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PSYCHOSOMATICS excellent study. It should be read by all those in the legal field whose path is likely to cross that of actual or would-be murderers. One reservation, however, must be made. In spite of its dramatic relevance in our society, homicide represents only one half the cause of death compared to suicide, only one fifth of that brought about by that most lethal of agents, the automobile. ROBERT S. PICARD, M.D. FRAMES OF MIND: ABILITY PERCEPTION AND SELF-PBRCEPTION IN THE ARTS AND SCIENCBS. by Liam Hud8on, Ph. D., New York: W.W. Norton & Co., Inc. 134 pages. $5.50. Dr. Hudson starts from the investigations described in his Contrary Imaginatiotl8, in which he identified two types among schoolboys, the con verger and the diverger, who tended toward the sciences or the arts, respectively. The focus in Frames of Mind is on " ... the influence of the individual's perception, both of his academic con- text and of himself, on the intellectual ability he is free to display". Connections are substantiated between con- vergence and respect for authority and between convergence and masculinity. Profiles are estab- li!'hcd of school boys' conceptions of professions ranging from the sciences through the arts. Their (INH'riptions conform to the "myths" of these poles. They also categorize themselves according to traditional patterns, depending on whether they were science or arts specialists. Dr. Hudson conducted further tests showing that convergers learn best from teachers who are convergers while divergers do better with teach- es who are divergers as acknowledged both by themselves and by their students. Also, although con vergers do better in school through grade twelve, divergers surpass them after entrance to university level work. Dr. Hudson notes the limitations of his test- ing and implications. He also suggests topics for further investigations, such as the function of fear in students and the home climate of con- vergers and divergers. The studies related and the prose of Frames of Mind are British. The reader will find much of interest. MYRON H. MARSHALL, M.D. PSYCHOTHERAPY IN TIlE DESIGNED THER- APEUTIC MILIEU. By Stanley H. Eldred, M.D. awl Mauricp- Vanderpol, M.D. Boston: Little, Brown and Co. (International Psychiatry Clinics Vol. 5, No.1). This boole is a review of experiences of four- teen psychiatrists interested in a therapeutic ap- 68 prosch to treatment of patients in psychiatl-:c centers. Each participant in the review considers the approach of changing behavior to effect eventual improved functioning in the family or community setting. Environmental interventions have proved to be a successfUl form of therapy for more than a decade and treating psychotic persons in this way is gaining favor in many centers, both with individual and group therapy. As the environment has been manipulated and as the patient is being seen earlier in his illness there has been less re- liance on medication and other forms of therapy. Le., shock. The team approach is discussed comprehen- sively by Dr. Louis L. Robbins in his chapter "Ego Psychology and the Milieu at the Mental Hos- pital" using attitude therapy intervention. Also, other team members have utilized a therapeutic approach with all types of behavior to cause change. Consistency was emphasized in manipu- lating ego control. Dr. Will, in his review of the above mentioned chapter, states specific steps toward interven- tion: namely - cultural, social, interpersonal, climatic. geographic. etc., stating that these in- fluences condition behavior (past. present, and future). Also, he goes on to state that "psychiat- ric disorders are not defined as diseases in the classic medical sense. but are to an extent the result of learning to exist With a minimum of anxiety and with maximum satisfaction". To me this book would be usefUl to anyone practicing therapy within any setting whether it be hospital. home or out-patient clinic. WALTER C. BRUSCHI, M.D. CLINICAL PSYCHOPHARMACOLOGY OF ANXIETY. By J.R. Wittenborn, Ph.D. Chas. C. Thomas, Springfield, 1966. The treatment of diverse psychiatric states by is empiric and the target symptom approach is the most widely used. Anxiety. as a symptom, is one of the most prevalent targets of pharmaco- therapy. In this volume, Wittenborn reviews the literature of controlled studies of anti-anxiety agents to extend our knowledge of their mode of action. to better define the criteria for their use and their methods of evaluation. The volume begins with a classiftcat'on of anxiety and formal methods of descriptive assess- ment by rating scales. Four chapters are devoted to selected reviews of drugs effective in anxiety states. anxiety in depressed states. alcoholism and geriatrics. The author's interl'st in statistical manipulations of rating scale data ;s exemplified in two chapters which analyze extensive data from uncontrolled evaluations of oxazepam (from the Volume XI

Psychotherapy in the Designed Therapeutic Milieu

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PSYCHOSOMATICS

excellent study. It should be read by all those inthe legal field whose path is likely to cross that ofactual or would-be murderers.

