The Merchant of Venice: the homosexual as anti-Semite in nascent capitalism.
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The HIV/AIDS epidemic provides fertile breeding ground for theories of the origin of HIV/AIDS, its mode of transmission, and the allocation of blame. Drawing on ethnographic research in the Bushbuckridge region of the South African lowveld, this article examines the articulation of AIDS through gossip and rumor. These oral forms create moral readings of behavior and shape folk discourses of AIDS that resist dominant epidemiological explanations. Significantly, constructions of AIDS are not uniform. Although elders claim AIDS as traditional and curable, younger men and women support theories of AIDS as a modern, foreign disease. Witchcraft beliefs are popular in explaining why certain people die and not others. At times, rumor may escalate into a moral panic. The implications of these findings for social responses to the AIDS epidemic and HIV/AIDS prevention are explored.
This article highlights the clinical progress of three long-term psychotherapy groups for children with pervasive developmental disorders. Unique aspects of working with such children are addressed as well as their movement through the phases of group development. Clinical observations suggested that these groups did in fact pass through observable phases of cohesion, differentiation, and intimacy. Further, these children demonstrated noticeable social development both inside and outside the groups. They identified strongly with their groups, and after the settling-in period, there was remarkably little resistance to participation, especially given the children's tendencies for social avoidance. Vignettes are provided to illustrate both group developmental phases and noteworthy psychological experiences of the clinical process with children who have been diagnosed with pervasive developmental disorders.
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Medical progress in transplantation has given rise to special psychiatric problems requiring understanding and proper care. If these problems are to be adequately addressed, psychological services should be available in all activities of the transplant unit. This paper discusses the role of the consultation liaison psychiatrist with patients and colleagues in kidney transplantation. Areas for exploration in evaluating prospective donors and recipients are identified. While body image problems emerge infrequently in kidney transplantation, careful psychological screening may identify some of these potential difficulties and set the stage for dealing with them. The discussion of pertinent issues and possible complications with patients proves to be an effective, preventive approach. While most members of a transplant team are aware of the ethical dimensions in transplantation, psychiatrists, by the very nature of their work as students of human behavior, are pulled directly into these issues. Further, the atmosphere on the transplant unit should be constantly monitored in order to nurture a healing environment for both patients and staff.
Recent attempts to frame complex policy issues in terms of "justice between generations" and "intergenerational equity" are based on a series of questionable assumptions and economic calculations concerning the relative financial well-being of the elderly vis-à-vis other groups in U.S. society. On closer inspection, however, these assumptions--e.g., of a homogeneous and financially secure elderly population and of younger cohorts likely to become increasingly resentful of elderly entitlement programs--appear ill-founded. Census data revealing wide disparities in income among the elderly, and national opinion poll data suggestive of a large cross-generational and cross-ethnic group "stake" in Social Security and Medicare, are used to suggest that the intergenerational equity framework may well be an inappropriate one in the public policy arena. Such a framework, moreover, is seen as deflecting attention from more basic inequities in U.S. society and from the need for major policy shifts in response to these more fundamental problems.
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An understanding of phase development in groups is the basis of this framework for the therapeutic use of program activities for emotionally disturbed children.
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The dynamics of The Last Supper are used to describe how organizations' members frequently make unethical, organizationally destructive decisions and then become "spin doctors" who collude in creating explanations that deflect attention from their contributions to the ensuing debacles. The implications of that process for a variety of organizations, including those engaged in health care, are discussed.
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