Lonely Women in a Friendship Club

Unattached women in their fifties and sixties who are lonely and in search of friendship tend to gravitate towards social clubs, set up to introduce people to potential friends. Such clubs require of their members social skills which are, unfortunately, often lacking. The women described here operate, furthermore, with concepts of friendship which make the establishment and maintenance of satisfactory relationships difficult. Friendship clubs, it appears, do not fulfil their promise; and women in search of friendship need help in developing more realistic attitudes to personal relationships.     

Group member contacts without the group therapist

After presenting some of the arguments against patients having contact with one another outside the regularly scheduled group psychotherapy sessions with the therapist, we present our counterarguments. Rather than forbidding extragroup socializing, thereby assuming the role of moralistic, punitive parental authorities to be deceived or challenged, we accept that such socializing is likely to happen and then establish beforehand the rule that information about extragroup contacts is to be shared with the entire group during regular therapy sessions with the therapist. In this way, the extragroup behaviors are dealt with just as any other material in group, i.e., searching for the underlying dynamics. Some positive aspects of extragroup socializing, as well as some negative aspects, are discussed, with examples taken from clinic groups and private practice groups.     

THE EFFECTS OF TARGETING IMPROVEMENTS IN URINE GLUCOSE ON METABOLIC CONTROL IN CHILDREN WITH INSULIN DEPENDENT DIABETES

A treatment program designed to increase the percentage of negative urine tests was implemented using a multiple-baseline across groups design in a sample of 19 families of children with insulin dependent diabetes. The treatment involved instructions in insulin adjustment, decrease in intake of simple sugars and saturated fats, and increase in exercise, along with teaching the parents to support improvements in children's self-regulatory behaviors using a point economy and praise. New proocedures designed to measure and reinforce adherence to the urine testing regimen were developed. Results showed significant increases in percentage of negative urines consistent with implementation of treatment across the three treatment groups, which were maintained over the follow-up period. Metabolic measures of control, including glycosylated hemoglobin and serum glucose did not show improvements even though the relationship between the percentage of negative urine tests and glycosylated hemoglobin was very high during treatment.     

Characteristics of consultants and consultees and success in mental health consultation

Selected attitudinal and value characteristics of high and low successful consultants were considered. Twelve consultants and 15 consultees completed six measures. Consultants were categorized as high or low success consultants based on the coding of consultants' logs. Results indicate high and low success consultants do not differ on the selected characteristics. Also, the results indicate that more successful consultants have consultees who are more authoritarian and dogmatic and are more dissimilar to their consultees in level of dogmatism and reported need for assistance. Future investigations will indicate whether the results can be replicated on a more representative consultee sample.     

Research workshop on methodological issues in evaluating preventive interventions using mutual support

The Prevention Research Branch, Division of Clinical Research, of the National Institute of Mental Health held a research workshop on the methodological issues in evaluating preventive interventions using mutual support. This workshop, held in June 1989, was part of an effort to stimulate high-quality research on preventive interventions using mutual support. These interventions include but are not limited to naturally occurring self-help groups. Participants reviewed methodological problems, generated strategies for dealing with these problems, and made recommendations for future research in this area.     

Stage factors relating alienation and self-role diffusion

A study, controlling for age, sex, and vocational commitment of 290 adolescents (ages 17–19 and 20–22), was conducted to determine the relationship between self- and social alienation attitudes and the identity-role crisis of the adolescent stage.Specific subscale differences due to age and sex for social alienation were found. Younger adolescents expressed greater self-alienation than older males, who were significantly more self-satisfied than both younger and older females and younger males. The hypothesis suggesting that self-alienation reflects conflict and dissatisfaction emerging from identity-role discrepancies during the adolescent stage of psychosocial development, and would decrease with vocational commitment was supported for males but not females.     

An experimental analysis of aversive imagery versus electrical aversive conditioning in the treatment of chronic alcoholics

A series of three experiments is described comparing an aversive imagery and an electrical escape conditioning procedure in the treatment of chronic alcoholics. Treatment effects were objectively measured by recording subjects' alcohol consumption in a semi-naturalistic laboratory setting. In contrast to conventional group outcome studies, the use of single-subject methodology provided a fine-grained analysis of individual response patterns. The aversive imagery and escape conditioning methods did not differ from each other, and were relatively ineffective in suppressing alcohol intake. In contrast, a punishment procedure in which shock was contingent on drinking did effectively suppress drinking. The data suggest that alcoholics can control their drinking by self-administered shock. The implications for the analysis and treatment of alcoholics are discussed.     

MASLOW'S HIERARCHY OF NEEDS IN RELATION TO EMPLOYMENT

Maslow's hierarchy of needs (see Table 1) can be used as a working hypothesis concerning vocational development and as a motivator of employability development and career advancement. The prepotent or basic survival needs are more urgent than the other needs under equal deprivation, and until the prepotent needs are relatively satisfied, the other needs do not emerge as consistent motivators of behavior.     

Book reviews

Johnson-Laird, P. N. and Wason, P. C. (Eds). Thinking: Readings in Cognitiwe Science. Cambridge: Cambridge University Press. 1977. Pp. xii+615. ISBN 0 521 21756 3. £17.50. (Also paperback ISBN 0 521 29267 0. £5.95.)

Marks, L. E. The Unity of the Senses. Interrelations among the Modalities. London: Academic Press. 1978. Pp. 289. ISBN 0 12 472960 6. £11.35.

Callaway, E., Tueting, P. and Koslow, S. H. (Eds). Event-Related Brain Potentials in Man. New York: Academic Press. 1978. Pp. ix+630. ISBN 0 12 155150 4. £22.00.

Clifford, B. R. and Bull, R. The Psychology of Person Identification. London: Routledge & Kegan Paul. 1978. Pp. 254. ISBN 0 7100 8867 1. £7.95.

Albert, M. A. and Obler, L. K. The Bilingual Brain. New York: Academic Press. 1978. Pp. 302. ISBN 0 12 048750 0. £12.65.

Welch, R. B. Perceptual Modification: Adapting to Altered Sensory Environments. London: Academic Press. 1978. Pp. 346. ISBN 0 12 741850 4. £15.90.

Wales, R. J. and Walker, E. (Eds). New Approaches to Language Mechanisms. Amsterdam: North-Holland. 1976. Pp. 296. ISBN 0 7204 0523 8. $19.75.

Lomax, E. M. R. Science and Patterns of Child Care. San Francisco: Freeman. 1978. Pp. 247. ISBN 0 7167 0296 7. Hardback £5.50; paperback £3.70.

Armington, J. C., Krauskopf, J. and Wooten, B. R. (Eds). Visual Psychophysics and Physiology New York: Academic Press 1978 Pp 488 ISBN 0 12 062260 0. $29.50.

Williams, M. Brain Damage, Behaviour and the Mind. Chichester: Wiley. 1979. Pp. 187. ISBN 0 471 99704 8. £8.50.