The autistic moment in psychotherapy

This is a report on the author's experience in treating four autistic children and their families. The importance of making available the therapist's own autism is stressed. The difficulty in doing this and reverting defensively to an administrative approach is described. A previous paper discussed the corrective autistic experience with a focus on the autistic person. This follow-up describes the autistic moment which is a relational experience between the therapist and both the autistic person and the autistic family. The family needs to have an experience of its own autism as a continuum of normal before it can relate to an autistic child. To the extent that the therapist can bring his own autism into the therapy can the family experience its own. The patients are the person, the relationships, the family, and the therapist.The author would like to thank Richard B. Anderson, MD, Lindy T. Barnett, MSW, David V. Keith, MD, JoEllen Barnett Smith, MA, and Orion Smith for their participation as cotherapists. The comments made on an earlier draft of this paper by the members of the Atlantic Psychiatric Clinic are warmly acknowledged. Valuable editorial assistance has been extended by Robert Garfield, MD, and Stuart Sugarman, MD. Lastly, the author would like to extend his appreciation to Robert R. Haubrich, PhD, for stimulating his interest in the field of comparative ethology.Presented at the Conference Honoring the Retirement of Carl A. Whitaker, MD, in Madison, Wisconsin, June 25, 1982.     

A cognitive-behavioral analysis of parental facilitation of children's social-cognitive problem solving

The present study used a case study framework to examine ways in which parental belief systems and parental teaching strategies interact to enhance children's social-cognitive problem solving and school adjustment. The focus of the investigation was to examine the robustness of several postulated typologies of interrelationship among the key variables, as well as antecedents and consequences of means-ends problem solving exhibited by children. Four intact families with second grade children were observed in the home as they participated in discussion and decision making concerning problematic social situations. The data suggested these major points: Parental behavior was generally consistent with their beliefs; parents could most effectively elicit means-ends verbalizations from children through direct questioning; families differed in the extent to which children's inputs into family decision making were valued and the degree of interparental discord concerning beliefs and strategies. The latter points suggest a reconceptualization of how parental variables can be linked to the development of social-cognitive and behavioral competence in children. Specific implications for theory and recommendations for research are discussed.     

Confrontation in the group analytic matrix: Toward a classification

This paper illustrates how confrontation is used in applying the Group Analytic model of Foulkes. Within the group, confrontation with images of the self and others provides a many-layered experience which transcends the classical psychoanalytic differentiation between confrontation, clarification and interpretation. A classification of seven types of confrontation is offered based on who confronts whom, and is linked with Foulkes's four levels of relationship within a group.Based on a paper read at the 9th Congress of the International Association of Group Psychotherapy, Zagreb, Yugoslavia, August 1986.     

The importance of ‘mass’ in line drawings of faces

Previous research (Davies, Ellis and Shepherd, 1978; Rhodes, Brennan and Carey, 1987) has shown that accurate line drawings of familiar faces are identified rather poorly. However, artists can produce lifelike portraits with pen and ink, and Pearson and Robinson (1985) described an automatic method for producing computer-drawn sketches (‘cartoons’) of faces which appear very similar to those produced by a human artist. In this paper we show that subjects can identify famous faces depicted in such computer-drawn ‘cartoons’ almost as well as full grey-scale images. The cartoon algorithm comprises two components. One component draws lines at the locations of intensity changes corresponding to luminance valleys and edges (the ‘valledge’ detector). The other component applies a ‘threshold’ to the original intensity distribution, and replaces any area darker than threshold with black. Thus the full cartoon contains both ‘line’ and ‘mass’. Neither the valledges nor the threshold components alone were as well identified as full cartoons containing both components. The results suggest that the addition of the threshold component adds significantly to the identifiability of line drawings of faces.     

The logic of delusion

Piagetian concepts explaining normal mental development are applied to delusion, a major psychiatric disorder of thought which can result in bizarre conduct. Piaget constructed problems in which the errors of six to eight year old children fit the standard textbook definition of delusion surprisingly well. When we examined cases of delusional individuals, we concluded that their apparent irrational and bizarre conduct could be explained as problem-solving errors like those of Piaget's young children. In contradistinction to existing theories, we define delusion as a regression under stress to the logic of children of a particular age range, and that what appears bizarre and irrational is the result of an adult attempting to filter experience through a child's logic.Under a different title this paper was presented at the Biennial Congress of the World Federation for Mental Health in Mexico City in August, 1991.     

A developmental perspective on the use of metaphors in family therapy

Because families generally consist of individuals at various developmental levels, family therapists require interventions that are effective regardless of an individual's developmental status. Although metaphor has proven particularly beneficial in therapy, it may be ineffective in families with preschool children who have yet developed sufficient cognitive capacities and knowledge for understanding metaphors. Previewing, a prospective technique derived from interaction between parent and infant, may be used for communicating metaphors about future change to individuals regardless of developmental level. Previewing provides knowledge about development and stimulates the cognitive skills necessary for viewing the present as a metaphor for the future.     

Patterns of adolescent involvement in problem behaviors: Relationship to self-efficacy,social competence,and life events

Using a sample of 556 adolescents from a suburban community, patterns of various adolescent problem behaviors (e.g., delinquent behavior, smoking, use of alcohol or drugs) and their links to self-efficacy, social competence, and life events were examined. Cluster analysis was conducted to identify four subgroups of adolescents who showed distinct patterns of problem behaviors. These clusters were compared on the measures of self-efficacy, social competence, and life events. Overall results suggest there are meaningful links between adolescents’ problem behavior patterns and self-efficacy, the amount and quality of participation in various after school activities, and life events. For example, a subgroup of adolescents who showed uniformly low prevalence of all problem behaviors reported more positive academic self-efficacy, more active participation in sports and nonsports activities, more positive life events, and fewer negative events than adolescents who were involved in multiple problem behaviors. Implications for prevention and future research on adolescent problem behaviors are discussed.     

Forced migration and resettlement: Its impact on families and individuals

An increasing number of families are forced to migrate as a result of political turmoil, civil wars, and ethnic cleansing. This paper describes the impact of forced migration on individuals and their families. We suggest that forced migrants reject the new culture while their children are likely to embrace it. This discrepancy between the old values of the migrants and the values to the new culture espoused by their children is a frequent source of intrafamilial tension. We also describe a second acculturation process that takes place when forced migrants return to their country of origin. Families who migrate back to the country of origin realize, often to their surprise, that both they and their country of origin have changed significantly.     

“MORE” is “LESS”: Sign language comprehension in deaf and hearing children

Matched groups of deaf children of deaf parents and hearing children of hearing parents were required to indicate which of two glasses contained more or less water. The deaf comprehended the meaning of the highly iconic sign “LESS” across all ages while comprehension of the noniconic sign “MORE” was a function of age. These data, reflecting a “MORE is LESS” effect, were the reverse of the findings for the hearing given speech. When given sign, the performance of the hearing was similar to that of the deaf except for the absence of an age-related increase in “MORE” accuracy. Analyses of response biases revealed differential preferences for the two groups. Results are discussed in terms of the relative iconicity of the two signs and Clark's Semantic Feature Hypotheses.