Owl Newsletter

July 2018 e-Newsletter

Photo by Fred Seligman, MD

Inside...

Change and Resiliency...... 3 - 5 Donors to AACAP’s Life Make Your Mark...... 6 - 8 Members Fund...... 15 - 16 On Being Known...... 9 - 12 In Memoriam...... 18 “The Owl & The Pussy-Cat Went Throughout the Years...... 19 to Sea”: Childhood Reflections & Book Review...... 13 - 14

Laughing Matters in COMMITTEE Therapy Richard Gross, MD, If at first you don’t succeed, Co-Chair Change and Resiliency skydiving is not for you. Cynthia Pfeffer, MD, Co-Chair No matter how much you push the “The trouble with the question was asked as to whether our Thomas Anders, MD future is that it usually knowledge of the past and our experiences evelope, it’ll still be stationery. arrives before we’re will allow us to flourish by providing guidance Perry Bach, MD ready for it.” -Arnold to the next generation. Can we be of I was going to wear my camoflage Glasow assistance in being effective and sensitive Gabrielle Carlson, MD “agents” of change? shirt today but couldn’t find it. “You can never plan Martin Drell, MD for future by the past.” The discussion among friends and kindred Change is inevitable except from a Editor -Edmund Burke spirits rapidly filled the hour and a half allotted vending machine. time. I took notes as I rapidly knew they would Joseph Jankowski, MD Martin Drell, MD “The real difficultiy in make for a “dandy” Owl Newsletter Column. changing the course of Take my advice--I’m not using it. Paramjit Toor Joshi, MD an enterprise lies not in developing new ideas “I don’t want to achieve immortality through but in escaping old ones.” -John Maynard my work… I want to achieve it through not Keynes dying.” -Woody Allen A hermit was pulled over by the Douglas Kramer, MD police and charged with recluse Richard Sarles, MD I had the pleasure of filling in as a discussion We began on a positive note. It was clear that driving. leader for the Lifer’s Workshop at the 2018 there was a wish to leave a legacy, as well as John Schowalter, MD American Association of Directors of leaving on good terms (passing the baton). Psychiatry Residency Training (AADRPT) The group elaborated on this topic of Watched an Olympic curling event Ellen Sholevar, MD Annual Meeting in New Orleans. It turned out succession planning. It was considered good yesterday - I soon got swept up in that two of the four leaders could not come - forum to tell one’s boss well ahead of time. the action. John Sikorski, MD one due to a death in his family and the other One discussant said that he tried but indicat- partly due to health reasons. The experiential ed that his boss was in denial and didn’t really Samantha Phillips workshop was titled: “Lifer’s Workshop: want to hear of his departure. It’s tough doing inventories in Managing Editor Ch-Ch-Ch-Changes: Coping with Change, Afghanistan - due to the tally ban. Serving as Agents of Change.” Its goals were “There are two signs of aging. The first, Jaime Owens to create a “safe space” to discuss change you forget things. I can never remember the Production Editor and the skills needed to deal with change in a second.” The Symphony Orchestra graceful, resilient manner. The abstract for the conductor threw a tempo tantrum. workshop divided potential stressors into two The conversation changed rapidly when Get involved - groupings of personal changes (managing someone brought up whether one would know losses, illness, finances, family issues, empty when they were “slipping.” “What happens I hate it when people get simple submit articles for the Owl Newsletter! nest, divorce, death of significant others) and if you overstay your welcome, lose track, sayings wrong. I mean it’s not professional changes [job changes, Relative and don’t change with the times?” It was the rocket surgery. We want to hear from you! Let us know Value Unit (RVU), electronic medical records, consensus that it was a bad sign if one stops what you are up to, how you’re doing, new demands at work, etc.]. innovating and growing their programs. After and more! Please send materials to all, we owe this to our trainees. [email protected]. The deadline for The group was challenged to talk about how the next issue is September 15. we envision our futures and how we plan And what if one (n.b., always someone else, on dealing with whatever comes our way. A of course) has troubles giving up their Martin Drell, MD

