Adolescent Satisfaction with School-Based Mental Health Services

Examining adolescents' satisfaction with mental health services is an important program evaluation activity. Their perceptions of whether services were beneficial and resulted in improved functioning are indices of treatment quality. Assessment of adolescent satisfaction with school-based mental health programs has been limited. In our study, adolescents receiving services from a School Mental Health Program (SMHP) completed satisfaction surveys. Participants were predominantly minority youth residing in an urban area. Results indicated that students were highly satisfied with their mental health services. Students valued the therapeutic relationship, catharsis associated with therapy, and skills they learned during therapy. Several factors influenced satisfaction ratings including clinician training and availability.     

Distinctions between subgroups of asthmatic children: Parental reactions to experimental separation

Parental reactions to experimental separation were analyzed for two groups of asthmatic children, those for whom behavioral factors were judged highly relevant to asthma and those for whom such factors appeared unimportant. The former group of 13 (predicted positives) had shown a highly significant improvement in asthma during separation from their families; the latter group of 12 (predicted negatives) had not. Coding of standardized interviews conducted around the time of separation disclosed that parents (mothers, especially) of predicted positives scored significantly higher than parents of predicted negatives on such scales as fussing over the child at the time of leave taking, missing child, experiencing pain and discomfort during the separation, being anxious over child's welfare, etc. Psychological test data did not discriminate between the parents' or childrens' groups as clearly as the more focused separation interviews but the test results were consistent with interview differences. The separation elicited very strong emotional reactions from several mothers.This study was supported by United States Public Health Service Grant No. HD01060 from the National Institute of Child Health and Human Development. Kirk Brady, John Means, loan Muser, and Claire Purcell contributed to data collection and/or data analysis.     

A longitudinal study of the marriage role expectations of college women: 1961–1984

The marriage role expectations of female university students enrolled in an introductory marriage and family course at the University of Kentucky in 1961 (N=72), 1972 (N=58), 1978 (N=115), and 1984 (N=81) were compared. The 1972 group was found to be significantly more egalitarian than the 1961 group in overall marriage role expectations and on all subscales except authority. The 1978 and 1984 groups were significantly more egalitarian than the 1961 group on overall marriage role expectations and on all seven of the subscales: authority, homemaking, child care, personal characteristics, social participation, education, and employment and support. The 1978 group was significantly more egalitarian than the 1972 group only on authority and homemaking, with no significant differences on the other five subscales or on overall role expectation score. The 1984 group was significantly more egalitarian than the 1972 group only on authority, homemaking, and child care, and was slightly (not satistically significant) more traditional on personal characteristics and social participation. There were no significant differences between the 1978 and 1984 groups on overall expectation or on any of the subscales. In fact, the 1984 group was slightly more traditional on homemaking, personal characteristics, social participation, employment and support, and overall expectations. The data from this study showed the greatest gain in egalitarian trends to be between 1961 and 1972, with a continuation of the trends at a somewhat slower rate of change between 1972 and 1978, and a discontinuation of the trend toward more egalitarian expectations between 1978 and 1984.The data were collected in February 1961, January 1972, September 1978, and September 1984. Special acknowledgement and appreciation are expressed to Jessie Ringo (retired), University of Kentucky, for making the 1961 data available for this study.     

Reality in analytic group psychotherapy: Beyond transference and countertransference

This study reports the results of a questionnaire, applied to therapists and their patients in 14 analytic therapy groups. It was found that the patients studied had an accurate perception of the group reality in the following dimensions: therapists' preferences for the members in their groups; power position held by each member in the group; and therapeutic benefit achieved by members in the group. Support was given to the existence of a relation among popularity, power position and therapeutic benefit; members who rated high in one of these variables generally were assigned a high position in the other two, and vice versa. These results suggest that patients in analytic group psychotherapy can be objective in their perceptions of the group reality, and that these perceptions are not always distorted by transference. The idea that, no matter how low-disclosing therapists remain, the patients in their groups will perceive their attitudes and feelings was supported by patients' accuracy in perceiving their therapists' preferences for members in their groups. These findings indicate the important role played by reality and the real relationship in psychoanalytic group psychotherapy.     