One reservation, however, must be made. Inspite of its dramatic relevance in our society,homicide represents only one half the cause ofdeath compared to suicide, only one fifth of thatbrought about by that most lethal of agents, theautomobile.

ROBERT S. PICARD, M.D.

FRAMES OF MIND: ABILITY PERCEPTIONAND SELF-PBRCEPTION IN THE ARTSAND SCIENCBS. by Liam Hud8on, Ph. D., NewYork: W.W. Norton & Co., Inc. 134 pages. $5.50.

Dr. Hudson starts from the investigationsdescribed in his Contrary Imaginatiotl8, in whichhe identified two types among schoolboys, theconverger and the diverger, who tended towardthe sciences or the arts, respectively. The focusin Frames of Mind is on "... the influence of theindividual's perception, both of his academic con­text and of himself, on the intellectual ability heis free to display".

Connections are substantiated between con­vergence and respect for authority and betweenconvergence and masculinity. Profiles are estab­li!'hcd of school boys' conceptions of professionsranging from the sciences through the arts. Their(INH'riptions conform to the "myths" of thesepoles. They also categorize themselves accordingto traditional patterns, depending on whether theywere science or arts specialists.

Dr. Hudson conducted further tests showingthat convergers learn best from teachers who areconvergers while divergers do better with teach­es who are divergers as acknowledged both bythemselves and by their students. Also, althoughconvergers do better in school through gradetwelve, divergers surpass them after entrance touniversity level work.

Dr. Hudson notes the limitations of his test­ing and implications. He also suggests topics forfurther investigations, such as the function offear in students and the home climate of con­vergers and divergers.

The studies related and the prose of Framesof Mind are British. The reader will find muchof interest.

MYRON H. MARSHALL, M.D.

PSYCHOTHERAPY IN TIlE DESIGNED THER­APEUTIC MILIEU. By Stanley H. Eldred, M.D.awl Mauricp- Vanderpol, M.D. Boston: Little,Brown and Co. (International PsychiatryClinics Vol. 5, No.1).

This boole is a review of experiences of four­teen psychiatrists interested in a therapeutic ap-

68

prosch to treatment of patients in psychiatl-:ccenters. Each participant in the review considersthe approach of changing behavior to effecteventual improved functioning in the family orcommunity setting.

Environmental interventions have proved tobe a successfUl form of therapy for more than adecade and treating psychotic persons in thisway is gaining favor in many centers, both withindividual and group therapy. As the environmenthas been manipulated and as the patient is beingseen earlier in his illness there has been less re­liance on medication and other forms of therapy.Le., shock.

The team approach is discussed comprehen­sively by Dr. Louis L. Robbins in his chapter "EgoPsychology and the Milieu at the Mental Hos­pital" using attitude therapy intervention. Also,other team members have utilized a therapeuticapproach with all types of behavior to causechange. Consistency was emphasized in manipu­lating ego control.

Dr. Will, in his review of the above mentionedchapter, states specific steps toward interven­tion: namely - cultural, social, interpersonal,climatic. geographic. etc., stating that these in­fluences condition behavior (past. present, andfuture). Also, he goes on to state that "psychiat­ric disorders are not defined as diseases in theclassic medical sense. but are to an extent theresult of learning to exist With a minimum ofanxiety and with maximum satisfaction".

To me this book would be usefUl to anyonepracticing therapy within any setting whether itbe hospital. home or out-patient clinic.

WALTER C. BRUSCHI, M.D.

CLINICAL PSYCHOPHARMACOLOGY OFANXIETY. By J.R. Wittenborn, Ph.D. Chas. C.Thomas, Springfield, 1966.

The treatment of diverse psychiatric states bydru~s is empiric and the target symptom approachis the most widely used. Anxiety. as a symptom,is one of the most prevalent targets of pharmaco­therapy. In this volume, Wittenborn reviews theliterature of controlled studies of anti-anxietyagents to extend our knowledge of their mode ofaction. to better define the criteria for their useand their methods of evaluation.

The volume begins with a classiftcat'on ofanxiety and formal methods of descriptive assess­ment by rating scales. Four chapters are devotedto selected reviews of drugs effective in anxietystates. anxiety in depressed states. alcoholism andgeriatrics. The author's interl'st in statisticalmanipulations of rating scale data ;s exemplifiedin two chapters which analyze extensive data fromuncontrolled evaluations of oxazepam (from the

Volume XI