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Biomedical subjects

C Quadrio

Publications and source records attributed to C Quadrio.

13 recordsLinked to original sources
PubMed1996

Sexual abuse in therapy: gender issues.

OBJECTIVE: That sexual abuse in therapy occurs predominantly with male perpetrators and female patients is a phenomenon that requires analysis in terms of gender relations. Such an analysis is undertaken here from the perspective of feminist psychoanalytic and psychosocial theories. METHOD: Data informing the analysis are derived from assessments of 40 women who experienced sexual abuse in therapy. These women had mostly presented depression, 68% had a history of childhood abuse, and one half were themselves helping professionals. RESULTS: The majority were seriously damaged by the abusive therapy. Offenders were chiefly male (90%) and most were senior, well-qualified therapists of high status: some were charismatic leaders or teachers. Such a group cannot be dismissed as marginal, deviant, or ill-informed; a more systemic analysis is necessary to understand how the professions spawn and sometimes protect offenders. CONCLUSION: It is concluded that the professional culture mirrors fundamental problems of gender relations that inhere in the larger socio-cultural context where they are expressed in various forms of sexual abuse and violence. A cultural change requires better education on issues of power and sexual politics.

Adolescent↗
PubMed1994

Woman-centered perspectives on female psychosexuality.

Numerous contemporary analyses have challenged traditional models of female psychosexual development, identifying their norms as implicitly androcentric. Femaleness has been regarded as derivative or deviant, as less and "other" than maleness. Alternative, woman-centred, models emphasise three major aspects of female psychosexual development: affiliation (women and others), maternity (women as mothers), and alterity (women and otherness). For some theorists the affiliative/maternal emphasis constructs a model of healthy and desirable femaleness. For others it represents not only the outcome of millennia of female subordination but also provides a justification for perpetuation of that subordination. Whatever the resolution of these dilemmas, a woman-centred perspective of female psychosexual development is relevant to contemporary psychiatric thinking. This review will present such a perspective and raise some of those dilemmas.

Female↗
PubMed1992

Sex and gender and the impaired therapist.

A brief review of the problem of impaired therapists is followed by a more comprehensive review of sexual relationships arising in and following psychotherapy. The prevalence of this latter problem is approximately 10%. Offenders are predominantly male, one half are said to be "ruthless" and "exploitative", whilst the remainder are often "lovesick". The author relates these phenomena to processes of repudiation of the relational/feminine self of the highly masculinised clinician. Characteristics of offenders and consequences for patients are presented and issues of detection, sanctions, legislation, and prevention are addressed. Studies suggest that the vast majority of patients are harmed by the experience and that neither improved training, licensing, personal therapy, nor supervision of therapists will guarantee against its occurrence.

Burnout, Professional↗
PubMed1991

Women in Australian and New Zealand psychiatry: the fat lady sings.

Gender disadvantage within the professions significantly affects the development of women doctors, resulting in morbidity and less than optimal development. Paradoxically, for a profession primarily concerned with the study of the vicissitudes of human development, psychiatry in Australia and New Zealand has yet to articulate those issues which bear directly upon the development of its own members. Systemic problems are identified within the institutions of medicine and psychiatry which compromise the development of both female and male trainees and which must concern medical educators. Recommendations are made concerning the structure and content of training programmes, most particularly post-graduate psychiatry.

Career Choice↗
PubMed1986

Analysis and system: a marriage.

Self-psychology describes a psychoanalytic model developed by Heinz Kohut and based upon a systemic concept of the "self-object', a system of self and object which differentiates progressively from an early symbiotic fusion at birth to healthy interdependence at around three years of age. These stages of differentiation were originally described by Margaret Mahler and interpreted by her within a Kleinian framework. Self-psychology differs in many key concepts from the Kleinian and other psychoanalytic models, and Kohut reinterpreted Mahler's work from this new perspective. The systemic or dyadic basis of Kohutian theory provides a bridge between psychoanalytic models and systems models of marital dynamics, an important meeting ground for interpsychic and intrapsychic viewpoints. Progressive differentiation within a dyadic system can be applied developmentally to the mother-infant, husband-wife, or therapist-patient dyad, as can the self-object transference concept.

Gender Identity↗
PubMed1984

Families of agoraphobic women.

Marital systems of agoraphobic women may reinforce or support the phobic condition and in some cases entire families are affected. Four case histories are presented in which agoraphobia and related disturbances and alcoholism are traced through three generations. Other studies are reviewed relating agoraphobia to alcoholism, examining the characteristics of parents and siblings and the marital adjustments of agoraphobic patients. A relationship with sex role stereotyping is suggested, particularly as relevant to the differing adjustments of males and females in these families. It is concluded that conflicts relating to separation/individuation and autonomy versus dependency and fear are crucial in these families and they are defended against by mechanisms of phobic avoidance, counterphobia and alcoholism.

Adult↗
PubMed1982

The Peter Pan and Wendy syndrome: a marital dynamic.

A marital system is described which features an unfaithful and narcissistic husband, Peter Pan, and a long suffering and depressed wife, Wendy. The dynamics of their individual adjustments are examined as well as the symbiotic nature of the dyadic relationship. Other characters take their parts--Tinker Bell, Tiger Lily, and Little Lost Boys. Peter's infidelities belie a firm attachment to his Wendy/mother whilst she depends upon him for protection from forbidden impulses.

Adult↗
PubMed1981

Psychiatry and family law in Western Australia.

The use of psychiatric evidence in Family Law Courts considering custody disputes is questioned. It is postulated that such evidence if often prejudiced, not always related to parental competence, and is morally and politically questionable.

Adult↗