July 2018 3 Change and Resiliency Change and Resiliency

position? There was a brief reference to Axis to the reality of talking about retirement. What “Man and woman proposes and God II (note: DSM-5 has no Axis II. I apparently will I do? “I really like teaching and being with disposes.” Another version ends “and God am not keeping up!) about narcissism. younger people. They stimulate me.” What if laughs.” Narcissists, it appears, will feel no one is good continuing to work is on your bucket list? enough to replace them or specifically choose On a somber note of reality, one person asked an inferior to show how good they were. That As a hedge against the abyss of no job came if any of us can really create a five year plan remark was felt to need a specific rebuttal - the wish to “slow down” and work less. “Can’t with impunity. Can one really plan with the that being that it is not a sign of good we just strategically get rid of the parts of our ever-present reality of sickness, family issues, leadership if your organization falls apart the jobs that we don’t like and keep the good and the state of the world? minute or shortly after you leave it. stuff?” That was challenged immediately by someone saying there might not be a choice To prevent ending on such a really pessimistic On a more practical note, it was suggested in these days of state and insurance cuts, note, one member reminded us of the that there might be a scenario when there RVUs, and the responsibility of covering one’s Buddhist sense of destroying identity and that realistically is no logical person to replace salary. I noted to myself that we were avoiding our discussion is very much a product of the you. One person said he mindfully chose and the potentially anxiety-provoking discussion of society we live in, which denies that we are all groomed a protégé who unfortunately chose whether one had saved enough to not need “just passing through.” to leave for another job. to make money in the first place, which is different than the wish to be paid for what one “I call it Nirvana, the comlete destruction of old All this practicality caused a sudden shift to does, regardless of what money one has in age and dying.” -Gautama Buddha nostalgia in which the Lifers were described the bank. My remarks seemed to break down as a special group with unique histories and the denial so much that the conversation “Change is never painful, on the resistance to friendships. “In the old days, it was more a shifted to persons who went on to more change is painful.” calling. Things are different now. Our prestigious jobs or really cool jobs that profession has changed.” Again, there was a uniquely tapped the distinctive skill set of “Living in the past is only a memory. Love in felt consensus that things were better in the psychiatrists, such as consultations to not the future is only a fantasy. True love lives in old days when things were smaller, less for profits or teaching in foreign countries, the here and now.” regulated, and bureaucratized. It was noted especially those with warm climates and palm that things used to be more individualized with trees during the winter months. On that religious note, we ended with plans more room for mentoring. It was mentioned for next year’s Lifer’s Workshop including that there is (and always has been) a bimodal We then talked about the stigma, both talking about ideas on how we can use our distribution of training directors with a group external and internal, concerning the concept unique skills to compassionately mentor and lasting only a few years and a smaller group of retiring and what that means to the world nurture both ourselves and others. It was an lasting for many years - hence the term that we are all part of. It was remarked that admirable end to an admirable workshop that “Lifers.” ageism is alive and well (see my column was experienced in the here and now. on the subject in the January 2018 Owl “Do not go gentle into that good night, Old Newsletter titled: “A New Owl Talks about age should burn and rave at close of day; Ageism: Now Is The Age Of My Discontent”) Rage, rage against the dying of the light.” and that we “old folks” are taking up jobs that -Dylan Thomas the younger generation wishes to fill with their energy and new ideas. Nostalgia went on awhile but gave way again

