Alcoholic subtypes and the MacAndrew Alcoholism Scale.

Forty-five alcoholics in treatment (29 males and 16 females) who reported substantial alcohol dependence but scored in the nonalcoholic range on the MacAndrew Alcoholism Scale (MAC) were matched with 45 alcoholics who reported a similar degree of alcohol dependence and obtained alcoholic-range scores on the MAC. Results reveal that high MAC alcoholics were characterized by gregariousness, social drinking, belligerence and aggression while drinking, and a high degree of alcohol-related legal problems. Low MAC alcoholics appeared to be a different or less distinctive type of alcoholic; although they were less outgoing and preferred not to drink with others, they experienced a wide range of serious alcohol-related consequences. Low MAC alcoholics were not more likely to have a history of nonsubstance use psychiatric diagnosis and treatment. Cloninger, Bohman, and Sigvardsson's (1981) alcoholic typology was related to MAC scores: There was a greater likelihood that high-MAC alcoholics were Type II and low MAC alcoholics Type I.     

A cross-validation of MMPI-2 substance abuse scales.

We evaluated the efficacy of the Addiction Potential Scale (APS) and the Addiction Acknowledgement Scale (AAS), two new scales designed to assess substance abuse problems with the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), in samples from settings different from those used in their development. Results replicate earlier findings that both scales discriminate between psychiatric and substance abuse samples and do so more effectively than other substance abuse scales designed for use with the MMPI and carried over to the MMPI-2. Results also suggest that APS may be more resistant than AAS to response distortion.     

A psychotic gynemimetic: I just had a pregnant thought.

Nomothetic and idiographic content analytic approaches to the Rorschach are used in complementary fashion to explore the psychotic personality structure and primitive interpersonal models in a 37-year-old biologically normal male, who was a gynemimetic, that is, a transvestite who aspired to have the genetalia of a woman. The Rorschach was riddled with psychotic verbalizations and imagery suggesting inadequate differentiation from the original symbiosis, inadequate symbiosis anxiety, and significant separation anxiety--a constellation culminating in the transsexual fantasy of fusion with the mother.     

Statistical power and the Rorschach: 1975-1991

The Rorschach Inkblot Test has been the source of long-standing controversies as to its nature and its psychometric properties. Consistent with behavioral science research in general, the concept of statistical power has been entirely ignored by Rorschach researchers. The concept of power is introduced and discussed, and a power survey of the Rorschach literature published between 1975 and 1991 in the Journal of Personality Assessment, Journal of Consulting and Clinical Psychology, Journal of Abnormal Psychology, Journal of Clinical Psychology, Journal of Personality, Psychological Bulletin, American Journal of Psychiatry, and Journal of Personality and Social Psychology was undertaken. Power was calculated for 2,300 statistical tests in 158 journal articles. Power to detect small, medium, and large effect sizes was .13, .56, and .85, respectively. Similar to the findings in other power surveys conducted on behavioral science research, we concluded that Rorschach research is underpowered to detect the differences under investigation. This undoubtedly contributes to the inconsistency of research findings which has been a source of controversy and criticism over the decades. It appears that research conducted according to the Comprehensive System for the Rorschach is more powerful. Recommendations are offered for improving power and strengthening the design sensitivity of Rorschach research, including increasing sample sizes, use of parametric statistics, reduction of error variance, more accurate reporting of findings, and editorial policies reflecting concern about the magnitude of relationships beyond an exclusive focus on levels of statistical significance.     

Hillel's maxim: Framework for psychological health

Mental health practitioners continually struggle to find a simple framework for describing the characteristics of the psychologically healthy individual. Hillel's often quoted saying provides relevant insight into the healthy personality and a convenient framework against which to examine psychological health.     

The practice of psychotherapy and spiritual direction

The author compares and contrasts insight-oriented psychotherapy, supportive psychotherapy, and spiritual direction in relation to goals and methods; management of resistance, transference, and countertransference; and selection criteria. The enhancement of spiritual formation through insight-oriented psychotherapy and supportive psychotherapy is also discussed.     

Altruism in surgery of AIDS patients

There is usually a long period of time between infection with the AIDS virus and manifestation of symptoms. Asymptomatic patients often would benefit from elective surgery for diseases such as arthritis which are unrelated to their infection. The surgeons' decisions to accept the risks to themselves, their spouses, and their operating teams in order to relieve pain and suffering appear to be based upon two covenants; one concerns their role within the doctor-patient relationship, and the other concerns their relationship to what they see as the ultimate meaning in life.     

Spiritual opportunities in the liminal rites of hospitalization

This paper describes the way in which a hospital stay functions as a period of liminality. The opportunities for transformation inherent in such an experience are examined, with special attention given to the role of the hospital chaplain as the ritual leader who can help facilitate the movement through liminality and into wholeness.Ann Hallstein the M. Div. from Union Theological Seminary in May 1992 and expects to be ordained in the United Church of Christ.     

Jungian psychology and pastoral care

This article provides a review of the implications of analytic psychology for pastoral care and the caregiver. Four areas of Jung's thought are examined: (1) his mode of treatment, (2) the process of individuation, (3) his theory of personality types, and (4) his concept of synchronicity. We suggest that Jung's system of thought contains a rich reservoir of insight for the enrichment of pastoral care.