Clinical applications of Rorschach-based visual imagery reactivity

A diverse set of findings from recent research suggests the value of visual imagery techniques in clinical practice.     

The effect of early childhood experiences on neurotic disorders in the adult

"Empiricists" and "clinicians", in especial those in the field of psychoanalysis, have reached divergent views on the significance of early childhood experiences for neurotic affections in the adult. The present paper discusses the need to resolve such "apparent" differences. To be effective, models of psychological development should, besides taking into account biological hereditary influences and the psychosocial conditions of childhood, also consider the ongoing perpetualisation of neurotic behavior through social feedback.     

Secondary enuresis in institutionalized conduct-disordered children

The incidence of secondary enuresis in 16 institutionalized conduct-disordered children was examined. In contrast to a control group of 16 noninstitutionalized conduct-disordered children, the former showed significantly more enuretic behaviour. Also, enuresis began within 6 mo. of the children's separation from their families, suggesting this problem is very likely related to the emotional trauma surrounding the change in living conditions. However, the small number of subjects limits further interpretation of the findings.     

Helping the child with cancer: what school personnel want to know

As more children with cancer survive, the importance of facilitating school reintegration as a part of maximizing the quality of life has become evident. Workshops have been presented to school personnel to acquaint them with the issues facing cancer patients and their families, but there are gaps in our knowledge of what school personnel really need or want to know. In this study, 18 teachers of children with cancer and 15 teachers with no prior contact with students with cancer completed a questionnaire designed to assess needs, beliefs, and priorities with regard to working with cancer patients in the classroom. Significant findings included: (a) a consensus that a certain core of information about medical/psychological issues would be useful, and presentation of such information by psychologists and medical personnel working with such families would be optimal; (b) teachers having cancer patients as students were less likely to see the adaptation of siblings as an important issue; (c) teachers associated working with a student with cancer with less stress and demands on their time than predictable from previous studies; and (d) cancer patients as a whole were rated as having fewer behavioral, emotional, and learning problems than randomly selected students without a major illness, suggesting a "halo effect" or contradiction of some literature. Preliminary findings are detailed and implications are discussed for those attempting to help teachers facilitate students' adjustment to school following diagnosis and treatment of cancer.     

A quasi-nonmetric method for multidimensional scaling VIA an extended euclidean model

An Extended Two-Way Euclidean Multidimensional Scaling (MDS) model which assumes both common and specific dimensions is described and contrasted with the standard (Two-Way) MDS model. In this Extended Two-Way Euclidean model then stimuli (or other objects) are assumed to be characterized by coordinates onR common dimensions. In addition each stimulus is assumed to have a dimension (or dimensions) specific to it alone. The overall distance between objecti and objectj then is defined as the square root of the ordinary squared Euclidean distance plus terms denoting the specificity of each object. The specificity,s _j , can be thought of as the sum of squares of coordinates on those dimensions specific to objecti, all of which have nonzero coordinatesonly for objecti. (In practice, we may think of there being just one such specific dimension for each object, as this situation is mathematically indistinguishable from the case in which there are more than one.)We further assume that _ij =F(d _ij ) +e _ij where _ij is the proximity value (e.g., similarity or dissimilarity) of objectsi andj,d _ij is the extended Euclidean distance defined above, whilee _ij is an error term assumed i.i.d.N(0, ²).F is assumed either a linear function (in the metric case) or a monotone spline of specified form (in the quasi-nonmetric case). A numerical procedure alternating a modified Newton-Raphson algorithm with an algorithm for fitting an optimal monotone spline (or linear function) is used to secure maximum likelihood estimates of the paramstatistics) can be used to test hypotheses about the number of common dimensions, and/or the existence of specific (in addition toR common) dimensions.This approach is illustrated with applications to both artificial data and real data on judged similarity of nations.     

Decision time and movement time in depression: differential effects of practice before and after clinical improvement

Choice reaction time involves, at least two components of response latency, decision time and movement time. Studies of choice reaction time usually provide values of these two components averaged over a given number of trials. The aim of the present study of depressed subjects was to investigate changes across practice on Decision Time (DT) and Movement Time (MT) before and after clinical improvement. 19 depressed subjects were given two sessions of 50 trials each, one before treatment (Di) and one after recovery (Df). Decision time and movement time exhibited quite different patterns. Decision time significantly decreased with clinical improvement. No significant variation across trials was found, in either session. Movement time values varied across trials but the variations observed on Di and Df were significantly different, whereas before treatment latencies recorded at the end of the session were greater than those scored at the start, the contrary was observed after clinical recovery. No significant difference was found between values of movement time scored at the start of the two sessions.     

The individual interview in couples treatment

This paper describes the use of concurrent individual and conjoint sessions in couples psychotherapy. The introduction of these individual interviews is seen as supporting the individual changes which must be made to effect change in the structure of the relationship. The benefits of this interventive scheme in dynamically oriented couples' treatment will be illustrated through the presentation of case examples.     

Perceptions of the therapist in family therapy

Thirty-five families completed ratings describing their perceptions of their therapists. These ratings were then correlated with measures of outcome to assess whether there was a relationship between experiences of the therapist and treatment outcome. Further, the study addresses whether some family members' perceptions are more influential in affecting the course of treatment. The results showed that family members' perception of the therapist does have an impact on treatment outcome, but not all members affect the outcome equally. Further results and their implications are discussed.     

Objective and simulated stimulation: an empirical study of the effect of indirect suggestion on motor behavior

In an experimental investigation it is demonstrated that motor behavior-in contrast to the opinion forwarded in the literature-is not only elicitable by means of direct persuasion, but also to a great extend by mere indirect suggestion, (feigning of stimuli). A differential investigation of these effects provided evidence that reactions to feigned stimuli are highly person specific and relatively homogenous concerning the respective instruments whereas objective stimuli lead to reactions relatively specific for the respective instrument applied. The findings are interpreted as an analog on to placebo-effects in the area of motor behavior. Their extend may be seen as an argument for a stronger concern with subjective reaction tendencies in this field.