits than psychoanalysis, but in the long run psychoanalysis seems to be more effective. Results from trials, among patients suitable for psychoanalysis and with longer follow-up, are needed before firm conclusions about the relative effectiveness of psychoanalysis and psychotherapy in the treatment of mood and anxiety disorders can be drawn.
J Affect Disord. 2011 Jul;132(1-2):37-47. Epub 2011 Feb 12. Quasi-experimental study on the effectiveness of psychoanalysis, long-term and short-term psychotherapy on psychiatric symptoms, work ability and functional capacity during a 5-year follow-up. Knekt P, Lindfors O, Laaksonen MA, Renlund C, Haaramo P, Härkänen T, Virtala E; Helsinki Psychotherapy Study Group. Source Social Insurance Institution, Helsinki, Finland. paul.knekt@thl.fi
And the abstract of the second article in the list is: OBJECTIVE: Transference interpretation is considered as a core active ingredient in dynamic psychotherapy. In common clinical theory, it is maintained that more mature relationships, as well as a strong therapeutic alliance, may be prerequisites for successful transference work. In this study, the interaction between quality of object relations, transference interpretation, and alliance is estimated. METHOD: One hundred outpatients seeking psychotherapy for depression, anxiety, and personality disorders were randomly assigned to 1 year of weekly sessions of dynamic psychotherapy with transference interpretation or to the same type and duration of treatment, but without the use of transference interpretation. Quality of Object Relations (QOR)-lifelong pattern was evaluated before treatment (P. Høglend, 1994). The Working Alliance Inventory (A. O. Horvath & L. S. Greenberg, 1989; T. J. Tracey & A. M. Kokotovic, 1989) was rated in Session 7. The primary outcome variable was the Psychodynamic Functioning Scales (P. Høglend et al., 2000), measured at pretreatment, posttreatment, and 1 year after treatment termination. RESULTS: A significant Treatment Group × Quality of Object Relations × Alliance interaction was present, indicating that alliance had a significantly different impact on effects of transference interpretation, depending on the level of QOR. The impact of transference interpretation on psychodynamic functioning was more positive within the context of a weak therapeutic alliance for patients with low quality of object relations. For patients with more mature object relations and high alliance, the authors observed a negative effect of transference work. CONCLUSION: The specific effects of transference work was influenced by the interaction of object relations and alliance, but in the direct opposite direction of what is generally maintained in mainstream clinical theory.
J Consult Clin Psychol. 2011 Oct;79(5):697-706. Effects of transference work in the context of therapeutic alliance and quality of object relations. Høglend P, Hersoug AG, Bøgwald KP, Amlo S, Marble A, Sørbye Ø, Røssberg JI, Ulberg R, Gabbard GO, Crits-Christoph P. Source Department of Psychiatry, University of Oslo, Norway. p.a.hoglend@medisin.uio.no
Thursday, November 22, 2012
Thursday, November 15, 2012
Saturday, November 10, 2012
Thursday, November 08, 2012
Immigration Reform
Tuesday, November 06, 2012
There's no success like failure
Saturday, November 03, 2012
Sandy and climate
Friday, November 02, 2012
Music
Wednesday, October 31, 2012
Tuesday, October 30, 2012
Saturday, October 20, 2012
Bush, Thoughts in the aversion to him
Friday, October 12, 2012
Vatican II, the 50th anniversary
Sunday, October 07, 2012
Debate
Tuesday, October 02, 2012
Thursday, September 13, 2012
Monday, September 10, 2012
Republicans and the American Culture
Friday, August 31, 2012
Republican National Convention
Monday, August 27, 2012
Circumcision
Thursday, August 23, 2012
Sunday, August 05, 2012
My Lai
“the Lieutenant Colonel started his lecture abruptly. Listen Lieutenants. I want to make one thing clear, William Calley is a convicted MUR-DER-ER!”Yes, the voice of authority. My understanding is that another colonel had called out the platoon the night before at 2 AM and had them stand at attention. He told them they were to kill everyone in the village. He had been a mortician in civilian life. The platoon had taken casualties approaching the village on foot apparently from female black clad female NVA, Relevant? When they helicoptered in, there was no resistance. Apparently the NVA had pulled out though a machine gun positioned outside the village prevented a counterattack. The platoon stood around. Calley raised his rifle and said he would kill anybody who didn’t start shooting. As the valedictory to historian John Keegan quotes in Volokh today, “Codifications of international law are a useful template for organizing the categories of a soldier’s duties. But, in the end, the culture relevant to respect for inter-national humanitarian law is not the culture of legality and the cult of lawyers, but instead it is the culture of the professional honour of soldiers, and what they are willing or not willing to do on the battlefield.” By the way, the colonel here was shortly shot from the sky in a helicopter, killed.
