Vicarious and operant experiences in the etiology of illness behavior: A replication with healthy individuals

The purpose of the present investigation was to replicate a previous study of diabetic patients on the role of parental modeling in the etiology of illness behavior. A random sample of healthy individuals were assigned to an avoidant model (AM) (i.e. parent reported to have avoided work. chores etc. when ill) or non-avoidant model (NAM) group. Subjects subsequently provided retrospective and current information concerning their illness-behavior experiences. The results indicated that individuals with an AM reported more responsibility avoidance when ill currently and as a child compared to the NAM subjects. Additionally. AM subjects reported receiving more positive reinforcement for current illness compared to NAM subjects. It was concluded that the process by which individuals learn to respond to illness may be similar in healthy and chronically-ill individuals but that positive reinforcement for illness may be more likely to be received by healthy individuals during acute illness than by chronically-ill individuals. The present study provides further preliminary support for the learningtheory model of illness behavior.     

Are variations among right-handed individuals in perceptual asymmetries caused by characteristic arousal differences between hemispheres?

We propose that much of the variance among right-handed subjects in perceptual asymmetries on standard behavioral measures of laterality arises from individual differences in characteristic patterns of asymmetric hemispheric arousal. Dextrals with large right-visual-field (RVF) advantages on a tachistoscopic syllable-identification task (assumed to reflect characteristically higher left-hemisphere than right-hemisphere arousal) outperformed those having weak or no visual-field asymmetries (assumed to reflect characteristically higher right-hemisphere than left-hemisphere arousal). The two groups were equal, however, in asymmetries of error patterns that are thought to indicate linguistic or nonlinguistic encoding strategies. For both groups, relations between visual fields in the ability to discriminate the accuracy of performance followed the pattern of syllable identification itself, suggesting that linguistic and metalinguistic processes are based on the same laterally specialized functions. Subjects with strong RVF advantages had a pessimistic bias for rating performance, and those with weak or no asymmetries had an optimistic bias, particularly for the left visual field (LVF). This is concordant with evidence that the arousal level of the right hemisphere is closely related to affective mood. Finally, consistent with the arousal model, leftward asymmetries on a free-vision face-processing task became larger as RVF advantages on the syllable task diminished and as optimistic biases for the LVF, relative to the RVF, increased.     

Training in child and adolescent group therapy: Two surveys and a model

Although group therapy is widely used in the treatment of children and adolescents, there has been little attention paid to establishing training standards and developing comprehensive programs for training psychiatry fellows in child and adolescent group psychotherapy. The authors conducted two surveys of child and adolescent training programs. After reviewing the literature, they present the data from their surveys, compare similarities and differences, and discuss trends. Finally, they propose a model for training in child and adolescent group therapy.     

Out-of-home placement of children: Selected issues and prospects for the future

This paper describes the recent trends in the child welfare and children's mental health systems and their implications for public policy. Despite the rhetoric calling for preserving families and treating children and youth in their own homes, the best available evidence indicates that the rates of out-of-home placement are increasing at an alarming rate. More concerted and comprehensive efforts are needed if this trend is to be reversed in the near future.     

ABSTRACTS OF LITERATURE

The importance of diagnosis in family treatment is emphasized. Diagnostic techniques include not only gathering historical information but also employing action-oriented measures such as family sculpting.