Family coercion and valid consent

Coercion is commonly said to invalidate consent, and that is always true if the source of the coercion is the physician. However, if it is a family member who coerces the patient to consent, the resultant consent may be quite valid and treatment should proceed.     

Chronic pain conceptualization and religious interpretation

The pastoral counselor often interviews patients suffering from chronic pain. Many of them express religious notions about their suffering. This article examines some traditional concepts of pain and types of religious interpretations, and proposes appropiate roles for the pastoral counselor.     

Sentential structure and the perceptual spans of two samples of disabled readers

The constructs of accuracy and speed were adopted as performance criteria against which to define two clinical samples of disabled readers. Accuracy-disabled subjects had failed to achieve reliable age-appropriate word recognition skills. Rate-disabled readers were age-appropriate in word recognition accuracy but deficient on measures of contextual accuracy and reading speed. When their eye-voice spans were measured under different text manipulations, accuracy-disabled and rate-disabled children differed in the magnitude of their perceptual spans during the act of reading. The two samples did not differ in the extent to which they availed themselves of contextual constraints to extend their spans in the reading of connected text. Both samples of disabled readers appeared able to use syntactic information as an independent source of sentential information in reading, even the sample whose reading disability was associated with oral syntax deficits. Comparisons with a previous sample of normal beginning readers suggested both types of disabled readers to be reading with perceptual spans of reduced dimensions.This research was supported by operating funds from the Medical Research Council of Canada, the Ontario Mental Health Foundation/COMSOC Provincial Lottery Grants Program, and The Hospital for Sick Children Foundation. The author gratefully acknowledges the generous contributions of Terry Smialy and Judy Millington in assisting with all phases of data collection and data analysis. Special thanks are due Judy Millington for her skill in computing and analyzing the phrase boundary and pseudoboundary counts. Identification of the present rate-disabled subjects was made possible through the assistance of Andrew Biemiller, Donald G. Doehring, and Roger T. Lennon, who made previously unpublished normative data on reading speed available for use in this research project. The generosity of these individuals is very gratefully acknowledged. This paper was presented in part to the annual meeting of the American Psychological Association, Anaheim, California, August 1983.     

Social reinforcement: A treatment component in verbal self-instructional training

This study investigated the effects of noncontingent social reinforcement on social and academic behaviors in grade school children. Twenty-four children in the second through fifth grades were selected on the basis of teacher ratings of disruptive behavior. Subjects were divided into (a) a high social reinforcement verbal self-instructional (VSI) training group, (b) a low social reinforcement VSI group, and (c) a no-contact control group. Children in VSI groups were removed from their classrooms during four 40-minute periods and given VSI training. Significant between-groups differences on measures of social reinforcement were found indicating its successful manipulation. While none of the dependent measures indicated significant differences between experimental groups, a consistent pattern of difference scores emerged giving limited support to the hypothesis that noncontingent social reinforcement contributed to behavioral gains. Results are discussed in terms of the need for future research on the effects of rapport on treatment outcome.Both authors wish to express their thanks to the Missoula public school administration, principals, psychologists, and teachers. Appreciation is also due to Matthew Firpo and Anita Fisher for their help in this project.     

The experiential loci and sensory qualities of various emotions

Sixty-nine university students were asked to describe the sensations and to identify the loci of those sensations for 34 emotions. The methods of reporting were introspection, retrospection, and recollection. There was no evidence that any method was consistently better than the others. Also, there was no evidence that the reports given were the result of social or linguistic convention rather than reports of actual sensory experience. Cochran's Q test showed that, within each emotion, the kinds of loci cited differed significantly, and that for all but one locus, the frequencies for the emotions differed significantly. Principal component analysis showed six locus factors clustered on stomach, face, head, heart, hands-heart, and eyes. Although not distinctive for all emotions, there were characteristic patterns of sensory loci and sensory qualities as shown by high frequencies of citation. It is suggested that these loci and qualities are one of several components of experienced emotion. The results are seen as supporting subjective or phenomenological studies of emotion, and are discussed with special reference to facial feedback theories of emotion.This research was supported, in part, by a grant from the President's Research Fund of Simon Fraser University.     

Near-death experiences: A neurophysiologic explanatory model

Prior hypotheses as to the etiology of near-death experiences (NDEs) have been limited to psychiatric explanations or brief discussions of endorphins as causative agents. We present a neurophysiological explanation for NDEs based on their similarities with lysergic acid-, ketamine-, and hypercapnia-induced hallucinations. We believe the core NDE is genetically imprinted and triggered by serotonergic mechanisms.     

Spouse abuse: An ecosystemic approach

This paper provides a perspective on spouse abuse from an ecosystemic approach suggested by second order cybernetics. An attempt is made to demonstrate the interactional basis for an understanding of spouse abuse and to suggest that the failure to use an ecosystemic perspective may result in therapists and other helpers inadvertently exacerbating the problem. Borrowing from the work of Keeney and Bateson, an analysis of the relational aspects of the problem of spouse abuse is provided which illustrates the similar nature of typical intervention strategies to the problem.The ideas discussed in this paper were developed while the author was a therapist at the Family Therapy Clinic at Texas Tech University. Appreciation is expressed to Monte Bobele, Bradford Keeney, and Thomas Conran for the helpful comments and ideas provided during the preparation of this paper.     

A neglected triangle: Grandmother,mother, and daughter

This paper reports on exploratory research and therapeutic work with a neglected but highly important family triangle, the grandmother-mother-daughter triangle. Some characteristic relationships are described from a clinical sample of 18 daughters for whom such a triangle was important. The triangle may signal both problems and strengths for therapy and the daughters.     

Acting-out and the dynamics of victimization

Conclusion The trauma of child abuse resides not only in the event itself but also arises from dynamics of victimization which causes secondary trauma. Acting-out among adolescents is symbolic of these dynamics. This article has explored an ecological perspective to present a relational model of pastoral care, uplifting the impact of victimization on both the individual and the community, as well as the individual's interaction within the community.Before we nail another acting-out adolescent to the cross, we must admit here and now that the deviance manifested in victimization and its corollary, the conformity of silence, are oppressive social forces which contradict our call to transform blindness into witness, silence into revelation, and separation into reconciliation. Jesus advocated against conformity to social inadequacies, and pointed to something greater as he reconciled the separated, helpless victims to the love of a caring God.     

Developmental changes in understanding the influence of emotion upon cognitive performance and motivation

In the light of recent research concerned with children's understanding of mind, a study was conducted in order to test the hypotheses (a) that only older children (i.e., 8-year-olds) would understand that emotional states can influence cognitive performance, but (b) that both older and younger children (i.e., 5- and 8-year-olds) would understand its influence upon cognitive motivation. Children were explicitly questioned about the consequences for cognition and motivation of negative affect. Results based on children's predictions and justifications provided substantial support for the hypotheses.Sincere thanks are extended to the teachers and children of Hillside Infant and Junior Schools and Frithwood Primary School, Northwood, Middlesex. We wish also to express our gratitude to two anonymous reviewers for their comments on an earlier version of this paper.