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The Grief Edition 90 Editorial Note: the Content for This Edition of New Therapist Was Coordinated and Managed by Darcy EDITOR Harris, One of the Contributors NewIndispensable survival guide for Therapistthe thinking psychotherapist March/April 2014 The Grief Edition 90 Editorial note: The content for this edition of New Therapist was coordinated and managed by Darcy EDITOR Harris, one of the contributors. We are deeply John Söderlund grateful to Darcy for generously providing her astute and efficient editorial management of thisedition. MANAGING EDITOR Lee-ann Bailey FEATURES EDITOR Features Sue Spencer CONTRIBUTING EDITORS 6 Good Grief: A Contemporary Dylan Evans Orientation to Bereavement Graham Lindegger Jacqui de Mare Counseling Julie Manegold Tim Barry Robert A. Neimeyer with John Tom Strong Kelly Quayle Soderlund Robert Langs Simone Descoins Robert Waska A fate less than death: 14 CONTRIBUTIONS Supporting clients through non- Submissions for inclusion in New Therapist are welcomed. death loss and grief New Therapist reserves the right to edit or exclude any submission. Names and identifying information of all individuals mentioned in case material have been changed to By Darcy Harris protect their identities. The views expressed herein do not necessarily represent those of New Therapist, its publishers or distributors. Coming to grief: What you ADVERTISING 20 need to know about grief in Advertising deadlines for New Therapist are six weeks prior to the first Monday of the month of publication. Please call or DSM-5 email for a media pack and rate card, or visit our web site at www.NewTherapist.com. By Phyllis Kosminsky SUBSCRIPTIONS Subscription charges are $48 per year to all international destinations (including postage). To South African Getting grief working: A guide destinations, subscription charges are R320 per year 25 (including VAT and postage). If you would like New Therapist for the new grief therapist delivered to your door every second month, please send your payment (by Master or Visa card or cheque) and full postal By Dale Larson address to New Therapist Subscriptions, 27 Kitchener Road, Clarendon, Pietermaritzburg, 3201, South Africa. For further information, call +27 (0)33 342 7644 or visit our website at www.NewTherapist.com to subscribe online. Please allow up Regulars to 10 weeks for first delivery. CONTACT NEW THERAPIST Tel/fax: +27 (0)33 342 7644 Email: [email protected] 3 Drug Watch Web: www.NewTherapist.com 27 Kitchener Road, Clarendon, Pietermaritzburg, 3201, South Africa Research 4 New Therapist (ISSN 1605-4458) is a professional resource published by New Therapist Trust every second month and distributed to psychotherapists around the world. 30 Book reviews Copyright © New Therapist 2014. All rights reserved. No part of this publication may be reproduced or disseminated by any From the therapist's chair means whatsoever without the prior permission of the 32 publishers. A publication of New Therapist Trust. 35 I'm a cake, you're a cake Drug watch in the elderly. The company told doctors that Risperdal was safe and effective for this unapproved indication and population. The FDA maintains that physicians may, within the practice of medicine, use a drug to treat patients for symptoms or diseases even when the drug is not FDA-approved for such uses. However, if a pharmaceutical manufacturer intends its drug to be used for a new use, not approved by the FDA, and introduces the drug into interstate commerce for that use, the drug is then considered “misbranded.” Introduction of that misbranded drug into interstate commerce is a violation of the law. The U.S. Department of Justice action also alleges that Janssen and Johnson & Johnson were aware that Risperdal posed serious health risks for the elderly, including increased risk of stroke. The companies, according to the government’s Janssen pleads guilty to allegations allegations, downplayed those risks by combining against Risperdal negative data with other studies in order to support a perception of decreased risk from using the drug. he U.S. Department of Justice announced a Janssen had received repeated warnings from the $400 million criminal fine in addition to a FDA regarding its misleading marketing messages $1.25 billion civil settlement against Janssen targeted to physicians. After a whistle blower TPharmaceuticals of Titusville, N.J. for introducing complaint was filed, the FDA Office of Criminal a misbranded drug, Risperdal (risperidone). Janssen Investigations initiated a criminal investigation into Pharmaceuticals is a Johnson & Johnson company. The Janssen’s conduct. settlement was made on behalf of the U.S. Food and Director of the FDA’s Office of Criminal Drug Administration (FDA). The findings of the study Justice, John Roth says “Our investigators devoted appear online in PsychCentral in