The Third Backdoor: How the DSM Casebooks Pathologized Homosexuality

This study argues that institutional psychiatry's pathologizing stance on homosexuality persisted after 1973, when the American Psychiatric Association removed homosexuality from the Diagnostic and Statistical Manual of Mental Disorders. It persisted not only through the well-known diagnoses of "ego-dystonic homosexuality" and "gender identity disorder of childhood," but also through case studies published in four editions of the DSM Casebooks (1981, 1989, 1994, 2002), the APA publications advertised as a "learning companion to the Diagnostic and Statistical Manual." These publications contained harmful and false homosexual stereotypes, associating gay men with child abuse, violence, and sexual sadism; associating homosexuality with mental disturbance while failing to similarly mark heterosexuality or bisexuality; associating psychopathology with gay social contexts while failing to similarly mark non-gay social contexts. This study provides evidence that the DSM Casebooks portrayed homosexual women and bisexuals as invisible, and homosexual men as narcissistic, predatory, and dangerous.

Madman in the Closet: "Homosexual Panic" in Nineteenth Century New England

This analysis uses trial records from the 1860s to explore a same-sex male relationship that devolved into panic and murder. The paper's goal is to better understand how, during the middle of the nineteenth century, men who had sexual feeling for other men were forced into spaces that were qualitatively different than our current understanding of "the closet." The paper concludes that what we now call "coming out" was not an option during this era. In telling the story of how Samuel Andrews killed his best friend, Cornelius Holmes, this paper shows that the categories ordinarily presented as symmetrical binary oppositions in contemporary times-homo/heterosexual, closeted/out-did not work for Andrews and Holmes, and probably did not and could not have worked for others living under similar conditions.

Freud, Dora, and Compulsory Sexuality

In this examination of Freud’s Dora, I show that Freud insisted that Dora’s comments and gestures reflected her underlying sexual motivations, despite her repeated denials and objections. The main point is that, just as Freud “ruled in” certain ways of talking, defining Dora’s sexual fantasies and dreams as acceptable and valid representations of her feelings, so also, Freud “ruled out” other kinds of talking, in particular, Dora’s accounts of nonsexual motivation. In treating those accounts as false and meaningless, as so much cover for her “true” sexual feelings, Freud not only imposed his vision of sexuality onto a patient, he showed an entire historical period how to read sexuality into everything people say and do.

Rogerian Psychotherapy and the Problem of Power: A Foucauldian Interpretation

Guided by Foucault’s argument that “knowledge is an ‘invention’ behind which lies something completely different from itself: the play of instincts, impulses, desires, fears, and the will to appropriate,” this study considers the possibility that “nondirectivity” in Rogerian psychotherapy operates as a trope for power. This is partly based on Edwin Kahn’s observation that nondirective therapists may be less mindful of their own fallibility than other therapists, less wary of their capacity to influence clients, and therefore, less prepared to interrogate the ways they might actually be influencing them. Nondirective, client-centered therapists, in short, may be less likely to have doubts about their comments and interventions, and thus more likely to exercise influence. What I show in this study is how Rogers did just this in his famous session with Gloria, how—without telling Gloria about his personal and theoretic biases, without first discussing them with her to see if and how they fit her goals—he continually pushed her to view herself through the lens of those biases.

Parametric instability in the formation of plasma waveguides

Plasma waveguides generated by focusing a moderate intensity laser into neutral gas with an axicon lens can be unstable to the generation of axial modulations in the channel parameters. A model is proposed in which the modulations are due to the nonlinear coupling between the axicon field and a scattered mode in the evolving channel. Good agreement is found with experimental measurements of these modulations.

Recalcitrant psoriasis vulgaris associated with Laurence-Moon-Biedl syndrome

We report a 30-year-old European (Ashkenazi Jewish) male with Laurence-Moon-Biedl syndrome (Bardet-Biedl type) who was hospitalized because of severe recalcitrant plaque-type psoriasis. Laurence-Moon-Biedl syndrome has been shown to be linked to the chromosome 11q region in the majority of the patients of European descent. The same 11q region had increased frequency of aberrations in the study that included cytogenetic analysis of 477 psoriatic patients. The animal model of the syndrome (mice) showed abnormalities in hair growth and epidermal differentiation. This genetic association between Laurence-Moon-Biedl syndrome and psoriasis can contribute to the understanding of the factors involved in the initiation of psoriasis and factors that modulate its severity and resistance to therapy.

Child sexual abuse by uncles: a risk assessment

Using a sample of 982 mothers who reported on child care and living arrangements involving uncles, and case records documenting the sexual abuse of 171 children by 148 uncles, this study examined the ways uncles ordinarily become involved with children, the conditions under which that involvement becomes associated with sexual abuse, and the role gender plays in this dysfunction. Among the findings, it was noted that although aunts were responsible for 28 times more child care than uncles, uncles were responsible for 48 times more child sexual abuse. Although female children do not have more exposure to uncles than do males, they appeared four times more likely to be victimized. About 19% of the abusive uncles lived with the children they abused, and most of the remainder came into contact with them as child care providers or during overnight visits. Implications for practice are discussed.

