LETTERS

Request

TO

for

EDITOR

TIlE

Research

dend

Protocols

of this technique

momentarily SIR:

The

Task

APA Council a trial basis tance

to

Force

on

Ethics

in

Human

Research

on Research and Development a program designed principally

institutional

review

of reviewing

sponsibility

committees

human

charged

research

of

the

is undertaking on to provide assiswith

proposals

came

passes

times

as

ment,

and

over

as a surprise.

remain

much

reading

territory

the

individual

issues

to to do

re-

in-

read

articles

later.

choose

from

get

scattered

not

A.

the

in their

All those

be

in

is six

an

off

or

CHAPMAN

one

There

M.D. Tex.

I5LIAM,

Fort

mo-

lost.

Worth,

stitutions.

In this program, we propose to act in a quasi-judicial fashion to review controversial research protocols sent to us by colleagues based their

and

others.

on

scnibed.

We

and

hope

that

further

some and

to

identifying

opinions

discussion

The purpose

is prepared

issue

opinions

The Defensive

investigators

within

can the

then

be

published

as

a

profession.

of

of this letter

the

task

force

Chairman,

Task

Force

on Ethics

B. GUZE,

in Human

Department

Washington

University

offers

M.D.

rotic

relationships, for

rather

tons,

religious

parents

when

telephone

are to

or

tell

pecially

when

father.

the

conversation

It is hard

diatribe,

be

for it mild

overwhelmed. dig

In

the

I have

yet

their

mouth,

the

commanding

into

their

ears,

but

the

earpiece

far

parental

about

Binding

versus Shredding

her

SIR: The February 1975 issue of the Journal contained three letters to the editor commenting on the filing system described by Thomas Gutheil, M.D., in the October 1974 issue. I have used Dr. Gutheil’s system and found that it became a chore to shred journals, duplicate common pages, and file articles never to be read again. An idea occurred to me while I was struggling with a stack ofjournals to be arranged or thrown away. Instead of mutilating them into a superfile, what if one could bind them simply and use their own annual indexes for any reference work? Professional pensive.

binding

I tried

July issues next to the ofglue, and tape, either

“instant

or

box

binding”

face down, run a binding edge, add so on. Then bind lengthwise or as on the spine

binders and

are

inconvenient

it works!

Lay

and January

exor

ribbon ofglue along the back sheet the next issue, apply another strip the whole with two-inch electrical three cross strips so as not to cover the information of the journal. This makes a strong binding that can be tossed around or used as a book. It may not look beautiful, but it is cheap and practical. Now I can use six issues together like a book or start with two issues and add the next four as they arrive. The extra divi-

psychotherapeutic

Provocative

thus

has

ever,

spoken

This

a much directly

model

sations.

a conversation

frequently

canny most

destructive

impact. to help that

a parent

this

attitude

beneficial are

avoidance

strengthened technique

by of

ear,

so

The

that

phone

he

is

patient’s are

take of

by

is

with

into

words,

in-person their

howconven-

power

to

course,

their

convensa-

is that that

speaking

force

patients

“live”

technique

dialogue not

say,

heard.

a logical the

can

my father upsets back, it is muted repeat his former barely audible, and

talk

patients

over

result

al-

parent.

their

The

it is within to

own

heard.

mouthpiece,

seems

child

patients

example,

hysterical the

a paren-

seems to remove or relieve the patient to begin his on For

established with

tions.

relationships

into

also

Having

The

or

diminished

such

hypnotized

from

“Mother, are you aware that such talk about me terribly?” When an angry protest comes and distant, and the patient can then calmly statement.

such

their

is barely

rebuttal.

doeof

to cope with this problem with the mouthpiece near

spoken into like a microphone. This the intensity of the emotion, enabling Instant

prob-

unfortunate such

away

voice

their

stop

an

seemingly

gossip

in-

friends, Much

conversations,

helped patients to hold the phone

them

to

In person,

fascinating

successfully

advising

child

severe.

telephone

earpiece

destructive

by

or

ye-

is perpetuated by teleregaling him with cnitiand seducing him, essexual criticism of the

involves

a conscientious

them

parents.

and inappropriate relationships phone. A mother may call her son daily, cisms of his father and thereby upsetting

the

repeatedly

sisters,

own

The neu-

often

and

brothers,

their

are

These

regularly

inappropriately

complaining counselors,

calls

relationships.

who

who

than

instrument. of many

improvement

upsetting

the

School of Medicine 4949 A udubon A ye. St. Louis, Mo. 63110

the

dominating patients

by

lems

for

especially

infantile

most

of Psychiatry

is a vital communications

opportunity

continuing

seduced

is

Research

an

hide

tal SAMUEL

The telephone

SIR: phone

volve

is to alert Journal readers to the unand to request that protocols involving research with human subjects be sent to the task force for review at the address given below. Since it will probably not be possible for us to review all controversial protocols, we would prefer to receive a bniefdescniption ofthe protocol first in order to avoid duplication and to enable us to deal with the more important questions. dertakings

Use of the Telephone

or

to those of an appeals court conissues related to the research deof these research protocols or ap-

moral

summaries for

force

(without

analogous

ethical

propniate

task

study

institutions)

cenning

basis

The

careful

family

the

replaces at

all

that

we

so often hear about. The formerly intimidated patient takes the lead in correcting destructive family patterns. The phone should be, by this method, considered a possible useful tool for beginning the correction ofneurotic relationships which are sometimes perpetuated by phone conversations themselves. FREDERICK

BUCKERMAN,

New AmJ

Psychiatry

132:9, September

York,

1975

M.D. N. Y.

973

Letter: The defensive use of the telephone.

LETTERS Request TO for EDITOR TIlE Research dend Protocols of this technique momentarily SIR: The Task APA Council a trial basis tance t...
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