Proximal Peer-Level Effects of a Small-Group Selected Prevention on Aggression in Elementary School Children: An Investigation of the Peer Contagion Hypothesis

Examined peer contagion in small group, selected prevention programming over one school year. Participants were boys and girls in grades 3 (46 groups, 285 students) and 6 (36 groups, 219 students) attending school in low-resource, inner city communities or moderate resource urban communities. Three-level hierarchical linear modeling (observations within individuals within groups) indicated that individual change in aggression over time related to the average aggression of others in the intervention group. The individual child was pulled toward peers mean level of aggression; so the intervention appeared to reduce aggression for those high on aggression, and to make those low on aggression more aggressive. Effects appeared to be magnified in either direction when the child was more discrepant from his or her peers. From these results we derive a principle of discrepancy-proportional peer-influence for small group intervention, and discuss the implications of this for aggregating aggressive children in small group programs.     

Social Anxiety Disorder in Childhood and Adolescence: Current Status and Future Directions

This paper reviews the current status of research on the phenomenology, etiology, maintenance, assessment, and treatment of childhood and adolescent social anxiety disorder (SAD). Despite being one of the most prevalent disorders of childhood and adolescence, SAD paradoxically stands as one of the least recognized, researched, and treated pediatric disorders. The small treatment outcome literature provides preliminary support to the effectiveness of various forms of cognitive behavior therapy. The majority of studies to date, however, are limited by inadequate control conditions. Other findings include some support for the utility of parental involvement in treatment, significant advancements in outcome measures (e.g., normative comparisons, indices of naturalistic social functioning), and impressive durability of gains for the majority of treatments. Future directions are suggested, including experimental and naturalistic studies of developmental pathways and maintenance factors, the incorporation of positive psychology constructs (e.g., positive emotions, hope, self-control) in treatment and prevention, and the continued delineation of differences between child, adolescent, and adult manifestations of SAD.     

On seeing oneself as “left out”: The chronically complaining patient in psychotherapy

A clinical observation regarding patients who complain about feeling left out and/or second best provides the framework for this paper. What is expressed is a form of separation anxiety coupled with a loser self-concept. It is suggested that these patients represent a milder form of the moral masochism. Early theoretical formulations include Freud and his emphasis on the superego and Reich's emphasis on the masochist's fear of being left alone. Kramer's little man phenomenon is an example of a more current theoretical formulation which takes account of the complexities of the ego, and composite self and identity in the clinical phenomena observed. A case of a latency-aged child is provided.     

Theorizing Gender for Experimental Game Theory: Experiments with “Sex Status” and “Merit Status” in an Asymmetric Game

In experimental game-theoretic research, to the extent that sex has been considered at all, the approach has been to focus on the individual level of analysis. This paper reports the results of experiments designed to focus on sex/gender and to expand the level of analysis to include the institutional level. An asymmetric game was designed such that players in the male and female institutional locations had 3 and 2 alternatives, respectively. Players earned the institutional locations based on a test, so that top and bottom scorers respectively merited the 3- and 2-alternatives locations. Game-theoretic understandings of sex-of-player were compared to the expectations states theory concept of sex status; that is, men expect and are expected to perform more competently than women. Results indicated that top-scorer men and women behave similarly; bottom-scorer men resist their low merit status (behaving the most rationally of all player groups); bottom-scorer women accept their low merit status (behaving the most irrationally of all player groups). Whereas game theory cannot provide a coherent understanding of these findings, the concept of sex status helps to interpret the behavior of all four player groups and shows how judgments about rationality and irrationality depend critically on the interpretive framework used.     

The Client Is the Most Important Common Factor: Clients' Self-Healing Capacities and Psychotherapy

I first briefly review the dodo bird verdict and suggest that we should be responding to it by looking for a new way to conceptualize how therapy works. Then I describe the dominant medical or treatment model of psychotherapy and how it puts the client in the position of a dependent variable who is operated on by supposedly potent therapeutic techniques. Next I argue that the data do not fit with this model. An alternative model is that the client is the most important common factor and that it is clients' self-healing capacities which make therapy work. I then argue that therapy has two phases—the involvement phase and the learning phase—and that the involvement phase is the most important. I next review the five learning opportunities provided by therapy. Finally, I argue that a relational model of therapy focused on consultation, collaboration, and dialogue is better than a treatment model.     

Family therapy with one-parent families

In this article the author introduces an integrative approach to family therapy with one-parent families. This includes a diagnostic framework built on the developmental stages of the family, critical areas, and—most importantly—specific settings and therapeutic strategies based on the assumption that one-parent families can raise children as successfully as other families, but in a different manner.The term one-parent families is used in this article, although it is not the correct expression, simply because no child has only one parent. The term binuclear families does not fit with all of them, and single-parent-led families seems to be ambiguous but quite cumbersome to use.     

