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During the early part of my career, I had become convinced that psychiatry in several important areas lacked a clear enough commitment to scientific research: Rather, the field was divided among at least three ideological approaches to diagnosis and to treatment (Strauss et al, 1978) We labeled these ideologies as psychotherapeutic, sociotherapeutic, and somatotherapeutic, referring to profound differences in the concept of the independent variables involved in the cause of various mental illnesses and in the processes required for therapeutic effectiveness The psychotherapeutic ideology supported the position that psychological factors were the key elements in producing mental illness They were also the most important part in effecting successful treatment (Brenner, 1976; Fenichel, 1945; Ogden, 1994) Sociotherapeutic ideologies postulated the power of social variables (societal, familial, cultural, or group) as the most important systems in stimulating the presence of mental illness (Hollingshead & Redlich, 1958; Kleinman, 1986; Montagu, 1961).

These two images represent different parts of the same tree and, according to the commonsense human decision, this pair of images should be considered to be the most similar images However, the fuzzy decision procedure shows different results in Table 112 This fact also shows that a proper human-de ned criterion for similarity should be established prior to running a respective optimization procedure that tunes the parameters of the fuzzy decision procedure, namely, the centers of the membership functions andthevaluesofthesingletonsThen,thecomputerfuzzydecisionprocedureshouldbeable to closely simulate the human similarity decision Our future research goal lies in this direction Another important nding from Table 112 is that even if an image has been classi ed as no 1 (ie, the most similar image to a given one), the nal decision for acceptance or rejection of this result should be made using a prespeci ed threshold, Th.

Alterations of these systems were necessary for reduction of mental illness Somatotherapeutic ideology emphasized the role of biological systems in the causation of mental illnesses and in their treatment (Ketty, 1959; Wortis, 1960) Varying groups of psychiatrists preferred each of these ideologies without acknowledging that they were, in fact, ideologies As part of our studies, we designed scales for the measurement of these particular positions, and we were able to demonstrate significant differences among the three groups (Strauss et al, 1978) Furthermore, the members of each group tended to work in different settings, to join separate professional organizations, to publish in specialized journals, and to employ markedly different therapeutic approaches These differences were enhanced by the presence of charismatic leaders for each ideology, each of whom advocated a particular approach and depreciated the value of the others Research was not visualized as the method to resolve these differences.

For example, if the preset threshold is Th 033, then the solutions for the similarity analysis of images nos 3, 10, 11, and 18 would be discarded as nonplausible, that is, image no 18 is not similar to image no 12, even if it is ranked as no 1..

elements are in parallel con guration between the input pad and the ac ground reference This capacitive element is also in parallel with the input pad capacitance In the case of ESD double-diode networks, both the capacitor elements are voltage dependent (eg, capacitance variation is a function of the metallurgical junction) Hence, the dc bias state of the ESD double-diode circuit alters the capacitance load condition Hynoven et al [27 29] noted that a cancellation method can use an ESD inductor element to cancel the loading effect of the ESD double-diode element The inductor element value is chosen in such a way that during the cancellation, the combined loading effect of the ESD double-diode and inductor is minimized at the functional application frequency It was also noted that direct electrical connection of the ESD inductor to a ground reference is not desirable.

Passionate advocacy ruled the day in publications as well as in educational curricula During the latter half of the 1940s, the 1950s, and most of the 1960s, the psychotherapeutic ideology was particularly strong, influenced intensively at that time by the power of psychoanalysis, especially in the United States Psychoanalytic institutes had a very significant impact on basic psychiatric education; indeed, some institutes were located in medical school settings, in close proximity to, or even embedded within, the department of psychiatry Many trainees in psychiatry had plans to become psychoanalysts, perhaps even to assume leadership positions in psychoanalytic organizations and institutions From my perspective, one of the most important influences that psychoanalysis had on psychiatry was its implicit concept of normality (Sabshin, 1990) This concept was not often stated or acknowledged in clear terminology; nevertheless, it was a vital part of the influence of psychoanalysis.