Spelunking as a manifestation of a counterclaustrophobia

Material is presented from the case history of a patient whose interest in spelunking (cave exploration) was found to be an unconscious expression of a type of counterclaustrophobia. Both oedipal and preoedipal determinants of the claustrophobic anxieties are delineated. Of particular note in this instance is the testicular element in the genesis of the patient's claustrophobia. His confusion of the movements of his testicles into his inguinal canals during childhood defecation with the movements of the feces themselves lent an special intensity to his fear of being flushed away from the mother by an expulsive anal birth from the claustrum. Childhood anxiety aroused when his testicles would become trapped in the inguinal canals was an important forerunner of the adult fear of being trapped in confined spaces. A counterphobic element of the spelunking per se was his enjoyment in hanging suspended by a rope in caves. In this manner, he was able to act out (by virtue of his body-testicle equation) his identification with, and control over, the disappearing testicles in the setting of a claustrophilic union with the mother.     

The non-occurrence of a stimulus as a signal

Two groups of rats were rewarded for pressing a panel following a varying number of bar presses; a signal following the bar press indicated whether or not a panel press would be rewarded if made before the next bar press. For one group the signal indicating reward was a flash of light, for the other it was the non-occurrence of the flash (in the latter case the flash thus signalled non-reward). The first group learned to withold panel presses except when reward was signalled, but the second group did not. This result is related to the “feature positive effect” of Jenkins and Sainsbury (1970), in which pigeons failed to withold pecks at a negative stimulus display when it was the same as the positive display except for the addition of a distinctive feature.     

The impact of a stillbirth on a marriage

The crippling consequences on family life of the failure to mourn a stillbirth adequately are demonstrated in a vulnerable couple. They were helped by brief, planned, focal, conjoint marital psychotherapy which is described.     

Changing a culture: a brief program analysis of a social learning program on a maximum-security forensic unit

This report presents outcome data collected for a three-year period from a maximum-security forensic psychiatric program. Admission and discharge variables, restraint/seclusion, and client abuse/neglect data are presented from a one-year period that preceded the advent of the Behavior Management Treatment Program's (BMTP's) Social Learning Diagnostic Program to two years after implementing the Social Learning Diagnostic Program. Significant overall progress and improvement was observed in all variables analyzed after instituting a social learning program paradigm. This report provides a brief summary of the BMTP's Social Learning Diagnostic Program along with a discussion of the role played by Dangerousness Management Plans in the treatment of patients within the social learning milieu. Additionally the patient population served, and the rationale for implementation of a program based in social learning theory, are discussed.