EVALUATION OF BIOFEEDBACK IN THE TREATMENT OF BORDERLINE ESSENTIAL HYPERTENSION1

Direct biofeedback of blood pressure was compared with frontal EMG biofeedback and with self-instructed relaxation for the treatment of essential hypertension in a controlled group outcome study. Patients were followed up for four months after the end of treatment. Generalization of treatment effects was assessed through pre- and posttreatment measurements of blood pressure under clinical conditions in a physician's office. There were no significant reductions in diastolic blood pressure. The systolic blood pressure (SBP) of the patients receiving blood pressure biofeedback decreased 8.1 mm mercury (p = 0.07) and the SBP of the patients in the relaxation condition decreased 9.5 mm mercury (p = 0.05). In the generalization measures, there were significant reductions in SBP for the relaxation group. The results are discussed in terms of the general lack of replicability within the area of biofeedback treatment of hypertension.     

The effects of conditioning and novelty on the rat's analgesic and pyretic responses to morphine

Six experiments with rat subjects investigated the role of conditioning in morphine tolerance. Concurrent assessments of body temperature and pain sensitivity were conducted. Experience with morphine produced tolerance to its analgesic effects but enhancement of its hyperthermic effects. Environmental novelty enhanced analgesia but not body temperature (Experiments 1 and 4). Under conditions in which a discriminated hyperthermic CR provided clear evidence that morphine-environment learning had developed, discriminated analgesic tolerance was not obtained (Experiments 2 and 3). Similarly, whereas placebo administrations extinguished the hyperthermic CR (Experiments 4 and 6), analgesic tolerance remained unaffected (Experiments 4, 5, and 6). These experiments suggest that the pyretic and analgesic systems are differentially sensitive to conditioning and the effects of novelty.     

How do group meetings make a community Therapeutic?

Summary Following an abrupt shift from a therapeutic community with emphasis on group meetings to a hierarchical medical model on a mental hospital floor, disturbed patients required extensive individual nursing care. This increased work load for the nursing staff resulted in admissions having to be limited to the rare cases who needed little or no nursing care. As patients were discharged, the vacancy rate went up to approximately 20% for a week and remained high for another two weeks. Nursing staff-patient relations deteriorated.Subsequently, it was possible to resume the emphasis on the groups of a therapeutic community and to observe the contrast. The experience showed how groups can effect and support a therapeutic community. It clarified some of the mechanisms by which groups positively affected disturbed patients. Some mechanisms by which the staff, community, and group meetings favorably influenced the nursing staff-patient relationship and intrastaff communications became clear also.     

Generic Models of Counseling Supervision: Counseling/Instruction Dichotomy and Consultation Metamodel

Major conceptual models for counseling supervision are described and compared: supervision as a counseling analog, as an instruction or teaching analog, and as a role that includes counseling and teaching aspects. Although each of these approaches avails supervisors of familiar roles, none adequately provides the scope and utility required of a model for such a complex function. Thus, a higher order metamodal, supervision as consultation, is presented, and this consultation metamodel is related to the psychoeducational model for counseling psychology.     

PDP-12 stimulus control and data collection for lateralized discrimination learning

A BASIC program that requires a minimum 8K core, 32K disk, KW12-A real-time clock, eight extended operation eight-mode DEC relays with peripheral interface, and user-generated special-function assembly language subroutines for clock and relay control was prepared, using advanced OS/8 BASIC, for conducting laterality studies. It is assumed that the user’s system has a dual tape drive. CRT, and Teletype. Modified IEE readouts have been used for stimulus presentation. Laterality effects and results suggesting application of the procedure in clinical neuropsychological testing have been achieved. This paper describes the rationale for development of the task, summarizes administration procedures, and provides flowcharts of the BASIC program and assembly language special functions, as well as a circuit diagram for the peripheral relay interface.     

Behavioral approaches to weight control: An updated review

Recent developments in the behavioral treatment of obesity were surveyed. Since the earlier review (Abramson, 1973) no studies of aversive therapy have been published. Three studies of covert sensitization have yielded discouraging results. Any positive effects of this technique appear to be the result of non-specific demand characteristics rather than aversive conditioning. Several demonstrations of the effects of therapist controlled reinforcement indicate that this technique can promote weight loss while the contingencies are in effect. The weight is rapidly regained, however, after the contingencies are withdrawn. It is concluded that self-control treatments, especially complex self-control, are the most consistently successful treatment approaches. Several methodological problems are presented and unresolved issues are discussed.     

Phenomenology and pastoral care

The author discusses phenomenology as a potential resource for pastoral care generally and then illustrates its implications in two specific areas of pastoral care. After a brief discussion of the development of phenomenology, he defines pastoral care and identifies its methodological problem. Phenomenology, it is argued, offers potentially helpful methods and interpretative categories in its attitude, its attempts at self-aware, ordered discernment, and its anthropology. It serves to militate against the temptation in pastoral care to understand human problems in terms of individual and social pathology, in the case of individuals, and to illumine the ways the community functions as a dimension of pastoral care.He is the author ofEcclesial Man.     

What do you do after you say hello? Observing,coding, and analyzing parent-infant interactions

Procedures for observing, coding, and analyzing parent-infant interactions are described. Sample data are presented to illustrate the outcome of these procedures and the manner in which developmental issues can be addressed using the hardware and software systems described.