This article describes e-mail therapy with a teenager whom professionals found difficult to communicate with and understand. Anne had a 4-year history of low mood and unpredictable self-harming behaviour that in the past had led to admission to a secure unit. Therapy involved weekly e-mails over a 3-month period and ended when she was transferred to adult services. The article focuses on how e-mail enabled engagement to occur. The therapeutic relationship allowed Anne to explore and understand past experiences, and start resolving present problems. Diagnosis also became clearer.
demonstrates, with British and Swedish data, increased seasonal variation of births associated with raised maternal age. He thus provides a possible explanation for the season of birth effect in schizo phrenia, given the previous observations that mater nal age at birth is raised in samples of schizophrenic patients. In addition, he suggests that the observed excess of births by older women in the early months of the year is due to age-related decline in their fer tility. The essence ofthis argument is that a cohort of
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