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Biomedical subjects

S I Harrison

Publications and source records attributed to S I Harrison.

At least 19 recordsLinked to original sources

Expanding the role of supervision in child psychiatric education.

Despite the burgeoning of available therapeutic interventions, the sparse literature devoted to child psychiatric supervision concentrates on individual psychotherapy. The non-cognitive aspects of the expanding supervisory challenge continues to converge on the clinician's personality, which is a focus of educational attention only in sequestered or haphazard parts of programs. The unidimensional supervisory literature addresses this issue by questioning the extent to which supervision should resemble traditional pedagogy or personal psychotherapy. In contrast to this emphasis on elusive unconscious influences on clinical work, scant attention has been devoted to other influences stemming from the clinician's current experiences, affiliations, identifications, aspirations and similar more easily modifiable factors that exert considerable leverage and tend to be more accessible to rational scrutiny in supervision. The latter half of this paper discusses these factors.

Attitude of Health Personnel

Gender identity change in a female adolescent transsexual.

Two years of individual and milieu therapy are described of a 14 1/2-year-old girl who had presented with the persistent request to have a sex-change operation since age 12. Her past history was obtained from her parent and the records of the child guidance clinic which evaluated her at 3 years of age. She gives a history of remarkable tomboyism during her latency years and increasing withdrawal from peers and family during early adolescence. The patient's personal and family dynamics are explored, and these major therapeutic themes are discussed. The individual and milieu therapy are described and discussed with some speculation about the reasons for her positive response to psychotherapy. It would appear that this is a rare case of postpubertal female transsexual reported to have made a gender identity change.

Adolescent

The status of prevention in the education of child psychiatrists.

While the pioneers of modern child psychiatry focused much of their attention on prevention, the situation today is markedly different. A questionnaire survey of child psychiatric residency programs suggests that when attention is devoted to prevention in the education of child psychiatrists, it is often ambiguous, haphazard, and minimal. This impelled the authors to sample the current status of available knowledge about preventive child psychiatry with an assessment of the validity of the knowledge and its potential utility. These are followed by some suggestions for child psychiatric education.

Child Psychiatry

A female fire-setter: a case report.

A case of a 12 1/2-year-old female fire-setter is presented. The symptom was the result of long term developmental problems precipitated by the onset of puberty. Psychoanalytically oriented individual psychotherapy combined with marital and family therapy were the modes of treatment. The continuous struggle to establish a therapeutic alliance with an early adolescent is discussed. A patient whose main mechanisms of defense are repression, suppression, denial, and projection presents a challenge for the therapist.

Age Factors

Cyclic vomiting.

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Adolescent