Volume 1, Issue 3 ISSN 1355-2562 July, 1994 ----------------- -------------- ---------- Contents -------- 1. The Role of the InterPsych Newsletter (line 42) 2. New Books (line 61) 2.1 Seminars in Psychiatric Geriatrics 3. Journals/Newsletters: (line 90) 3.1 The Psychoanalytic Psychotherapy Review 3.2 The Prevention Researcher 3.3 Journal of Mental Health Administration 3.4 The International Journal of Communicative Psychoanalysis and Psychotherapy 4. Articles: (line 221) 4.1 Dr Juan Carlos Garelli: "Evolutionary Considerations Regarding the Adaptive Status of Depression." 5. Viewpoints: (line 500) 5.1 Sylvia Caras: "My Story" 6. Submissions from InterPsych Subscribers: (line 776) 6.1 The International Association for Group Psychotherapy 6.2 Florida Mental Health Institute (FMHI) 6.3 International Association of Child Psychiatry and Allied Professions 7. New Lists: (line 1212) 7.1 Clinical Psychology 7.2 International Network for Interfaith Health Practices 8. Advertisements from those Seeking Placements (line 1297) 9. Calls for Research Collaborators (line 1304) 10. Job Advertisements (line 1311) 10.1 Clinical Director, Cambridge, MA :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: SECTION 1: The Role of the Newsletter ------------------------------------- This Newsletter performs an integrative role for the InterPsych group of scientific discussion forums. It is posted monthly to the psychiatry-superlist and reaches all members of psychiatry, psychiatry-assessment, psychiatry-resources, helplessness, depression, traumatic-stress, transcultural-psychology, clinical- psychology, child-psychiatry and psy-language. The membership includes redistribution lists in South America and the former Soviet Union, government departments, research institutes, publishers, and leading academics and clinicians at universities and hospitals throughout the world. The total distribution is probably in excess of 10,000. All contributions should be sent to; Ian Pitchford~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SECTION 2: New Books -------------------- 2.1 SEMINARS IN PSYCHIATRIC GENETICS (1994) is just out from the Royal College of Psychiatrists via Gaskell Press at only 10 pounds. It is meant to update, in a user friendly way, the classic by Slater & Cowie (1970) OUP. Authors are P. McGuffin, M. Owen, M. O'Donovan, A. Thapar, and I.I. Gottesman. the first four are all Dept of Psychological Medicine, U of Wales Schl of Med, Cardiff and psychiatrists, the last is an American psychologist. Chapters include:3 on methods/strategies, mental retardation, schizophrenia, affective disorders, neurotic disorders, personality disorders and criminality, alcoholism childhood disorders, dementia, and counselling & ethics. If any of your 'staff' are into reviewing, please ask for a copy from Mr. Dave Jago, Royal College/Gaskell, 17 Belgrave Square, London SW1X 8PG [ FAX 071 245 1231] and mention my name. Irving I. Gottesman, Ph.D., Hon FRCPsych Sherrell J. Aston Professor Department of Psychology Gilmer Hall Email: iig@Virginia.edu University of Virginia Telephone: 804-924-0661 Charlottesville, VA 22903-2453 Fax: 804-982-4766 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SECTION 3: Journals ------------------- 3.1 THE PSYCHOANALYTIC PSYCHOTHERAPY REVIEW ------------------------------------------- 4420 West 10th Avenue Vancouver, B.C. Canada V6R 2H9 Phone/Fax: (604) 222-2418 E-mail address not yet established. The Psychoanalytic Psychotherapy Review is concerned with psychoanalytic psychotherapy and theoretical, clinical, literary, academic, research, social and common-sense matters that impact on the practice and continuing development of psychoanalysis and psychotherapy. The Review features articles, essays, reports, abstracts of research and presentations, controversies, poetry art and book reviews. Editor: Katalina Bartok, MD, Ph.D, CCRFP, FRCP(C) Contributing Editors: Theo Dorpat, MD, DipPsych Carl Kline, MD, FRCP(C) James O Raney, MD, DipPsych Vesna Bonac, MA, C.Psych Penny Simpson, BA Hons Psych (penny_simpson@sfu.ca) ---------------------------------------------------------------------- 3.2 The Prevention Researcher ----------------------------- ============================================================ * THE PREVENTION Integrated Research Services, Inc. * * RESEARCHER 66 Club Road, Suite 370 * * Eugene, OR 97401-2464 * * Contents Phone: 503-683-9278 * * Alert Fax: 503-683-2621 * ================================================ THE PREVENTION RESEARCHER newsletter is published bi-annually by Integrated Research Services, Inc., a non-profit research and education corporation specializing in substance abuse prevention and human performance. The newsletter's publication was made possible by a federal research grant. To receive the printed newsletter THE PREVENTION RESEARCHER at no cost or obligation, please send your name, job title, mailing address, and telephone and fax number via Internet e-mail to PREVRES@HALCYON.COM Contents of Vol. 1, No. 1 - Spring 1994 --------------------------------------- The first issue of THE PREVENTION RESEARCHER focuses on violence against women in America and features a brief article by violence prevention specialist Dr. Angela Browne. Abstract: After almost two decades of trying to understand and respond to violence in partner relationships, the persistence of physical assaults between intimate partners force the prevention community to re-examine the problem. Experts estimate that 25% to 34% of all women will be assaulted by an intimate male partner during adulthood; a survey of 930 women revealed that rape by a husband or ex-husband was twice as common as rape by strangers or acquaintances. Approximately 70% of murdered women are victims of their current or former husbands or boyfriends. Most believe that a women should leave her partner immediately after a physical assault; however, this is when she may be least able to make or plan such a move. Even leaving the partner often does not end the violence; the fear of abused women that their assailant may find them and retaliate is often justified. Thus, many women rather tolerate the domestic situation of abuse that constant fear of reprisals they would feel if they left it. The second piece is by noted psychologist and intervention specialist Dr. Jack Dresser. Abstract: The Violence Against Women Act within the Senate's Omnibus Crime Bill is an important legislative step, but unlikely to greatly change the root causes of the problem. Violence is a societal "dysfunction" resulting from society's members' lack of skill to resolve conflicts and provide mutual support. Prevention, rather than the threat of retribution, is the key to decreasing violence. As a first step, the fact that there IS a problem has to be acknowledged. Secondly, in the United States, an awareness has to be developed just how common and accepted violent behavior is in comparison with other cultures. To overcome American society's lack of both cohesion and control -- both conflict- minimizing factors -- the skill of negotiation has to be taught to Americans, beginning in childhood. The role models presented to children need to be individuals who use intellectual and emotional skills to solve problems, not -- as most "heroes" from cartoon characters to movie actors now do -- violence. ---------------------------------------------------------------------- 3.3 Journal of Mental Health Administration ------------------------------------------- SUBSCRIPTION INFORMATION JOURNAL OF MENTAL HEALTH