The Menninger Clinic


Alumni Newsletter

January 2004, Volume 50, Number 4

Inside this issue:

Report to Alumni: Off to a good start

Ian Aitken, Menninger president and CEO By Ian Aitken
Menninger president
and CEO

On June 1 The Menninger Clinic opened its doors as
a Texas entity for the first time in its long and storied
history. We had finally made the transition from Topeka
with 28 patients and 8o staff members–each carrying
the organization’s values to Houston. We made the
move without incident, but with great emotion,
determined to carry on the work begun by Drs. C.F., Karl and Will,
Roy and Walt.

We have been warmly received in Houston: by our partners, Baylor College of Medicine and The Methodist Hospital, by the professional community specifically and by the Houston community at large. Houston has provided emotional support and encouragement and a pool of (over 200) skilled employees eager to continue their careers at Menninger. They are as determined to learn our approach to the work as we are to teach it to them. As I look at our new staff all together when we gather for the monthly all-staff meeting, I am grateful for their individual talents and gifts, their enthusiasm, their sense of mission and their diversity.

Over the last several years, we have focused on providing specialty hospital services at Menninger. We continue that focus in Houston by providing inpatient specialty treatment (average length of stay 4-12 weeks). These services are offered to adolescents and adults with typically complex psychiatric disorders such as dual diagnoses, major psychotic disorders, obsessive-compulsive disorders and eating disorders. While senior staff direct these programs, we have once again welcomed trainees in psychiatry, psychology and social work. Their inclusion has added a vitality and richness to the work.

In addition, staff continue to be active nationally, writing and speaking professionally and speaking with the media. Menninger intends to regain its national voice by providing leadership on issues of mental illness, its treatment, training and research.

I am also excited by the renewal of our research in the Child & Family Program through our collaborations with the Yale Study Center and the Anna Freud Centre in London. At the same time, we are collaborating with the Baylor College of Medicine’s Neuroimaging Center in relating various social behaviors to specific origins in the brain. We have a solid strategic plan for research to advance our knowledge and that of the public at large.

As you can see, we intend to actively pursue every opportunity offered by our partners while we build ourselves once again into a viable national enterprise.

On the operational side, on October 22, The Clinic treated a census of 100 patients for the first time in over three years. In November, The Clinic exceeded its break-even census of 98 and made a few thousand dollars for the month. We reached this target a year ahead of plan. The Clinic continues to have a national focus and serves a national patient base. A full 70 percent of The Clinic’s patients come from a location outside of Texas. We are hopeful that in the coming months we will be able to serve even more patients.

As we press on, we welcome your suggestions, your counsel and your continued support. We view The Menninger Alumni Association as a significant group in helping The Clinic staff extend the Menninger legacy. Alumni serve as role models and mentors for our trainees. Alums were involved in and helpful with establishing our new partnerships here in Houston.

Although we came to Texas with a core group of 80 veterans, it is closer to the truth to state that we also came carrying the hearts and minds of many more who have significantly contributed to what Menninger is today.

We are aware of the challenges before us in endeavoring to sustain the Menninger tradition of superior mental healthcare. I pledge to each of you–on behalf of all of us here–that we will maintain that standard. We are off to a good start, and we are up to the task.

From all of us here at Menninger, I wish you a happy, healthy and prosperous New Year.


Menninger alumns offer glimpse into their careers

We’d like to hear from you about your life since Menninger. Drop us a note or send us an e-mail telling us where you went after leaving Menninger, and your present situation. Send information to rverdon@menninger.edu,
or drop us a line at The Menninger Clinic, Alumni Newsletter, 2801 Gessner Drive, PO Box 809045, Houston, TX, 77280.
Here are some recent responses:

A group of former Menninger staff has established The Heritage Mental Health Clinic (HMHC) in Topeka. These colleagues include:

Marceil Bauman-Bork, MD (MSP ’83, C ’86), former Director of Psychiatry Training at the Karl Menninger School of Psychiatry & Mental Health Sciences; President of the medical staff; lead psychiatrist at the Menninger Outpatient Clinic; team leader of the Professionals in Crisis unit

Melvin Berg, PhD (P ’76), Training Analyst at the former Topeka Institute for Psychoanalysis

David S. Blakely, MD (MSP-A’97), former Director of the Hope program; President of the medical staff

Anthony D. Bram, PhD (P ’97), former lead clinician for the Anxiety Management Clinic. Current Director of Education and Training at HMHC, responsible for overseeing graduate practicum training in social work and psychology as well as the Irwin Rosen Post Doctoral Fellowship in Psychology.

