Respect: Response to shame in health care

Shame is a not uncommon experience of patients in health care settings. Religious assessments often confuse shame with guilt, and therefore respond in ways that may not be appropriate. Illustrated by a case study, this article distinguishes shame from guilt and examines systemic considerations. Then shame is explored in relation to traditional, negotiating, and individualistic belief paradigms, looking at epistemology, causality, response to shame, healing models, and tasks. It concludes with a discussion of the idea of respect as foundational for responding to people experiencing shame in health care.     

Attentionally splitting the mass distribution of hand-held rods

Two experiments on the length-perception capabilities of effortful or dynamic touch differed only in terms of what the subject intended to perceive, while experimental conditions and apparatus were held constant. In each trial, a visually occluded rod was held as still as possible by the subject at an intermediate position. For two thirds of the trials, a weight was attached to the rod above or below the hand. In Experiment 1, in which the subject's task was to perceive the distance reachable with the portion of the rod forward of the hand, perceived extent was a function of the first moment of the mass distribution associated with the forward portion of the rod, and indifferent to the first moment of the entire rod. In Experiment 2, in which the task was to perceive the distance reachable with the entire rod if it was held at an end, the pattern of results was reversed. These results indicate the capability of selective sensitivity to different aspects of a hand-held object's mass distribution, without the possibility of differential exploration specific to these two tasks. Results are discussed in relation to possible roles of differential information, intention, and self-organization in the explanations of selective perceptual abilities.     

Prediction of success or failure in birth planning: An approach to prevention of individual and family stress

Following the view that individual future time perspective is an outcome of the socialization process, it was hypothesized that good contraceptors would display significantly longer future time extension than poor contraceptors. In a Planned Parenthood agency, 25 subjects from each group, constituting nearly the whole clinic population in these categories for a 3-month period, were given the Future Events Test during their clinic visits. The major hypothesis was confirmed, and also a significant tendency towards viewing future events more negatively was found among the poor contraceptors. Demographic data did not discriminate clearly between the two groups, though the poor contraceptors were somewhat younger and had a somewhat higher weekly family income. Use of personality variables in predicting birth-planning success or failure seems more promising than continued reliance solely on the sociocultural approach. Implications for screening and prevention in the interest of the individual, the family, and the community are discussed.     

Book reviews

Wyer, Robert S., Jr. Cognitive Organization and Change : an Information Processing Approach. Potomac, Maryland: Lawrence Erlbaum Associates. 1974. Pp. 502. £10.50.

Egan, J. P. Signal Detection Theory and ROC Analysis. New York: Academic Press. 1975. Pp. 277. £9.75. ISBN

Aldis, O. Play-Fighting. New York: Academic Press. 1975. Pp. 319. £8.75.

Warburton, D. M. Brain Behaviour and Drugs. London: John Wiley. 1975. Pp. 280. £6.95. ISBN 0471 91991 8.

Grieve, D. W., Miller, D., Mitchelson, D., Paul, J. and Smith, A. J. Techniques for the Analysis of Human Movement. London: Lepus Books. 1975. Pp. 177. £5.50.     

Hypersexuality and limbic system seizures

Hypersexual behavior was induced in adult male cats by repeatedly evoked limbic system seizures. Accentuation of Dopaminergic activity with drugs was used to facilitate development of the seizure induced hypersexuality. Hypersexuality consisted of biting knap of neck, mounting, thrusting and coital intromission. The gradual development and eventual disappearance of hypersexuality was correlated with the progressive prolongation of the seizures in their evolution. There are three stages of seizure evolution in relation to sexuality. First stage-normal sexuality, intermediate stage-hypersexuality and late stage-hyposexuality. A theoretical “hypersexual growth and decay curve” was constructed in relation to the evolution of limbic seizure durations in the intermediate stage. It was suggested that the observed hypersexuality was related to the early discharge activation of hypothalamic, preoptic and basal ganglia neurohumeral facilitatory mechanisms for sexuality, and the late effects were related to discharge activation of brain stem serotonergic inhibitory mechanisms. The discussion attempts also to use these experimental findings to explain clinically observed hyposexuality and hypersexuality. It was suggested that either hypersexuality or hyposexuality may be associated with psychomotor seizures and that the predominating sexual state at a given moment is dependent upon the evolutionary stage of the seizure at that moment. Consequently, psychomotor seizures with associated hypersexuality should not be considered a clinical anachronism. In fact, these observations support the impression that rape may be a manifestation of a psychomotor seizure.