ADMINISTRATION The Journal of Mental Health Administration is published quarterly by Sage Publications, Inc. It is a peer-reviewed, multi- disciplinary journal which publishes articles on the organization, financing, and delivery of behavioral health (mental health and substance abuse) services. The Journal is indexed and abstracted in a vast number of services, including Current Contents, Excerpta Medica/EMBASE, HEALTH Planning and Administration Database (MEDLARS), Hospital Literature Index, Mental Health Abstracts, Psychological Abstracts, Social Sciences Citation Index, as well as many other abstract/indexing services. One year individual subscription rate is $45.00. One year institutional subscription rate is $75.60. A sample issue of the Journal is available upon request. All foreign orders must be paid in U.S. funds. For further subscription information, contact: Journal Subscription Department Sage Publications, Inc. Post Office Box 5084 Thousand Oaks, California 91359 TEL: (805) 499-0721 FAX: (805) 499-0871 ---------------------------------------------------------------------- 3.4 The International Journal of Communicative Psychoanalysis and Psychotherapy. ------------------------------------------------------------- Address: William B. Goodheart, M.D., Editor 25 Wiltshire Avenue, Larkspur, CA 94939 This journal includes articles that address events and behaviors that enhance or interrupt therapy. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SECTION 4: Articles ------------------- 4.1 Juan Carlos Garelli: Evolutionary Considerations Regarding the Adaptive Status of Depression ----------------------------------------------------------------- Introduction ------------ On considering a human psychological trait -such as depression- adaptive in a Darwinian sense, a few basic tenets should previously be raised and eventually agreed upon, in order to make sure that when the term "adaptive" is mentioned we are all speaking the same language. For a human behavioural trait to have evolved as an Evolutionary Stable Strategy (ESS) (Maynard-Smith, 1975) it should prove to be endowed with a differential survival advantage in man's Environment of Evolutionary Adaptedness (Bowlby, 1969/82). Since these Darwinian conceptualizations are far from evident and can thus be hardly taken for granted, I start the article with a brief description of current evolutionary thinking further to elaborate on depression embedded in this particular setting. Natural Selection ----------------- The process that determines the evolutionary history of a species is Natural Selection. This is the differential reproductive success of individuals within a population that occurs because of hereditary differences among them. Charles Darwin was the first man to recognize that if some members of a group of animals have more progeny, because of their inherited makeup, than other member, then evolutionary change will take place (Darwin 1859). Darwin developed the theory of natural selection at a time when the concept of gene as the unit of heredity was unknown to him. That is why he had to deal with rather abstract principles. He actually founded his theory on 3 principles: 1. the principle of variety: individuals of the same species vary in their ability to leave more reproductive offspring; 2. the principle of heredity, whereby progeny resemble direct ancestors more than any other member of the population; and 3. the principle of natural selection. whereby individuals that differ in certain traits also differ in their ability to leave reproductive descendants. (Garelli 1983) We are now in a better position to reformulate the key observations and deductions of Darwin in modern genetic terms. This will enable us to understand the evidence and logic underlying an evolutionary approach to animal behaviour. All organisms have genes; all living things have within them nucleic acids that contain in coded form information about protein synthesis. Among other things, this information regulates the development of the individual. Within a species, many genes are present in 2 or more alternative forms or alleles. Different alleles code for slightly different forms of the same protein and thereby provide somewhat different influences on the development of individuals. This contributes to variation in the characteristics of the members of a species. Populations are limited in size. No population can grow forever. Most populations fluctuate in a fairly narrow range about an average number. The number of copies of each gene in a population is therefore limited. Consequently, it follows that there will be competition between alleles of a gene to occupy the limited number of spaces in a gene pool. If one allele over a period of time consistently makes more surviving copies of itself than another, it will eventually replace the alternative form within the population. This is natural selection. Furthermore, the living members of any modern species have within them alleles that have generally been successful at copying themselves and passing from generation to generation; that is, these alleles have been "selected for". Because the development of traits is regulated genetically, we should expect that the characteristics of organisms will tend to help an individual's genes survive. The logic of natural selection requires that over time animals will evolve behavioural adaptations that promote the survival of genes that underlie advantageous traits. Genes in individuals that are reproductive failures will tend to be eliminated -that is why genes for depressive behavioural traits are unlikely to be present in human's genome-; genes with the capacity to steer development along lines that produce reproductively successful individuals should tend to survive -that is the case of attachment behaviour. All the evolved characteristics of an individual, be they developmental mechanisms, physiological systems or behavioural capabilities should be related to the survival of the genes within the individual. Seen in this light, life is essentially an unconscious contest among different alleles to survive and replace alternative forms. E.O.Wilson has vividly expressed this view with his epigram: "An organism is DNA's way of making more DNA". Genes may survive indefinitely, whereas individuals do not; they are merely "survival machines" (to use Dawkins' metaphor (1976)), produced by a set of genes for the welfare of those genes. An evolutionary approach to behaviour -as that adopted by Bowlby's theory of attachment- rests on the concept of natural selection. And natural selection operates on the species' environment of evolutionary adaptedness: in the case of homo sapiens, the environment in which the species emerged: long before the agricultural revolution, about 10,000 years ago, probably about a million years ago. Because genes have been selected for their ability to survive, an evolutionary approach predicts that all the evolved characteristics of an animal should tend to promote the survival of the genes that underlie these characters. Therefore, the fundamental evolutionary question about behavioural traits is: how might a behavioural action help maximize the individual's fitness? This inquiry is crucial for the understanding of attachment behaviour and some of its pathological outcomes: e.g., depression. Animal behaviour is the outcome of a complex developmental process that is regulated by the genes. The connection between the genes and behaviour is an indirect one, with many intervening steps