Saturday, August 04, 2012
Hay Moros en la Costa
Sunday, July 29, 2012
Saturday, July 28, 2012
London Olympics pauses to honor dead Brits, not Israelis
Tuesday, July 24, 2012
Sunday, July 22, 2012
The Shooting in Colorado
Saturday, July 14, 2012
Penn State and Paterno
The original 'I am sexy and I know it' person for me may have been a young woman that Asa W. "Bill" DeLoach, M.D., interim chairman of Psychiatry at UT Southwestern, interviewed some years ago. In morning Rounds he used to interview a patient in the hospital or ER. She had some history of what might be called sexual indiscretion. I won't get into, in the manner of alcoholic evaluation, well 2 beers is normal but a 12 pack etc., in this case partners, situations and present facts and figures because, in part, you know, I don't remember it. I remember her tentative affect, her sincerity, her innocence. She was Catholic and, it would fit for the story to have had a strict Catholic upbringing. Dr. DeLoach thought so, and this was not a jarring idea given the history. I pictured her when he said that the superego was so strict, too restrictive to live with, that it was excised. I recall an attractive classmate at Jesuit, Bob Barreuter, noting on a writing pad 'live' is 'evil' spelled backwards.
St. Augustine was if I recall correctly a Roman lawyer, libertine, and later formalizer of Catholic dogma among which is the doctrine of original sin. I think a certain potential logical problem in 'Christ having died for your sins' bothered him. What if you didn't have any sins? The centrality of the dogma about Christ demands original sin. Perhaps the harshness of this, original sin, is reflective of the ease with which Roman law was harsh if concurrent with logic.
This leads to an insight about potential weak points in Catholic culture. I have no doubt that Joe Paterno was a good family man and loyal to them. In the matter of sexual morality, he had undoubtedly found the Catholic morality too strict. So some parts of that morality were at least temporarily suspended perhaps, though he regretted it later, and he know that would be the case with others. The Church teaches consideration for your neighbors which helped with his relations with his wife, family and probably team but also made for a loyalty or protectiveness to Sandusky.
Thus a problem with Catholicism may be that excessive moral demands are made on its adherents which may actually increase a rate of certain aspects of failure. One might point to a historical example and wonder if it played a role. There was the amusing concern during the election of John Kennedy that the Pope would be directing things here if he were elected. Maybe Catholicism did have an impact on the conduct of his presidency however. President Kennedy was not not sufficiently considerate of the strain that sending young men drafted into a war that was not a war in which national survival was at stake. This led to rebellion, an 'excising' of the obligation of the youth to the state. It was an excessively harsh superego demand, a demand ultimately done away with by the Quaker Nixon and a Jewish liberterian economist, Milton Friedman.
Saturday, July 07, 2012
Wednesday, July 04, 2012
Monday, July 02, 2012
ACA operationally
Calle Corrientos 1936
Saturday, June 30, 2012
Friday, June 29, 2012
The ACA decision
I recall as a child riding through Wyoming, being nowhere, going nowhere, and a big, big billboard appears, "Impeach Earl Warren." Now let's stipulate that Brown v Board was rightly decided but then we get down to District Court Judge Taylor in Dallas deciding on a desegregation plan that has a chance at integrating the schools, and there is a legal opportunity to drive a more drastic decision at the 5th Circuit and voila, DISD is now 10% white, the schools struggle. Maybe winning your discord in court isn't the best solution. Chief Justice Roberts pointed out 'It is not our job to protect the people from the consequences of their political choices.' Maybe it would be better to find or accept a collegial or democratic solution.
