Bulletin of the Menninger Clinic (B MENNINGER CLIN )

Publisher: Menninger Clinic; Menninger Foundation, Guilford Publications


The Bulletin of the Menninger Clinic offers a psychodynamic perspective on the application of theory and research in outpatient psychotherapy, hospital treatment, education, and other areas of interest to mental health professionals. This widely indexed, peer-reviewed journal has been published since 1936 by the Menninger Clinic, a nonprofit international mental health center. Occasional topical issues focus on critical subjects, providing an in-depth look at complex treatment dilemmas. Recent topics issues have covered assessment and treatment of psychiatric disorders in the elderly, integrating outcome measurement with clinical practice, and treatment of anxiety disorders.

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    Bulletin of the Menninger Clinic website
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    Bulletin of the Menninger Clinic
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    Periodical, Internet resource
  • Document type
    Internet Resource, Journal / Magazine / Newspaper

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Guilford Publications

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    • Permission to reuse articles must be sought from the publisher
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Publications in this journal

  • Christian E Salas, darinka radovic, Kenneth S.L. Yuen, Giles N Yeates, Osvaldo Castro, Oliver H turnbull
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    ABSTRACT: Dysexecutive impairment is a common problem after brain injury, particularly after damage to lateral surface of the frontal lobes. There is a large literature describing the cognitive deficits associated to executive impairment after dorsolateral damage, however, little is known about its impact on emotional functioning. This case study describes changes in a 72 year old man [Professor F], who became markedly dysexecutive after a left fronto-parietal stroke. Professor F’s case is remarkable in that, despite exhibiting typical executive impairments, abstraction and working memory capacities were spared. Such preservation of insight-related capacities allowed him to offer a detailed account of his emotional changes. Quantitative and qualitative tools were used to explore changes in several well-known emotional processes. The results suggest that Professor F’s two main emotional changes were in the domain of emotional reactivity [increased experience of both positive and negative emotions] and emotion regulation [down-regulation of sadness]. Professor F related both changes to difficulties in his thinking process, especially a difficulty generating and manipulating thoughts during moments of negative arousal. These results are discussed in relation to the literature on executive function and emotion regulation. The relevance of these findings for neuropsychological rehabilitation and for the debate on the neural basis of emotional processes is addressed.
    Bulletin of the Menninger Clinic 07/2014;
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    ABSTRACT: The authors' clinical experience with young girls with Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH), who are facing the often hastily suggested, and accepted, surgical treatment of vaginal reconstruction brings new light to the question of female sexuality and its specific modes of access: its traumatic aspects, the mother-daughter conflict of ambivalence and the associated risk of depression, as well as the importance of the relational factor in the construction of bodily interiority.
    Bulletin of the Menninger Clinic 01/2014; 78(1):57-69.
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    ABSTRACT: The correlation between obsessive-compulsive disorder (OCD) and perfectionism is well documented, yet it remains unclear if dimensions of perfectionism vary as a function of OCD symptom dimensions. To this end, the present study investigated the unique associations between dimensions of perfectionism (i.e., concern over mistakes, doubts about actions, personal standards, parental criticism, parental expectations, and organization) and OCD symptom dimensions (i.e., hoarding, washing, checking, ordering, obsessing, and neutralizing). The study included adult patients with OCD (N = 46) from a residential OCD treatment program. Consistent with previous research, doubts about actions was a significant predictor of overall OCD severity and OCD checking symptoms. The organization dimension of perfectionism was a significant predictor of OCD ordering symptoms. The current study provides evidence for the unique relationships between OCD symptoms and perfectionism dimensions that encourage a movement toward greater phenotypic specificity within existing models of OCD.
    Bulletin of the Menninger Clinic 01/2014; 78(2):140-59.