between chromosomes and behavioural responses. Genes regulate enzyme production, which in turn controls the development of the physiological mechanisms necessary for behaviour. Although a full understanding of these events is still in its infancy, there is an increasing body of knowledge about the links between genes, neurophysiology, behaviour, and the environment. Behavioural Systems Underlying Attachment ----------------------------------------- If we define attachment as a genetic bias all infants are endowed with to seek and keep proximity to their caregivers, we shall see the component, discrete behaviours, such as smiling, crying, following, approaching, clinging, as expressions of the underlying attachment behaviour system. Like all other behavioural systems, the attachment behaviour system is activated, regulated and terminated under certain circumstances. For example, infants are known to desire closer contact with the caregiver (the attachment figure) when thy are ill, tired, frightened or in certain prepotent situations such as unfamiliar environment or darkness. When the infant achieves locomotion a new behavioural system becomes activated: that of exploratory behaviour. Exploration of the environment is antithetical to attachment. It is of the utmost importance to focus the relationship of the infant to his mother as keeping a balance in the interplay between both systems. One of the most important functions of the attachment behavioural system is to intervene in the infant's excursions into the environment, in response to a variety of potentially dangerous events, thereby deactivating the exploratory system and activating the attachment system, thus seeking proximity or contact to his mother. (Bowlby 1973, Ainsworth 1982). Several studies show that the children approach their caregivers not only in response to dangerous stimuli but also they do so to check the availability and attentiveness of the caregiver, in a sort of permanent monitoring activity, after which the child wanders off to play again; after a while he returns again, and so on and so forth. This kind of behavioural pattern is referred to in the literature as the baby using his mother as a secure base (Ainsworth 1978). Social Evolution ---------------- Many animal species have evolved behavioural systems that lead the individuals of such species to behave cooperatively. Social communities are so widespread in nature that a taxonomic classification proves almost impossible: it ranges from species to families to phyla; e.g., invertebrates like ants or bees to vertebrates such as fish, birds and mammals. Such striking deployment of social organization calls for an evolutionary explanation. Genes that favoured cooperative behaviour, reciprocity and communication, protection and care towards other members of the species - generally close kin- have been selected for (Wilson 1975). One of the most important evolutionary movers to cause socialization is defence against predation. Let us remember that natural selection favours individuals whose progeny reaches reproductive age. Therefore, in order to avoid extinction, it is necessary to protect the young. The ability to avoid early death in a population represents the degree of differential mortality among the species. A major component of natural selection is high pre-reproductive mortality. In all species -with the exception of recent human history- more individuals die in each generation than survive to reproductive age. Darwin realized that high reproductive mortality was a necessity, a logical necessity. It followed from a single fact regarding nature, that is, that over long periods of time, the amount of living material on the earth does not increase, or increases very slowly. This means that for a typical species, numbers must remain relatively constant from generation to generation. Otherwise, the total biomass of living creatures would increase year after year. Once we assume that numbers remain relatively constant, then it is easy to calculate how many individuals in each generation die before reproduction. Human beings probably have the slowest natural rate of increase of any living creature, and we know that until the discovery of agriculture about 10,000 years ago, human numbers increased very slowly (Leakey 1981). If a woman who survives through adulthood has about 6 children, then we know - for numbers to have stayed constant- that 4 of these 6 must have perished. We know from studies of contemporary hunter-gatherer cultures that about 20% of the children born perish in the first year of life (Trivers 1985, Garelli 1984). Darwin saw clearly that the tremendous reproductive potential of all creatures must result in intense competition to survive, a competition that would result in non- random differential mortality. Those creatures who happen to be born with characteristics that make it easier to survive will endure while others will fall the wayside. Now what could be a deterrent to non- random mortality, that is, what could reduce the exposure to predatory animals, especially among younger member of species? Grouping as in bird flocks or fish schools, socialization, cooperation, parental care and attachment. Can Depression be Considered Adaptive? -------------------------------------- A postlorenzian ethologist would certainly deem a depressive condition maladaptive, since chronically proving no threat to predators only enhances the individual's chance to become their favourite prey. Predators differentially predate on defenceless animals, such as youths, juveniles. or otherwise handicapped individuals. Harmlessness -actually harmlessness or defencelessness displays- may prove adaptive while ocassionally fighting for hierarchical ranks intraspecifically, never interspecifically. Furthermore, depression, not as a clinical condition, but as. e.g., a normal phase of mourning, may prove adaptive within the social structure of a species but highly dangerous in the environment of evolutionary adaptedness. The reverse, denial of depression is, according to Bowlby (Attachment and Loss, vol 3: Loss, p. 72), similarly maladaptive, for individuals inclined to deny the nature of their affliction "... are more prone to suffer breakdowns in functioning when, for periods lasting weeks, months or years, they may be unable to deal effectively with their environment." To my mind depression mainly stems from our our being an extremely social species. I think we are social as from birth -and very probably before that, too. We are deeply biased to seek and keep both physical and emotional proximity to a distinct, preferred figure: the attachment figure, in Bowlby's terms. Temporary or permanent separation or loss of the attachment figure brings about a normal process: mourning. And there is no mourning without depression. Moreover, as stated above, if no depression becomes apparent, a pathological condition ensues: denial of mourning. If, on the other hand, depression is never overcome, we face another psychopathological syndrome: chronic mourning. Consequently, I can think of two possible outcomes: either we consider depression an inevitable consequence of loss, thereby putting the individual at risk of annihilation -cf. above about the high mortality rate in prehistoric man- or parental bonding and attachment have been selected for - among other things- to prevent depression from ocurring and thus saving the affected individual from sure extinction. In any case, selection, whether natural or artificial could hardly be