July 2018 4 July 2018 5 Make Your Mark Make Your Mark

I recently returned envy the Japanese; the extreme clarity that the legacy of the Jewish contributions to the said in an interview, “It wasn’t a very big deal from a vacation everything in their work has.” Certainly, the civic life in Amsterdam prior to World War II. to be an African American at Yale, but it was in Amsterdam, accomplishments and techniques of Japanese much more of a challenge to be a woman Netherlands, and was artists left “their mark” on the development The Holocaust ravaged approximately 75% there.” Certainly, many other life course and amazed by the beauty of the artistic creations of one of the most of the 134,717 Jewish population in the professional experiences of those in our of this city with houses revered artistic painters of the western world, Netherlands. Anne Frank, a 13 year old profession can be highlighted. built in the 15th century Vincent Van Gogh. The exhibit, “The Portrait Jewish girl who aspired to be a journalist and onward aligning the Gallery of the Golden Age (17th Century)” at author, “Made Her Mark” by writing a detailed Child and adolescent psychiatrists confront city’s canals and the Hermitage Amsterdam Museum (a branch diary of her life with her family and two other the obstacles that children experience and bridges, the friendliness of the St. Petersburg’s State Hermitage Jewish people while they were hidden in attempt to improve the wellbeing of their Cynthia Pfeffer, MD of the residents, and the Museum in Russia) included works by Amsterdam by her father’s friends during the young patients; in this way, they “Make Their important history Rembrandt van Rijn illustrating large group Nazi German occupation of that city during Mark.” At AACAP’s 65th Annual Meeting in documenting major epics of western portraits of the Dutch civic guards and other World War II. However, after two years in Seattle, Washington, the Life Members civilization. Multicolored and varied shaped people of the “collective citizenship” at a hiding, they were discovered and all Clinical Perspectives Symposium, titled tulips began to bloom and scenes of time of great industriousness, peace, and except Anne’s father perished in “Off the Beaten Path of Child Psychiatry: farms cultivating these lovely plants were prosperity with flourishing businesses and concentration camps. While I toured the Interesting People, Interesting Careers, and amazing. Adjusting to the traffic of cars, trade - a process that continues similarly in “Anne Frank House,” now a museum in the Interesting Lives,” chaired by Douglas A. buses, and hundreds of bikes whizzing modern times in that country. Rembrandt “left house in which Anne lived in hiding, I read Kramer, MD, MS, will offer renditions from through the streets was challenging. People his mark” as a genius painter but also as an some of her original beautifully hand scribed several child and adolescent psychiatrists often said “beware of the killer bikes” because artistic scribe of the legacy to modern Dutch diary notes about her aspirations to be a about their unique work in our field. Dr. Amsterdam is designed with distinct bike civic life. Among techniques of some published author of books and poetry when Kramer begins by pondering an important paths throughout the city. In comparison, the contemporary artists whose works are in she grew up. She had a remarkable sense question: “Where in our current health care bike lanes designed in New York City do not the collections of other museums worldwide, of bravery and intelligence. Her diary, initially system is the spark that kindles medical have the predominance of travelers as does the “markings” of Dutch Master Artists published in 1947 in the Netherlands, students’ and residents’ compassion and Amsterdam. I stayed in the Museum Quarter are observable in expressed themes was among the first books highlighting the devotion to children and adolescents who where The Rijksmuseum, Van Gogh Museum, and techniques. tragedies that occurred during the Holocaust. need psychiatric care and can benefit from the and Stedelijk Museum (Contemporary Art) Notably, this teenager left “her mark” through findings of new medical research?” Answers were located. I learned that Vincent Van Gogh The Golden Age in Amsterdam was also her narration of her story of suffering while are offered by the speakers who chronical was so inspired by Japanese printmaking of noted for its tolerance and freedom for having a strong sense of courage and a their unique work as child and adolescent the late 1800s that he purchased over 600 immigrants. Jews, who were descendants of remarkable ability to hope for her survival. psychiatrists. William J. Swift, MD, will Japanese prints and studied the unique those who immigrated in the 15th and 16th describe his work in the US Foreign Service, Japanese techniques using lines, blocks of centuries to this city to escape the Spanish Many child and adolescent psychiatrists have Department of State as a Regional Medical color, and simple perspectives. Van Gogh and Portuguese inquisitions, are clear confronted challenging life situations during Officer/Psychiatrist, where he was realized that the bright light in the town of examples. These residents, although initially their pre-professional years. Beatrix (Betty) responsible for psychiatric care of area Arles in southern France simulated the not given citizenship, contributed extensively Hamburg, MD, an esteemed child and diplomats’ children and other staff in Africa. brilliant light and colors of the Japanese to the cultural and financial structure adolescent psychiatrist, who died on He carried out this work after many years as prints. He produced many of his iconic of Amsterdam and other cities in the April 15, 2018, at the age of 94 years, was a Child and Adolescent Psychiatry Division landscapes of Arles and other paintings Netherlands for centuries thereafter. Today, characterized in her obituary in the New York Director at the University of Wisconsin. under the influence of the Japanese artistic the Portuguese Synagogue, built in 1675, Times as “Barrier-Breaking.” She was the first Carol M. Larroque, MD, will speak about her fashion. In a letter in September 1888 to his continues as a remnant and renewal with its Black student admitted to Vassar College and experience as a Fulbright Scholar working brother, Theo, Vincent Van Gogh wrote, “I small active Jewish congregation that carries Yale University Medical School. Dr. Hamburg with children living in war ravaged northern

