The conflict cycle in the case of an adolescent in crisis

This is an extension of a previous paper describing a conflict cycle in families and therapy consisting of four steps: (1) the dispute; (2) blaming; (3) shame, guilt, or denial; and (4) reparation, reconciliation, or retaliation. The focus is on a single case of a 15-year-old male with a gender identity disorder in addition to a conduct disorder. He is an adopted child living in a small community in the southern United States. Conflict is illustrated from several perspectives in a single interview with the family and over the length of contact over a nine-month period: (1) between the adolescent and parents, (2) between the adolescent and community, (3) between the parents, and (4) between the Good Self and the Bad Self of the adolescent. The thesis is that the conflict cycle is an organizing principle helpful to therapists working with families to make assessments and plan interventions.This paper is an expanded and edited version of a presentation by the senior author in San Diego, California, on November 12, 1988, at the Western States Conference of the American Society of Adolescent Psychiatry.     

Nature of marital relations among chronic pain patients

Fifty-two chronic pain patients and their spouses were evaluated for their marital relations utilizing the FACES III. In most areas of family functioning the couples provided evidence of difficulties and demonstrated a significant level of agreement about the nature of the problems. On the circumplex model the couples were functioning at the mid-to extreme-range. This study suggests that marital difficulties among chronic pain sufferers may indeed be pervasive.     

Alignment with globalized Western culture: Between inclusionary values and an exclusionary social identity

Reactions to globalized Western culture (GWC) are influential in shaping intergroup relations and social issues worldwide. GWC is conceptualized here as an inclusionary cultural value system but a simultaneously exclusionary social identity. Whereas GWC's inclusive values may promote the civil liberties and fair treatment of gay people, for instance, as a social identity, groups may use their alignment with GWC to buttress ingroup superiority over less aligned outgroups. Three studies (one correlational and two experimental in design) probe these opposing vectors in samples of Jewish‐Israelis, who are generally highly aligned with GWC. Results demonstrate that GWC alignment is associated with decreased anti‐gay prejudice (Studies 2 and 3) but exclusionary responses towards Arab individuals and groups (Studies 1, 2, and 3), who are perceived to be less aligned with GWC. Conducted during the 2014 Israeli‐Palestinian war, Study 3 notably demonstrated that a GWC identification prime reduced Jewish‐Israelis' willingness to offer humanitarian assistance to Palestinian civilians in need. This may suggest that in some contexts, GWC's divisive function as a social identity supersedes its more inclusionary humanistic values. These contrary effects of GWC alignment by social target are discussed, alongside their implications on national, regional, and international levels.     

Suicide and Suicidal Attempts in the United States: Costs and Policy Implications

The national cost of suicides and suicide attempts in the United States in 2013 was $58.4 billion based on reported numbers alone. Lost productivity (termed indirect costs) represents most (97.1%) of this cost. Adjustment for under‐reporting increased the total cost to $93.5 billion or $298 per capita, 2.1–2.8 times that of previous studies. Previous research suggests that improved continuity of care would likely reduce the number of subsequent suicidal attempts following a previous nonfatal attempt. We estimate a highly favorable benefit–cost ratio of 6 to 1 for investments in additional medical, counseling, and linkage services for such patients.     

Physical Activity,Exercise Motivations,Depression, and Nonsuicidal Self‐Injury in Youth

This study explored the relationship between physical activity, depression, and nonsuicidal self‐injury (NSSI) in 167 high school and undergraduate students (mean age = 17.37, range 14–25). Results indicated that NSSI frequency had a significant negative relationship with physical activity, and physical activity moderated the relationship between depressive symptoms and self‐harm. Specifically, high levels of depressive symptoms and low levels of physical activity had the greatest frequency of NSSI. Lastly, appearance‐based exercise motivations were significantly related to increased frequencies of NSSI. Overall, physical activity may possess a protective nature against NSSI, especially in individuals with depressive symptoms.     

On the preattentive accessibility of stereoscopic disparity: Evidence from visual search

We examined the generality of the claim that stereoscopic disparity is detectable in parallel across the visual field. Using a search paradigm with random-dot stereograms, we varied the relative disparity of target and distractor items. When both target and distractors had crossed disparities, both search functions (i.e., target in front of distractors and target behind distractors) were linear with positive slopes. When both target and distractors had uncrossed disparities, the pattern of results depended upon whether the target was in front of or behind the distractors—specifically, when the target was in front of the distractors, search functions were similar to those seen for “crossed” search, but when the target was behind the distractors, a nonlinear search function was found. Finally, when the target and distractors straddled the plane of fixation, a nonlinear search function was found when the target was in front of the distractors; however, when the target was behind the distractors, a linear search function with a large positive slope was found. We show that the nonlinear search functions are consistent with the effects of an intervening global surface percept. We also show that the size of the stimulus display may be a factor in some relative depth cases. Additionally, we replicate Steinman’s (1987) finding that search is parallel when the distractors are located at the plane of fixation and the target disparity is crossed, eliminating monocular and spatial cues to target presence that may have been present in his original study. In a final control experiment, we showed that reaction times did not increase with set size when observers performed another kind of perceptual task on similar random-dot stereogram displays. This eliminates the possibility that some of the results obtained here can be explained by increases in the difficulty of perceiving/fusing the stimuli when the number of distractors is increased.