Of science, meta-science, and clinical practice: the generalization of a generalization to a particular

Although science is the most powerful method for advancing knowledge and scientific and statistical formalisms are generally much sounder than impressionistic judgment, advanced methodological training (as it is presently comprised) is often of little direct use to practicing clinicians. Practitioners should be able to identify grossly deficient knowledge claims and clear scientific winners, but beyond this, the trick usually is to determine which scientific authority or authorities on whom to depend, a decision task that is ultimately to be tackled through the type of meta-scientific studies that Faust and Meehl have proposed. In applying scientific knowledge, the clinician usually must choose between the generalization of a scientific generalization to a particular versus the application of a clinical generalization to a particular. Determining the relative power of scientific generalizations developed outside, versus clinical generalizations developed within the setting of application, can be very difficult, and there are few established guides. A more advanced science of generalization, another meta-scientific problem, would allow sounder predictions about application to new domains and could greatly aid the practitioner.     

Contributions to the history of psychology: LXXIV. Edith Banfield Jackson: a pioneer in psychoanalysis

Edith Jackson, recipient of one of Sigmund Freud's coveted rings, served him well as an ambassador for psychoanalysis. As a child psychiatrist for 25 years at the Yale School of Medicine, she developed the rooming-in plan which allowed parents and newborns to be together from birth. With Anna Freud and Dorothy Burlingham, she opened the Jackson Nursery, a precursor of American daycare centers. Among the most important people in developing the field of child psychology, Edith was one of the early psychologists who recognized the importance of satisfying the emotional as well as the physical needs of the newborn.     

Followup in psychoanalysis: clinical and research values

Psychoanalysis has never developed a tradition of systematic followup study to evaluate outcome and to improve technique and theory for a variety of reasons, partly theoretical, stemming from the conception of the unfolding transference neurosis and its analytic resolution as the precondition for cure, and partly historical, having to do with the happenstance of its development as a private practice-based discipline and training outside of the academic setting. Freud, however, was never bound by such strictures and published whatever post-treatment data he acquired on all his best-known case histories. But following Freud most analysts, with some notable exceptions, eschewed followup activity as unanalytic. It is this tradition that more recent studies like those of Pfeffer in New York and the Psychotherapy Research Project of The Menninger Foundation in Topeka have squarely challenged. Data are presented from the Menninger project dealing specifically with the impact of routine planned followup on issues of treatment termination and resolution and on the nature of the post-treatment period. The degree and kind of patient cooperation with the followup inquiry, the impact of followup on treatment termination and resolution (both impeding and facilitating), and the role of followup intervention in relation to return to formal post-treatment therapy (or consolidating against it), are all discussed.     

Contributions of the care-giving role to women's development

It was hypothesized that older widows (N=309) who had been care givers to their husbands would have undertaken a greater number of household responsibilities than had women who had not been care givers. Findings indicated that, prior to the husband's death, more traditionally male and more traditionally female tasks were performed by the care-giving wives (n=158). This was particularly true in the case of Alzheimer's care givers (n=21). More importantly, widows' present feelings of competence were related to undertaking household responsibilities, with those who had been care givers expressing significantly higher levels of competence.     

Contributions of cognitive science to the Rorschach Technique: cognitive and neuropsychological correlates of the response process

This article presents an understanding of the Rorschach Technique in terms of emergent models from cognitive science. We propose a linkage between cognitive psychology and neuropsychology in understanding the operations that underlie the Rorschach response process. Contemporary information processing models are described. The Rorschach Technique is conceived of as a complex process involving all areas of the cerebral hemispheres, encompassing various aspects of visual attention and perception, object recognition, associative memory, language production, and executive functioning. Exner's model of the response process is delineated, including both Association and Inquiry phases, in terms of requisite underlying neuropsychological abilities and anatomical substrates. The question of the Rorschach Technique's status, utility, and potential as a neuropsychological assessment, tool is discussed. Understanding the Rorschach in terms of contemporary cognitive psychological and neuropsychological models heightens appreciation of the technique's complexity and provides a heuristic and conceptual foundation for empirical research.