Siebolt Frieswyk, PhD (P ’66), former Director of Psychotherapy Training for the Karl Menninger School of Psychiatry & Mental Health Sciences and the Adult Outpatient Department

Kay Kelly, LSCSW (PSW ’87, PPT ’92), former Director of Social Work

Carrie Stutzman, LSCSW, former Children’s residential treatment unit social worker; Call-in Social Worker (Professionals in Crisis, Alcohol Addiction and Rehabilitation Program and Eating Disorders Unit)

Senior Clinical Consultants include:
Roy Menninger, MD
(MSP-A ’65), third generation Menninger psychiatrist who led the organization for 26 years

Irwin Rosen PhD (P ’52), former Training Analyst at the Topeka Institute for Psychoanalysis; Director of the Adult Outpatient Department; Director of Psychology

Fred Shectman, PhD (P ’67), former Director of the Adult Outpatient Dept; Barbara Davis Spencer Professor of Psychology, Karl Menninger School of Psychiatry & Mental Health Sciences

Also at the Heritage Clinic is Becquer Benalcazar, MD (MSP ’72, CP ’74,C ’75), who joined the professional staff in August. Dr. Benalcazar is responsible for general, child and adolescent psychiatry, psychotherapy and pharmacotherapy. He was previously at The Menninger Clinic where he was responsible for training; he was a supervising psychoanalyst, and an adult, child and adolescent psychiatrist. Colleagues are invited to visit the Heritage Web site for updates on other colleagues at: http://www.heritagemhc.com

Janice M. Bingle, MD (MSP ’94, C ’98), joined the Topeka-based Family Service and Guidance Center in August as a child and adolescent psychiatrist. She is responsible for diagnostic assessments for children and adolescents with psychiatric symptoms and medication management.

Nancy Brier-Liesmann, LMSW (MFT2 ’02), Fort Smith, Arkansas, is a clinician for Dayspring Behavioral Health Sciences. The position involves providing therapy to chronically mentally ill patients who have been placed in area nursing homes; she works with the elderly on issues involving senility and Alzheimer’s disease. Ms. Brier-Liesmann was recently appointed to the Women’s Center Advisory Board at Sparks Hospital.

Stephen Holbrook, PsyD (PSW ’84, PPT ’87), has been named director of clinical services in the professional outpatient counseling department at Francis Lauer Youth Services in Mason City, Iowa. He is responsible for psychiatric evaluations, medication checks, consultations and clinical supervision.

Gerald L. Euster, DSW (PSW ’62), retired December 31, 2002 as Distinguished Professor Emeritus, University of South Carolina College of Social Work, where he taught from 1974 to 2002. He also served as graduate director, gerontology studies, and director of the South Carolina Center for Gerontology. After working on the staff of the Adult Hospital at Menninger until 1964, Mr. Euster got his doctorate from the Univ. of Pennsylvania and then was on the faculty of the University of Illinois School of Social Work, Urbana-Champaign for five years.

The Very Reverend Donald W. Krickbaum (PC ’69), retired as the Dean of Trinity Episcopal Cathedral, Miami, Florida, after 4o years as an Episcopal priest and 15 years as the Dean at Miami. He is now living in Harpers Ferry, West Virginia. He is part-time on the staff of the Spiritual Guidance Program of the Shalem Institute in Bethesda, Maryland. He is also assisting from time to time in congregations of the Diocese of West Virginia.