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Uganda. Douglas K. Novins, MD, will detail dine together, exchange experiences, and I have been a practicing trainees, the presentation fails to instruct me his experiences as a mentee and subsequent learn from each other about our field. This psychiatrist for the past about the person being treated. I get a mentor that involved facilitation of quality informal channel of interacting is an excellent 39 years. It has been laundry list of drugs and doses that the systems of care for the American Indian feature of the Life Members programing at the an honor and privilege patient has been given over time, with very Population and the Alaska Native Population; Annual Meeting. for me that my patients, little success, and the goal is to try to come these are some of the neediest people in the who number in the up with yet a new cocktail of psychotropic United States. Lynn E. Ponton, MD, reports I was stimulated to expound on the theme of hundreds, have allowed medications to change thinking, emotions, “one woman’s path” as she discovered that “Make your Mark” when I read the comments me into their lives in the and behaviors. I ask for a pre-natal and gender discrimination existed in medical of Dean Coddington, MD, in the “Reflections most intimate manner. early developmental history, which is often academia and how she coped and helped to from a Life Member” piece in the January They have taught me not known. I ask about the parents’ histories... diminish aspects of this far reaching problem. 2018 Owl Newsletter. He “Made his Mark” Marilyn Benoit, MD incredibly about the also often not known. A frequent answer when Thomas Anders, MD, will discuss his by developing a research scale used in indomitable human spirit I ask about fathers is “the father is not in the perceptions of the professional trails that each numerous studies to understand relationships that, like phoenix, rises again and again to picture.” I ask, “Whose picture?” It has been of these presenters traversed to “Make their between stressful experiences and overcome challenging adversities. I am my experience that no parent is ever “out of Mark” and highlight his own views of how childhood psychopathology. I encourage humbled by this experience. What I have the picture.” While adults around the child many people in his early professional career others to write statements about themselves come to realize in this fourth decade of my may wish that to be the case (for their own “Made their Mark” on his career evolution. All in the Owl Newsletter and to continue to make practice is a profound need of each human reasons), children will carry around some of these speakers have “Made their Mark” on your mark by donating to the Life Members being to be known. While this epiphany came representation of their parents forever in their our field. Fund. This is the composite way that the Life to me from work with my patients, I have now minds. And that picture has the power to Members can promote progress in recruiting become aware of this need in all relationships affect children’s thinking, emotions, behaviors, We present “The Medical Students, medical students and residents to become and, of course, within myself. Once made and relationships. This brings me back to my Residents, and Fellows-Meet Life Members child and adolescent psychiatrists and Make aware, this existential “fact” has haunted me, title, “On Being Known.” at the 2018 AACAP Annual Meeting,” chaired Our Mark of social responsibility to children so much so, that I decided that I needed to by Life Members Joseph Jankowski, MD, and and adolescents. write down my thoughts about it. I no longer What exactly does it mean to “be known?” Ellen Sholevar, MD, and Child and Adolescent belong to a psychiatric study group where we While it is a simple question, the answer is Psychiatry Residents Cordelia Ross, MD, “How wonderful it is that nobody need wait a could discuss such ideas. tremendously complex. In Oliver Sacks’ and Krysti Vo, MD. This session has been single moment before starting to improve the autobiography, On The Move, he writes presented yearly with an expanding group world.” -Anne Frank, The Diary of a Young Girl It is unfortunate that the younger psychiatrists poignantly about his Aunt Lennie, “I felt very of mentors who aim to “Make Their Mark” would rather meet to discuss loved by her, and I loved her intensely too, on medical students and residents who were Cordially, psychopharmacology to decide what potent and this was a love without ambivalence, awarded travel grants from the Life Members drugs to prescribe for people’s brains. Too without conditionality. Nothing I could say Fund to attend the Annual Meeting. often, I am troubled by the new psychiatry could repel or shock her; there seemed Comments of mentees who attended prior that focuses on manipulating no limit to her powers of sympathy and Annual Meetings highlighted this session as neurotransmitters, rather than knowing the understanding, the generosity and seminal in enhancing their motivations to person whose brain they are treating. While spaciousness of her heart (p.160).” He felt become child and adolescent psychiatrists. I do believe that psychotropic medications “known” by his aunt in a way that he did not can indeed be very critical in the treatment of experience with his parents, and it meant The 2018 Life Members dinner will be at “The psychiatric illnesses, and I do use them, they the world to him. The emotional support and Garden” in the Fairmont Hotel in Seattle. Life should not remain the only, or primary, focus the sense of being known provided to him members, medical students, and residents of such treatment. When I attend case by Aunt Lennie sustained him throughout his utilize this excellent opportunity to mingle and reviews presented by resident psychiatry tumultuous life. The British pediatrician and