1. http://www.volokh.com/2012/06/27/predictions-on-the-health-care-cases/#comment-569657104
2. http://www.volokh.com/2012/06/19/foolishly-reading-the-tea-leaves-of-justice-ginsburgs-speech-at-the-acs/#comment-562509311
Wednesday, June 27, 2012
The immigration issue hurts Romney
Thursday, June 21, 2012
Friday, June 15, 2012
Yoo Hoo, Iranians!
Maraniss’s bookdepicts Obama on an intense odyssey of self-discovery, moving toward defining himself less as a half-white man with white girlfriends than as a black man who wanted to be part of a black community. His New York girlfriend, Genevieve Cook, told Maraniss that Obama confessed to her that “he felt like an impostor. Because he was so white. There was hardly a black bone in his body.” When she predicted that his future might be with a black woman — “That lithe, bubbly, strong black lady is waiting somewhere!” she wrote in her journal — he told her “he doubted there were any black women he would feel truly comfortable with. I would tell him, ‘No, she is out there.’ ”Being black since like 50 years ago is hip; make that 80 years ago if you're like Jewish in Philadelphia. So you have a kid graced with 'black like me' features raised by white people who has gotten to the top by adopting some of the manner.
Thursday, June 07, 2012
Sunday, June 03, 2012
A Contemporary Discussion
Saturday, May 26, 2012
Friday, May 25, 2012
Wednesday, May 16, 2012
Saturday, May 12, 2012
Sunday, April 29, 2012
What did Gingrich bring to the Republican contest?
Tuesday, April 24, 2012
A Mel Gibson Film Festival?
Saturday, April 21, 2012
A Reply to Nichevo
Monday, April 16, 2012
Sunday, April 15, 2012
Sunday, April 08, 2012
Oh Lord! Please don't let me be misunderstood
* page 66, The New Yorker, Jan 12 2009, in an article on Hannah Arendt, 'The woman who redefined evil.'
Friday, April 06, 2012
Reflections on Good Friday
The objection of Pam raises for me an interesting emphasis which provides a justification for a French paleontologist and Jesuit, Teilhard de Chardin, who might otherwise seem heretical in relation to Catholicism. His view was that evolution went from God to realization of God. The birds would be, yes, on a lower level.
Birds also may be a reminder of life going on without a centrality in humanity. A veteran recalled a battle in VN in which an enemy massed and attacked with their weapons and we responded with flechettes or other direct fire, and he recalled the birds simultaneously going about their usual life outside the fields of fire.
Saturday, March 31, 2012
Tuesday, March 20, 2012
Trayvon Martin
Mr. Zimmerman took it upon himself, in a self styled manner of police, to initially provoke the use of force against himself, the use of defensive force, by Trayvon Martin so should not be exculpated from charge or prosecution by the castle law based on my understanding of the facts.
Wednesday, March 14, 2012
Pot black
Saturday, March 10, 2012
Beneficial Effects of Radiation
In the early 1980s, a Taiwan steel company accidentally mixed some highly radioactive cobalt-60 into a batch of steel rebar. The radioactive rods were then used in the construction of 1,700 apartments. As a result, people living in these buildings were subject to radiation up to 30 times the normal amount received from the natural background.
When dismayed officials discovered this enormous error 15 years later, they surveyed past and present apartment dwellers expecting to find an epidemic of cancer. Normal incidence would have predicted 160 cancers among the 10,000 residents. To their astonishment, the researchers discovered only five cases of cancer—97% lower than the anticipated amount. Birth defects were also 94% below the anticipated rate. These findings were published in the Journal of American Physicians and Surgeons in 2004. As one researcher phrased it, exposure to high levels of background radiation had apparently bestowed upon residents "an effective immunity from cancer."
