Somatic complaints in anxious children

Although stomachaches and headaches are considered characteristic of children with anxiety disorders, there is converging evidence that a broader range of somatic symptoms may be associated with children's expressions of anxiety. The purpose of this study was to determine the prevalence of somatic complaints in anxious children. The results indicated that children with anxiety disorders endorsed the presence of many different somatic complaints, and that contrary to clinical intuition, stomaches and headaches were not among the most commonly reported symptoms. In addition, the anxious children endorsed significantly more somatic complaints when compared to normal controls. Furthermore, the symptom pattern reported by anxious children indicated the presence of both the somatic and cognitive components usually associated with panic attacks, although none of the children met diagnostic criteria for panic disorder. The results are discussed in terms of the contribution of somatic symptoms to the understanding of anxiety disorders in children.     

A psychological interview process for career assessment

The authors present a comprehensive four-step process for conducting initial career assessment by interview. The process assesses skills, interests, values, non-work relationships, goals and activities, and psychological aspects such as self-esteem and work attitudes. The interview process is flexible, internally consistent and portable. Step One analyzes the client's work history and includes reasons why such a history may be inadequate. Step Two examines work-related preferences. Step Three investigates lifestyle context, and Step Four produces a summary of all the accumulated interview information, including options the client wishes to avoid. Detailed worksheets accompany the article.This article has been adapted, with permission, from Chapter 3, Promoting Client Self Understanding, in Yost, E. B., and Corbishley, M. A.Career Counseling: A Psychological Approach. San Francisco: Jossey-Bass, 1987.     

An ethics of suffering: does it solve the problems we want to solve?: commentary

Erich H. Loewy proposes to elevate the moral obligation to prevent and relieve suffering to the level of a prima facie moral duty by delineating which beings are of primary moral worth and which are of secondary moral worth. Sentient beings have a capacity to suffer and are therefore of primary moral worth. Beings that are insentient cannot suffer; therefore such beings are only of secondary moral worth. Objects of secondary moral worth include patients in a persistent vegetative state (PVS) and brain-dead patients. This proposal, he says, would solve a number of problems in clinical bioethics. First, it would help to clarify our moral duties at the bedside. And secondly, by creating a hierarchy of moral values, it helps to differentiate which patients are owed our primary allegiance and resources. Despite his extensive and painstaking proof, I believe several questions remain about the use of the "capacity of sentient beings to suffer" as a basis for a universal grounding in ethics.     

Cognitive flexibility-rigidity, repetition effects, and memory

This experiment examined the role of cognitive flexibility-rigidity in memory. On the basis of several personality tests, subjects were classified as flexible, intermediate, or rigid, using a postexperimental blocking procedure. All subjects were given a perceptual grouping task, which masks the meaningful structure of the material. Subjects have the option of discovering the more meaningful structure consisting of word pairs, or alternatively, processing less meaningful chunks of letters. Results were that flexible subjects recalled substantially more items than intermediate and rigid subjects, in that order. In addition, subjects given different (varied) groupings of the letter chunks recalled substantially more than subjects given repeated presentations of the same grouping structure. Transfer tests indicated that subjects acquired different coding strategies under varied and constant input. Repetitious input led subjects to adopt inefficient strategies in processing the material to be remembered, whereas varied input led subjects to adopt efficient encoding strategies.     

Rape — Relationships and Recovery

Rape—Relationships and Recovery is a group counseling model designed to intercede when crisis-oriented rape counseling ends. Major aspects of the model include (a) giving factual information and dispelling common myths surrounding rape; (b) recognizing and working through the grief process following rape; and (c) aiding the expression of the intrapersonal and interpersonal feelings that result from rape.     

Hemispheric differences in processing visual patterns

The dichotomies verbal/visuospatial, serial/parallel and analytic/holistic are reviewed with respect to differences in hemispheric processing. A number of experimental parameters may be varied in such tasks, and together with certain frequently-occurring weaknesses of experimental design may account for the often discrepant results hitherto reported. The above factors are systematically reviewed, and three further experiments are reported which attempt to fill in the missing designs. Further evidence is given in support of the hypothesis that right-hemisphere superiority is most apparent in processes leading to identity matching. It is quantitative rather than qualitative, and may depend upon operations on the entire gestalt, such as holistic matching, mental rotation, reflection, distortion, etc., rather than, e.g., simultaneous (parallel) processing of discretely analysed or isolated features or elements. On the other hand left-hemisphere involvement in visuospatial processing is thought to reflect analysis of the configuration into its separable components; such processing may be either serial or parallel, and may frequently lead to a judgement different.     

Multiple regression analysis of twin and sibling data

DeFries and Fulker (1985) employed a multiple regression analysis of twin data in which a cotwin's score is predicted from the proband's score, the coefficient of relationship (R = 1.0 for monozygotic twins and 0.5 for dizygotic twins), and their interaction to yield direct estimates of heritability (h²) and the proportion of variance due to common or shared environmental influences (c²). The purpose of the report is to extend this model to allow for the analysis of data from more than two familial relationships simultaneously. Data from identical twins, fraternal twins, and siblings pairs, in which one member of each pair was selected based on low reading performance, were analyzed. To analyze the data simultaneously, additional coefficients were added to the regression equation in order to differentiate shared environmental influences of twins and siblings. When the model was applied to the combined cognitive data, significant estimates for heritability were obtained in three of the six tests analyzed. The results also indicated a lack of justification for the separate twin and sibling environmental parameters, and a discussion of more parsimonious models is included.     

Rules versus cognitive structure as bases for children's performances on probability problems

The present study compared two hypotheses about children's solutions to Piaget and Inhelder's (1975) two-set alternative choice probability problems. The first was that children follow rules that specify a temporally ordered sequence of tests and decisions (Siegler, 1981). One prediction of rules is that children who know strategies that combine variables within sets (e.g., ratio or subtraction strategies) will only use them on problems that require such strategies (conflict problems), whereas lower level (nonconflict) problems will be solved by directly comparing the values of variables between sets. The second hypothesis was that once children develop knowledge of within-set solutions to probability problems, they apply them to both conflict and nonconflict problems. The results supported the latter hypothesis. The majority of children who solved conflict problems using within-set strategies explained at least one nonconflict problem by referring to within-set combinations. Results were discussed in terms of their implications for cognitive development and for instruction.