expected to produce individuals prone to form attachment and affectional bonds and simultaneously spare them the pain accompanying loss. REFERENCES ---------- Ainsworth, M. (1982) Attachment: retrospect and prospect. In: CM Parkes & J. Stevenson-Hinde (eds.) The place of attachment in human behaviour. New YorK: Basic Books. Ainsworth, M. et al (1978) Patterns of attachment. Lawrence Erlbaum. Bowlby, J. (1969/82) A&L, vol. 1: Attachment. Basic Books. Bowlby, J. (1973) A&L, vol. 2: Separation. The Hogarth Press. Bowlby, J. (1980) A&L, vol. 3: Loss. The Hogarth Press. Darwin, C. (1859) The Origin of Species. Pelican Classics (1979). Dawkins, R. (1976) The Selfish Gene. OUP. Garelli, J.C. (1983) Bases biologicas del miedo y la angustia (Biological bases of fear and anxiety). Buenos Aires, Psicoanalisis, 5, 477-503 Garelli, J.C. (1984) Bases etologicas de la teoria del apego (Ethological roots of the theory of attachment). Buenos Aires, Psicoanalisis, 6, 119-145. Leakey, R.E. (1981) The Making of Mankind. The Bumbridge Publishing Group. Maynard-Smith, J. (1975) The theory of evolution. Pelican. Trivers, R.L. (1985) Social evolution. Bejamin/ Cummings. Wilson, E.O. (1975) Sociobiology: the new synthesis. Harvard University Press. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SECTION 5: Viewpoints --------------------- 5.1: Sylvia Caras: "My Story" ----------------------------- My Story -------- Contents -------- Introduction My Personal View Politics and the User Movement The Value For Me in Communicating Electronically Electronic Mail The Practical Process Specific to madness Conclusion Introduction ------------ Stories of internet impact on persons' lives are being collected as part of the move to develop community networks. I asked others to write up and submit their own stories; I worked on the history of ThisIsCrazy. And I realized that I ought also to tell my own story. My story explains my attachment to electronic internet mail. My story looks at why I am so satisfied in these traditionally, male, young, sometimes cutthroat, retaliatory surroundings, why I am at home here even though I am a grandmother, inclusive and conciliatory. And my story relates why electronic networking is especially important to me as a person with a psychiatric diagnosis, a person with a silenced voice, a mad woman. My Personal View ---------------- Fundamental to owning a psychiatric diagnosis is the experience of exclusion. On the internet, I do not have to wear my anti-exclusion armor. The essential me may subscribe, unsubscribe, post; to disclose, I have to overtly reveal most of my categories and classes. On the internet, I am stretched; I am learning a new set of nuances, a new way to see what another means, a new way to be available and responsive. I receive enough feedback- that-I-believe to demonstrate to me that I am good at what I am doing. The corroboration sustains and energizes me. Politics and the User Movement ------------------------------ In recent years, the user movement has had no dependable national information source, no newsletter, no organization, no resource directory, no way to grow as a movement, and, what exasperated me the most, no opportunity for newcomers. Command and connections remained with the networked old timers. I had something to say, I had an experience and a point of view. I wanted in. The lack of network was explained away by "no money," "no funding," "we are all volunteers." I knew how to make a beginning with not too much money. And I know how to leverage the internet costs. My own goal was that information and knowledge should be shared; I wanted a tool so that everyone should have access to everything. Then each could do as they wanted. As a movement, we have been reactive to the models we knew, authoritarian and paternalistic. We became anarchic or compliant. The internet is a milieu almost without models and that forces empowerment without much personal or systemic resistance. The internet is involvement. And involvement on a human, anecdotal scale with unsung people and modest events creates a demonstrable critical mass of caring and community. The Value For Me in Communicating Electronically ------------------------------------------------ Electronic Mail The Practical ------------- Effect Compelling effective use of my self, my time. Universe Reaches an expanded population, a population large enough to meet interests too specialized for face-to-face communities. Content Electronic contacts have more clarity, are less fuzzy, are shorter. Time Less overall time than voice, snail mail, or fax Speed Faster potential turnaround than for snail mail or fax. Turnaround Turnaround for voice mail depends on whether desired person was reached, or human or recording device took a message. Cost Reduces long distance charges for voice calls. Reduces snail mail postage costs. Reduces cost of supplies -- envelopes, paper, postcards, labels, staples, duplicating, and laser cartridges. Process ------- Mental A mostly mental, very sedentary activity. Undemanding Requires less of me; can use even when I am low, tired, or otherwise ill at ease with myself. Informal Has the informality of speech and the focus of writing. Accurate Quoting creates feedback and accuracy of understanding. Control I control the pace of my participation; I may reply spontaneously or thoughtfully. Balance My concision and another's verboseness stay in balance better than in an oral dialogue. I don't feel overwhelmed, or as if I have less of a chance. Clarity I have to deal with fewer levels of communication. The hidden agendas and non- verbals of verbal exchange, which also require attention, are reduced, the pauses and intonations. The stroking and grooming of social exchange is reduced. Impact of non-verbals, social station, work rank, ... is reduced. Also eliminated are the status cues of stationery and the more formal language (sometimes generated by levels of preview and review of print). Sensory ease Sensory input is reduced; no auditory, no new kinesthetic; no visual except words. Since I am extremely aware and often experience sensory overload, this reduction is very functional, calming. Like paper (as compared to oral), the level of input is reduced. Challenge My thinking is challenged more than in oral communication. Focus More focus, less foreplay. Courtesy is present and abbreviated. Dialogue is more content oriented; I am a thinker and the content is why I am communicating. Rhythm I may participate often without being greedy; I may observe without feeling uncooperative. Choice I may or may not read another's post; no one has to read my posts. Rules I may respond without invitation and without regard to "appropriateness" of my relationship to the author, without deference or humility, merely with content. The only place where I've been attacked is when I've posted from the user point of view about disability and coercion issues to one of the health care reform lists (HEALTHRE), and to the psychiatry list. On the psychiatry list there was as well appreciation and thanks. Level fields The real action is not behind the scenes; the real action is fully public. Valuing I am measured by the content and style of my post, not my age, presence, education, bond weight of my stationery, pearls, ... . I feel my good mind is valued; I feel I am valued. Multiplicity I am able to respond from curiosity, from pragmatism, from philosophy -- to one place, with one post. I like labeling myself a cyberjock. Heard Someone listens; usually someone replies; I am