The psychotherapist's duty to act reasonably to prevent suicide: A proposal to allow rational suicide

It is proposed that society should re-examine its assumptions about suicide. Rational suicide is viewed as an extension of the right to die. After a review of the legal liability of the psychotherapist and psychiatric facility for both inpatient and outpatient suicide, the author presents an analysis of philosophical, ethical, and psychoanalytic arguments for allowing rational suicide. It is argued that emotional pain should be given more legitimacy as a reason for suicide. The decision to live or to die is argued to best rest with the individual.     

Smoking and pain--a method of limits and sensory decision theory analysis

The effects of tobacco smoking on responses to electrical stimulation were studied according to a Method of Limits (ML) threshold analysis and a Sensory Decision Theory (SDT) analysis. For the ML procedure, Detection Threshold (DT), Pain Threshold (PT) and Tolerance Level (TL) measures were obtained. For the SDT procedure, nonparametric estimates of capacity to discriminate between stimulus intensities (P(A)) and response criterion (B) were calculated. There was no main effect of tobacco smoking on responses to electrical stimulation. Males had consistently higher ML thresholds than females in both the NS and S condition. Males also tended to increase in DT and PT after smoking. From a comparison between the effects of smoking on ML and SDT measures it was suggested that PT is related mainly to sensory factors and TL to response factors.     

Effects of pentobarbital on fixed-ratio reinforcement,

Certain doses of pentobarbital consistently increased the rate of pecking engendered by a fixed-ratio schedule of 30 responses in a group of 13 pigeons, and still higher doses produced decrements in rate of responding. For individual subjects, the dose-effect functions were qualitatively similar, but differed with respect to the doses producing the maximum increase and subsequent decrease in rate. In general, the maximum occurred at lower doses and the decrement was greater at the highest dose in the birds with the highest control rates. It was also possible to distinguish between the effects of pentobarbital and several other drugs on the behavior maintained by FR 30. The results indicate that changes in rate of responding on FR 30 after drug administration are dose-dependent, drug-specific effects.     

The effects of unavoidable shocks on a multiple schedule having an avoidance component

Two dogs were maintained on a multiple schedule having both a food reinforced and an avoidance component (Mult VI 1′ S^Δ Avoid_{SS20 RS20} S^Δ). The effects of superimposing an Estes-Skinner procedure for delivering unavoidable shocks on all components of the multiple schedule were observed. The buzzer-shock pairing of the Estes-Skinner procedure produced an increased rate of responding on the avoidance component of the schedule and also on the S^Δ components. No persistent change in rate was observed on the food component during the pre-shock stimulus. Control performances on all components could be regained by either extinguishing or eliminating the buzzer-shock pairing. Extinction of the avoidance responding had little effect on the increased rates of responding produced by the Estes-Skinner procedure on the S^Δ and avoidance extinction components and did not lead to a conditioned suppression of the food reinforced responding. Rate of responding during the pre-shock stimulus was observed to be relatively independent of changes in the maintaining schedules. Responding during the pre-shock stimulus could be conditioned and maintained after an extensive history of avoidance extinction.     

Research in Consultation: Toward Better Analogues and Outcome Measures

Recommendations for improving consultation research include (a) strengthening consultation analogue research by incorporating “boundary” conditions into research designs and (b) extending the outcome measures used.     

Nonsuicidal physically self-damaging acts in adolescents

To determine the frequency and correlates of nonsuicidal physically self-damaging acts in 12–14 year olds, a two stage epidemiologic survey with a self-administered questionnaire (N=3283) followed by a psychiatric interview of a subsample of the adolescents and their parents (N=444) was used. Prevalence estimates of interview validated nonsuicidal physically self-damaging acts were 2.46% in males and 2.79% in females. Significant relationships were found between nonsuicidal physically self-damaging acts and suicidal ideation, major depression and undesirable life events. Data suggest that physically self-damaging acts occur at substantial rates during early adolescence. The strong correlation between nonsuicidal self-destructive acts and both suicidal ideation and major depression clarifies prior conflicting reports in the literature and suggests that a history of self-damaging acts should be taken into consideration when evaluating for possible depression and suicide risk.     

Using focus groups to facilitate culturally anchored research

Scholars have acknowledged the need to anchor scientific knowledge about social and psychological processes in the norms, values, and experiences of the partticular population under study. This article describes how focus groups can be incorporated into the planning stages of a research pogram to facilitate these goals. After a brief overview of teh central components of focus group research, and example from a program of research involving dual-earner African American families is used to as an illustration. The article describes how (a) the identification of cultural knowledge and (b)access to the language participants use to think and talk about a topic can help researchers formulate a conceptual framework, identify important constructs, and develop appropriate instruments for assessing constructs. Some strengths and limitations of focus group research are discussed.     

Social Interactions of Obese and Nonobese Women

The stigma associated with obesity is likely to limit the opportunities obese women have to develop social skills. This hypothesis was tested by having obese (n = 15) and nonobese (n = 22) women converse on the telephone with college students who were unaware of the women's weights. Ratings made by judges who listened to the women's contributions to the conversations but who were unaware of their weights showed that obesity was negatively related to judgments about the women's likability, social skills, and physical attractiveness. The telephone partners of obese women rated the women and themselves more negatively than did the partners of nonobese women. Obese and nonobese women generally did not differ in their evaluations of their own and their telephone partners' behavior, and they also did not differ on a measure of social self-esteem. These findings suggest that there are real differences in the social behavior of obese and nonobese women and that these differences affect the impressions formed by those with whom they interact.