July 2018 8 July 2018 9 On Being Known On Being Known

psychoanalyst, Winnicott, viewed the role of that she be allowed to drop out. Her coach mirrors what the relationship dynamic ought Meanwhile, the parents “study” the maturing the psychotherapist as one in which a secure, refused to allow her to do so and had her to be between parent and child at the very child and stay attuned, gathering more safe space, “the holding environment,” was take some time the day of the competition to beginning of the child’s entry into the world. information about the child’s beliefs, thinking, provided to allow the patient to go to places practice. She ended up securing first place! An attuned parent of a child, not yet verbal, feelings, perceptions, behaviors, and very in his/her mind that were quite frightening and When I heard this, I shared with her that as a has to “learn” that child and “read” the child’s important, social relationships. have the psychotherapist share that journey, young doctor I had done some research with communications... crying, cooing, bodily while providing support and encouragement. a senior faculty member. Not only did it gyrations, etc. and respond accordingly so Life’s inevitable experiences of triumphs, get published in a peer reviewed scientific that the infant does not become overwhelmed failures, losses, love affairs, joys, and sorrows The other sentiment that patients experience journal, but it was accepted for presentation at with distress. A hungry, cold, wet, or will add its complexity and “knowing” becomes all too often is that of shame. So many people a major national and international conference. uncomfortable child will communicate through more challenging. Think of the adolescent live in private shame… shame that quietly and The night prior to the presentation, I called crying and body signals and the vigilant passage, a time of identity seeking, invisibly compromises their functioning. Being my faculty mentor and told her that I was too parent will soon learn the meaning of the significant separation, individuation, and able to expose that shame and its genesis, anxious to do it. Actually, I was terrified! She nuances of the baby’s sounds and be existential angst, so well demonstrated in the and have someone provide a non-judgmental simply told me that she expected me to show appropriately responsive to the baby. That book Siddatha by Herman Hesse. It is holding space for one’s shame, is emotionally up and make the presentation. Show up I did, baby begins to develop that secure feeling interesting to note that both parents liberating, and ultimately frees one up to and I got through the presentation. It was of “being known.” The “known” child then and children report that they tend to not proceed with one’s development. Such an my first, and I have been making such thrives and moves through its developmental really “know” each other at this time, but experience provides a deep sense of “being presentations regularly for the past four milestones, the parents modifying their adolescents seek out close relationships with known.” Such a space is provided within any decades! She knew my potential and pushed responses in a knowing way as they assist their peers by whom they feel more “known” trusting relationship, be it friendship or a me over my anxious threshold to a higher the child in negotiating his way with a sense and understood. Socially isolated adolescents romantic relationship. As one ages within level of successful functioning. I am delighted of mastery into sequential developmental are especially at risk of emotional distress and a sustained, good-enough marriage, one that my granddaughter, at age 13, has already stages. The child feels understood. Such depression because they are “known” by no experiences a profound sense of “being had a similar experience! understanding, however, requires constant one. My adolescent patients are especially known.” Actually, one depends upon it as the communication... most of it being non-verbal. dear to me. I love their self-awareness, their world changes, societal norms evolve, What Oliver Sacks describes in his The child communicates its needs and wants. delight in their expanding intellect, their angst, technology advances, family and friends die relationship with his aunt is the feeling that Parents respond accordingly, not always and their comfort with the psychotherapeutic or move away, chronic illness sets in, and one my patients report that they have experienced satisfying these desires. The child process, as they feel “known” and understood. confronts one’s own mortality. The loneliness through their relationship with me. In the communicates its feeling states, not always They can tell me anything in the non- and isolation of old people in nursing homes hours we have spent together, my patients understanding the felt emotion. Parents fill in judgmental confidentiality of my consulting has to be emotionally terrifying. Who really have shared all aspects of their lives with that knowledge gap by labeling the emotion, room, and know that it is a safe place to knows them - a shift worker who is paid me... their relationships, their strengths, their by soothing the child in distress, and over reveal all aspects of themselves. They trust minimum wage in an industry that has some failings, their fears, their successes, their time, teaching the child some self-soothing me to keep it that way. I listen to their dreams of the highest turnover of any workforce? I anxieties, their forays into new experiences, skills. Understanding that the child is capable and even remind them weeks or months later shudder just thinking of it. their motivations. I have often been told by my of developing such skills and allowing about themes and topics we had discussed. patients, “You know me.” I have been involved the development of frustration tolerance I am struck by the comments of amazement Another aspect of being known is when with several families and gotten to know each demonstrates a belief in the child’s capacity from many of my patients when I someone knows your potential, when you member as a separate individual and as a to grow. Providing a safe place during the spontaneously recall something they have yourself have no clue or even doubts about it member of the family and the dynamic experience of distress tolerance affords the shared with me. They are surprised that I yourself. I recently shared an experience with interplay within the family functioning. To child the opportunity to develop emotional have remembered their story, when I see my granddaughter, who had failed to practice be known allows for a feeling of total regulation, a major developmental other patients. I carry their information in my for a solo speech competition and requested acceptance that decreases anxiety. This achievement on the way to adulthood. head. I know them! The comments, “you know

