Carolyn Quadrio | The University of New South Wales (original) (raw)

Papers by Carolyn Quadrio

Healthcare

Globally, the call for Family-Friendly (FF) workplaces is loud and clear. However, this call is i... more Globally, the call for Family-Friendly (FF) workplaces is loud and clear. However, this call is inaudible in medical workplaces, despite both well-established benefits of FF workplaces across businesses and well-known effects of work–family conflict on the well-being and practice of doctors. We aimed to use the Delphi consensus methodology to: (i) operationalise the Family-Friendly medical workplace and (ii) develop a Family-Friendly Self-Audit tool for medical workplaces. The expert medical Delphi panel was deliberatively recruited to capture a breadth of professional, personal, and academic expertise, diversity of age (35–81), life stage, family contexts and lived experience of dual commitments to work and family, and diversity of work settings and positions. Results reflected the inclusive and dynamic nature of the doctor’s family and the need to adopt a family life cycle approach to FF medical workplaces. Key processes for implementation include holding firms to zero discriminat...

All in-text references underlined in blue are linked to publications on ResearchGate, letting you... more All in-text references underlined in blue are linked to publications on ResearchGate, letting you access and read them immediately.

The Parental Alienation Syndrome is one that is sometimes invoked in Family Law Proceedings. It i... more The Parental Alienation Syndrome is one that is sometimes invoked in Family Law Proceedings. It is said to explain false allegations made by one parent against another – usually the allegations refer to sexual abuse of a child and usually it is the mother who is said to be alienating the children from the father. This paper will review the syndrome as defined by Gardener and its utility or otherwise in legal proceedings and will also review the issue of false allegations of sexual abuse and the credibility of children making disclosures. The author has many years experience preparing family assessments for the Family Court and many of these involve allegations of sexual abuse.

Australian Journal of Family Therapy, 1983

A fairy tale character and a nursery rhyme are used to dramatize the marital systems of women wit... more A fairy tale character and a nursery rhyme are used to dramatize the marital systems of women with agoraphobia. This systems perspective emphasizes that the disorder is more than an individual or intrapsychic one, that it is an interpersonal or marital adjustment and that the phobic symptoms of the wife also provide a defence for her husband. Rapunzel characterizes an agoraphobic woman with severe dependency and separation problems. Her husband may be a Rescuing Prince — protective of her and denying of his own problems; or, a Pumpkin-Eater — sexually inadequate and withdrawn. The marriages involve unconscious transactions promising mutual protection. Finally, some aspects of psychotherapy, both individual and conjoint are examined.

Australian and New Zealand Journal of Psychiatry, 1996

The Medical journal of Australia

ABSTRACT Based on research and data, this is a feminist analysis of psychiatry in Australia and t... more ABSTRACT Based on research and data, this is a feminist analysis of psychiatry in Australia and the situation of women, as patients and as psychiatrists, including psychiatrists in training. An historical analysis of women and madness leads into more recent constructions of gender and mental illness that are often neglected in the biological paradigm of the day. Experiences of abuse are situated as critical to understanding women's mental health issues and this includes abuse that takes place within psychiatry and by psychiatrists.

Psychiatry, Psychology and Law, 1994

ABSTRACT The author examines eight cases in which women have been abused by their therapists. She... more ABSTRACT The author examines eight cases in which women have been abused by their therapists. She outlines how clinical, legal and religious institutions were either less than helpful or overtly involved in cover ups of the abuse. The author provides an overview of the complexities of detection, assessment, treatment and prevention of abuse in therapeutic relationships and concludes that professional bodies cannot regulate themselves in this area. She maintains that there is a need for independent statutory bodies to be established to deal with incidents of sexual abuse involving therapists.

International Journal of Geriatric Psychiatry, 2006

Objective To describe family conflict in cases of dementia referred to the Guardianship Tribunal ... more Objective To describe family conflict in cases of dementia referred to the Guardianship Tribunal of New South Wales, Australia. Method The file notes of 50 cases of family and systems conflict in cases of dementia presented to the Guardianship Tribunal were examined. Demographics, MMSE score, and type and severity of dementia were recorded. The documents and evidence presented to the Tribunal were coded and subjected to thematic analysis to identify the themes of the conflict, the protagonists and the position of the person with dementia with respect to the conflict. Results Family conflict was most commonly seen in mild to moderate dementia. Conflict occurred most frequently between siblings (with a group of siblings allied against a 'black sheep' member) and involved other systems such as service providers in 25% of cases. The person with dementia was usually involved in the conflict or in alliance with one or other of the family members in conflict, especially when paranoid ideation was fuelled by family members. Common themes included accusations of neglect, exploitation, lack of communication or sequestration of the person with dementia. No family had received family therapy prior to the application; conciliation during the hearing was successful in 30% of cases. Legal transactions such as Powers of Attorney were frequently made and frequently revoked by persons with dementia involved in family conflict. Conclusion Dementia may be a great family divider, particularly when there are cracks in family solidarity. The understanding of family conflict in dementia has ramifications for both clinical and medico-legal practice. These findings may encourage family-centered interventions which address family dynamics and interpersonal conflict. They may also assist in capacity assessments of persons with dementia who change legal documents because of family conflict.