heard. When I'm heard, I feel appreciated; I feel worthy; I feel understood; I feel respected; I feel affirmed. Manageable Most of the e mail and internet obstacles are obstacles of software; that's easier for me to challenge and adjust to than obstacles of personality. Democratic Instantaneous transmission of same to many; transforms the information pyramid into a line. Tailored Customized. Action is in real time, is evolving, protean. Reduced risk There's no risk to access; there's no risk to lurk. There's minimal risk to post. And I am involved in a safe way; I can marshall 200 People Who in 200 seconds if coercion is threatened. (People Who is short for people who experience mood swings, fear, voices and visions. People Who was also the name of the hand managed list that preceded ThisIsCrazy. People Who existed from January 27 to April 16 1994. The first message went to 17 subscribers, the last to 56. On 062894, ThisIsCrazy had 82 subscribers from 7 countries and was sending about 45 messages per week.) Constancy The resource, my community is continually available. Efficacy I'm good at this. Concision I know how to write a one screen message (maybe 125 words). Congruence I know how to hear what another is writing, and to post responsively. State I'm present, focussed, not distracted (or I'm in some other space). I'm less sealed off, more involved not in a virtuality, but in, for me, an expanded reality. There is an intensity and an intimacy (Is there an analog to hallucination, psychosis, a getting close to this edge? It takes me a while to "come back;" where have I been?) Specific to Madness ------------------- Safety net I can tailor access to the best hours for me. I can find support when I need it, even early morning hours, without triggering crisis responses, and without feeling judged for my rhythms. The internet is continually available, 24 hours, 7 days, even Christmas and Thanksgiving and Super Bowl Sunday. I can depend on access and input. This risk of not being able to access is only the risk of my own computer going down, my provider going down, there being no electricity, or worst of all, there being no messages in my groups. Thus, I am minimally exposed, have minimum vulnerability, need to put less attention towards maintain defensible personal boundaries. Support Broadens knowledge base of People Who about their label and its connection to other labels -- allergies, learning disabilities, chemical sensitivities, ... Sociability Electronic involvement has led me to more face-to-face involvement rather than less, the isolation which concerned me. I feel my assurance enhanced by my dependable accessible community. Lobbying Timely, effective, inexpensive Direction Depression cast me away from the middle class matron script that I'd learned when very young. I drifted uncharted. Conclusion ---------- Commonality E mail reduces my negative exceptionality. I find commonality and because of support, I reduce the burden of uniqueness. Space is created for my positive exceptionality. Through e mail, I speak in a firm clear voice. SylviaC@netcom.com; owner ThisIsCrazy-L@netcom.com June 29, 1994 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SECTION 6: Submissions from Subcribers -------------------------------------- 6.1 THE INTERNATIONAL ASSOCIATION OF GROUP PSYCHOTHERAPY -------------------------------------------------------- The International Association of Group Psychotherapy was founded in 1954, and was incorporated in Switzerland. The IAGP is an inclusive, umbrella organization for individuals and associations with a professional involvement in group psychotherapy. It serves the development of group psychotherapy in the areas of theory, practice, research and training. The IAGP links together an international community of qualified professionals through world and regional congresses, publications and other activities designed to promote dialogue in the study of small and large groups and other types of social organizations, and in the treatment of human problems within group modalities. The opportunity for meeting professionals from different societies, cultures and political systems has great potential for furthering international cooperation for purposes of research, training and clinical work. The IAGP welcomes individuals and organizations with diversified theoretical frameworks and practices. In over forty years of activity, the Association has accomplished many major organizational achievements. It now presents to its membership: * Triennial International Congresses * Regional Congresses A MEMBERSHIP DIRECTORY, which is a valuable resource of qualified international group psychotherapists and organizations of group psychotherapists of diverse orientations. THE INTERNATIONAL FORUM OF GROUP PSYCHOTHERAPY which presents to the membership articles of scientific and professional interest as well as communicating news about colleagues and events that are of professional importance. The FORUM is published quarterly, and mailed to members. SCHOLARSHIPS for Congresses. Discount subscriptions to certain professional journals and books. THE 12TH INTERNATIONAL CONGRESS will take place in Buenos Aires in 1995. Members are eligible for reduced registration fees to IAGP sponsored congresses. PAST CONGRESSES have been in Montreal - 1992, Amsterdam - 1989, Zagreb - 1986, Mexico City - 1985, Copenhagen - 1980, Philadelphia - 1977, Zurich - 1973, Vienna - 1968, Milan - 1963, Zurich - 1957, and Toronto - 1954. MEMBERSHIP APPLICATION ---------------------- IAGP thrives and evolves through the active involvement of its international members. Your participation in the process, as an individual or as an organization, is highly valued. *INDIVIDUAL MEMBERSHIP APPLICATION Membership is open to bona fide group psychotherapists who are sponsored by two current members of IAGP. Please contact Dr Giovanni Boria, Individual Membership Chair, Viale San Gimignano 10, 1-20146 Milan, Italy. Telephone: 02.68.81.496 Fax: 02.60.71.070. The membership fee is paid upon notification of acceptance and entitles the member to all privileges of membership until the conclusion of the next international congress. The fee for Individual Membership is $150.00 (US) for the three year term adjusted pro rata for shorter periods. A reduced fee of $75.00 (US) is payable in special situations in countries where there is financial hardship, and where that is not possible a voluntary fee may be accepted to cover basic administrative and mailing costs. A minimum of $30.00 (US) is suggested. *ORGANIZATIONAL MEMBERSHIP APPLICATION When applying for Organizational Membership a letter of application should include the Name of the President, By-laws, a brief description of the type of organization (i.e. training, research, professional) theoretical orientation, goals, founding year, number of members, admission requirements and scientific programs. The person nominated as correspondent must include letters of sponsorship from two IAGP members who are familiar with the Organization. Send to Dr Raquel Berman, Organizational Membership Chair, Arquimedes 3 - 6 Piso, 11580 Mexico D.F. Mexico. Telephone 525- 280-4386; Fax: 525-280-2115. The organizational membership fee is calculated pro rata, according to the size of the applying organization once the organizational membership has been approved by the Board [Example 500 members = $500.00]. It has been agreed by the Board of Directors that a lower membership fee may be approved temporarily in cases of financial hardship. NEXT CONGRESS ------------- 12TH CONGRESS OF THE INTERNATIONAL ASSOCIATION OF GROUP PSYCHOTHERAPY (IAGP) August 27 - September 1, 1995 Buenos Aires, Argentina Theme: "Groups at the Doorstep of the New Century" For Congress information contact: Janine Puget, M.D. Host Organizing Committee Chair Paraguay 2475 1121 Buenos Aires, Argentina Tel: 54(1) 961-3445 Fax: 54(1) 963-5075 SCIENTIFIC PROGRAM CHAIR Monica Zuretti, M.D., Argentina SECRETARY OF THE IAGP Dr J.Stuart Whiteley FRCPsych 33 Wheelers Lane Brockham Surrey RH3 7LA, UK. Tel: (44) 737 843446 Fax: (44) 737 843634 FOUNDER J.L. Moreno, M.D. (deceased) ---------------------------------------------------------------------- 6.2 The Florida Mental Health Institute (FMHI) ---------------------------------------------- University of South Florida Tampa, Florida 33612 - 3899 http://www.fmhi.usf.edu Research, Training and Demonstration Programs --------------------------------------------- FMHI's mission is to strengthen mental health services throughout the state of Florida. As the state's primary research and training facility for mental health, FMHI conducts research, education, and demonstration programs. FMHI is composed of four departments, Aging and Mental Health, Child and Family Studies, Community Mental Health, and the Department of Mental Health Law and Policy. FMHI's research focuses on issues of importance to policymakers, service providers, academicians, consumers and the public. The Institute conducts both basic and applied research, in such areas as epidemiology, service system delivery, treatment effectiveness, and program evaluation. In house support for research endeavors include a well equipped library , computer support center, and media center. Through its education and training programs, FMHI provides supervised field placements for students, offers continuing education for professionals, and furnishes consultation and technical assistance upon request. FMHI's demonstration projects support research and educational objectives. These services are provided directly by the Institute or in conjunction with participating agencies. As part of the state university system, FMHI works with local, state and national agencies to provide a public/academic partnership that addresses mental health issues. At the state level, FMHI works closely with the Department of Health and Rehabilitative Services (HRS), the Department of Corrections (DOC), and the Department of Education (DOE), as well as the state legislature. FMHI anticipates receiving $5 million in grants and contracts during the 1992-93 fiscal year. Granting agencies include the National Institutes of Health ( NIH), the Substance Abuse and Mental Health Services Administration (SAMHSA), the U.S. Department of Education, private foundations, and state agencies. In addition to these externally-funded projects, many of the research and training programs at FMHI are funded with general revenue dollars allocated to USF as part of the university system's Education and General (E&G) budget. INSTITUTE-WIDE TRAINING PROGRAMS Predoctoral Clinical Psychology Internship Program. The Florida Mental Health Institute provides a 12- month, intensively supervised program for Ph.D. level clinical psychology graduate students. This American Psychological Association (APA) accredited program is one of a few in the country that exposes interns to public sector service and public policy issues. Multicultural Mental Health Training Program. This program, designed to attract minority students to mental health fields, provides graduate and undergraduate students with experience in clinical, professional development, and cross-cultural skills. The training program consists of classroom instruction and supervised practical experiences in the community and at FMHI. FOR INFORMATION CONTACT: ------------------------ Max Dertke, Ph.D. Dean (813) 974-4533 SunCom 574-4533 Fax (813) 974-4406 Internet Dertke@hal.fmhi.usf.edu Mosaic Admin: Mosadm@hal.fmhi.usf.edu ---------------------------------------------------------------------- 6.3 International Association for Child and Adolescent Psychiatry and Allied Professions. ----------------------------------------------------------------- History of The International Association for Child and Adolescent Psychiatry and Allied Professions (IACAPAP) Gerald Caplan, M.D., Reimer Jensen, fil.dr.h.c., and Serge Lebovici, M.D. Part I. The Foundation of the Association. ------------------------------------------ Pioneers in European Child Psychiatry as Dr.Georges Heuyer of France, Dr.M. Tramer of Switzerland, Professor H. Stutte of Germany, Professor Carlos de Sanctis of Italy, Dr. Nic. Waal of Norway and Dr. Emanuel Miller of England, formed in 1935 a group which worked for establishing and expanding contact between psychiatrists working in the field of child psychiatry. The International Association of Child and Adolescent Psychiatry and Allied Professions emerged from this initiative. The first International Conference on Child Psychiatry was held in Paris in 1937 in association with the Mental Hygiene Conference. It was organized by Dr.Georges Heuyer who was the president of the Paris Conference. At a business meeting during the conference, The International Committee for Child Psychiatry(Le Comite International de Psychiatrie Infantile) was founded for the purpose of linking together those interested in child psychiatry in various countries, and for organizing further international conferences. Professor Schroeder of Germany (Leipzig) was elected President, Dr. Heuyer was elected Vice President, Dr. M.Tramer Secretary-General, Dr. Leon Michaux of France Assistant Secretary-General, and Dr. H.Brantmay of Switzerland Treasurer. The second conference was planned to be held in Leipzig in 1941, but Dr.Schroeder died and the Second World War made it impossible to arrange any international meetings for a while. In September 1945 the officers of the International Committee for Child Psychiatry met in Zurich and it was decided to hold the second conference in London with Dr.J.R.Rees as President. Dr. Gerald Caplan of England (London) became Secretary-General succeeding Dr.Tramer, who was elected a Vice President. No list of child psychiatrists in various countries existed at that time, and it was quite a difficult job to trace people in the field and organize the conference. It was held in London 11-14 August 1948, together with the International Conference on Mental Health. Dr. J. R. Rees was the President of all three conferences. An ad hoc committee was set up in order to discuss the program for the Child Psychiatry meeting. This committee included Dr.John Bowlby, Dr.M. Fordham, Ms. Anna Freud, Dr.Emanuel Miller, Dr. Kenneth Soddy and Dr.D.W. Winnicott. Together with colleagues from the continent, they set up the program which concentrated on aggression. Much discussion took place on the topic of eligibility for membership of the conference. It was "decided to open the membership widely so as to include registered medical practitioners with psychiatric qualifications or training, non- medical people technically qualified to work in child guidance clinics and institutions, or who were engaged in the psychiatric treatment of children, e.g., educational and clinical psychologists, child analysts and psychotherapists and psychiatric social workers. It was decided to admit others with relevant experience, subject to acceptance by the credentials committee." (Proceedings of the conference 1948.) The interdisciplinary characteristic of the