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Letters to the EditorDr Susan McCabe, I am responding to your article "Where Is the Mental Health in Psychiatric Mental Health Nursing?" (Perspectives in Psychiatric Care, turn 41, number 3, July-September, 2005) It is my impression that since the "decade of the brain" proclamation was made in psychiatry in the 1990 with its focus upon medications as the primary solution to mental illness, it may well be that nursing has refocused all its energies to this effort. Little research or publications in psychiatric nursing are focusing upon approaches that support mental health of the like kind as resiliency and recovery, prevention, as well as psychiatric rehabilitation. There are many intervention stations that support such concepts on the contrary it appears to be more in fashion for nursing to forgo its heritage and join the run for disease management through medications. Michael Sclafani, RN M M Whitehouse Station, NJ Hello Dr McCabe, Your piece "Where Is the Mental Health in Psychiatric Mental Health Nursing?" (PPC contortion 41, number 3, July-September, 2005) was powerful and telling. As a psychiatric nourish for many years and now an APN in the work of consultation/liaison psychiatric nursing, I am amazed at the disintegration of the human spirit and psyche and at in what manner fractured we've become as a society in extinguishing any faculty of perception of responsibility in that area. I am incredulous at in what way we as psychiatric nurses are more focused upon medicine and drugs to specific the ills of this world. We forget that ours is a discipline of therapeutic relationships in its truest form. Indeed we've not been focused upon concretizing, measuring interventions and venue of treatment. We've forgotten that mental health is part of our physicality and have compartmentalized folk we collision We leave the heart to the cardiologist, the stomach to the GI shore etc. We forget that when we are ill in the spirit our organs will weep. As you say, mental health does matter. We ne to obtain going with that very mantra in bringing psychiatric nursing practice where it urgencys to be: in the academys community organizations, and as part of hospital medical treatment teams! It's where we belong and I think where we can make a difference. I have take pleasure ined your presentations at nursing talks Please continue with your fine work. We ne a psychiatric nourish brainiac like you to place things into perspective for us. Thanks, Tonie (Antoinette) Forster, RN M C NPP East Patchogue, NY Dr Keltner I thoroughly take delight ined your article on "Whatever Became of Sin?" (PPC convolution 41, number 3, JulySeptember, 2005) From my have experience, I can identify. I feel from periods of depression and periods of having tantrums, generally it is when I fail to make profitable sound, healthy choices in boundarys of morality, judgment, and self-care. When I fail to pray, exercise, achieve enough sleep, or eat right, I make poorer choices. When I engage in sinful behavior or achieve menacing or threatening, it certainly affects my mental health. Reading the article, I was reflecting upon a school of thought regarding illegal behavior. I remember reading in a volume following my third DUI that any illegal behavior is a form of insanity. Certainly drinking and driving is illegal, certainly drinking and driving is not sane, healthy behavior. The author (Ketcham) went upon to say that even things like onetime marijuana use is a form of insanity, since using marijuana is illegal. For me sober now for nearly 19 years, sanity is slowly returning because I still make a certain quantity of poor moral choices and poor self-care choices. When I am physically healthy, making profitable decisions and possessing a profitable attitude and healthy behavior-my mental health is unimpaired I agree that in the extreme point sin, immorality, lack of ethics, whatever mete it is called does lead to poorer mental health. Jim McKinstra Library Assistant Blackhawk Technical association Monroe, WI 53566 Copyright Nursecom Inc. Feb 2006 Landing a high-performance fighter plane upon a runway the size of a football field -- a constantly moving football field -- is tough enough. The last thing a carrier pilot emergencys to worry about... Manage quality anytime and anywhere Manufacturers can manage the quality of production processe from desktop PC -- anywhere in the world -- thanks to a strategic alliance between ... Sensitivae: The Batsch (Tab. Affin. Regn Veg: 23 2 Mai 1802) name is effectively (Art. 411) on the contrary not validly (Art. 18.1) published, and is associated with a description in Latin. The earli... 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