The incongruous achiever in adolescence

The authors wished to study some of the internal psychological dynamics of achievement in a nonpatient identified high school population. Questionnaires were administered to the Grade 13 students and their parents in a large high school. A number of students whose achievement and educational plans were not congruous with their general background were selected for interview. The findings suggest that a wide variety of ages and developmental stages can be discerned as critical points in the development of a student's attitude toward higher education. These students have many values in common, and their values appear related to a positive or negative identification with parental values. The students themselves show a wide range of personality integration. They relate in a special way to a wide variety of teachers' personalities.Received M.D. from University of Alberta, Edmonton, in 1969 and completed specialty training in psychiatry at University of Toronto in 1974. Main interests include psychoanalysis, community psychiatry, and currently antabuse implants.Received M.D. from University of Toronto in 1960, D. Psych. from University of Toronto in 1963, C.R.C.P.(c) in 1965, and F.R.C.P. in 1972. Main interests include adolescent psychiatry, psychoanalysis, psychiatric residency training programs, and mental health delivery systems.     

Russia’s civil service: professional or patrimonial? Executive-level officials in five federal ministries

ABSTRACT

The issue of poor performance of the Russian federal bureaucracy is addressed by linking performance to type of official, through analysis of biographical data on deputy ministers and division (departament) heads in five federal ministries since 2012, supplemented by internet searches on behavior, particularly of a corrupt nature. Education, previous career experience, and recruitment, including its timing relative to superiors and subordinates, are analyzed, in order to determine whether officials behave primarily as members of patrimonial teams, as members of problem-solving organizations, as self-serving individuals, as the instruments of capture by commercial organizations, or as servants of bureaucratic agency interests. The data do not strongly support any one conclusion, but problem-solving officials have the strongest presence.     

Trump the antisemantic,and the boundaries of populism

ABSTRACT

In this article I consider Donald Trump as an “antisemantic” president, and link antisemanticism to broader forms of populism. Drawing on Stuart Hall’s analysis of Thatcherism, I explore the political and discursive domains as intrinsically linked in the Trumpian moment. Second, I turn to a theory of the antisemantic, showing its difference from the Orwellian universe. Where the Orwellian model depends on the inversion of meanings, the Trumpian paradigm (“Truth isn’t truth”) attacks the foundations of meaning itself. In the Trumpian age the internet also acts as a dark multiplier, thinning out meaning through its distortions and profusion. As counterpart to these patterns, I show how the antisemantic rests on certain symbolic fixities, especially around boundaries and the “uber” symbol of the wall. I end with some notes on how to reconstruct a sense of accountability in meaning, and to think of boundaries that are transitive and generative rather than singular and walled.     

Child murder committed by severely mentally III mothers: an examination of mothers found not guilty by reason of insanity. 2005 Honorable Mention/Richard Rosner Award for the best paper by a fellow in forensic psychiatry or forensic psychology

Forensic hospital records of 39 severely mentally ill mothers adjudicated Not Guilty by Reason of Insanity for filicide (child murder by parents) were analyzed to describe characteristics preceding this tragedy and to suggest prevention strategies. Almost three-quarters of the mothers (72%) had previous mental health treatment. Over two thirds (69%) of the mothers were experiencing auditory hallucinations, most frequently command hallucinations, and half (49%) were depressed at the time of the offense. Over one third (38%) of the filicides occurred during pregnancy or the postpartum period, and many had a history of postpartum psychosis. Almost three-quarters (72%) of the mothers had experienced considerable developmental stressors, such as death of their own mother or incest. Maternal motives for filicide were predominantly "altruistic" (meaning murder out of love) or "acutely psychotic" (occurring in the throes of psychosis, without rational motive). Psychiatrists should perform careful risk assessments for filicide in mothers with mental illnesses.     

Fatality following right atrial perforation by a screw-in pacemaker electrode

This paper describes the first reported fatality from right atrial perforation complicating the insertion of a screw-in right atrial pacemaker electrode. The patient was an 84-year-old woman with the sick sinus syndrome who also had hepatic cirrhosis.     

Fatalities by ingestion of propylene glycol

Propylene glycol (PG), a widely used solvent and lubricant, is thought to have low toxicity when ingested. Three cases were identified where PG, either alone or in combination with other chemical agents, contributed to death. The decedent in whom PG was the sole agent was a 32-year-old schizophrenic man with cardiomegaly and renal impairment. The blood PG concentration was 4410 mg/L at least 9.5 h following ingestion.     

Noncoercive sexual contact with similarly aged individuals: what is the impact?

A community sample of 610 adults were grouped into those who reported no sexual abuse experience, others who reported noncoercive sexual contact with an individual that was at most 4 years older, and those who reported more severe sexual abuse. The first two groups did not differ from each other on current social support, trauma-specific symptomatology, and somatic complaints whereas the more severe sexual abuse group reported more problems on these dimensions. Further analyses suggested that of the two variables, coercion was more closely associated with problematic outcome than was the existence of an age difference.