A Community of Psychotherapists

Services for chronic mental patients in this era of deinstitutionalization present a major challenge to clinicians and planners alike. The complexity of these patients' clinical and other programmatic needs requires that an array of viable comprehensive services be made available to them. Following certain established principles of service planning will help facilitate patients' longitudinal, psychological, financial, and geographical access to care.     

BEHAVIORAL TREATMENT OF DEVIANT SEX-ROLE BEHAVIORS IN A MALE CHILD1

This study demonstrated reinforcement control over pronounced feminine behaviors in a male child who had been psychologically evaluated as manifesting “childhood cross-gender identity”. The clinical history of the subject paralleled the retrospective reports of adult transsexuals, including (a) cross-gender clothing preferences, (b) actual or imaginal use of cosmetic articles, (c) feminine behavior mannerisms, (d) aversion to masculine activities, coupled with preference for girl playmates and feminine activities, (e) preference for female role, (f) feminine voice inflection and predominantly feminine content in speech, and (g) verbal statements about the desire or preference to be a girl. The subject was treated sequentially in the clinic and home environments by his mother, trained to be his therapist. The mother was taught to reinforce masculine behaviors and to extinguish feminine behaviors, by using social reinforcement in the clinic and a token reinforcement procedure in the home. During this treatment, his feminine behaviors sharply decreased and masculine behavior increased. The treatment effects were found to be largely response-specific and stimulus-specific; consequently, it was necessary to strengthen more than one masculine behavior and weaken several feminine behaviors, in both clinic and home settings. A multiple-baseline intrasubject design was used to ensure both replication and identification of relevant treatment variables. Follow-up data three years after the treatment began suggests that the boy's sex-typed behaviors have become normalized. This study suggests a preliminary step toward correcting pathological sex-role development in boys, which may provide a basis for the primary prevention of adult transsexualism or similar adult sex-role deviation.     

An experimental test of three choice shift hypotheses*

The present experiment pitted three choice shift hypotheses against each other in an attempt to eliminate one or more of the hypotheses and find support for those remaining. Ss responded three times to the 12 CDQ items, once as a pretest and twice following presentation of homogeneous sets of three arguments which advocated either a risky or a cautious position. The risk-as-value, relevant arguments, and conformity/attitude change hypotheses generated three separate predictions for the Ss' responses. Results mirrored the prediction of the relevant arguments hypothesis: New information, whether contained in cautious or risky arguments, caused a shift toward the type of argument presented. The risk-as-value and the conformity/attitude change hypotheses could not explain the present data.     

Social comparison,attraction, and choice of a comparison other

The effects of attitudinal similarity and task-relevant affiliative status, together with three situational factors (presence or absence of a monetary reward, choice of information source or work partner, and choice made before or after Ss completed preliminary work on the task), on the choice of comparison others were examined. The most significant determinant of the comparison other chosen was attitude similarity (p < .01). There was also a significant interaction between attitude similarity, task-relevant affifliative status, and time of choice (p < .05). The nature of the interaction suggested that general impressions such as conveyed by general attitudinal information may be more important in the selection of referent others than comparability on situation-specific factors.     

Effect of prior body experience on adaptation to visual displacement

The effect of proprioceptive adaptation to visual displacement is to produce a violation of the normal constraints on the relative position of body parts. In order to investigate the effect of this violation of constraints on the adaptation, the relative position of body parts for a group of dancers and a group of nondancers was determined after 5 and 15 min of adaptation. Empirical and theoretical support were provided for the propositions that (1) there is a tendency to resist the violation of constraints, and (2) the nature of the adaptation process is such as to minimize the amount of violation of constraints.