The residents of the Taiwan apartments experienced 10 times the level of radiation as is prevalent in the evacuation zone around Fukishima. The etiology of radiation-related disease is well-known. Radiation can cause DNA damage but the body has repair mechanisms to deal with it. Last December scientists at Berkeley made microscopic videotapes of these cellular repair sites in action. "Our data show that at lower doses of ionizing radiation, DNA repair mechanisms work much better than at higher doses," wrote Mina Bissell, a world-renowned breast cancer researcher who co-authored the report. "This non-linear DNA damage response casts doubt on the general assumption that any amount of ionizing radiation is harmful and additive." Other researchers speculate that low radiation doses may immunize the body against cancer and birth defects by stimulating these repair mechanisms into greater responsiveness, just as vaccines stimulate the immune system. That would explain the low cancer rates in Taiwan.
The Wall Street Journal, March 6, 2012, link
Thursday, March 08, 2012
Inspired by Derek Lowe*
This 'rest of the story' might be of interest on several levels. It casts a hypothetical light on Stalin who, though he 'wanted to be a good Marxist' as he told his daughter to be, also considered the economic cost of inputs, i.e. in some sense was a capitalist. That may have been a reason for his success. Also in this discussion, as you point out, the implied assumption is 'big financial commitment' or commitment to a pyramid. What the president of the Pharma firm said was he wanted science but he wanted to change the cost of his inputs. When I went to the University of Texas tuition was essentially free. Is that the same as spending $17,000 a year on tuition?
*Lowe
The comment
Saturday, February 25, 2012
Tuesday, February 21, 2012
Tuesday, February 14, 2012
The Century of the Icons
Wednesday, February 08, 2012
On one visit, Kennedy was embroiled in one of the most defining moments of his presidency, the Cuban Missile Crisis. For 13 days in October 1962, the United States and the Soviets were at a nuclear standoff.
Although historians have dissected Kennedy’s actions, none was privy to what he confided to Mimi.
“I’d rather my children red than dead,” he told her.
Link
This from the story of the intern seduced by JFK. How about all of our generation that went to VN? We were terribly used. I guess you can argue the counter-factual and wonder if the counter-revolutionary Cubans had had air support at the Bay of Pigs, would they have won, would we have gone in after them. However it was pursued, if we lost in the action, would it have devolved later to a nuclear war, were Nixon president. He would more likely have bombed on discovery of the missile sites and nuclear armed missiles, unbeknownst to us, were already in Cuba, but he was good calculator of chances, a good gambler. I can remember waking up at about 2 AM the night of Kennedy's election and hearing Nixon optimistic about returns, and he did probably win except for fraud in Illinois.
Sunday, February 05, 2012
Polish poet dies
Tuesday, January 31, 2012
Saturday, January 28, 2012
Friday, January 27, 2012
The CNN Debate, Feb. 26
Monday, January 16, 2012
Monday, January 09, 2012
Thoughts on the race after Saturday's Republican debate
Sunday, January 08, 2012
One of the commenters (Joe Horton): It seems to me that the Nazis got power not so much by getting votes (which they were able to do in a number of ways) so much as by killing, or at least beating the cookies out of people and families of people who disagreed with them. Once legitimate law enforcers were cowed by the apparent burgeoning Nazis, they, too, came under the spell. This is all pretty well described in the recent book, In the Garden of Beasts: Love, Terror, and an American Family in Hitler's Berlin, which details the ambassadorship of William Dodd to Germany in the 30’s. It makes fascinating, if chilling reading.
Another (SteveMG): Sydney Hook, in Out of Step: An Unquiet Life in the 20th Century, says he was immediately shocked and frightened at seeing Hitler speak. His ability to mesmerize the audience, his outright racial appeal, his open promotion of violence, his appeals to “blood”, it was all there.
Erik H adds at the end a book which also looks interesting,