Clinical interventions in parent-infant groups around issues related to separation-individuation

Parent-child groups as an educational method in a general hospital setting provide support for parents and an environment in which they can discuss their questions about their child's development. This paper illustrates the clinical use of parent-child groups as a means of early intervention in problems that become apparent during the Separation-Individuation stages of development. We present two case studies of mother-child pairs, who have been members of the group for 2 years. The first case is a bi-racial child whose mother is struggling to deal with the child's rapprochement stage behavior. Through the oral and anal stages, conflict has grown in their relationship due to the mother's way of viewing her child, as well as her own unresolved adolescent separation difficulties. The second case is an overprotective mother whose own pathology prevented her daughter from resolving her rapprochement crisis. Interventions by the leaders as well as the group's educational method help both mother-child pairs to resolve interpersonal conflict and to continue their essentially normal development.     

Improving Predictive Accuracy with a Combination of Human Intuition and Mechanical Decision Aids

This study examines the intuitive combination of human judgment and mechanical prediction under varied information conditions. As expected, mechanical prediction outperformed human intuition when based on the same information, but a combined approach was best when judges had access to relevant information not captured by the model (information asymmetry). The model was useful for differentiating between the event outcomes (improved slope), while eliminating the bias caused by base-rate neglect. Human intuition was useful for incorporating relevant information outside the scope of the model, resulting in improved slope and reduced judgment scatter. The addition of irrelevant information was detrimental to judgment accuracy, causing an increase in bias and a reduction in slope. These results provide insight intohowandwhencombining mechanical prediction and human intuition is likely to result in improved accuracy.     

The Experience of Leader-Led Peer Supervision: Genetic Counselors' Perspectives

As we proceed through our professional lives, it is essential that we challengeourselves in order to continue to develop our genetic counseling skills. Conferences, workshops,post-graduate courses, journal clubs, and involvement in professional organizations havebecome the traditional methods of continuing education for post-graduate geneticcounselors. While these forums address the need to stay updated on scientific orinformation-based topics, there is little available to counselors to promote growth incounseling skills. A group of Boston-based genetic counselors describe how their leader-ledsupervision group has established a setting to meet the needs of its members both forsupport and continued counseling training. We outline here the evolution of this group andhow it has become a valued part of our professional lives. We feel that the model of leader-ledpeer supervision holds great value in helping genetic counselors continue to enhancetheir interpersonal skills in a supportive, safe, and challenging environment. It is our hopethat others will elect to form similar groups in their own communities, thereby creating newopportunities for growth within the genetic counseling profession.     

Training AIDS and Anger Prevention Social Skills in At‐Risk Adolescents

Youth in alternative schools often engage in high rates of risk behaviors for AIDS and violence. This study included 42 youth, ages 13 to 18, from alternative schools in San Diego, CA, and tested the effectiveness of behavioral skills training based on the Behavioral‐Ecological Model. Two interventions were evaluated: one teaching condom use skills and the other teaching anger management skills. Changes in most skills were significant at postintervention but were not maintained at 6 months. Few risk‐related attitudes or behaviors improved at 6 months for either group.     

Some Potential Negative Social Consequences of Cigarette Smoking: Marketing Research in Reverse1

The effects of cigarette smoking on first impressions were examined in an interlocking series of studies. Provided college students evaluated peers who were neither extremely attractive nor unattractive, smoking typically reduced the positivity of evaluations regardless of participants' smoking. Targets photographed with smoking material were rated, for example, to be less considerate, calm, disciplined, honest, healthy, well-mannered, and happy than when smoking material was absent. Replication with apparently older participants evaluating college students did not reveal smoking to influence ratings strongly. Further replication did not reveal smoking material simply to influence college students' ratings of an attractive professional model. These results were compared with earlier studies of the effects of cigarette smoking on interpersonal evaluation and an educational unit for deterring smoking was discussed.     

Self-generated attitude change: A person by situation analysis of attitude polarization and attenuation

The potential moderating effects of differences in the need for cognition on the attitude polarization process were explored. Based on putative schematabased differences in information processing, it was predicted that an increased opportunity for thought would result in (a) more attitude polarization for low need for cognition persons than for high need for cognition persons and (b) more attitude attenuation for high need for cognition persons than for low need for cognition persons. Participants completed the Need for Cognition scale and were given either little or ample time to think about issues toward which they previously held moderate attitudes. Attitudes were reassessed following thought about the issues. The results were consistent with the predicted moderating effects of individual differences in the need for cognition on thought-induced attitude polarization. Implications of and alternative explanations for the findings are discussed.     

Using group therapy to foster the psychosexual development of patients with eating disorders

When eating-disordered patients participate in long-term eating-dis-order groups, they move through phases of group development that parallel phases of psychosexual development. In the trust (oral) phase, members have an opportunity to experience a positive symbiosis, a suitable holding environment, and optimal frustration. In the control (anal) phase, members learn to identify and express anger constructively. In the intimacy (oedipal) phase, members learn to compete and be intimate. Individual and group movement is facilitated by the group leader being able to identify stages of group development and being able to utilize phase-related techniques.Many thanks to Anne Alonso, Ph.D., Robert Dies, Ph.D., and Geraldine Alpert, Ph.D., for their critiques of the first draft of this paper.