Roy Menninger visited with Jon Allen Dr. Roy Efrain Bleiberg, John O'Neill
On his trip to The Menninger Clinic in November, Roy Menninger, MD (right), visited with colleagues and staff members. Here, he chats with Jon Allen, PhD, senior psychologist. Dr. Roy, chairman emeritus of Trustees, attended the Menninger-Baylor College of Medicine-The Methodist Hospital Board meeting in Houston. While visiting The Menninger Clinic he ran into Efrain Bleiberg (center), MD (MSP ’77, C ’79), medical director of Professionals in Crisis and vice chair, child and adolescent services, and John O’Neill, LMSW-ACP, LCDC, PIC program director.


Preparations under way to reunite mental health professionals

Family Service & Guidance Center is celebrating its 100th Anniversary of serving Shawnee County and plans to honor individuals who have been involved in making Topeka a center for excellence in mental health over the years. To mark the center’s centennial, plans are under way for a celebration and a reunion.

On April 17, 2004, Family Service & Guidance Center will celebrate the mental health professionals who have impacted the Topeka community. Events are being planned throughout the day.

For more information about these events or if you wish to help locate other individuals who may wish to attend, please call Amy Burns at (785) 232-7902 or e-mail her at aburns@fsgctopeka.com.


News, notes

Chief of staff outlines Menninger values, history in Grand Rounds
Richard Munich and Stuart Yudofsky Richard L. Munich, MD (MSP-A ’01), Menninger vice president and chief of staff, and professor of psychiatry at Baylor College of Medicine, presented Grand Rounds at Baylor Wednesday, September 3. Grand Rounds is a teaching presentation. Dr. Munich’s topic was “Introducing The Menninger Clinic,” in which he described the origins and core values of The Menninger Clinic and outlined the milieu issues in the treatment of patients with difficult to treat disorders.

Alum’s book on compassion serves as lecture foundation
Ralph Crawshaw, MD (MSP ’48), gave the Jo Ann Miller Memorial Lecture on Bioethics at Alfred University, Alfred, N.Y. The address, The Limits of Compassion, attempted to extend the concept of compassion developed in Dr. Crawshaw’s recent book, Compassion’s Way, A Doctor’s Quest into the Soul of Medicine, Bloomington, IL., Medi-Ed Press, 2002.

Staff presents difficult case of Hope patient in Grand Rounds
Three staff members of The Menninger Clinic presented Grand Rounds in November at the Menninger Department of Psychiatry & Behavioral Sciences at Baylor College of Medicine. Giving a “Case Presentation on Complex & Comorbid Psychiatric Disorders,” Hope staff members Stuart Twemlow, MD (MSP ’70), Susan Romanelli, LSWC, PhD (former program director) and Martha McCrory, MT-BC, offered treatment insights into the case of an adult Menninger patient with major mental illness. The case offered examples of diagnostic issues, family therapy, psychotherapy, psychopharmacology, patient–staff relationships and the dynamics of milieu therapy. The presentation was repeated at Menninger for staff members and later for outside clinicians. The event was the first of a yearly series of six educational events planned for mental health professionals in the Houston area. The Clinic’s presentations are approved for continuing education credit.

OCD team presents multiple sessions at OCD conference
Menninger Obsessive-Compulsive Disorders treatment center staffers Thröstur Björgvinsson, PhD (MSP-A ’02), Constantina Boudouvas, LSCSW (PSW ’99, MFT2 ’01), OCD counselor John Hart and Nurse Manager Renee Azzouz, RN, BSN, presented a total of five sessions at their leading marketing event of the year, the Obsessive-Compulsive Foundation’s conference July 25-27. Consumers, families and clinicians nationwide attended the conference in Nashville.

Topics and staff presenting were:

  • Writing and OCD—Turning Vices Into Virtues by Ms. Boudouvas
  • Family and OCD: Disentangling OCD From Family Interactions by Dr. Björgvinsson and Ms. Boudouvas
  • The Adult OCD Child Living at Home: Special Problems by Hart and Ted Witzig, Jr.
  • OCD in the Milieu: Use of the Therapeutic Community in the Treatment of Severe OCD by Ms. Azzouz and Dr. Björgvinsson
  • In the Transition Zone: Behavior Contracting for a Change by Ms. Azzouz and Ms. Boudouvas