Australian & New Zealand Journal of Psychiatry, 1986

Self-psychology describes a psychoanalytic model developed by Heinz Kohut and based upon a system... more Self-psychology describes a psychoanalytic model developed by Heinz Kohut and based upon a systemic concept of the ‘self-object’, a system of self and object which differentiates progressively from an early symbiotic fusion at birth to healthy interdependence at around three years of age. These stages of differentiation were originally described by Margaret Mahler and interpreted by her within a Kleinian framework. Self-psychology differs in many key concepts from the Kleinian and other psychoanalytic models, and Kohut reinterpreted Mahler's work from this new perspective. The systemic or dyadic basis of Kohutian theory provides a bridge between psychoanalytic models and systems models of marital dynamics, an important meeting ground for interpsychic and intrapsychic viewpoints. Progressive differentiation within a dyadic system can be applied developmentally to the mother-infant, husband-wife, or therapist-patient dyad, as can the self-object transference concept.

Australian & New Zealand Journal of Psychiatry, 1994

Numerous contemporary analyses have challenged traditional models of female psychosexual developm... more Numerous contemporary analyses have challenged traditional models of female psychosexual development, identifying their norms as implicitly androcentric Femaleness has been regarded as derivative or deviant, as less and “other” than maleness. Alternative, woman-centred, models emphasise three major aspects of female psychosexual development: affiliation (women and others), maternity (women as mothers), and alterity (women and otherness). For some theorists the affiliative/maternal emphasis constructs a model of healthy and desirable femaleness. For others it represents not only the outcome of millennia of female subordination but also provides a justification for perpetuation of that subordination. Whatever the resolution of these dilemmas, a woman-centred perspective of female psychosexual development is relevant to contemporary psychiatric thinking. This review will present such a perspective and raise some of those dilemmas.

Australian and New Zealand Journal of Psychiatry, 2000

Australian and New Zealand Journal of Family Therapy, 2004

Australian and New Zealand Journal of Family Therapy, 2000

In interview with Kasia Kozlowska, Melbourne-born psychiatrist Carolyn Quadrio describes the impa... more In interview with Kasia Kozlowska, Melbourne-born psychiatrist Carolyn Quadrio describes the impact of growing up in a Greek migrant family, the significant influences on her choice of profession, and the ways in which she gradually developed a feminist position simultaneously with embracing a systemic perspective on`depression' and other diagnostic categories. Quadrio talks frankly about her challenges to the male-dominated psychiatric establishment, her struggles to get her critique of it published, her excitement about the family therapy field, and her later disillusionment with it. Her current work is in the area of forensic psychiatry. Kasia: Carolyn, you were born in Melbourne, Australia, into a Greek family, then grew up in Perth. What aspects of your family of origin impacted on your development as a woman and subsequently as a psychiatrist and family therapist? Carolyn: As a child, I was very aware of the cultural difference between my family and Australian children. In particular I was aware of the traditional mores regarding Greek girls, who weren't allowed to have much freedom and whose marriages were more or less arranged ... Education was not seen as relevant for girls, or even for boys of my generationögetting out to work and making money was more important. It was the generation after mine, when people had become more materially secure, that began to value their children going to University. Compared to her Greek peers, my mother was unusual, she loved to read, encouraged me to read and always bought me lots of books. She was interested in my achievements and always thought them important. She was always giving me a lot of encouragement, saying, You have to have a career, you have to be able to be independent and you have to look after yourself'. That was unusual. My Father had desertedöabandonedömy Mum and she was aware of the difficulties of having to struggle on her own. So rather than push me in the direction of finding a nice secure husband, she pushed me in the direction of making sure I could always look after myself. There were good things about being in a migrant family too. There was a lot of family solidarity and I knew all my cousins well, and experienced an extended family. Kasia:Were there any significant people, events or circumstances in your adolescence that kindled your interest in the working of the human mind?

Australian and New Zealand Journal of Family Therapy, 2013

Australian and New Zealand Journal of Family Therapy, 1986

Australian and New Zealand Journal of Family Therapy, 1991

Australasian Psychiatry, 2013

Humanising Mental Health Care in Australia, 2019