Treating the Catholic patient: Unique dynamics and implications for psychotherapy

The Catholic patient presents a unique challenge to the therapist because of the special psychological dynamics they present. Issues such as shame, guilt, masochism, anger, sex, and magical thinking, take on a unique significance when applied to Catholic patients. These issues are a constant struggle for the Catholic because they represent “mortal sins.” Committing these sins will result, in the patient's mind, in spending an eternity in the tortures of Hell unless they can be erased by confession and appropriate penance. The therapist must actively work to “exorcise” this punitive superego in a way that may differ from psychotherapy with other patients.     

Who's on top? Power in romantic relationships

Power balances are investigated in a sample of 413 heterosexual dating individuals (86% white, 9.7% black, 4.3% other ethnicities). Less than half the respondents perceive their relationships to be equal in the distribution of power, and men are over twice as likely as women to be viewed as the partners having more power. Imbalances are also evident in three related measures—decision-making, emotional involvement, and equity. A higher proportion of both women and men say that the male partner, rather than the female partner, made more of the decisions, was less emotionally involved, and in general was getting a better deal. Finally, male dominance, but not equality of power between the genders, is associated with greater romantic relationship longevity. More specifically, the higher the relative degree of power attributed by respondents to the male, rather than the female, partner of a dyad, the lower is the subsequent rate of relationship dissolution.This research was supported in part by a National Institute of Mental Health grant (1 RO3 MH42699-01). The author thanks Susan Sprecher, Larry Cohen, and Brian Powell for their comments on an earlier version of this paper. Appreciation is also expressed to Brenda Gunn for her assistance with graphics.     

A comparison of peer verbal responding directed toward adolescents with behavioral disorders and nonhandicapped peers

One of the primary intents of inclusion is the maximization of interaction between persons with and without disabilities. The purpose of this study was to analyze the verbal responding that peers directed toward adolescents with behavioral disorders and, to this effect, several comparisons were made: verbal responding of peers directed toward adolescents with behavioral disorders was compared to verbal responding of peers directed toward regular class adolescents; verbal responding of peers directed toward the same adolescents with behavioral disorders was compared across their self-contained and integrated settings; and verbal responding of peers directed toward adolescents with behavioral disorders in integrated settings was compared to verbal responding of peers directed toward regular class adolescents. Data, collected in real time using portable microcomputers, focused on positive, negative, and neutral social responding and positive, negative, and neutral academic responding. All verbal responding of peers directed toward 14 adolescents with behavioral disorders and 14 regular class peers was recorded. Data were analyzed by group and setting, as well as by social or academic content. Results of the study support inclusion, with high levels of peer responding directed toward adolescents with behavioral disorders in integrated classrooms. Almost all peer responding was positive or neutral in content. Results were discussed as they related to placement of students, social skills training, and previous research.     

The beck anxiety inventory: Psychometric properties in a community population

This study presents data on the norms and psychometric properties of the Beck Anxiety Inventory (BAI), using a sample of 225 community adult volunteers. Maximum-likelihood confirmatory factor analyses of previously published models of the BAI: a two-factor model and a five-factor model, showed that the fit of each model was unacceptable. Also, the fit of the single-factor model was poor. Exploratory principal-components analyses with varimax and oblique rotations suggested four BAI components within this sample. Satisfactory levels of reliability were established for the BAI subscales. Finally, the relations between the BAI total and subscale scores and a related measure of anxiety and with another self-report measure of psychological distress were examined.This paper was presented at the 27th Annual Convention of the Association for Advancement of Behavior Therapy, Atlanta, Georgia, November 1993.     

INCREASING SPONTANEOUS LANGUAGE IN THREE AUTISTIC CHILDREN

A time delay procedure was used to increase spontaneous verbalizations of 3 autistic children. Multiple baseline across behaviors designs were used with target responses, selected via a social validation procedure, of two spontaneous responses (“please” and “thank you”) and one verbally prompted response (“you're welcome”). The results indicate gains across target behaviors for all children, with occurrence across other stimuli and settings. These gains were validated socially with 10 adults. Furthermore, increases in appropriate language had no effect on levels of inappropriate speech.     

BALANCING THE RIGHT TO HABILITATION WITH THE RIGHT TO PERSONAL LIBERTIES: THE RIGHTS OF PEOPLE WITH DEVELOPMENTAL DISABILITIES TO EAT TOO MANY DOUGHNUTS AND TAKE A NAP

In the pursuit of efficient habilitation, many service providers exercise a great deal of control over the lives of clients with developmental disabilities. For example, service providers often choose the client's habilitative goals, determine the daily schedule, and regulate access to preferred activities. This paper examines the advantages and disadvantages of allowing clients to exercise personal liberties, such as the right to choose and refuse daily activities. On one hand, poor choices on the part of the client could hinder habilitation. On the other hand, moral and legal issues arise when the client's right to choice is abridged. Recommendations are offered to protect both the right to habilitation and the freedom to choose.     

A new strategy for studying spatial aptitude

A new approach to testing for and training in spatial aptitude is described. Figurai analogy problem terms from the cognitive abilities test are photodigitized and arrayed in zones on the computer screen; they can be seen only when selected with the mouse (i.e., one at a time). Viewing patterns and durations can then be analyzed to assess problem encoding and solution strategies. Implications are discussed.     

ATTRIBUTIONS,COMPLEXITÉ ATTRIBUTIONNELLE ET SATISFACTION CONJUGALE*

The present study investigates the relation among attributions, attributional complexity, and marital satisfaction. More specifically, we examine the value of attributional complexity as a possible moderator in the relationship between attributions and marital satisfaction. Seventy-four French Canadian couples completed the Marital Attributional Style Questionnaire, the Conflict Rating Scale, the Attributional Complexity Scale, and the Dyadic Adjustement Scale. The results corroborate the existence of a relationship between attributions and marital satisfaction. Against predictions, attributional complexity does not seem to moderate the relation between attributional style and marital satisfaction. The theoretical implications of these findings are discussed.     

Psychosocial Impact of Tubal Ligation in Alabama Women1

The prevalence of female sterilization has grown rapidly throughout the world, especially in the United States. Yet the psychosocial impact of tubal ligation is incompletely understood. Most previous research has been retrospective and has lacked comparison groups of women using other birth control methods. This study used procedures developed in World Health Organization research to study the impact of voluntary tubal ligation on Alabama women. The design was prospective, included a comparison group, and called for 6- and 12-month follow-ups. Tubal ligation reduced follow-up pregnancy rate and scores on a measure of fear of pregnancy. Sterilization also produced a small increase in menstrual distress but did not affect sexual satisfaction or mental health nor did it increase regrets about contraceptive choice over other methods. These results imply women attained the goals that led them to choose sterilization.