Trauma book in press based on Menninger group experience
Lisa Lewis, PhD (P ’79), Kay Kelly, LSCSW (PSW ’87, PPT ’92) and Jon Allen, PhD (P’ 76, MSP-M ’96), have a book in press. The title is Restoring Hope and Trust: An Illustrated Guide to Mastering Trauma. The book will be published by Sidran Press, a publishing house specializing in trauma education. Publication is scheduled for mid-2004. The origin of the book stems from the experiences of Ms. Kelly and Dr. Allen leading a Psychoeducational Trauma Group in Partial Hospitalization Services (PHS), and a similar group led by Ms. Kelly and Dr. Lewis on the Professionals in Crisis unit. The book grows out of the latter experience, which accumulated numerous graphs and drawings in the group to illustrate key concepts. The authors collaborated with Susanne Corbett, BFA, who developed the illustrations. Dr. Allen continues to lead the Hope Psychoeducational Trauma Group, with Alice Rogan, MD (MSP ’95, C ’99), and Dr. Lewis still leads the PIC Psychoeducational Trauma Group with Shana Lewis, ARNP, as co-leader.

Mary Wentworth honored for leadership, excellence in nursing
Mary Wentworth, MS, RN, CS (MSP-A ’97), Menninger vice president of Patient Care Services, was recognized in October as a finalist for the annual Nursing Excellence Awards for exceptional leadership of nursing and patient care services. In the Texas-Louisiana region, only five nurses are selected.

Dr. Twemlow presents keynote, meets with national leaders
Hope Medical Director Stuart Twemlow, MD (MSP ’70), presented a keynote address on “Assessing Adolescents Who Threaten Homicide in Schools: The U.S. Experience,” and two workshops on “Diagnosing and Intervening in Violent Communities,” at the IV Latin American Congress on Child and Adolescent Psychiatry held in Asuncion, Paraguay, September 17-21. Dr. Twemlow also met in consultation with national leaders to work on issues of community fragmentation.

Dr. Evans earns numerous awards and distinctions
Louise Evans, PhD, ABPP (PD ’52, P ’55), was recognized by the American Biographical Institute which included her in 500 Leaders of Science, 2003 Special Commemorative Edition. The International Biographical Centre (England) has honored her with inclusion in their forthcoming publications: first volume of Living Science, first edition of 2000 Eminent Scientists of Today and Who’s Who in the 21st Century. Additionally, she was recognized by the Division of International Psychology of American Psychological Association for her “lifelong contributions to the Advancement of Psychology internationally” at the APA in Chicago, which elected her as a Fellow of the Division. Dr. Evans was twice honored in absentia by the International Council of Psychologists at the 61st annual convention in Toronto last August. Dr. Evans, who was the first woman certified in her specialties at the Karl Menninger School of Psychiatry & Mental Health Sciences in 1952 and 1955, practices in Beverly Hills, California.

Dr. Kibel heads international psychotherapy group
Howard D. Kibel, MD, (MSP ’63), was the co-chairman of the Scientific Committee of the International Association of Group Psychotherapy. In that capacity, he was in charge of the most recent International Congress, which was held in Instanbul, Turkey, in August. He is now Secretary of the Association. Dr. Kibel is in private practice in Valhalla, N.Y. He is Clinical Professor of Psychiatry at the New York Medical College and is an adjunct clinical professor of Psychiatry at the Weill Medical College of Cornell University.

APNA honors Dr. Cochrane for services to the organization
The American Psychiatric Nurses Association (APNA) honored Carolyn Cochrane, RN, PhD, director of the Menninger Eating Disorders Program, for her four years of service as Director of the Research Division to the Board of Directors. She received the special recognition in Atlanta. Although Dr. Cochrane has concluded her service on the board, she has accepted the responsibility to help revitalize the Texas chapter of the APNA.

Additionally, Dr. Cochrane was named to the Review Panel of the Journal of Psychosocial Nursing and Mental Health Services. The journal publishes monthly and is the only refereed publication for psychiatric nurses in clinical positions at community and institutional settings. As a member of the review panel, Dr. Cochrane will evaluate articles submitted to the Journal for blind review; assist in developing content for the Journal; and submit at least one manuscript of her own plus any book or media reviews and news items of interest to the nurses from across the country and abroad.

