Multimodal therapy in an inpatient setting

Inpatient Multimodal Therapy (imt) is a residential treatment program, lasting a maximum of 36 weeks, for patients with severe neurotic symptoms. A group of 44 chronic obsessive-compulsive patients and a group of 40 chronic phobic patients were treated in order to assess the outcome and the process of treatment and to identify prognostic factors associated with the effect. At follow-up—on average, eight months after discharge—it was found that 60% had improved, 32% had remained the same, and 8% had deteriorated, indicating that, in general, the treatment was beneficial. That these effects were long-lasting is supported by the fact that, at follow-up, 78% of all patients were no longer receiving treatment, 18% were receiving outpatient or day treatment, and 4% were receiving inpatient treatment. Phobic patients appear to have gained more from the multimodal approach than did obsessive-compulsive patients, as indicated by the fact that the severity of symptoms decreased as they improved in rational thinking, assertiveness, and arousal. By contrast, obsessive-compulsive patients relapsed more than phobic patients did. This was attributed to the fact that the former gained less from the rational-emotive training, denied problems with assertiveness, and did not practice the acquired relaxation skills. It further appeared that a favorable outcome could be induced in patients who (1) expressed relatively mild symptoms in this otherwise severe group, (2) reported relatively few additional complaints, (3) could clearly indicate interpersonal problems, and (4) did not use psychotropic drugs. These prognostic factors are so widespread that not much weight can be ascribed to them. Yet they are useful for indication ofimt until better predictors are found.     

Criminal profiling from crime scene analysis

Since the 1970s, investigative profilers at the FBI's Behavioral Science Unit (now part of the National Center for the Analysis of Violent Crime) have been assisting local, state, and federal agencies in narrowing investigations by providing criminal personality profiles. An attempt is now being made to describe this criminal-profile-generating process. A series of five overlapping stages lead to the sixth stage, or the goal of apprehension of the offender: (1) profiling inputs, (2) decision-process models, (3) crime assessment, (4) the criminal profile, (5) investigation, and (6) apprehension. Two key feedback filters in the process are: (a) achieving congruence with the evidence, with decision models, and with investigation recommendations, and (b) the addition of new evidence.     

Cross-sectional studies of personality in a national sample: 1. Development and validation of survey measures

Short scales were developed to measure three broad dimensions of personality in the National Health and Nutrition Examination Survey (NHANES I) Epidemiologic Followup Study. Items to measure neuroticism were selected rationally from the General Well-Being Schedule, and items to measure extraversion and openness to experience were selected by multiple regression from the NEO Personality Inventory. In a sample of 654 men and women from the Augmented Baltimore Longitudinal Study of Aging, all three short scales showed clear evidence of convergent and discriminant validity against full scales in self-reports, and against peer and spouse ratings. Because they were developed and validated on a sample with a comparable age range, the NHANES scales should be useful in examining age trends in these three personality dimensions in a national sample.     

Reader and text variables as determinants of discourse memory in adulthood

Young students, old students, and old nonstudents read and recalled short texts that were in either narrative or expository form. In addition, a set of six verbal ability measures thought to be related to discourse memory was obtained for all of the participants. Older subjects recalled less from the texts than younger subjects, and neither type of text nor student status modified the magnitude of the age differences. The set of verbal ability measures was adequately described by two principal components, one consisting of simple, speed-related skills, and the other consisting of more complex skills. Each set of variables predicted a proportion of discourse memory variance, and accounted for some of the variance that would otherwise be attributed to age. The results suggest that age differences in some basic cognitive skills related to reading effectiveness might underlie age differences in memory for discourse.     

Cast of characters work: Systemically exploring the naturally organized personality

Cast of Characters Work conceives of the personality as a naturally organized unique group of characters who, together, function in an internal system. All characters bring their own histories, perceptions, feelings, beliefs, and behaviors to life's situations. Their survival strategies and interrelationships are felt as anxiety, conflict, ambivalence, or confidence. Heightening awareness of these multiple, simultaneous events increases access to the actual living process. The complex inner world of individuals, couples, and families can be precisely explored by working directly with each character and their relationships. Objectives are accountability and more functional, flexible, and satisfactory arrangements among characters internally and in couples and families.Also in private practice at 2 Pine Circle, Urbana, IL 61801.     

Family crisis intervention: fish or fowl?

This paper considers the status of family intervention as an area of interest defined by its literature (70 publications) and includes a brief history, assessment of present status, and recommendations for future development of family crisis intervention as a distinct field with concepts and goals that can be clearly defined, taught, researched, and repeated in treatment. Recommendations are made for the development of an explicit paradigm for intervention with a clear, common language of terms and concepts for family involvement. Suggested directions for developing the paradigm and language are explored.     

Book reviews

Current Psychology -     

The use of a resident daily scheduling procedure to increase appropriate social,ward, and scheduling behavior in adult psychiatric residents (patients)

The purpose of the present experiment was to investigate the efficacy of a goal orientation procedure in their treatment of apathy, isolation, and insufficient goal setting skills in chronic psychiatric residents. The experiment was conducted in a behaviorally-oriented deinstitutionalization program in a state psychiatric hospital. Three male and four female chronic psychiatric residents served as research participants. A group repeated measures design with four within-participant phases (ABA‘B’) was utilized. The goal orientation procedure included a written schedule that was completed by each research participant daily. This Daily Living Schedule required that a behavior be specified by the participant for every half-hour period during the day (8:30 a.m. to 9:00 p.m.). During all four phases of the experiment, research participants were observed on the ward from 8:30 a.m. to 12:00 noon and 1:00 p.m. to 5:00 p.m. for engagement in scheduled target behaviors. The daily scheduling procedure produced substantial increases in appropriate behavior such as social activities, ward jobs, and participation in treatment programs, whereas decrease were produced in inappropriate behavior such as isolation and day time sleeping.     

The University Of Colorado Meaning Norms

There exist surprisingly few normative lists of word meanings even though homographs—words having single spellings but two or more distinct meanings—are useful in studying memory and language. The meaning norms that are available all have one or more weaknesses, including: (1) the collection of free associates rather than meanings as responses to the stimulus words; (2) the collection of single rather than multiple responses to the stimulus words; (3) the inclusion of only the two most frequently occurring meaning categories, rather than all meaning categories, for the stimulus words; (4) omission of the responses typical of each meaning category; (5) inadequate randomization of the presentation order of the stimulus words; and (6) unpaced presentation of the stimulus words. We have compiled meaning norms for 90 common English words of low, medium, and high concreteness using a methodology designed to correct these weaknesses. Analysis showed that words of medium concreteness have significantly more first-response meanings than do words of either low or high concreteness, lending support to the view that concreteness is a categorical, rather than a continuous, semantic attribute.