Reality therapy: Icing on the cake of behavior modification

The paper presents a conceptual model for therapeutic intervention based on a behavioral orientation. Behavioral therapy is viewed on a continuum ranging from basic operant techniques to cognitive strategies applied to human interaction. It is hypothesized that the elements of reality therapy, with its emphasis on human interaction, are needed to provide closure to the therapeutic intervention and to help maintain new coping behaviors. Utilizing the context of an institutionalized client, suggestions for how this process might occur are discussed.     

Ethical issues and the family doctor

Issues recognized as having ethical or moral components are becoming increasingly common, for society in general, the health care system and for general practitioner/family physicians in particular. Some of the peculiar problems for GP's relate to the provision of continuing, comprehensive, primary medical care to large numbers of individuals who provide extensive potential for conflict between all the involved elements: patients, physicians, families, consultants and societal attitudes. There is a need for more formal education programs.     

The effect of alcohol on male aggression toward female targets

This study attempted to determine the effects of alcohol, verbal provocation, and target strategy on male aggression toward female targets. Intoxicated and nonintoxicated male research participants competed with a female confederate in a reaction time task designed to measure aggression. Intoxicated participants responded more aggressively than did nonintoxicated participants. Verbal provocation had no effect on participants' aggressive response. Effects of target strategy and trial outcome lent support to a cognitive disorganization interpretation of the effect of alcohol on aggression.     

Evaluation of the relative effectiveness of methylphenidate and cognitive behavior modification in the treatment of kindergarten-aged hyperactive children

This study of kindergarten-aged hyperactive children evaluated the effects of three modes of treatment in relation to an untreated control group. The treatments were administered over a 3-month period and included cognitive behavior modification, methylphenidate, and the two treatments combined. A follow-up assessment was done approximately 1 year later at the end of the first grade. Analyses of psychological, rating scale observational, and interview data showed that hyperactive children became less symptomatic over time;the data did not provide evidence indicating that any of the treatments studied was more effective than any other or than no treatment at all.This research was supported by grants from the Ontario Mental Health Foundation (Grant No. 701-76/78) and The Hospital for Sick Children Foundation (Grant No. 77-22). The authors wish to thank Mr. Syl Sauro, of the Etobicoke Board of Education, and Mrs. M. Stijovic, of the Etobicoke Community Health Department, for their cooperation.     

The relationship of sex and sex role to trait and situationally specific anxiety types

While considerable research has investigated the relationship of sex and/or sex role to general or trait anxiety, little is known about their relationship to more specific anxiety types. Based on the postulate that sex and sex-role differences may depend on the extent to which an anxiety-producing situation represents a sex-stereotypic domain, the present study compared their relationships to four measures of anxiety: Math anxiety, test anxiety, and two measures of trait anxiety. Subjects were 180 undergraduate students enrolled in introductory psychology courses. Although females reported higher levels of anxiety on all four scales than did males, a discriminant function analysis indicated that math anxiety was the strongest contributor to the separation of the sexes. Significant score differences as a function of sex role were found using the STAI A-Trait scale, and a significant sex × sex-role interaction was found for scores on the S-R Inventory of Anxiousness. Feminine-typed males and undifferentiated females reported highest anxiety levels in comparison to same-sex individuals. Implications for the understanding and treatment of both general and situationally specific anxiety are discussed.     

A two-year follow-up study of a preventive mental health program for preschoolers

The long-term effects of a preschool intervention program for high-risk experimental children were assessed and compared to a high-risk placebo control group and low-risk normal controls. Seventy first-grade children were involved in this 2-year follow-up. The experimental treatment group was superior to that of the placebo control group at follow-up on the criteria measures of behavioral adjustment and achievement. The low-risk normal control group was significantly different from that of the placebo control groups, but generally not significantly different from that of the experimental groups, suggesting that the intervention had boosted the high-risk experimental treatment children to the point where their performance was comparable to that of children who had not experienced behavioral or learning difficulties.The study was supported by grants from the McGregor Fund and the Eloise and Richard Webber Foundation, and by the Detroit Public Schools, for which the authors express grateful appreciation. A version of this paper was presented at the Annual Meeting of the American Psychological Association, New York, September 1979.     

Social perspective-taking and adjustment in emotionally disturbed,learning-disabled,and normal children

Preadolescent emotionally disturbed, learning-disabled, and normal boys were compared on social perspective-taking and behavioral measures to examine possible contributions of social cognitive deficits to children's adjustment problems. Antisocial-prosocial and withdrawn-gregarious behavior dimensions were studied through subscales derived from teacher ratings. Results indicated that across all groups, high perspective-taking was associated with significantly less withdrawal than was low perspective-taking; within groups, this finding was significant only for the emotionally disturbed boys. Contrary to theoretical assumptions, antisocial behavior was not significantly related to perspective-taking across the sample. Among emotionally disturbed boys, relatively higher affective perspectivetaking was significantly correlated with higher antisocial behavior. This positive correlation for the emotionally disturbed group was significantly different from the nonsignificant negative correlation between antisocial behavior and perspective-taking among normals. Findings for learning-disabled boys were intermediate. between results for emotionally disturbed and normal boys on both perspectivetaking and behavioral measures, and the learning-disabled group generally did not differ significantly from either other group. Theoretical and clinical implications of the findings are discussed The authors acknowledge the invaluable assistance and cooperation of many teachers and principals in Jefferson County School District in Colorado, especially Ms. Norma Sobesky, coordinator of the program for Significantly Impaired Emotionally and Behaviorally Disturbed Children, and Ms. Beth Young, coordinator of the program for Perceptual and Communicative Disorders.     

ISRO: A scale to measure sex-role orientation

Sex-role research has been hampered by a lack of valid and reliable research tools to measure the construct being studied. This article describes the development of a research scale (ISRO) to measure women's sex-role orientation. This 16-item questionnaire has been shown to be internally consistent and to have fairly high temporal stability over 30 days. The high sensitivity (96.2%) and specificity (95.5%) suggest that it differentiates feminist from traditional women. Three factors assess attitudinal domains of conflict between family responsibilities and having a career; male/female division of household responsibilities; and women's work roles outside the home. Education appears to be the strongest predictor of ISRO scores.This study was supported in part by a grant from the American Nurses Foundation.     

A counseling/pastoral approach to the homosexual client

This article focuses on a practical approach to dealing with homosexual concerns within a pastoral context. The manner in which a church worker and a mental health professional can practice co-therapy is detailed with some of the limitations and advantages associated with such a team outlined.     

Pastoral work,metacommunication and myth

The writer discusses two phenomena the pastoral counselor encounters in work with families and individuals: family survival myths and individual survival myths or fatal statements. Family survival myths are inefficient defense mechanisms, directed at the support of the parental relationship and the maintenance of the family balance. Fatal statements are expressions inherited from the family of origin. They function as myths and are intended to help one survive. From his perspective the pastor can, through a process of metacommunication, open the possibility to discuss the myth and so help people to free themselves from an unhealthy and life inhibiting bondage.