Saturday, September 26, 2009

 

Dr. Leon Eisenberg, Pioneer in Autism Studies, Dies at 87



Dr. Leon Eisenberg, who conducted some of the first rigorous studies of autism, attention deficit disorder and learning delays and became a prominent advocate for children struggling with disabilities, died on Sept. 15 at his home in Cambridge, Mass. He was 87.
Dr. Leon Eisenberg


The cause was prostate cancer, said his wife, Dr. Carola Eisenberg.

The field of child psychiatry was dominated by Freudian psychoanalysis when, in the late 1950s and 1960s, Dr. Eisenberg began conducting medical studies of children with developmental problems. Working at Johns Hopkins University with Dr. Leo Kanner, who first described autistic behavior, Dr. Eisenberg completed the first detailed, long-term study of children with autism, demonstrating among other things that language problems predicted its severity.

In a similar study among children who were developing normally, Dr. Eisenberg showed that reading difficulties early in school predicted behavior problems later on.

In the
1960s, he performed the first scientific drug trials in child psychiatry, testing stimulants like Dexedrine and Ritalin to soothe the behavior of children identified as “delinquent” or “hyperkinetic.” These studies, which became the basis for drug treatment of what is now called attention deficit disorder, ran counter to psychoanalytic theories on the most effective treatments.

“Leon took a very courageous stand and denounced the way psychiatry treated children, this whole system in which we had a few rich kids and their parents getting psychoanalysis five days a week and still not being cured,” said C. Keith Conners, a professor emeritus in the department of psychiatry and behavioral sciences at Duke University. “No one even knew what a cure looked like. He had this conviction that nothing was being done for the bulk of children who needed help, and that we had very little scientific data to guide us.”

Dr. James Harris, a professor of psychiatry and behavioral science at Johns Hopkins University, said that Dr. Eisenberg was “the pivotal person in
20th-century child psychiatry who moved the field from simple descriptions of childhood disorders to actually looking at the science behind both the diagnosis and treatment.”


Leon Eisenberg was born in Philadelphia on Aug. 8, 1922, the eldest child of immigrants from Russia. He earned his undergraduate degree and, in 1946, his medical degree from the University of Pennsylvania, before taking an internship at Mount Sinai Hospital in New York, where he developed an interest in psychiatry. He completed his psychiatric residency at Sheppard Pratt Hospital in Towson, Md.

After two years in the Army teaching physiology (Carey incorrectly said psychology), in 1952 he began a residency at Johns Hopkins and his collaboration with Dr. Kanner. In 1967, he took over as chief of psychiatry at Massachusetts General Hospital, where he continued to publish and, among many other projects, helped formulate and carry out affirmative action policies at Harvard Medical School.


In 1980, he established the medical school’s department of social medicine, with the aim of applying the tools of social science to improving access to and practice of medicine worldwide.
In addition to his wife, a co-founder of Physicians for Human Rights, Dr. Eisenberg is survived by two children from a previous marriage, Kathy and Mark Eisenberg; two stepchildren, Alan and Larry Guttmacher; two sisters, Essie Ellis and Libby Wickler; and six grandchildren.

For two days last week, Harvard lowered its flags to half-staff in honor of Dr. Eisenberg.
In his later years, Dr. Eisenberg became increasingly alarmed at trends in the field he helped establish, criticizing what he saw as a cozy relationships between drug makers and doctors and the expanding popularity of the attention deficit diagnosis.

The diagnosis “has morphed from a relative uncommon condition
40 years ago to one whose current prevalence is 8 percent,” he wrote. “Correspondingly, the prescription of stimulant drugs has gone up enormously. The reasons are not self-evident.”

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Saturday, August 29, 2009

 

Panis angelicus is the penultimate strophe of the hymn Sacris solemniis written by Saint Thomas Aquinas for the Feast of Corpus Christi as part of a complete liturgy of the Feast including prayers for the Mass and the Liturgy of the Hours.

The strophe of Sacris solemniis that begins with the words "Panis angelicus" (bread of angels) has often been set to music separately from the rest of the hymn. Most famously, in 1872 César Franck set this strophe for tenor, organ, harp, cello, and double bass; later arranging it for tenor, chorus, and orchestra, he incorporated it into his Messe solennelle Opus 12. The 1932 performance of that work by John McCormack in Dublin's Phoenix Park became the highlight of his career. Noteworthy renditions have also been performed by tenors Luciano Pavarotti, Plácido Domingo, Richard Crooks, Donald Braswell and Roberto Alagna, as well as by the sopranos Magda Olivero, Renata Scotto, and Chloë Agnew. Singing trio The Priests give an extraordinary rendition in their debut album.

The phenomenon whereby the strophe of Sacris solemniis that begins with the words "Panis angelicus" is often treated as a separate hymn has occurred also with other hymns that Thomas Aquinas wrote for Corpus Christi: Verbum supernum prodiens (the last two strophes begin with "O salutaris Hostia") and Pange lingua gloriosi (the last two strophes begin with "Tantum ergo", in which case the word ergo ["therefore"] makes evident that this part is the continuation of a longer hymn).

Text of Panis angelicus, with doxology

Latin text An English translation
Panis angelicus
fit panis hominum;
Dat panis caelicus
figuris terminum:
O res mirabilis!
Manducat Dominum.
Pauper, servus et humilis.


Te trina Deitas
unaque poscimus:
Sic nos tu visita,
sicut te colimus;
Per tuas semitas
duc nos quo tendimus,
Ad lucem quam inhabitas.
Amen.
The angelic bread
becomes the bread of men;
The heavenly bread
ends all prefigurations:
What wonder!
consumes the Lord
a poor and humble servant.


Triune God,
We beg of You,
that you visit us,
as we worship You.
By your ways,
lead us who seek
the light in which You dwell.
Amen.

The article Sacris Solemniis in the Catholic Encyclopedia discusses the merits of a number of different translations.

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Wednesday, August 26, 2009

 
Many other issues were surfacing, and when Massachusets Senator Ted Kennedy saled across the Boston Harbor with Presidential Candidate Al Gore (and his running mate, Joe Lieberman), I got to look them each in the eyes, and they me, but Senator Kennedy's hand I was able to shake, as I shared my long-pondered thought: ""Work on Healthcare"

On the other hand, Joe Lieberman looked me straight in the eye, then in the midst of my long-pondered comment to him, Senator Lieberman quickly turned away to a yarmulka/yarmulke-wearing gent three rows behind me and energetically pumped his hand.

Senator Kennedy was much more gracious (and less knee-jerk), I thought, in thinking through his international and domestic policies.

Yes!

And Senator Kennedy DID continue working on US healthcare until the very end. Thank you very much!

I could ONLY wish that he had understood and worked for primary prevention at the same time!

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