Family Therapy Networker

Articles from Vol. 19, No. 3, May/June

Around the Network: A Question of Hope
IN THE PAST TWO YEARS, therapists have come to feel that they are the targets of the old Chinese curse, "May you live in interesting times." Blanks grew in appointment books, newspapers trumpeted malpractice awards, the amount of paperwork mushroomed,...
A Surgeon's Life
In his new book, An Anthropologist On Mars, neurologist Oliver Sacks profiles seven people with unusual neurological disorders that show bow our brains construct our individual worlds. One of the most remarkable is an account of a visit with Carl Bennett,...
CASE STUDIES: Lost in America; Overcoming the Isolation of a Multiproblem, Middle-Class Family
THE MULTIPROBLEM FAMILY PRESENTED IN THE following case whose difficulties include school phobia, AIDS, clinical depression and the economic consequences of divorce are not members of the underclass, but of the well-educated, urban middle-class. In the...
Columbo Therapy
IN 1987, I WAS WORKING AS A psychologist in a 500-prisoner, maximum-security prison rising from a cornfield outside a large Midwest city. I was assigned to a special restrictive tier the only one of its kind in the country housing 22 men, all of whom...
Diagnosing for Dollars?: Diagnosing for Dollars?
DURING THE GLORY YEARS OF THE LATE 1960s AND EARLY 1970s, when reimbursement for insured outpatient psychotherapy was automatic, unchallenged and comprehensive, it's fair to say that diagnosis was of only fleeting concern to most therapists. Finding...
Dsm and the Medical Model
ONE UNARGUABLE INNOVATION of the so-called DSM revolution was the inclusion in the manual of non-medical assessment through the five different axes, or "domains of information" that transcended strictly behavioral symptoms. The goal for DSM-III, according...
Emerging from the Shadows: Emerging from the Shadows
MY FIRST APPOINTMENT WITH MY NEW CLIENT, A REFERRAL from a college counseling center, was still several weeks away when I got a message on my answering machine asking me to call her in Minnesota, where she was visiting family. She was in anguish about...
Kids, Drugs and Side Effects
NOT LONG AFTER GREGORY WAS finally diagnosed with Tourette Syndrome at the age of 7 when he was having 10 to 20 uncontrolled episodes of rage a day we began the search for appropriate medication It hasn't been easy: Very few of the drugs we and other...
PERSPECTIVES; Biography and the Dissolving Self: Are We Reading More but Living Less?
I'VE BEEN AFFLICTED WITH A SINGLE STRIKINGLY OBVIOUS thought about biography these past few months and the time has come for me to unburden myself. This thought has come to me not as part of a chain of logical connections; it has come instead, if thoughts...
SCREENING ROOM: The Madness of Kings and Heros
Hollywood has created a new genre of biopics about the joys of perpetual adolescenceNO ONE'S LIFE IS A SIMPLE STORY. WE ALL LIVE AN ALMOST infinite succession of stories, some tragic, some comic. We are all both hero and villain, victim and victimizer....
THE BUSINESS OF THERAPY; beyond Managed Care: Creating Alternatives While Keeping the Faith
AFTER REPEATED ATTEMPTS TO BATTLE THE DIRECTION of the health care system over the past several years, it is clear to me that while I cannot beat managed care, I am not willing to join it. Instead, I have devoted myself to exploring other opportunities...
Wild Boy
IT'S MID-MORNING IN MY THERAPY OFFICE IN BELLEVUE, Washington, and Elaine, the principal of my son's progressive private school, phones me out of breath, angry and exhausted. She tells me to come at once and get Gregory, my wild boy. It is the kind...