Computer content analysis of sex differences in the language of children

This study presents empirical procedures for the collection and content analysis of the oral language of kindergarten children. The analysis technique used material and machines available to most researchers. The results of the analysis of language samples of 144 randomly selected children from the entire kindergarten class of the Ithaca, New York, school system showed that boys produced significantly more language than did the girls as well as significantly more references to aggression, self, time, space, quantity, fears, good, act of oral communication, negation, and affirmation, and asked more questions of the examiner than did the girls. The girls made significantly more female references than did the boys. Implications for future research are discussed.     

The use of group therapy to help women with eating disorders differentiate and articulate affect

In this discussion of eating disorders, symptoms are viewed as responses to unprocessed and unprocessable affect—what Stolorow and Atwood, Krystal, and Sifneos have called alexithymia. The article explores ways in which a group experience can help to provide an arena for the articulation and exploration of this affect. The group can provide its members with the responsive milieu necessary for the development of an internal structure that eliminates the need for the eating behavior. The metaphor of a child learning to swim is used to suggest that the group process can be seen as a kind of group swimming lesson. Group members work together with the therapist to develop the necessary skills and muscles to negotiate the waves of their own feelings, making the eating behavior unnecessary.     

Parental interpersonal perceptual style,child adjustment,and parent—Child interactions

This research examined relationships between parental interpersonal perceptual style (IPS)—the extent to which they are biased in their perceptions of children's behaviors—and (a) the adjustment of their own children and (b) parent-child interactions. In two studies, groups of parents first viewed a videotape of a male or female target child interacting with an adult in a playroom and then completed a behavior checklist about the target child that measured their IPS. In Study 1, parents' (especially fathers') IPS was found to be related to interaction between them and their 5-to7-year-old child; for example, the less negatively biased the father was, the more likely the child was to openly display antagonistic behavior toward his or her parents. In Study 2, fathers' (but not mothers') IPS was found to be related to the teacher- and peer-assessed level of psychosocial adjustment of their own third-grade child; fathers of problem children tended to be more negatively biased in their perceptions than were fathers of either adequate or highly adjusted children. Findings are discussed in terms of their implications for understanding the role that person perception processes play in family functioning and child development.This article is an adaptation of a paper presented as part of a symposium held during the 1977 meeting of the American Psychological Association. This research was supported by National Institute of Mental Health Grant No. 24250, Adult Perceptions and Child Behavior Dysfunctions.We wish to thank Linda Oiacomo and Phyllis Watts for their help. We also wish to thank the numerous students who provided invaluable assistance by collecting, coding, and scoring the data. The cooperation of the administration and staff of the Lansing, Michigan, School District, especially Eva Evans and Richard Benjamin, and the administration and staff of the East Lansing, Michigan, School District, especially Robert Docking and Warren Starr, is also very gratefully acknowledged.     

The completeness of S

The subsystem S of Parry's AI [10] (obtained by omitting modus ponens for the material conditional) is axiomatized and shown to be strongly complete for a class of three valued Kripke style models. It is proved that S is weakly complete for the class of consistent models, and therefore that Ackermann's rule is admissible in S. It also happens that S is decidable and contains the Lewis system S4 on translation — though these results are not presented here. S is arguably the most relevant relevant logic known at this time to be decidable.I wish to thank Jill Pipher and Professora Nuel D. Belnap, Jr. and David Kaplan for their helpful comments on an earlier version of this paper.     

The responsive order: A new empiricism

The uniqueness of logic is upheld and contrasted with twenty roles of a wider responsive order that includes us and our procedures. Empirical responses are precise, but different in different approaches. Procedures and findings are independent of (not separable from) their concepts. Two-way feedback obviates a top-down derivation of findings from assumptions, hypotheses, history, or language. The postmodern problems of interpretation, conditions of appearances and relativism involve the ancient error of making perception the model-instance of experience. Instead, bodily interaction functions in language and precedes perception and interpretation. Logic, space time locations and individuated referents involve positional relations derived from comparing. Beyond Kuhn, Feyerabend, Newton and Einstein, if we can give interaction priority over comparing, the responsive objectivity of both can be upheld. A new empiricism, neither naive nor constructivist, uses the words order, explication, truth, and exactly to build on Wittgenstein and on Dilthey's hermeneutic. Natural language is metaphor-like, originally crossed. Logic must ignore its assumptions. It must render everything as a machine and drop humans and animals out. A new discipline is proposed, to move between the logical and the responsive orders, to deal with the machine/human interface and the social uses of science such as bioengineering.     

