A case report of mania and congenital deafness.

The authors report treatment of an initial manic episode in a congenitally deaf teenager. It appears that bipolar illness in the deaf is rare and that integrating handicapped patients into a general psychiatric setting may prevent regression.

Medical students' learning as primary therapists or as participant/observers in a psychiatric clerkship.

The authors assessed two different inpatient models of clinical clerkships in psychiatry on the basis of both an examination assessing amount of learning and a survey of student attitudes. One clerkship model placed the third-year medical student in the role of primary therapist; the other model assigned each student to join a psychiatrist as a participant/observer. No overall difference in objective assessment of learning was found between the two groups of students, and student attitudes generally favored the participant/observer model. These findings suggest that the widespread bias favoring the primary therapist model may not be justified.