July 2018 10 July 2018 11 “The Owl & The Pussy-Cat Went to Sea”: On Being Known Childhood Reflections & Book Review me,” or “you know our family,” are frequent. As relationships function with a great deal of When I was a youngster For me, my careers in Peds, Submarine I get closer to retirement from practice, I am non-verbal communication... words are not as growing up in the Bronx, “Bubblehead” Medicine, Developmental Peds, afraid to say goodbye to my patients whom I necessary, and when spoken, they can finish my parents escaped for and Child and Adolescent Psychiatry sailed by have “known,” and I must “transfer” to another each other’s sentences! They may have the the weekend to Upstate and I found myself an elder in retirement. psychiatrist who will have to spend time same idea at the same time. There is “flow” in New York and returned Recently, while at a local library book sale, I getting to know them. I feel guilty about the relationship... each party feels “known.” with a fledgling Screech bumped into a book I wish I had written: Owl leaving them and taking all that knowledge Owl in tow. He had by William Service. What a lucky coincidence! with me. It is not the kind of knowledge that fallen out of his nest As a Senior Member of AACAP, I had recently can be transferred in medical documents. The and my mom retrieved been elevated to “Owl­hood.” When I arrived record holds the highlights - the medical stuff, it from certain death. home, I curled up on a comfortable couch medications, laboratory results, and some John McCarthy, MD We three boys (aka and slowly devoured this wonderful 93-page psychological themes. But, it does not convey “Irish Triplets”) were biography of a Screech Owl. The author, his the “knowing” that I have mastered. full-fledged nature lovers with a menagerie wife, and three children in effect had adopted of toads, frogs, turtles, and parakeets in our “Owl” (no other name) when their Retriever This “knowing” also extends into friendships house and backyard to prove it. Upon puppy, Jason, found him in the nearby woods. and other relationships - spouses, partners, seeing this cute fur ball, we sprang into action He carefully brought this critter to the author’s even some close work relationships. Those to make our Owlet comfortable in his new children who happily carried the “Beer Can” are the relationships that seem to work as digs. We built him a large, screened, nearly sized Owlet home. Thus began the nearly well-oiled systems. The people within such walk-in cage in our basement. We reasoned two-year odyssey of Owl chronicled poetically it would suit him fine as it provided both by William Service. Unlike our Owl, their darkness and safety from other critters like Owl had almost free reign in the Service our cat, Aimee. We did, however, take him Household and quickly established his out on excursions to see the rest of our home perches and routine. The author writes, once we learned how to hold him and not be “somewhere in this house, on top of a scared off by his snapping beak and tufted cornice or on a high bookshelf, there lies ears. He showed great curiosity especially heaped a fortune in guano.” Owl learned when he encountered Aimee. After they got quickly to develop peaceful co­existence with “used” to each other, we once set up a Jason the dog, Claggart the cat, and even mini-stage on our living room couch that their mostly caged but taunting parakeet, featured The Owl (no name), The Pussy-Cat Grant. The author writes: (“Aimee”), and a tiled sail boat. We recited Edward Lear’s witty poem, “The Owl & The Owl knows about the bars of his prison, but Pussy-Cat Went to Sea” which almost had our his longing for that bird forces him to believe actor pets swooning. What fun! Sadly, our Owl that one day the parakeet is going to give. He lasted about 18 months. We found him curled swoops down to the side of the cage, clamps up on the bottom of his cage - a sad moment a grim array of talons around the wires, for all of us surrogate parents. Aimee lived spreads his wings like Dracula’s cape. Seen to a ripe old age, when we found her lying from over the parakeet’s shoulder, Owl is peacefully in our pantry, no doubt dreaming death’s dark angel. The parakeet squawking, of her “friend,” the Owl. sidles over to where those hooked toes are curved around the bars, pecks at them until

July 2018 12 July 2018 13 “The Owl & The Pussy-Cat Went to Sea”: Donors to AACAP’s Life Members Childhood Reflections and Book Review Fund

