Conflict of interest between therapist-patient confidentiality and the duty to report sexual abuse of children

All 51 jurisdictions in the United States require physicians to report suspected child abuse. In most jurisdictions, reporting requirements override both confidentiality and privilege associated with the physician-patient relationship. The authors review the literature relevant to the conflict between privacy and reporting abuse and report the results of a national survey of therapists at sex offender treatment units. They discuss ethical problems experienced under these statutes by therapists who attempt to provide treatment for sex offenders, and by therapists who are required to report past instances of child abuse even when there is no evidence of ongoing abuse.     

Juvenile homicide: The need for an interdisciplinary approach

Most of the empirical literature on juvenile homicide has emerged from the clinical experience of mental health professionals who have diagnosed and/or treated youngsters who killed. After a critical review of this literature, data on 787 juvenile homicide offenders are presented and discussed. These data indicate that intrafamilial killings represent but a small fraction of all homicides perpetrated by juveniles and that there are clear differences between intrafamilial and extrafamilial juvenile homicides.     

Crime and amnesia: A review

The present article reviews amnesia for criminal offenses. It discusses the organic disorders most likely to be implicated, and the nature and differentiation of psychogenic amnesia. With the exception of alcohol and drug intoxication, organic dysfunction is a rare (though important) cause of amnesia for crime. Likewise, fugue states may occasionally be triggered by an offence, but are a very rare cause of the amnesia claimed by offenders. Amnesia is most commonly seen in homicide cases, in which it is claimed by 25% to 45% of offenders, but it occurs also in other types of violent crime, and occasionally in nonviolent crime. It arises in states of extreme emotional arousal, in alcoholic intoxication, and in states of florid psychosis; and it is also associated with depressed mood. Various methods have been advocated for the differentiation of genuine amnesia from deliberate simulation: this distinction can be difficult, but it is noticeable that many amnesic subjects either have reported the crime themselves or have made no attempt to conceal it. The nature of the deficit in this type of amnesia, and its implications for assessment, are also discussed.     

Reasons for employee sabotage in the workplace

Unionized workers at a factory were asked to rate a variety of reasons which would justify the use of sabotage in an organization, as well as the justifiability of four general methods of sabotage (slowdowns, destructiveness, dishonesty, and causing chaos). Results showed that as compared to those who didn't accept a wide variety of reasons for sabotage, those who accepted a variety of reasons would more readily justify all forms of sabotage except dishonesty. The data is discussed in terms of the reasons for the lack of justification that dishonesty receives, as well as future directions for the study of sabotage.     

Irrational beliefs in the articulated thoughts of college students with social anxiety

Cognitive conceptualizations of social anxiety emphasize the role of negative self-statements, unrealistic expectations, and irrational beliefs in the development and maintenance of anxiety in social-evaluative situations. Research into these cognitive factors has entailed administration of questionnaires and instructions to subjects to write down their thoughts during a preceding or impending real-life encounter. These methodologies are criticized on several grounds, such as their assessment of abstract, generalized views by the subject of his/her typical way of thinking over a broad range of circumstances; constraints on responses because of experimenter-provided alternatives; and delays between the eliciting events and self-talk such that recall is subject to distortion and forgetting. Reported here is the use of a recently developed paradigm for uncovering thoughts in complex social situations. In the articulated thoughts during simulated situations method, subjects role-play participation in an audiotaped interpersonal encounter and, at predetermined points, verbalize thoughts elicited by a short segment of the fictitious event. The think-aloud data are taped for later content analysis. The purpose of this study was to explore the relationship between irrational beliefs and social anxiety. Results confirm those of two previous related experiments in that subjects articulated thoughts of greater irrationality when confronted with a stressful social-evaluative situation than with a neutral one. In addition, individuals with a tendency to become anxious in social situations articulated more irrational thoughts than did control subjects, confirming the basic assumption of cognitive-behavioral approaches that certain paterns of unrealistic thinking are associated with psychological distress.     

Adjustment to hemodialysis treatment through behavioral controls

The present study was conducted to examine the hypothesis that compliant chronically ill patients, typically described as adjusted, reinforce more positive social environments using behavioral controls than noncompliant patients, typically described as maladjusted. Specifically, it is hypothesized that diet-compliant chronic hemodialysis patients emit significnatly more active involvement-in-treatment behaviors and more social behaviors than diet-noncompliant chronic hemodialysis patients. Subjects, who ranged in age from 30 to 77 years, were outpatients at a kidney center. Behavioral observations were conducted to assess the occurrence or frequency of (1) four involvement-in-treatment behaviors that are routinely taught to all patients and (2) two social behaviors, which were patient verbalizations and smiles. The results showed that compliant patients emitted significantly more involvement-in-treatment behaviors and smiles than noncompliant patients. Results support the proposed control framework that compliant, in contrast to non-compliant, chronically ill patients have recourse through positive behavioral controls when adjusting to the stresses of illness. It was proposed that through these controls, compliant patients reinforce positive environments rather than simply respond to life circumstances as given.     

Testing the limits of the phonetic mnemonic system

Three experiments tested the efficacy of the phonetic mnemonic system under varying conditions of application. The first study attempted unsuccessfully to replicate and extend the work of Morris and Greer (1984), who had shown training in the phonetic mnemonic method to facilitate memorization of a serial list of two-digit numbers. In the present study, subjects trained in the phonetic mnemonic method failed to learn lists of two-, four-, and six-digit numbers better than control subjects. The second experiment partially replicated the first, the differences being that training in the phonetic mnemonic method was strengthened, and time allotted for number recall was extended. Under these circumstances the phonetic mnemonic group recalled the two-, four-, and six-digit numbers significantly better than the control groups, a finding conforming with Morris and Greer's (1984) results. The third experiment partially replicated the second, everything being the same except that, in this case, subjects constructed their own key words representing each number, instead of these words being supplied by the experimenter. Under these conditions, subjects trained in the phonetic mnemonic method recalled significantly fewer numbers than control subjects.     

Perceptual organization of acoustic stimuli by budgerigars (Melopsittacus undulatus): II. Vocal signals

Operant conditioning and multidimensional scaling procedures were used to study auditory perception of complex sounds in the budgerigar. In a same-different discrimination task, budgerigars learned to discriminate among natural vocal signals. Multidimensional scaling procedures were used to arrange these complex acoustic stimuli in a two-dimensional space reflecting perceptual organization. Results show that budgerigars group vocal stimuli according to functional and acoustical categories. Studies with only contact calls show that birds also make within-category discriminations. The acoustic cues in contact calls most salient to budgerigars appear to be quite complex. There is a suggestion that the sex of the signaler may also be encoded in these calls. The results from budgerigars were compared with the results from humans tested on some of the same sets of complex sounds.     

The biparental care system of the California mouse, Peromyscus californicus

Most knowledge of parent-offspring relations in mammals is derived from studies of mother-infant interactions. Male parental care has been less well studied. We explored maternal and paternal behavior of the California mouse, Peromyscus californicus. Six pairs of parents and their young were videotaped continuously for 12 hours/day, on alternate days from Days 1 to 31 postpartum. Males exhibit all parental activities and to the same extent as displayed by mothers, except lactation. Male parental behavior begins on the day of birth. Mothers and fathers spend substantial and equivalent amounts of time in the nest and in physical contact with pups throughout lactation. Males devote more time than females to licking pups, although females engage in more pup anogenital licking. Mothers nurse for at least 4 weeks, and fathers and mothers both build nests and carry young. The biparental care system of Peromyscus californicus affords an opportunity to develop a broader, more complete view of parent-offspring relations.