Commonwealth Fund Publications
For this volume Gil examines and interprets a series of nationwide studies of child abuse that were initiated in 1965 in an attempt to unravel the context of social and cultural forces with which violent behavior against children is associated. He begins with a definition: "Physical abuse of children is the intentional, nonaccidental use of physical force, or intentional nonaccidental acts of omission, on the part of a parent or other caretaker interacting with a child in his care, aimed at hurting, injuring, or destroying that child."
With an approach that is epidemiologic, social, and cultural, rather than clinical and psychological, he compiles findings from press and public-opinion surveys, from analyses of nearly 13,000 incidents of child abuse reported through legal channels across the country during 1967 and 1968, and from a comprehensive study of more than 1300 incidents reported in a representative sample of cities and counties. He deals with incidence and community response rather than with case histories.
The findings, Gil maintains, suggest that violence against children is rooted in culturally determined theories and practices of child-rearing, with a higher incidence among the lower educational and socioeconomic strata of society, among broken families, and among families with four or more children. He concludes that perhaps the most serious form of child abuse is that inflicted by society rather than by parents and guardians. This societal abuse is manifested by the statistics on infant mortality, hunger and malnutrition, poverty, inadequate medical care, poor education, and officially sanctioned physical abuse in schools, correctional institutions, child care facilities, and juvenile courts. The author further concludes that American culture encourages the use of a certain measure of physical force in rearing children.
Straightforward and clearly presented, Gil's book also suggests a typology of child abuse and recommends a set of structural measures and policies designed to reduce the incidence of abuse through an attack on its apparent roots within the fabric of society.
She was first considered "subversive" during World War I, yet she lived to protest our involvement in Vietnam. She was America's foremost industrial toxicologist, a pioneer in medicine and in social reform, long-time resident of Hull House, pacifist and civil libertarian. She was Edith Hamilton's sister, and the first woman on the faculty of Harvard, though she retired--an assistant professor in the school of public health--ten years before women medical students were admitted.
This legendary figure now comes to life in an integrated work of biography and letters. A keen observer and an extraordinarily complex woman, Alice Hamilton left a rich correspondence, spanning the period from 1888 to 1965, that forms a journal of her times as well as of her life. The letters document the range of her involvement, from the battle against lead poisoning to debates with Felix Frankfurter over civil liberties. But as Alice Hamilton describes a woman's medical education in the late nineteenth century, her unlikely adventures in city slums, mine shafts, and factories, her work with Jane Addams and the women's peace movement, we also witness the stages of one woman's evolution from self-deprecating girl to leading social advocate. The charming details of her girlhood help us to understand her conflicted need to escape Victorian constraints without violating her own notion of femininity, a dilemma resolved only by a career combining science with service.
Beautifully realized works themselves, these letters have been woven by Barbara Sicherman into an exemplary biography that opens a window on the Progressive era.
This book describes and contrasts various psychiatric teaching programs in medical schools. After an examination of the differing and frequently unsatisfactory states of these programs, it also proposes a comprehensive plan for the future.
In preparing this study the author visited numerous medical schools, observing a wide range of teaching methods, goals, and facilities. His aim here is fourfold: to describe and compare existing medical school psychiatry programs in detail; to illustrate by example and anecdote the relation of teachers and students to these programs; to construct a synthesis of existing psychiatry programs that will offer optimum training and to outline a new program based on this synthesis and some additional proposals; and finally to show how methodology is a crucial but as yet unappreciated part of many psychiatry programs.
Dr. Werkman attempts to be a reporter in depth to his psychiatric colleagues about new and important developments in modern psychiatric teaching. The great scope and variety which the field of psychiatry has acquired since the Second World War has often meant that psychiatrists know little in detail of what their colleagues are doing. The author finds as well that there is often a lack of communication both within a single department and between departments in different medical schools, and that the attitude of many non-psychiatrists on the faculties ranges from ignorance to hostility--an attitude often reflected by the students.
Geared to the needs of the pediatrician, this book is designed to orient him to the background of psychiatric knowledge so essential in his daily practice. Using his observation of 1,000 children brought to the Stanford University Pediatric-Psychiatric Unit as a guide, Dr. Shirley illustrates his discussion of physical, mental, and emotional disturbances with case histories, thus presenting the relationships between physician and parent, and physician and child in dynamic form, and stressing the individual nature of each case.
Yet, despite the unique character of each behavior problem, there are common denominators in childhood development. Dr. Shirley sets forth the generally accepted norms of physical and mental growth and evaluates the usefulness of psychometric procedures, such as intelligence and performance tests, in determining the limits of the child's intellectual and physical capacities. Grade placement, discipline, eating and sleeping are universal trouble spots. Dr. Shirley suggests specific leads for the pediatrician to follow in the treatment of these problems, cautioning that success depends upon relieving parents of anxiety concerning themselves and their children in order that an atmosphere conducive to cooperation may exist in the home.
Dr. Shirley's experience and training in both pediatrics and psychiatry doubly qualify him to discuss the basic elements of child psychiatry with authority and insight. Parents as well as physicians can profit by Dr. Shirley's wise, articulate, and practical interpretation of psychological concepts as they relate to the prevention and treatment of behavior problems in children.