Owl flies away. Owl turns around to glare. what Owl is thinking. He charms the pants Owls Make a Difference! Louise Desgranges, MD off any human he encounters in the Service Nancy A. Durant, MD So it goes in this unique animal sanctuary. home. Only the brief appearance of a garter We are deeply grateful to our Owls for Theodore John Gaensbauer, MD Service further writes: snake in a bottled cage really gets him riled giving their time and treasure to AACAP. In Ralph Gemelli, MD up. Owl tries desperately and in vein to the month of May alone, our Owls raised over Charles Robert Goshen, MD Several times a week, it is the parakeet’s turn somehow get through the glass as the asp $5,000 to support the next generation of child Paul Ned Graffagnino, MD to fly free. He takes salad from a spider plant taunts him safely within. In the wild, mice and adolescent psychiatrists. Owls make a James Granger, MD growing on a window shelf. Having nibbled and snakes would have undoubtedly been difference in the lives of other AACAP Norma Green, MD awhile at that, he decides to visit his old his usual prey, and he would have had much members as mentors, advisors, and friends. Dennis C. Grygotis, MD friend, Owl. He clings to the bars of Owl’s more success in nabbing them in a dark quiet With the funds raised by Owls, AACAP is able Bernard Hoffman, MD cage, gibbering and peeping. (Title of the nanosecond. to offer 17 Educational Outreach Program Brian P. Jacks, MD picture: ‘The Convict’s Lawyer Comes to Visit for child and adolescent psychiatry resident Michael Jellinek, MD Him after the Trial.’) Owl swivels his head - he I highly recommend this nifty Owl bio by awards and 13 Life Members Mentorship J. Kipling Jones, MD must have once heard the phrase, ‘shriveled William Service, not only for his great prosaic Grants for Medical Students awards. We hope Martin M. Josephson, MD him with a glance.’ He tries it on the parakeet, writing but also for his keen, detailed you can meet some of our awardees at AA- Paramjit Toor Joshi, MD who yet again fails to shrivel, and soon Owl, descriptions of animal behavior and his great CAP’s Annual Meeting, October 22-27, 2018, Judith Hood McKelvey, MD full stoic, faces front, looks out at nothing. sense of humor. Let each paragraph and page in Seattle, WA. AACAP is thankful to the Alan D. Megibow, MD wash over you like a soothing massage. No following Life Members for their generous Cynthia R. Pfeffer, MD Owl possessed a seemingly insatiable need to rush. It’s not a whodunit. After donations. As part of their commitment to Kyle D. Pruett, MD appetite for exploring every nook and cranny absorbing this brief tome, you will really AACAP, over 65 donors raised over $11,400 James A. Ruggles, MD of his human sanctuary and learned to adapt. be proud to have the Owl as our “mascot.” between April 1 and June 15 to AACAP’s Life Robert A. Sahl, MD Regarding Owl having great wisdom, the Members Fund. Robert L. Schmitt, MD author wrote, “I, more careful, attribute to him References Diane K. Shrier, MD the keenest appetite to find things out.” OR $1,000 and higher John B. Sikorski, MD “Perhaps he is more content to appear wise.” 1. The Owl & The Pussy-Cat by Edward Lear, The McDermott Family Fund Basri A. Sila, MD Random House Book of Poetry for Children, Larry A. Stone, MD Service’s wonderful book is replete with such 1983. $500 to $999 Peter Tanguay, MD detailed, humorous descriptions of Owl’s life 2. Owl by William Service, Alfred A. Knopf, Marilyn B. Benoit, MD Lenore Terr, MD in his sanctuary home and seems to know New York, 1969. Lawrence Brain, MD Sarabjit Tokhie, MD Somsri Griffin, MD Margaret E. Tompsett, MD Douglas A. Kramer, MD, MS Grant Hulse Wagner, MD John T. McCarthy, MD Robert E. Watson, MD Alberto C. Serrano, MD Alex Weintrob, MD Jack C. Westman, MD Owl and Aimee, who $100 to $499 (pun intended) Dr. Alan A. Axelson, MD Up to $99 McCarthy had as pets Myron L. Belfer, MD, MPA Milton S. Adams, MD Hector R. Bird, MD Padraic Burns, MD Irmgard Borner, MD Howard Demb, MD Frances Burger, MD Julia Dos Santos Hanlon, MD Martha Collins, MD, MPH Frank Rodney Drake, MD

