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Biomedical subjects

G W Albee

Publications and source records attributed to G W Albee.

At least 19 recordsLinked to original sources

Revolutions and counterrevolutions in prevention.

The new prevention science put forward by the National Institute of Mental Health and by the Institute of Medicine advocates strict experimental interventions with controls to reduce risks for psychiatric disorders. Articles by R. F. Muñoz, P. J. Mrazek, and R. J. Haggerty (1996, this issue), K. Heller (1996, this issue), and D. Reiss and R. H. Price (1996, this issue) support, elaborate, and discuss this agenda. Issues that seem controversial include (a) the use of risk reduction of psychiatric disorders as the criteria for acceptable research, (b) rejection of studies of competence promotion as not aimed at specific disorders, and (c) rejection of prevention studies, done before the counterrevolution that occurred in 1980 and thereafter, that advocated social and political change aimed at achieving social equality for disadvantaged groups. Arguments against the restricted new approach are presented.

Forecasting

The politics of nature and nurture.

Scientists' explanations of group differences are based as much on their political values and unconscious needs as on objective data. It is argued that explanations of black-white differences on intelligence tests, deviant patterns of emotional and social behavior, sex differences, and attitudes toward social change and political action as primary prevention, all are influenced by underlying ideologies.

Environment

Psychiatry's human resources: 20 years later.

The author compares the findings he made about the shortage of psychiatrists 20 years ago for the Joint Commission on Mental Illness and Health with the recent findings of the President's Commission on Mental Health. He concludes that not much has changed except for an increased awareness today of the need for services for minorities, and heightened concern over the low numbers of minorities in professional positions and training programs. The shortage of psychiatrists to work with poor people, children and adolescents, the aged, the organically impaired, and the physically handicapped continues, and it is unlikely to be overcome because of the drop in the number of American medical school graduates entering psychiatric training and the federal law restricting the number of foreign medical graduates entering the United States. He believes primary prevention is the best way to ease the widening gap between the need for services and the available psychiatric resources.

Health Services Needs and Demand

Primary prevention.

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Affective Symptoms