New CNS-specific calcium antagonists

Ischemic insults to the brain in stroke or traumatic brain injury produce excessive release of glutamate from depolarized nerve terminals. This excessive glutamate release in turn stimulates massive calcium entry into nerve cells, activating a biochemical cascade that results in cell death. A major pathway of calcium entry into depolarized nerve cells is through voltage-sensitive, high threshold calcium channels. A large fraction of this calcium entry is mediated through "R-type" calcium channels, channels resistant to blockage by dihydropyridine calcium antagonists such as nimodipine. A newly discovered compound derived from spider venom, CNS 2103, antagonizes both R-type channels and dihydropyridine-sensitive ("L-type") calcium channels. This broad spectrum of action, coupled with selectivity for calcium channels over other classes of voltage-sensitive and ligand-gated ion channels, makes CNS 2103 an interesting lead for development of drugs to treat ischemic brain injury. Activation of presynaptic ("N-type") calcium channels in nerve terminals is a primary cause of excessive neurotransmitter release in brain ischemia. Prevention of glutamate release by blockade of N-type channels in glutamatergic nerve terminals may, at an early stage in the pathophysiological cascade, abort the process leading to nerve cell death. Cambridge NeuroScience has developed a novel rapid kinetic approach for monitoring glutamate release from brain nerve terminals in vitro, and this has led to CNS 1145, a substituted guanidine that selectively blocks a kinetic component of calcium-dependent glutamate release mediated by persistent depolarization. Additional evidence suggests that CNS 1145 antagonizes presynaptic N-type calcium channels, and this may account at least in part for its ability to block glutamate release.

Variables affecting disc size in the lumbar spine of rabbits: anesthesia, paralysis, and disc injury

Methods have been developed that permit repetitive radiographic measurement of the lumbar intervertebral disc space in a rostral-caudal direction (width) in the anesthetized laboratory rabbit. Using isolated control discs and injured discs in which narrowing has been induced for chronic and acute periods, the widths of the lumbar intervertebral disc spaces determined ratio-graphically correlate with widths determined histologically (p less than 0.000, r = 0.75). Both an increase (widening) and a decrease (narrowing) in disc width were observed using radiography after different experimental treatments. Anesthesia and lower-body paralysis (an experimentally induced inability to bear weight on and to perceive a pinch stimulus in hind limbs) caused widening of the discs: anesthesia causing a general widening throughout the lumbar spine and lower-body paralysis causing a specific widening low in the lumbar spine. Both disc injection and piercing the disc with needles to recover nucleus pulposus material caused narrowing of the discs. Acridine-orange injection induced a narrowing accompanied by osteophytosis. Experimentally induced narrowing at L4-5 (the result of injury to the disc) resulted in narrowing also at L2-3. These findings are consistent with the hypothesis that in vivo disc-width size in the young rabbit depends on both the quantity of nucleus pulposus material and the force-generating activities of the adjacent spinal muscles, and that disc injury at one level stimulates narrowing at other levels.

Social approval for violations of sexual consent in marriage and dating

This study compares approval for minor violations of sexual consent in three contexts: marriage, long-term dating, and a first date. Quantitative and qualitative data from a vignette experiment show that as couples progress from a first date to marriage, men gain support to violate their partner's consent, and, to a lesser degree, women lose support to assert their rights. Evidence is presented that men are more approving of male dominance and female passivity in dating and marriage than are women.

Growth related increase in an intervertebral disc space in rats

Methods have been developed that permit repetitive radiographic measurement of the lumbar L4-5 intervertebral disc space area in the laboratory rat. In using this approach, the coefficient of variation in repetitive determinations was 7.6 +/- 0.7%. Normal rats have been shown to manifest statistically significant increase in disc space area size between 2.5 and 5 months of age.

Microwaves: effect on thermoregulatory behavior in rats

Rats, with their fur clipped, pressed a lever to turn on an infrared lamp while in a cold chamber. When they were exposed to continuous-wave microwaves at 2450 megahertz for 15-minute periods, the rate at which they turned on the infrared lamp decreased as a function of the microwave power density, which ranged between 5 and 20 milliwatts per square centimeter. This result indicates that behaviorally significant levels of heating may occur at an exposure duration and intensities that do not produce measurable changes in many other behavioral measures or in colonic temperature. Further study of how microwaves affect thermoregulatory behavior may help us understand such phenomena as the reported "nonthermal" behavioral effects of microwaves.

Equivocal neurological signs, child development, and learned behavior

Ten children were tested repeatedly for five motor tasks commonly labeled "soft signs." Finger approximation, walking hell to toe, and the equivocal Babinski improved significantly with practice. These results are interpreted as eliminating these tasks from evidence of "minimal brain damage" and questioning the validity of their inclusion in developmental tests.

Oral lignocaine: its absorption and effectiveness in ventricular arrhythmia control

A preliminary study suggests that the gastrointestinal absorption of lignocaine is predictable and that adequate antiarrhythmic blood concentrations are maintained for four to five hours when 500 mg. is taken with food and for two hours if the drug is taken without food. Ventricular arrhythmias were successfully treated with oral lignocaine in four patients.