The role of reinforcement contingencies in chronic alcoholism: An experimental analysis of one case

investigators have questioned chronic alcoholics and round that some of them have returned to normal social drinking (Davies, 1962; Lemere, 1953; Nørvig and Nielsen, 1956; Selzer and Holloway. 1957; and Shea, 1954). These findings would seem inconsistent with such notions as loss of control or craving as the basis of compulsive drinking. Moreover, antecedents and consequences of these explanatory constructs, have not been elucidated. The purpose of this research was to make an intensive study of a single subject to see if specific conditions could be identified under which a chronic alcoholic's drinking could be controlled, in a setting in which environmental variables could be systematically varied and drinking behavior documented.     

A physiological model of phobic anxiety and desensitization

The relationship between arousal and phobic anxiety is discussed with regard to recent psychophysiological studies of habituation in normal subjects and in groups of anxious and phobic patients. A physiological model of the mechanisms underlying generalized and phobic anxiety is postulated. Some criticisms of Wolpe's conception of systematic desensitization are offered and an alternative explanation consistent with the above postulate is put forward. This alternative states that the underlying mechanism of systematic desensitization is identical with that of habituation proceeding under optimal conditions (the “maximal habituation” hypothesis). The two accounts of desensitization are compared and contrasted.     

Ministry to the chronic hemodialysis patient

The beginning point of ministry to those persons suffering from renal failure and turning to hemodialysis in order to sustain life is a sensitive understanding of the total dialysis experience. The minister or chaplain who visits a hemodialysis unit only occasionally will be more effective in bringing his skills to the task by understanding the unique dynamics of the physical, emotional and spiritual adjustment of those who depend on this relatively new therapy. The specific elements of this ministry in terms of those closely involved, professional care givers, families, and patients, are discussed with attention to the factors that tend to make ministry to the hemodialysis patient unique.This article is the result of a one-year chaplain residency at the Veterans Administration Hospital in Nashville, Tennessee, in partial fulfillment of clinical requirements for the D. Min. degree in Pastoral Theology and Counseling at the Divinity School, Vanderbilt University, Nashville, Tennessee.     

Sexual deviations as conditioned behaviour: A hypothesis

While it has been frequently suggested that sexual deviations are learned, the learning has usually been thought of as taking place during one traumatic experience. From a study of 45 sexual deviants, the authors believe that it is often a much more gradual process occurring during masturbation to a memory, which need not have been sexually stimulating at the time of the initial experience and which often alters with the passage of time. The hypothesis is illustrated from case histories of pedophilia, exhibitionism, homosexuality, voyeurism and transvestism. The implications for both aversive treatment of deviations and positive conditioning to normal sex are considered.