Post-doctoral fellowship established in name of Irwin Rosen, PhD
The Topeka-based Heritage Mental Health Clinic has established a fellowship to honor psychologist Irwin Rosen, PhD (P’ 52), the first post-doctoral fellow at Menninger in 1952. Dr. Rosen worked at The Menninger Clinic for 50 years and is now affiliated with Heritage. The fellowship is meant to sustain and commemorate the Menninger approach in Topeka. Dr. Rosen said that psychodynamic thinking means “human behavior is a continuous struggle related to life issues today and in the past. Oftentimes, they are issues the patient doesn’t remember. We use a holistic approach, a collaborative respectful alliance with the patient.” Dr. Rosen told the Topeka newspaper the first thing he learned at Menninger in 1952 “was to be quiet and listen.”

Award given to Menninger alum for self-help psychology book
A self-help book written by Emanuel H. Rosen, MD (MSP ’88) and published by Simon and Shuster, has won the 2003 annual book award from San Diego Magazine. The magazine noted the stiff competition for self-help books in its area, home to best-selling advice guru Tony Robbins, among others. “And finally,” magazine editors said, “in the psychology/self-help category–one disproportionately represented in San Diego–Think Like a Shrink: 100 Principles for Seeing Deeply into Yourself and Others stands out. La Jolla (California) psychiatrist Emanuel H. Rosen (with the help of writer Tershia D’Elgin) is witty and interesting as he muses about sex, marriage, family, parenting and communication. (Dr.) Rosen says ‘shrink-think’ is an ability to see beyond people’s actions or words to the underlying defenses that trigger those actions and words.” An excerpt from Dr. Rosen’s book previously won in the Popular Press Category of the 2001 Menninger Alumni Writing Competition. Awards were presented to alumni June 15, 2001, during the Graduates’ Colloquium. Dr. Rosen is a graduate of City College of New York’s six-year BS/MD program and The Mount Sinai School of Medicine. He completed his internship at Duke University Medical Center and his residency at The Menninger Foundation.

Bulletins address mentalizing as sole issue in double-edition
Papers presented by worldwide experts on mentalizing at a January 2003 symposium at Menninger in Topeka were published in the latest two editions of the Bulletin of the Menninger Clinic. “This single-topic issue is significant because it communicates the contemporary treatment approach at Menninger and establishes its role in the future of mental health practice,” said Jon Allen, PhD, a member of the Bulletin’s editorial board and guest editor for the two issues Vol. 67, Nos. 2-3. Menninger continues to integrate research on attachment and mentalizing with its clinical services. The Bulletin of the Menninger Clinic began publication in 1936 and is published by Guilford Publications, which handles subscriptions and requests for reprints. Guilford is located at 72 Spring Street, New York, N.Y., 10012; e-mail: info@guilford.com.

Dr. Lois Murphy, 101, dies in Washington
(Editor’s note: Notice of the following death came as the newsletter was going to press. A more extensive recounting of the Murphys will appear in the next issue.) Lois Barclay Murphy, PhD, a former Menninger researcher and a psychologist who was a pioneer in the study of child development, died Dec. 24 in Washington, D.C. She was 101. Among her 16 books was Gardner Murphy, Integrating, Expanding and Humanizing Psychology, an accounting of her life with Gardner Murphy, PhD, her husband of 53 years and former director of Menninger research from 1952 to 1965. The Gardner Murphy Research Building was dedicated at Menninger on the Topeka campus in 1970. He died in 1979.


Dr. Stevens first black graduate of Menninger training
Dr. Rutherford B. Stevens
Rutherford B. Stevens, MD, was the first black psychiatric trainee to be accepted into the Menninger School of Psychiatry in Topeka. Though his participation in the program was novel in 1946, once the color barrier was breached, other black physicians followed.

Dr. Stevens died November 27, 2003. He was 92.

Following World War II, the Veterans Administration, influenced by Dr. Will Menninger, requested the Menningers create a pilot program that would combine psychiatric training along with the treatment of ex-servicemen.