Association was already stressed then even if it took some years officially to include the allied professions in the name of the Association. Much controversy on the subject was stirred up from time to time. At a business meeting held during the conference, "The International Association for Child Psychiatry" was founded by... representatives from thirty countries. Part 2. Congresses of the Association after 1948 ------------------------------------------------ The third congress was to be held U.S. in 1952; however, it was postponed until 1954 and held in Toronto, Canada. The Secretary General had died and was replaced by Dr. Gerald Caplan who took over responsibility for the arrangement of the congress. The theme was, "Emotional Problems of Early Childhood." Among 57 papers submitted for presentation, some were selected to cover the following topics: Psychosis of Early Childhood. Problems of Preventive Psychiatry. The Relation of Physical and Emotional Factors. Problems of Motherhood. Separation and Hospitalization. Already on that occasion a certain format was created for the arrangement of the conference which has been characteristic of later congresses held by the Association. The multidisciplinary approach was kept and the themes of each congress prepared by International Preparatory Commissions of Study Groups. Presentations and discussions in these groups have been published before each congress to inform the participants beforehand about crucial problems to be dealt with at the meetings and hopefully to heighten the level of discussions at the meetings as well as to increase the interest in working with the topics during the congress as well as after. It was intended to activate as many members as possible. Evaluations of the congresses proved that it was possible to arrange the meeting so that an unusually great number of participants could be active in some way in the presentations, discussions and group meetings. At the General Assembly held during the congress in Toronto in 1954, Dr. Jenny Roudinesco-Aubry of France in the was elected President, Mrs. Kirsten Vedel Rasmussen of Denmark, Secretary General, and Dr. Gerald Caplan of the U.S.A. Treasurer. The congress in 1958 was held in Lisbon, Portugal. Dr. Aubry had resigned for personal reasons and was replaced by Professor Victor Fontes of Portugal. He was succeeded by Dr. Am van Krevelen of Holland. The congress in 1962 was held in Scheveningen in Holland with the main theme: Prevention of Mental Disorders in Children. On that occasion Dr. Gerald Caplan introduced another idea which was very successful and repeated at later congresses: main speakers and chairpersons of symposia formed a group at the last plenary session where questions raised during the meetings could be discussed in a large group. In these summation panels, the highlights of the congress were stressed and new perspectives indicated. At the 1966 congress in Edinburgh, Scotland, Dr. John Bowlby of England was President. The theme was adolescence. Dr. Serge Lebovici of France became President and Dr. D. J. Duche of France Secretary General. At the assembly, the by-laws were discussed and the newly elected Executive was asked to present a revision of the by-laws at the following congress in order to extend the possibilities for membership to other professional groups, for instance, educators working in the field. According to this decision, a new constitution was presented and passed at the general assembly held during the congress in Jerusalem in 1970. The theme was: The child in his family. Of special interest was the presentations of research in relation to the rearing of children in kibbutzim. Dr. James Anthony of the U.S.A. was elected President and Dr. Albert J. Solnit Secretary General. On that occasion, Dr. Gerald Caplan resigned as an officer of the Association after having served for 25 years, most of the time as Treasurer. Dr. Caplan had worked for the Association from its start and put in a strong effort to develop it to an International and multidisciplinary association of high standards. He had established contact with important foundations, especially the Grant Foundation and the Field Foundation during a period of 16 years which made it possible for International Study Groups to meet between the International congresses, to prepare the programs for these meetings, to publish reports that inaugurated the themes of coming congresses, and to meet with experts in the field in different areas of the world. As an acknowledgement of Dr. Caplan's hard work for the Association and his very competent contribution to the development of the Association and its professional standards, the Grant Foundation offered money to make it possible to invite an outstanding expert within the field to lecture during the first Part of future congresses. Dr. Caplan was elected Honorary President of the Association and since then, The Gerald Caplan lecture has been held at each of the International congresses, usually by the retiring President of the Association. The theme in 1974 in Philadelphia was: Children at Risk. Dr. Albert J. Solnit was elected President and Peter Neubauer of the U.S.A. Secretary General. It was decided to accept an invitation from Australia to hold the next congress in Melbourne. Dr. Winston Rickards was Treasurer. In spite of the distance, quite a few people from Europe and the U.S. came to Melbourne in 1978, but not unexpectedly, most members came from Australia, New Zealand and the Far East. What had been tried on a smaller scale before was more widely organized in relation to this congress. Although the International Study Group worked on the theme of the congress beforehand, regional study groups suggested by Dr. Peter Neubauer also stimulated research within the field, arranged meetings and prepared presentations. Before the official opening, a day was used for a meeting and discussion by the groups. Especially in Australia and New Zealand, multidisciplinary groups had been very active and worked with great success as was demonstrated by the many papers presented. Apparently it was not possible to repeat this success with regional study groups. Only a few were active during the following years and their work was incorporated in the program of the next International congress held in Dublin, Ireland in 1982 under the presidency of Dr. L. Hersov of England with Richard Lansdown of England as Secretary General. The organizing and programming committees succeeded in activating a great number of the participants in panel and group discussions, and workshops. In this way, the tradition which had been created at earlier meetings was continued. The theme of the congress: "Children in Turmoil -- Tomorrow's Parents," made it possible to explore many areas in the vast field where child and adolescent psychiatrists and colleagues from the allied professions struggle to prevent problems in one generation being carried over to succeeding generations. At the General Assembly, Dr. Colette Chiland of France was elected President and Dr. Philippe Jeammet of France Secretary-General. The Congress in 1986 was held in Paris, France. The theme was "New Approaches to Infant, Child, Adolescent and Family Mental Health." The Congress was remarkable for the range of topics, the depth of discussion, and the remarkable organization that considered the full developmental range and broad scope of research and interventions. Volume 9 of the IACAPAP series _The_Child_in_the_Family_(Yale Press, 1992) was based on the Congress. In