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    ABSTRACT: This article proposes an understanding of children with reactive attachment disorder (RAD) through psychoanalytic thought and mentalization theory. RAD is presented followed by a discussion on attachment and the need for a better understanding of this disorder. Theories from British psychoanalytic thinkers are used to describe what might be transpiring in the early relationship between mother and child. Particular attention is given to how children's internal objects are influenced by a compromised early mother-child relationship.
    Bulletin of the Menninger Clinic 01/2014; 78(1):34-56.
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    ABSTRACT: Deliberate self-harm (DSH) in young people is a clinical and social problem related to early maltreatment but with little specificity in type of care or abuse determined. A community sample of 160 high-risk young people (aged 16-30) were the offspring of mothers' previously interviewed as vulnerable to major depression. The youth were interviewed to determine DSH (both suicidal and nonsuicidal), childhood maltreatment (using the Childhood Experience of Care and Abuse interview) and major depression (using SCID for DSMIV) before age 17. Around one fifth reported DSH; equal proportions were suicidal and nonsuicidal with a fourth of these with both. DSH was highly related to family context (single mother upbringing and family discord) and poor parental care (including antipathy, neglect, inadequate supervision, and role reversal). Highest odds ratios were for role reversal (OR = 17) and neglect (OR = 11). DSH was unrelated to any type of abuse. Logistic regression showed that role reversal, inadequate supervision, and teenage depression all modeled DSH. There was some specificity, with single mother upbringing, role reversal, and inadequate supervision predicting nonsuicidal DSH, and neglect and role reversal alone predicting suicidal DSH. Role reversal remained a key predictor for both types of DSH when controls were applied. Poor childhood care, which has implications for problematic emotion regulation and empoverished social development, needs to be understood to improve interventions and treatment for DSH in young people.
    Bulletin of the Menninger Clinic 01/2014; 78(2):95-114.
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    ABSTRACT: Many psychoanalysts have offered innovative ideas on the treatment of schizophrenic patients, but none on postpsychotic depression. The author presents a psychoanalytic conceptualization of postpsychotic depression based on Kohut's ideas regarding the development of normal and pathological grandiosity. The main premise is that postpsychotic depression stems from the loss of psychotic grandiosity, and that it is the psychological reaction to the loss of omnipotent identity whose role it is to provide an alternative reality. Through near-experience connectedness, clinicians and practitioners in the psychiatric rehabilitation field can facilitate an empathic milieu in which new mental constructs can be established and new behavioral skills can be learned.
    Bulletin of the Menninger Clinic 01/2014; 78(1):70-86.
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    ABSTRACT: Psychoanalytic theories suggest that color perception on the Rorschach relates to affective modulation. However, this idea has minimal empirical support. Using a clinical sample, the authors explored the cognitive and clinical correlates of Rorschach color determinants and differences among four affective modulation subtypes: Controlled, Balanced, Under-Controlled, and Flooded. Subtypes were differentiated by measures of affective regulation, reality testing/confusion, and personality traits. Initial support for the relationship of chromatic color response styles and affective modulation was found.
    Bulletin of the Menninger Clinic 01/2013; 77(1):70-93.
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    ABSTRACT: Caregiver-child attachment results in a cognitive-emotional schema of self, other, and self-other relationships. Significantly disrupted attachments may lead to pathogenic internal working models, which may have deleterious consequences; this indicates the need for early attachment intervention. The authors consider the therapy of a 3-year-old boy with aggressive behaviors who had lacked consistent caregiving. Attachment theory can account for the child's psychotherapeutic gains, despite his insecure attachment style. The authors discuss discrepancies between treatment and current research trends.
    Bulletin of the Menninger Clinic 01/2013; 77(3):250-68.
  • Bulletin of the Menninger Clinic 01/2013; 77(4):299-301.
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    ABSTRACT: Depressive symptoms and attributional style were assessed in a sample of 7- to 11-year-old children at two time points. Findings revealed that boys and girls did not differ in their level of depressive symptoms over 1 year. At baseline, boys were more likely than girls to make stable attributions for negative events. Boys made fewer stable attributions for positive events than did girls. Moderational analyses suggested that attributional style more strongly predicted changes in the number of depressive symptoms 1 year later in boys when compared to girls. Findings emphasize the need to address vulnerability factors in preadolescent boys that may put them at risk for the development of later depressive symptoms.