The artist as transgressor in Mandel'štam's poetry

In Mandel'tam's writing, artistic creativity is described as based on the indispensable yet contradictory modes of compliance and deviation. The artist, by his artistic nature, must be an obedient disciple to the tradition that inspires him, and, at the same time, a violator who renders what inspires him in an individual form. Thus, art implies iterability through novelty. In the totalitarian state, this double nature of art acquires a sinister context and brings the artist to an unavoidable conflict with the state. He has a choice between a servile compliance with the state's command and artistic independence. If the artist complies, he loses his ingenuity; if, on the other hand, he has the courage to break away from the established order, his fate is martyrdom. The criteria of truth and falsehood, the issue of loyalty, of compromise and collaboration or resistance become most relevant. Such words as outcast or non-contemporary acquire the meaning of non-collaborationist or enemy of the people. In the totalitarian state a genuine artist is viewed as a law-breaker, and his art leads him to crime. The notions of compliance and deviation cease being merely aesthetic terms and assume in Mandel'tam's poetry complex, subtle and tragic overtones.I would like to express my gratitude to John Barnstead, Thomas Blakeley, James Doull, Elena Glazov-Corrigan, Gregory Glazov, Leonard Kazdan, Peter Kussmaul, Malcolm Ross, Detlev Steffen, and Ieva Vitins for their valuable criticism, suggestions, and revisions of my English.     

A two-year follow-up study of a preventive mental health program for preschoolers

The long-term effects of a preschool intervention program for high-risk experimental children were assessed and compared to a high-risk placebo control group and low-risk normal controls. Seventy first-grade children were involved in this 2-year follow-up. The experimental treatment group was superior to that of the placebo control group at follow-up on the criteria measures of behavioral adjustment and achievement. The low-risk normal control group was significantly different from that of the placebo control groups, but generally not significantly different from that of the experimental groups, suggesting that the intervention had boosted the high-risk experimental treatment children to the point where their performance was comparable to that of children who had not experienced behavioral or learning difficulties.The study was supported by grants from the McGregor Fund and the Eloise and Richard Webber Foundation, and by the Detroit Public Schools, for which the authors express grateful appreciation. A version of this paper was presented at the Annual Meeting of the American Psychological Association, New York, September 1979.     

Fallacies and moral dilemmas

The continuing debate between utilitarians and deontologists often takes the form of disagreement over how particular moral dilemmas are to be resolved, but protagonists on both sides tend to overlook the possibility of resolving a dilemma with remainder, such as regret. The importance of remainder is also overlooked by critics of some absolutist ways of resolving or slipping between the horns of certain moral dilemmas. Moreover, deontologists, if not utilitarians, can be criticised for overlooking the possibility that, according to their theory, some dilemmas may be irresolvable. Virtue ethics, with its concentration on the agent, readily accommodates both mention of remainder and irresolvable dilemmas, and yields a specification of tragic dilemmas which the other two theories might like to take on.     

From I: A/M to “Who am I?”—Aggregation/Massification and Trauma-Based Affects and Object Relations in Groups: A Response to Earl Hopper

Hopper's portrayal of the fourth basic assumption of Incohesion: Aggregation/Massification has two components: (1) a revision of Turquet's theory of BA Oneness to incorporate the polarity of aggregation and massification stemming from annihilation anxiety; and (2) a conception of the difficult patient as having an encapsulated psychosis. Hopper's theory of the encapsulated psychosis offers an important but incomplete perspective in explaining borderline and narcissistic pathology, as well as psychological trauma. In this response to Hopper, I suggest that the fourth assumption is in fact a still more primitive state of boundary opening and closing. I also see a need to differentiate trauma as such from borderline pathology, and further hold that the relationship between Hopper's British Independent theory and trauma theories based on dissociation needs to be clarified.     

Structuring argumentation in a social constructivist framework: A pedagogy with computer support

What we usually think of as higher order skills in argumentation can be profitably viewed as systematic structures for organizing and representing information. Standard terms like line of argument, synthesis, analysis and draft can be viewed as ways of constructing, storing, and accessing data in a social context — data structures for social communication. What makes argument difficult are the multiple structures that arguers have to construct and negotiate when reading and composing. In this paper, we describe the WARRANT project, a project designed to identify data structures of written argument and to design and implement computer tools to aid in the reading and design of argument.