Combining quantitative and qualitative methods in evaluating a course of family therapy

This paper reports on the use of a single case (A-B) design, with multiple measures of first and second order change and family satisfaction. A within-session process analysis was also made. Second order change was found to relate most clearly to the process of sessions. The single case design and process study is easy to apply in practice and is a potential response to clinical audit. The problems of combining quantitative and qualitative approaches are discussed.     

PROMPTING BAR PATRONS WITH SIGNS TO TAKE FREE CONDOMS

This study was designed to determine whether signs would prompt bar patrons to avail themselves of free condoms. The intervention at three “gay bars” involved placing a large sign directly above a container of free condoms; the sign gave statistics for the number of people who have died from AIDS in the state and pointed out that condoms can reduce the spread of AIDS. Additional signs placed in the restrooms gave information about safe sex practices and reminded patrons that free condoms could be obtained at a given location in the bar. An ABAB design was used, with a 2-week baseline, 2-week treatment with signs present, 2-week reversal with no signs, and 2-week reinstatement of treatment with signs present. For all three bars combined, 748 condoms were taken with signs present and 510 condoms were taken with signs absent. Overall, when signs were present, the number of condoms taken increased by 47%.     

Concurrent Use of Cigarettes,Alcohol, and Coffee1

The interrelationships between cigarette, alcohol, and coffee use were examined in 307 U.S. army trainees and 304 U.S. enlisted army personnel. Usage patterns indicated distinct gender differences in this occupational setting. Among women, cigarette use and alcohol consumption were positively correlated; whereas for men, cigarette and coffee use were positively related. For both males and females, alcohol and coffee use were only weakly correlated. As demonstrated in other studies, nonsmokers showed a consistent pattern of abstention from coffee and alcohol or moderate alcohol use.     

The Use of Psychoendocrine Strategies in Post-Traumatic Stress Disorder1

An overview is presented of a pilot psychoendocrine study of PTSD inpatients in comparison with several subgroups of schizophrenic and affective disorder patients. Using a hormonal profile including Cortisol, norepinephrine, epinephrine, testosterone, and thyroxine, it was found that the mean values for the PTSD group were at or near the extreme end of the range for every hormone measured, i.e., relatively low for Cortisol and high for the remaining hormones. The possible clinical meaning of these findings is considered in the light of prior psychoendocrine research on chronic stress. The hormonal alterations in PTSD appear to be persistent and suggest the possibility of being linked largely to traits or character structure, perhaps particularly to cognitive variables related to defense and coping mechanisms, as reviewed in detail for each hormonal system. There appears to be a potential for a fruitful union between the traumatic stress and psychoendocrine fields and some future strategies for developing and strengthening such a union are suggested.     

On the Universality of Human Nature and the Uniqueness of the Individual: The Role of Genetics and Adaptation

The concept of a universal human nature, based on a species-typical collection of complex psychological adaptations, is defended as valid, despite the existence of substantial genetic variation that makes each human genetically and biochemically unique. These apparently contradictory facts can be reconciled by considering that (a) complex adaptations necessarily require many genes to regulate their development, and (b) sexual recombination makes it improbable that all the necessary genes for a complex adaptation would be together at once in the same individual, if genes coding for complex adaptations varied substantially between individuals. Selection, interacting with sexual recombination, tends to impose relative uniformity at the functional level in complex adaptive designs, suggesting that most heritable psychological differences are not themselves likely to be complex psychological adaptations. Instead, they are mostly evolutionary by-products, such as concomitants of parasite-driven selection for biochemical individuality. An evolutionary approach to psychological variation reconceptualizes traits as either the output of species-typical, adaptively designed development and psychological mechanisms, or as the result of genetic noise creating perturbations in these mechanisms.     

Understanding the language of thought

Conclusions To conclude then, our question was, What determines the content of a thought? This question gets its punch by being set against the background assumption that thoughts are internal physical occurrences. The answer I have proposed is that thoughts can be classified in four importantly different ways. Introspection yields syntactic categories. These are important for cognitive processing, but they do not correspond to contents. A second way of categorizing thoughts is in terms of narrow content. This is determined by the functional role of the thought in rational architecture together with the way in which that rational architecture is tied to the world through input correlations. Narrow contents are indexical, so to get truth bearers we must augment the narrow contents with the values of the indexical parameters. Propositional content can be taken to consist of pairs of narrow contents and values for indexical parameters. Finally, thoughts can be classified in terms of that clauses. This kind of classification does not uniquely determine propositional content, but describes it in a more general way.     

The “Testing” Effect and Restricted Retrieval Rehearsal

Four experiments examined two alternative views of retrieval events. The results of Experiment 1 were equivocal because of an apparent “ceiling effect.” The results of Experiments 2, 3, and 4, in which changes were made in basic procedures, seemed to indicate that the act of retrieval itself had an effect on the memorability of words.