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