The Menningers moved quickly to comply and over the following months more than 100 physicians (400 had applied) arrived at Menninger and transformed Topeka into the largest psychiatric training center in the nation. After serving as a psychiatrist in World War II, Major Stevens was accepted into the first wave of trainees that flocked to Menninger in 1946.

The question of allowing a black physician into the program had already been discussed as the Menninger School of Psychiatry was being formulated. “We may consider a Negro on the same terms as any other applicant,” according to B.E. Boothe, PhD, Director of Professional Education.

Dr. Stevens attended Howard University, Washington, D.C., as an undergraduate and for medical school followed by attendance at Freedmen’s Hospital in Washington, D.C., where he received psychiatric training.

He was considered an excellent candidate for the two-year training program in general psychiatry at Menninger, and was praised by Dr. Boothe as enthusiastic, hardworking and “completely devoted to psychiatry.”

Dr. Boothe was also aware of the young married Major’s financial difficulties attending school on a stipend, while having to pay for his own psychoanalysis at $15 per hour, support two children with his wife, Mildred, who survives, all without access to loans or family resources, a disadvantage over many other trainees.

In a letter of recommendation on behalf of Dr. Stevens, Dr. Boothe recalled, “I have a deep respect for his honesty and his perseverance in the face of difficulties which would wreck, it seems to me, most men who wish to advance themselves in such an exacting profession as psychiatry.”

While serving as Dr. Stevens’ teacher and mentor, Dr. Karl also staked Dr. Stevens, who promptly repaid the debt. Once in practice, Dr. Stevens told Dr. Karl that he recommended his patients read Dr. Karl’s Love Against Hate.

For his part, once he was accepted into training, Dr. Stevens was an active advocate.

“I believe my efforts...have been partially responsible for five Negro physicians seeking and obtaining training as psychiatric residents in the Veterans Administration Program,” he wrote in an appeal letter seeking a loan.

Dr. Stevens opened an office at 30 West 86th Street in New York. In 1949 he wrote to Dr. Karl, “I work 20 hours at the VA Mental Hygiene Clinic in Manhattan, 6 hours as a psychiatrist for the Northside Center for Child Development, and four hours as apsychiatric consultant for the Family Service Department of the Community Service Society …my private practice has developed slowly but constantly. I now have 10 patients, 8 Negro and 2 white (all poor). In December, my income from private practice met expenses.”

In private practice for 50 years, at the end of his life, Dr. Stevens’ residence was located on Central Park West.


In memoriam

Editor’s note: In gratitude for the relationships we had with them and for how our lives and the lives of others were enriched by them.

Kathleen Bryan
Kathleen K. ‘Louise’ Bryan died May 2, 2003, at her Topeka home. She was 88. She was Karl Menninger’s secretary at Winter General VA Hospital from 1948 to 1957. She then worked for Dr. Karl at The Menninger Foundation from 1957 to 1979.

Arthur Herman
Arthur E. Herman, MSW (MSP-A ’87), died April 25, 2003, at a Kansas City, Mo., hospital. He was 70. He was a social worker at Menninger for many years.
At the time of his death he was a resident of Overland Park, although he formerly lived in Topeka.

Leola M. Patterson
Leola M. Patterson died October 8, 2003 in Pueblo, Colo. She was 86. She was a receptionist and registrar at Menninger for 24 years.

Carl W. Schulz, MD
Carl W. Schulz, MD (MSP ’65), died May 20, 2003. He resided in Lufkin, Texas.

Margot Sue Sturgeon, MBA
Margot Sue Sturgeon, MBA, died in Lenexa, Kansas, October 28, 2003. She was 66. She worked in the human resources department at Menninger from June 3, 1996, through December 31, 2001, the last year-and-a-half as vice president.

Julian Tosky, MD
Julian Tosky, MD (MSP ’59), died in Palo Alto, California, June 10, 2003. He was 78. He graduated in 1949 from the University of Manitoba Faculty of Medicine, Winnipeg, Manitoba and was certified by the American Board of Psychiatry and Neurology.

Laird Don Williams
Laird Don Williams, who taught at Southard School, died of cancer Friday, Aug. 8, 2003, at Midland Hospice House, Topeka. He was 60.