November, 2013. considerable time and resources to this case, to help The combined criminal plea and civil settlement ensure that pharmaceutical companies do not mislead agreement related to Risperdal totals $1,673,024 healthcare providers and the general public about the billion. safety and efficacy of their medicines. We stand ready FDA Commissioner Margaret Hamburg says, to take similar action in the future, if warranted, to “When pharmaceutical companies ignore the FDA’s protect public health.” requirements, they not only risk endangering the Janssen also marketed Risperdal for use in public’s health but also damaging the trust that patients children with behavior challenges, despite known have in their doctors and their medications.” health risks to children and adolescents. Until late in Hamburg says, “The FDA relies on data from 2006, Risperdal was not approved for use in children rigorous scientific research to define and approve the for any purpose, and the FDA repeatedly advised uses for which a drug has been shown to be safe and the company that promoting its use in children was effective. Today’s announcement demonstrates that problematic and could be evidence of a violation of pharmaceutical manufacturers that ignore the FDA’s the law. regulatory authority do so at their own peril.” Janssen and Johnson & Johnson will also submit The FDA approved Risperdal in 2002 for the to stringent requirements under a corporate integrity treatment of schizophrenia and in 2003 for the short- agreement with the U.S. Department of Health and term treatment of acute mania and for mixed episodes Human Services’ Office of the Inspector General. associated with Bipolar 1 Disorder. The agreement is designed to increase accountability In March, 2002 Janssen began to market the drug and transparency and prevent future fraud and for the treatment of agitation associated with dementia abuse. Indispensable survival guide for the thinking psychotherapist 3 Research Obesity in children influenced by attached often experience feelings of anxiety and parent’s relationship with their parents uncertainty in close relationships. As adults, they are especially at risk for ineffective parenting surrounding he quality of an individual’s attachment to some of the factors that are implicated in pediatric their parents may increase their own childrens’ obesity, she said. risk for obesity, according to researchers at the The study comprised 497 primary caregivers of University of Illinois. The research findings appear in 2½- to 3½-year-old children. Participants completed T a widely used questionnaire to determine adult the Journal of Developmental & Behavioral Pediatrics in February, 2014. attachment, answering 32 questions about the nature Lead author of the study Kelly Bost says, "If your of their close relationships. They also rated themselves mother regularly punished or dismissed your anger, on a scale that measured depression and anxiety. anxiety, or sadness instead of being sensitive to your Parents then responded to questions about how they distress and giving you strategies for handling those handled their children's negative emotions; whether feelings, you may be insecurely attached and parenting they engaged in emotion-related, pressuring feeding your children in the same way. A child who doesn't styles known to predict obesity; frequency, planning learn to regulate his emotions may in turn develop of, and communication during family mealtimes; and eating patterns that put him at risk for obesity." estimated hours of television viewing per day. Bost notes that the study tracks the association Bost says, "The study found that insecure parents between a parent's insecure attachment and their were significantly more likely to respond to their child's consumption of unhealthy foods, leading to children's distress by becoming distressed themselves weight gain. or dismissing their child's emotion." Bost says, "We wanted to discover the steps that That pattern of punishing or dismissing a child's sad connect attachment and obesity. Scientists know that a or angry emotions was significantly related not only to person's attachment style is consistently related to the comfort feeding but also to fewer family mealtimes and way he responds to negative emotions, and we thought more TV viewing, which led to children's unhealthy that response might be related to three practices eating, including self-reported sugary drinks, fast that we know are related to obesity: emotion-related foods, and salty snacks, Bost said. feeding styles, including feeding to comfort or soothe; "One explanation might be that insecure moms mealtime routine; and television viewing." are more easily overwhelmed with stress, find it more Bost explains that children form secure difficult to organize family mealtimes, and allow their attachments when
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