In this article, the author presents the main results of an exploratory clinical study aimed at identifying the adaptation mechanisms used by chronic psychiatric patients. These patients had been treated and followed by an external clinic located in an underprivileged urban environment. Upon the analysis of social worker's observations, the author was able to pinpoint 39 adaptation mechanisms within five areas of daily life: economical, residential, temporal, interpersonal and therapeutic. In conclusion, the author emphasizes on the six operating parameters of these adaptation mechanisms.
This article describes a cross-cultural experience in teaching alcoholism treatment skills and therapy techniques. The current treatment model in America has to be shaped to the requirements of the local scene. The immediate problem was to import a disease-oriented model of alcoholism to a land where most people view alcoholism in terms of individual moral failing. The Norwegian cultural value orientations are defined; then the alcoholism treatment adaptation across language and custom is discussed.
In Swedish child and adolescent psychiatry there is a more than 60-year long tradition of using longitudinal methods in research on juvenile delinquency. Since the 1940's, results have been presented using either prospective or retrospective longitudinal designs for this purpose. Starting from genetics as scientific paradigm, new approaches including neuropsychiatry and social psychiatry showed the need for a multidisciplinary view at the border between medicine and behavioral sciences. Both Swedish and international research in the area has clearly demonstrated that factors relating to gender, maturation, resilience vs. vulnerability, the mental health of the parents, the social network and the organization of the school are of importance when trying to understand, prevent and treat juvenile delinquents. The challenge presented to today's and future researchers is to understand how the complexity of the modern western society will impact already established knowledge.