July 2018 14 July 2018 15 Donors to AACAP’s Life Members Fund

Reza Feiz, MD Joel B. Goldstein, MD Margaret E. Hertzig, MD Theodore Hoffman, Jr., MD Keith C. Levy, MD Joseph Lupo, MD James A. Margolis, MD Melvin P. Melnick, MD Robert Racusin, MD Boris Rubinstein, MD William Stark, MD Sonia B. Yballe, MD For more information on how to become a member of the 1953 Society 1953 Society and the difference a gift in your Will can make, contact the Development Anonymous (5) Department at [email protected] or 202-966-7300 ext. 140. Steve & Babette Cuffe James C. Harris, MD & Catherine DeAngelis, MD, MPH Paramjit T. Joshi, MD Joan E. Kinlan, MD Dr. Michael Maloney & Dr. Marta Pisarska Jack and Sally McDermott Patricia A. McKnight, MD Make a Donation. Make Hope. Make an Impact. Scott M. Palyo, MD The Frank A. Roberto, MD, Family Child mental illness is a complex issue that needs urgent attention, long-term Diane H. Schetky, MD vision, and new financial resources. When you become an American Academy Gabrielle Shapiro, MD of Child & Adolescent Psychiatry Hope Maker with a monthly donation, you Diane K. Shrier, MD & Adam Louis are helping us to tackle this issue head on. Schrier, DEng, JD

Every effort was made to list names correctly. If you find Please consider a Monthly Hope Maker Gift an error, please accept our apologies, and contact the Development Department at [email protected] You will be investing in the next generation of or 202.966.7300, ext. 140. child psychiatrists, who will lead in innovative research, training, and treatment.

Your recurring monthly gift will allow us to plan ahead with confidence and maintain a consistently excellent level of programing throughout the year.

Your gift is safe, automatic, and effective.

July 2018 16

It’s easy to sign up: just visit www.aacap.org/donate or give us a call at 202-966-7300 ext. 140. In Memoriam Throughout the Years...

Beatrix Hamburg, MD Dr. Hamburg was president of the William T. April 1, 2018 to June 15, 2018 Grant Foundation, a philanthropy dedicated to research on children issues. She did research on early adolescence, peer counseling, violence prevention, and biobehavioral aspects of diabetes in children and adolescents. She was a member of the National Academy of Medicine. Author of many publications, Dr. Hamburg received numerous honors for her work, including the Foremother Award for her lifetime of accomplishments from the National Research Center for Women & Families in 2012.

Dr. Hamburg was married to David A. Hamburg, a distinguished academic psychiatrist and policy leader. Together they received the 2007 Rhoda and Bernard Sarnat International Award in Mental Health from the Institute of Medicine for their long careers in medicine and public service. In 2015, they received the Pardes Humanitarian Prize in Mental Health.

Their daughter, Margaret Hamburg, is also a Registration for AACAP’s Annual physician, who is internationally recognized Beatrix Hamburg, MD (born Beatrix McCleary Meeting opens August 1. When you for her contributions in medicine and public on October 19, 1923), was an American register, don’t forget to purchase your health. Most recently, she served for six years psychiatrist whose long career in academic ticket for the Life Members Reception as the Commissioner of the United States medicine advanced the field of child and and Dinner at the historic Fairmont Food and Drug Administration (FDA) during adolescent psychiatry. A pioneer in many Olympic Hotel, on Thursday, October the Obama administration. ways, she was the first African-American 25 at 6:30 pm. We look forward to admitted to attend Vassar College, and was seeing you there! also the first African-American woman to attend Yale Medical School. Dr. Hamburg held professorships at Stanford, Harvard, Mt. Sinai Donate $450 (the amount of your excused dues) or more to AACAP’s and—most recently—at Weill Cornell Medical Life Members Fund between now and October 1, 2018, to receive a College. She served in government at the limited edition 65th Anniversary Owl Pin as a symbol of AACAP’s gratitude National Institutes of Health and as the for your generosity and support! You can also receive an Owl Pin when you Executive Director of the President’s become an AACAP Hope Maker with a recurring monthly donation of Commission on Mental Health under $37.50 or more. Contact [email protected] for more information. President Jimmy Carter. Later in her career,

July 2018 18 July 2018 19 October 22–27, 2018 Seattle, WA Washington State Convention Center

AACAP Member Registration Opens Online: August 1, 2018 General Registration Opens Online: August 8, 2018 Early Bird Registration Deadline: September 13, 2018

save the dates

Boris Birmaher, MD Avanti Bergquist, MD Shannon Simmons, MD Program Chair Local Arrangements Chair Local Arrangements Chair

Visit www.aacap.org/AnnualMeeting-2018 for the latest information!