The pursuit of the minor premise a commentary on normality

In this paper are explored the ethical implications of the answers to three questions: Whether or not a diseased state is discrete; the criteria by which that question is answered; and how the diseased state is to be identified. Examples are given showing that some states appear to be clearly discrete, and others equally clearly not discrete. The nature of the pertinent evidence will be affected accordingly. It is shown that a slavish and inappropriate concern with categories leads to anomalous ethics. Finally, it is suggested that many of these problems may be avoided by centering the ethics of medicine on optimizing the welfare of the patient rather than by thinking in terms of categorical disease.     

Behavioural family therapy and the influence of a systems framework

A family approach using the techniques of behaviour modification, to a family presenting with problems of encopressis in a five-year-old boy, is described. The usefulness of taking a broader analysis of the context of the behaviours targeted for modification under the impact of systems theories is emphasized. A one-year follow-up after treatment demonstrated both symptomatic and family changes.     

Locus of control and self-esteem as correlates of role orientation in traditional and nontraditional women

This research attempted to establish relationships between locus of control, self-esteem, and traditional-nontraditional behavior. It was hypothesized that (1) women tending toward internality and high self-esteem should be more likely to manifest nontraditional behaviors, as evidenced through career-oriented roles, and to rank these roles as their primary source of satisfaction; and (2) women tending toward externality and low self-esteem should be more likely to manifest traditional behavior, as evidenced through family-oriented roles, and to rank these roles as their primary source of satisfaction. The sample consisted of 91 White females in a southern metropolitan area. The data were collected using a survey design. As expected, high self-esteem internals were more likely to manifest nontraditional behavior. Contrary to expectation, low self-esteem externals were more nontraditional in role orientation.     

Human figure drawings of gender-problem children: A comparison to sibling,psychiatric, and normal controls

The Draw-a-Person test was used to evaluate a number of questions regarding children referred for potential problems in their gender-identity development (N = 36). Sibling (N = 31), psychiatric (N = 23), and normal (N = 30) children served as comparison groups. The major results included the following: (1) The gender-referred children were more likely to draw an opposite-sex person when requested to "draw a person" than were the other three groups; (2) the gender-referred children who drew an opposite-sex person were more likely to play with opposite-sex toys and dress-up apparel on a free-play task than were the gender-referred children who drew a same-sex person; (3) the gender-referred children drew taller opposite-sex persons than same-sex persons; (4) using Koppitz's (1968) criteria, the normal children had a smaller proportion of emotional disturbance indicators in their same-sex drawings than did the other three groups. These findings were discussed with regard to psychometric and interpretive issues in the assessment of children with atypical gender-role behavior.     

Smoking cessation with behaviour therapy or acupuncture—A controlled study

Five hundred and fifty-eight cigarette smokers (mean 31 cigarettes/day) were randomized in four groups: Acupuncture, Behaviour Therapy, Placebo Medication and Waiting-list Control. The life-table analysis of smoking cessation showed, at a 12-month follow-up, no difference between Acupuncture, Behaviour Therapy and Placebo. Differences appeared only in an analysis of the abstinent subjects at each data point. Behaviour Therapy and Acupuncture accounted for significantly more abstinent subjects than Placebo at the end of the 2-week therapeutic phase. However at 9 and 12 months Acupuncture had a statistically-significant greater number of abstinent subjects than Behaviour Therapy, but there was no difference between Acupuncture and Placebo. The percentage decrease in smoking from baseline appeared significantly greater at 12 months in the first three groups than in the Control conditions. However, as in most smoking-cessation studies, the overall effect was small and non-specific. The results reflect the importance of maintenance programmes and of the prevention of addiction.     

Effects of background anger,provocation, and methylphenidate on emotional arousal and aggressive responding in attention-deficit hyperactivity disordered boys with and without concurrent aggressiveness

We investigated the effects of background anger, provocation, and methylphenidate on emotional, physiological, and behavioral responding in children with attentiondeficit hyperactivity disorder (ADHD) with and without concurrent aggression. Our study revealed that ADHD boys showed more emotional and physiological distress when exposed to an interaction in which an administrator chastised each boy's favorite counselor, compared to a friendly interaction between the two adults. The background anger manipulation did not affect the aggressive behavior of the boys against an opponent in an aggressive game. High-aggressive (HA) ADHD boys were more likely to respond to provocation with aggression than low-aggressive (LA) ADHD boys, but only LA boys showed increased physiological reactivity with increasing provocation. Methylphenidate resulted in increased heart rates under all conditions and did not interact with any of the other findings.This project was conducted while the first author had the support of National Institute of Alcohol Abuse and Alcoholism grant AA 06267.The authors wish to thank the staff members of the 1987 Summer Day Treatment Program who assisted in conducting this project. The authors also express their appreciation to Karen Guthrie for coordinating the medication assessment and to Hart Blanton for computer programming.     

Teaching minority high school students to recruit helpers to attain personal and educational goals

Recruiting help from mentors and other potential helpers is a promising strategy for helping disadvantaged and minority youths meet their personal and educational goals. Three African-American high school seniors participated in a project designed to evaluate the effectiveness of training procedures that would allow them to ask for help in attaining educational and other personal goals. A behavioral training procedure that included instructional materials, role-play practice, praise, and feedback was used. Targeted skills included goal setting and 30 responses involved in the process of meeting with a potential helper. Role-play situations were used to evaluate participants' help-recruiting skills before and after training. Participants increased their help-recruiting skills from an average of 38% during baseline, to an average of 75% after training. Self-reported measures of goal attainment suggested that the students benefited from the training. Implications for mentoring programs designed to increase minority students' opportunities to reach educational goals were discussed.     

A comparison of mothers' and fathers' speech to their 3-year-old sons

The language patterns of 10 mothers and 10 fathers with their firstborn 3-year-old sons were compared. Ten-minute mother-son and father-son conversations were recorded independently in the home during a free-play session with standard play mterials. The findings of this study indicate that although mothers and fathers used a similar number of utterances in conversing with their sons over a 10-minute period, their patterns of speech were different on a number of quantitative measures including MLU, MLU of five longest utterances, percent of imperatives, and percent of questions. In general, fathers' communication was viewed as more controlling and involving the child less, while mothers' communication was viewed as more child-centered and involving the child more.