Understanding equality in health care: a Christian free-market approach.

This paper examines the arguments presented by the Roman Catholic Bishops in their 1993 Pastoral Resolution, Comprehensive Health Care Reform: Protecting Human Life, Promoting Human Dignity, Pursuing the Common Good, concerning health care reform. Focusing on the meaning of equality in health care and traditional Roman Catholic doctrine, it is argued that the Bishops fail to grasp the force of the differences among persons, the value of the market, and traditional scholastic arguments concerning obligatory and extraordinary health care. To attempt to equalize the distribution of health care would be ruinous. A more traditional understanding of Christian thought reveals an acceptance of inequality in health care distribution and a bias against using the secular state to coerce a solution to such concerns for social justice.     

An Interactional Approach to Dysfunctional Silencing in Family Therapy

This paper presents an interactional approach to the problem of dysfunctional silencing in family therapy. Silencing is classified as dysfunctional if it satisfies two conditions: (a) it occurs repeatedly and independently of content, and (b) it functions as negative feedback that limits change in the family system. Dysfunctional silencing is defined as those efforts of one or more family members to limit change by repeatedly blocking the communication of another family member, who in turn colludes by tacitly agreeing to remain silent. The interactional approach presented utilizes conflict-resolution techniques and videotape feedback; it is illustrated by a case example.     

Tables of d′ for variable-standard discrimination paradigms

Signal detection theory (SDT) allows a bias-free measure of sensitivity, d′, to be simply estimated from discrimination data when certain conditions are met. The computation is not straightforward, however, in several popular discrimination designs, such as two- and four-interval same-different designs and the ABX design. The present tables, derived from the SDT models of Macmillan, Kaplan, and Creelman (1977), make possible the estimation of d’ from these complex discrimination designs.     

The use of a self-control package to enhance temporal generality of a parent training program

The purpose of the present study was to examine the effectiveness of a self-control package in enhancing temporal generality of a parent training program. Sixteen mothers and their clinic-referred noncompliant children were assigned to either a parent training alone group, or a parent training plus self-control group. All mother-child dyads were treated individually by teaching the mother to reward compliance and other prosocial behavior, and to use time-out for noncompliance. In addition, mothers who also received self-control training learned to self-monitor their use of their new parenting skills and to reinforce themselves for use of the skill during a 2 month follow-up period. Assessment consisted of four home observations by independent observers prior to treatment, after treatment, and at a 2 month follow-up. The data indicated that the children in the parent training plus self-control group were significantly more compliant and less deviant at the 2 month follow-up than the children in the parent training alone group. Parental behavior did not differ between the two groups at the follow-up.     

Suppression and substitution in the treatment of nailbiting

The effectiveness of a package treatment for reducing nailbiting was studied. The package was composed of both positive procedures aimed at teaching adaptive behavior to substitute for nailbiting and negative procedures aimed at advancing skills for suppressing nailbiting. The design of the study permitted an analysis of the contributions of both positive and negative components of the package. Subjects assigned to combined, positive, negative and placebo groups received four weekly treatment sessions, and changes in their nailbiting behavior were compared with untreated controls. As in previous studies, nonspecific factors such as demand and attention to ones nails were found to be important determinants of outcome. In addition, positive procedures were found to be substantially more important than negative procedures in the maintenance of reductions in nailbiting over a 4-month follow-up period.     

Left-handedness and spatial reasoning abilities: The deficit hypothesis revisited

Left-handers with an inverted handwriting posture have been found by Levy and Reid to have relatively bilateral representation of tachistoscopically tested verbal and spatial functions. On the assumption that such bilateral representation is inefficient, it was hypothesized that left-inverted subjects (N = 20) would score lower than left- and right-handers with normal handwriting postures (Ns = 64, 66 respectively) on spatial reasoning. Results were consistent with the hypothesis. Possible alternative explanations and directions for future research are outlined.