Faculty Bibliography

College students are the human capital of a nation, and their college education lays the foundation for their success as future leaders of society. However, their ability to advance is often impeded by stress. Changes in lifestyle, increased academic workload, student debt, forming interpersonal relationships, and coping with new adult responsibilities may result in clinically significant anxiety and depression that require medical attention. Left untreated, these illnesses hinder academic progress and decrease graduation rates. College students constitute a highly mobile population frequently traveling for breaks and school-related activities and, as such, at increased risk of interruption and/or discontinuation of care. The COVID-19 pandemic challenged our ability to offer consistent mental health care for students and forced us to implement public health measures that were long overdue. Temporary governmental policy changes allowing for the provision of remote care across state lines at the same reimbursement rate as in-person services were vital to student mental health recovery, retention in school, and graduation rates. The time-limited loosening of state-based medical licensure restrictions clearly demonstrated the feasibility, benefits, and dire need for widespread implementation of telehealth. These are important lessons that should inform future policies for student health. In this paper, we advocate therefore, that the temporary loosening of the licensure restrictions and equitable reimbursement rates be codified into law. The current licensing regulations have not kept pace with the lived experience of college students or modern society in general. Given more mobile lifestyles, these restrictions result in frequent inevitable transitions of care which are highly undesirable. Even if providers outside metropolitan areas were readily available,1,2 these transitions of care are fraught with considerable risk for medical error. We also advocate for a national standardization of tele-psychiatry policy and procedures, including access to electronic health care records for providers taking care of matriculated students. To date, student mental health services are a patchwork of organizational models of varying funding and efficacy.

Reviews the book, How Sex Changed: A History of Transsexuality in the United States edited by Joanne Meyerowitz (2002). Maleness and femaleness are generally considered sacrosanct and immutable. The author defines transsexuals as persons who wish to live as members of the other sex and who seek to change their bodily sexual characteristics, frequently pursuing sex-reassignment surgery. The author attempts to familiarize the reader with the at-times-confusing and counterintuitive theories of cross-gender behaviors. Author provides an evenhanded description of both social and scientific notions of gender. The book leads us on a transatlantic excursion to Germany in the 1920s, where, embedded in a campaign for sexual liberation, transsexual surgery had its roots. The author chronicles the controversies involving patients, doctors, the sensationalist press, and the scandalized public that ensued even before the first surgeries took place in the United States in the mid 1960s. Meyerowitz helps the reader understand how the concept of sex changed, but her explanations of why it changed are more tentative. The book is well written and reads easily, a captivating page-turner for the sexologically inclined.

Reviews the book Sexual Behavior in the Human Female by Alfred C. Kinsey, Wardell B. Pomeroy, Clyde E. Martin, and Paul H. Gebhard (1953). Half a century after its original publication in 1953, this is still an engrossing and relevant read. Kinsey was a consummate sex educator and deserves our support, because he advocated for the sexual expression of women and girls. Present-day sexologists feel a connection to his pioneering work, because then as now, there is a backlash against sexual research and teaching. Sex research remains a charged subject matter and there is political interference with the scientific process. Kinsey took a stance by refraining from any moral judgment and maintaining the strictest confidentiality. In retrospect, there are a number of shortcomings in Kinsey's study. The most controversial statements by Kinsey can be found in the chapter on the sexuality of children. Despite the limitations in Kinsey's appreciation of women's sexuality with his focus on quantifiable discrete sexual events, it behooves us to close ranks behind him.

Reviews the book Lesbians, Feminism, and Psychoanalysis: The Second Wave, edited by Judith M. Glassgold and Suzanne Iasenza (see record 2004-15795-001). The book consists of twelve essays, with a plethora of conceptual and clinical ideas presented in three thematic parts: a historical introduction, an update on clinical issues, and a reflection on deconstructionist gender studies. The introduction provides an overview, in a tone of breezy optimism, about the healing power of psychoanalysis. The subsequent chapters take a more sober view of the therapy challenges encountered by lesbian patients. Susan Gair points out that many lesbian patients still feel the need to hide their sexual identity, even from their therapists. The articles in this volume are brimming with creative use of language, because the lesbian movement has found it necessary to invent 'new names for what one is'. After reading this collection of subversive essays, one finds conventional notions of gender boundaries will have become porous-and this may be exactly what the authors had in mind. The volume is a useful addition to any contemporary clinician's library and required reading for therapists who work with lesbian patients.