    Bulletin of the Menninger Clinic 01/2013; 77(3):233-49.
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    ABSTRACT: The Standing Liturgical Commission of the Anglican Church in the United States has identified persons whom they consider Holy men or Holy women, and who are celebrated in Lesser Feast and Fast day services. In 2009, the triennial General Convention of the Anglican Church, USA, ratified the recommendation of the Commission that Dr. William W. Mayo and Dr. Charles Menninger and their sons, as pioneers in medicine, were worthy of such a designation. The author was approached to deliver the following homily at a service at the Palmer Memorial Episcopal Church in Houston, Texas, March 6, 2013.
    Bulletin of the Menninger Clinic 01/2013; 77(3):195-200.
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    ABSTRACT: Hope in the context of individuals with dementia and their carers is defined in this paper in terms of an openness to surprises with regard to indicators of continuing self-identity in the individual with dementia, active agency with regard to carers and affected individuals to the extent possible, and the affirmation of a theory of personhood and related moral status that breaks through the limits and prejudices of hypercognitive values.
    Bulletin of the Menninger Clinic 01/2013; 77(4):349-68.
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    ABSTRACT: The author proposes that psychotherapy is best grounded in scienceinformed humanism and, more specifically, that psychotherapists at least implicitly promote ethical, moral-and indeed, virtuous-behavior. In doing so, therapists are challenged continually to engage in making evaluative moral judgments without being judgmental. He contends that psychotherapists, and psychologists especially, are overly reliant on science and might benefit from being more explicit in their ethical endeavors by being better informed about the illuminating philosophical literature on ethics. He highlights the concept of mentalizing, that is, attentiveness to mental states in self and others, such as needs, feelings, and thoughts. He proposes that mentalizing in the context of attachment relationships is common to all psychotherapies, and that this common process is best understood conjointly from the perspectives of developmental psychology and ethics. The author defends the thesis that employing psychotherapy to promote ethical, moral, and virtuous functioning can be justified on scientific grounds insofar as this functioning is conducive to health.
    Bulletin of the Menninger Clinic 01/2013; 77(2):103-131.
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    ABSTRACT: The challenge of accurate diagnosis remains at the heart of good psychiatric treatment. In the current state of psychiatry, a confluence of forces has increased this challenge for the clinician. These include practical pressures-such as limited time for diagnostic evaluation, the question of what is reimbursed by insurance, and the issue of directing patients to acute treatments-and also trends in nosology, such as the descriptive focus on signs and symptoms in the current official diagnostic system. The authors offer observations that we hope will help clinicians who have to make difficult diagnostic differentiations often under pressured circumstances. The paper is motivated both by the high frequency of diagnostic errors observed under such conditions and also by the belief that considering symptoms in the context of the patient's sense of self, quality of interpersonal relations, and level of functioning over time will help guide the diagnostic process.
    Bulletin of the Menninger Clinic 01/2013; 77(1):1-22.
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    ABSTRACT: The authors discuss the development of a track-based approach to working with disordered eating patients in an inpatient psychiatric facility. Because of the high mortality rate and complex presentation of patients with eating disorders, treatment is essential. However, treatment in a specialized eating disorder program is not always feasible. The authors present their rationale for creating an Eating Disorder Track imbedded in an inpatient facility that offers severalweek lengths of stay conducive to intensive psychotherapeutic and milieu treatment.
    Bulletin of the Menninger Clinic 01/2013; 77(3):222-32.
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    ABSTRACT: This article examines the psychopathological implications of religious doubts. Following a discussion of their prevalence, their role in development and causal factors, and their impact upon religious belief, the author discusses the relationship between religious doubts and anxiety and depression. Religious doubts may enter the psychotherapeutic process, and the author discusses one form of religious cognitive-behavioral therapy using the Bible that might be useful for Christian patients with such doubts. The author presents a case study to exemplify these points.
    Bulletin of the Menninger Clinic 01/2013; 77(3):201-21.

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