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.     

Rhythmic motor behavior of preambulatory motor impaired,down syndrome and nondisabled children: A comparative analysis

The developmental course of rhythmic motor behavior was followed longitudinally for three groups of preambulatory children — normally developing, Down syndrome, and those with profound motor impairment. The groups differed in chronological age but were comparable with respect to motor age. The motor impaired subjects displayed significantly less rhythmic motor behavior than the nondisabled and Down syndrome groups. In comparing particular subtypes of rhythmic motor behavior, differences were found in both the average number of bouts and duration of subtypes among the groups. Longitudinal analyses of the data over the entire observation period revealed that the rhythmic motor behavior of the children with Down syndrome was more similar to that exhibited by the nondisabled children than was the rhythmic motor behavior of the children with motor impairment. However, there was considerable variability among the groups in several particular subtypes.This research was supported by grants from the National Institute of Child Health and Human Development (HD 17650 and HD 07226).The authors acknowledge the assistance of Robert E. Arendt, Grant Youngquist, Michael Hohn, and Charles Lowitzer in obtaining the observational data and thank the families of the subjects for their enthusiasm and dedication to the project.This study was presented at the 23rd Annual Gatlinburg Conference on Research and Theory in Mental Retardation and Developmental Disabilities, April 21, 1990.     

Imagery and meaning,the cognitive science connection

Taking the integrated viewpoints of causal theory of reference, cognitive science and the notion of correspondence principles from physics, this paper addresses the problems of creativity, the nature of visual imagery and the manner in which science progresses.     

Movement and focused attention: A failure to replicate

Our original goal was to explore the nature of the grouping-by-movement phenomenon reported by Driver and Baylis (1989). In their studies, distractors that moved in common with a centrally located target had a larger influence on focused-attention performance than did more proximate but stationary distractors. These results seemed particularly important since they suggested, contrary to the predictions of space-based models of attention, that attention could be allocated to noncontiguous regions of the visual field. Their results also suggested mandatory processing of stimuli with common motion. Unfortunately, we were unable to replicate this grouping-by-movement effect. In the conditions of Experiment 1 in which we replicated Driver and Baylis’s methodology, stationary distractors produced a larger response-compatibility effect than did the more distant distractors that moved in common with the target. In Experiment 2, we redundantly coded the centrally located target and the far distractors with common movement and color. However, the results were identical to those obtained in Experiment J. The stationary near distractors that appeared in a different color from the target and the far distractors produced the largest response-compatibility effect. In a final experiment, we attempted to compensate for the reduced acuity of the moving distractors by adjusting their size by a cortical magnification factor. However, even with this manipulation, we found a larger response-compatibility effect for the stationary near distractors than for the moving distant distractors. Our results suggest that subjects are capable of selectively processing a target item that moves in common with distractors.     

Some comments on the role of cotherapists in group psychotherapy with borderline patients

This paper points out examples of patients in a psychotherapy group who meet DSM-III criteria for the diagnosis of borderline personality disorder and who are treated by cotherapists utilizing object relations theory. Interpretations of phenomena shown by borderline patients—splitting, projective identification and denial—are illustrated. How cotherapy lends itself to the recognition and management of the problems these patients bring to group psychotherapy is illustrated.Hope Aspell assisted in the editing of this paper.     

Degree of consistent training: Improvements in search performance and automatic process development

Previous research has shown substantial improvements in detection performance when subjects consistently detect a subset of stimuli. In contrast, in conditions in which stimuli appear as both targets and distractors, there is little performance improvement with practice. The present experiments examine how varying degrees of consistency determine the improvement of detection accuracy with extended practice. The degree of consistency was varied by manipulating the frequency with which a letter was a distractor while holding the number of occurrences as a target constant. The experiments utilized a multiple-frame target-detection search paradigm in which subjects were to detect single-letter targets in a series of rapidly presented letters on four channels. Experiments showed that detection performance improvement with practice was a monotonic function of the degree of consistency, decreasing to zero as the target-to-distractor ratio increased from 10:0 to 10:20. As consistency decreased, detection performance asymptoted earlier and at a lower level. A dual-task experiment examined subjects’ ability to perform the previously trained search task as a secondary task. Results showed that the previous targetto-distractor consistency had a marked effect on resource sensitivity of the detection task. The general issues of consistency in the development of skilled performance and in the development of automatic processing are discussed.     

Auditory processing and anxiety in stutterers

This study utilized the Synthetic Sentence Identification/Ipsilateral and Contralateral Competing Message subtests and the State-Trait Anxiety Inventory to examine auditory processing deficits, anxiety levels, and the interaction of these two components in 15 adult stutterers and 15 nonstutterers. Results support brainstem auditory processing deficits in stutterers and equalization of cortical functioning between groups. Group differences were not found in anxiety levels. Nonsignificant correlations between anxiety levels and auditory processing were revealed.     

Reaction time,movement time,and intelligence

Speed of information processing is measured in terms of reaction time (RT) and movement time (MT) to five stimulus displays which differ in the amount of information transmitted, over a range from 0 to 3 bits of information. RT, but not MT, increases as a linear function of the number of bits in the stimulus display. RT and MT show reliable individual differences which are significantly correlated with intelligence as measured by Raven's Standard Progressive Matrices.     

Some correlates of women's Self-Image and Stereotypes of Femininity

An expanded version of the Gordon Self-Image and Stereotypes of Femininity scale was administered to a sample of 362 female nursing personnel. Factor structure of the scale was found to closely approximate that of the Gordon sample. Numerous significant relationships of self-image dimensions to affective responses, experienced role stresses, demographic measures, and personality indices were isolated. However, perceptions of males' image, doctors' image, and own image of a feminine woman were generally unrelated to these measures. Further, examination of discrepancies between self-image dimensions and self and others' stereotypes of a feminine woman along these dimensions did not aid in explaining variance in affective responses or experienced role stresses. Implications of the findings are discussed and suggestions for future research are presented.