preparation for the 12th International Congress in Japan, a study group met the year before in Tokyo and then in several other cities in Japan. A series of discussions and symposia were held on major themes, including school refusal (the topic of a book in the IACAPAP series, published by Yale Press in 1990). The Congress was held in Kyoto, a uniquely beautiful and ancient city. The Congress continued the tradition of broad coverage of clinical approaches, research and advocacy, and was especially noteworthy for the exceptional hospitality and involvement of the Japanese hosts. Dr. Irving Philips, University of California, San Francisco, presided. Under his leadership, a special study group was held in Budapest, Hungary. In 1992, plans for the 13th Congress were initiated. Dr. Philips died tragically in 1992 and the presidency was assumed by Dr. Donald Cohen (Yale University, USA), a vice president. The 13th Congress will be held in San Francisco in July 1994, with the major theme of violence and the vulnerable child. This Congress will provide an opportunity for in-depth discussion of the impact of various types of trauma and violence on children, as well as the broader field of research, clinical care, and advocacy for children and adolescents. Many of the International organizations concerned with children and adolescents will offer symposia and research sessions, highlighting the role of IACAPAP as an International umbrella organization for national organizations concerned with infants, children and adolescents, and their families. ---------------------------------- IACAPAP 13th International Congress Office of continuing Medical Education Registration Office, Room LS-105 University of California San Francisco, California 94143-0742 USA VOICE Registration Information: 1-415-476-5808 VOICE Program information: 1-415-476-4251 E-MAIL Program information: David_Bell_at_LPPI@ccmail.ucsf.edu FAX: 1-415-476-0318 Submitted by: Jonathan D. Leavitt, M.D. Langley-Porter Psychiatric Institute 401 Parnassus Avenue, Box CAS-0984 San Francisco, CA 94143-0984 E-MAIL jonathan70@aol.com VOICE (415) 476-7546 FAX (415) 476-7163 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SECTION 7: New Lists -------------------- 7.1 Clinical-Psychology ----------------------- To join send the message join clinical-psychology firstname lastname to: mailbase@mailbase.ac.uk """"""""""""""""""""""" This list will provide an opportunity for the world-wide membership of APA's Division of Clinical Psychology (Division 12) to share ideas encompassing the broad area of clinical psychology. Discussion is welcomed regarding: clinical cases (please pay careful attention to issues of confidentiality), research and treatment issues professional practice concerns and other related topics. The list will also provide an opportunity to communicate with other members regarding Division 12 issues. This list is just beginning, and much will depend on the development of a committed group of individuals willing to share their ideas and interests. WHERE TO SEND MESSAGES Postings to the List: clinical-psychology@mailbase.ac.uk ---------------------------------------------------------------------- All comments and suggestions to: Dr Bede Healey (73210.1622@compuserve.com> ---------------------------------------------------------------------- 7.2 THE CARTER CENTER (President Jimmy Carter, Chairman) CO-SPONSORS NEW LIST: IHP-NET -------------------------------------------------------- INTERNATIONAL NETWORK FOR INTERFAITH HEALTH PRACTICES ----------------------------------------------------- A new and powerful means has been implemented to assemble a global community of persons acting in faith and working on health. Through a special partnership, the Interfaith Health Program of the Carter Center and the Congregational Nurse Program of Saint Francis Hospital of Evanston, Illinois, have created the "International Network for Interfaith Health Practices (IHP-NET)." to communicate not only by straight E-mail, but also by live colleague-colleague discussions on a variety of faith and health issues. Presently, IHP-NET features an electronic mailing list (E-mail) and an anonymous FTP (File Transfer Protocol) site, including anonymous FTP by E-mail. Other electronic interfaces are planned as persons gather online, including Gopher and World Wide Web.nally-based and public health practitioners; and university faculty and students. Members of IHP-NET will soon be able to download electronically archived texts of project best practices, newsmaker interviews and speeches, graphics, and computer utilities. Participants may announce their symposia, training sessions, and other events; post newsletters or professional papers; share their thoughts and reflections with the world. This network will allow peers to communicate not only by straight E-mail, but also by live colleague-colleague discussions on a variety of faith and health issues. TO SUBSCRIBE TO THE IHP-NET LIST: --------------------------------- Type this AND ONLY THIS statement in the BODY of a new E-mail message: subscribe IHP-NET (your Internet E-mail address> Send this message to: MAJORDOMO@interaccess.com After you subscribe, you will automatically receive E-mail with more information about IHP-NET. Please note: 1. In the above statement, you must enter your INTERNET E-mail address, NOT your name. 2. A Bitnet address should be changed to an Internet form. For example, convert: you@home.bitnet (Bitnet) TO you%home.bitnet@cunyvm.cuny.edu (Internet) 3. No subject is necessary for the message. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SECTION 8: Advertisements from those Seeking Placements ------------------------------------------------------- Submissions for this section should be sent to: Ian Pitchford (I.Pitchford@Sheffield.ac.uk> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SECTION 9: Calls for Research Collaborators ------------------------------------------- Submissions for this section should be sent to: Ian Pitchford (I.Pitchford@Sheffield.ac.uk> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SECTION 10: Job Advertisements ------------------------------ 10.1 Clinical Director/Psychiatric Vocational Rehabilitation Specialist ------------------------------------------------------------ Sought to direct a psychiatric day treatment program serving clients who suffer from major mental illness. The qualified applicant will demonstrate the training, experience and expertise to develop a model vocational rehabilitation specialization at this site. She/he will also have an essential leadership role in the integration of vocational rehabilitation in a comprehensive community mental health system through an affiliation with The Cambridge Hospital, Department of Psychiatry. RESPONSIBILITIES: Supervision of all client treatment and rehabilitation; program development and evaluation; supervision of a multidisciplinary staff. REQUIREMENTS: Master's or Ph.D. degree with licensure/certification in social work, psychology, rehabilitation counseling, or a closely related field. More than five years of clinical experience (minimum of two years in the treatment of major mental illness, one year in day treatment); two years of administrative experience. Competitive salary and benefits, with possibility of Harvard Medical School faculty appointment. Please send letter outlining relevant experience, and current CV to: Executive Director, Comprehensive Community Day Treatment Programs, 650 Concord Avenue (Rear), Cambridge, MA 02138