Adolescent sexuality in a therapeutic community: staff countertransference issues

Issues connected with sexuality such as heterosexual relationships, homosexuality, sexual identity, and seductiveness, create conflict and countertransference dilemmas for staff who work with psychiatric patients in a therapeutic community. When the therapeutic community is composed of adolescents, these issues are exacerbated since sexual identity and sexual development are major concerns. The staff reacts strongly to the issue of self-determination and violation/infringement on a basic human need. These philosophical differences have their roots in countertransference feelings. Staff sometimes find it difficult to confront adolescents on emotionally charged issues that have a sexual coloring. A system is proposed for articulating and working through these feelings. A unique solution is posited for solving this conflictual attitude (based on object relations theory), whereby the residential treatment center serves as the analog of the home in order to allow adolescents to develop a sense of self before they can move on to the halfway house where heterosexual behavior is allowed (as part of the therapeutic process). This facilitates the meeting of the "self" with the "other." This procedure is explored in light of Sullivan's concept of intimacy.     

The first 900: a nine-year longitudinal analysis of consecutive adolescent inpatients

Data for the presenting complaints, average age and sex distribution, average length of stay and the discharge diagnosis for 900 consecutive adolescents treated at the Adolescent Center of Houston International Hospital between 1974 and 1982 were reviewed. The number of cases remained fairly constant over the 9 years. As the males and females showed an increase in age, the increase in age for males (13.4 years to 15.2 years) was greater than that for females (14.4 years to 15.0 years). The average age for male admissions during 1974-1976 was significantly lower than 1980-1982 (p less than 0.03). The average length of stay for males during 1980-1982 was significantly greater than 1974-1976 (p less than 0.05). The most frequent presenting symptoms in decreasing order for 1974-1982 were depression, school problems, family problems, threatening behavior, runaway behavior, and suicidal ideation. Depression increased from 15.6% in 1974-1976 to 29.6% of presenting symptoms. Substance abuse increased from 4% (1974-1976) to 8.8% (1980-1982). Suicidal ideation increased three-fold over the same period (3.3% to 10.6%). A significantly greater number of males presented with 1) impulsivity, 2) aggressiveness, 3) withdrawal behavior, 4) stealing, and 5) disruptive behavior. A significantly greater number of females presented with 1) runaway behavior, and 2) suicidal ideation. The 10 most frequent discharge diagnoses are listed. Depression as a diagnosis increased almost four-fold between 1977-1979 and 1980-1982 (7.6% versus 27.5%).     

Symptomatology of adopted and nonadopted adolescents in a psychiatric hospital

This study compared the symptomatology and diagnoses of adopted and nonadopted adolescents in a psychiatric hospital. Data were gathered from the hospital charts of adolescents who already had been discharged from the hospital. Contrary to expectations, adoptees were no more likely than nonadoptees to have received personality disorder diagnoses, nor were they more likely to be hospitalized as the result of antisocial behavior. However, in comparison with nonadopted adolescents, the adopted adolescents were younger upon admission to the hospital, significantly less often diagnosed psychotic, and significantly more often diagnosed adjustment reaction. It was suggested that adopted adolescents may be less likely than nonadopted adolescents to require severe or prolonged pathology in order to be admitted to a psychiatric hospital. It was also suggested that the antisocial symptomatology so frequently observed in adopted children in mental health settings does not account for the hospitalizations of those receiving inpatient treatment.     

The reliability of the Thematic Apperception Test

Controversy over the TAT's reliability may stem largely from the mis-application of traditional psychometric measures, which are inappropriate to this test. The TAT is implicitly based on a multiple regression model, for which coefficient alpha is not appropriate. Also, test-retest correlations may be adversely affected by the standard instructions to write a "creative" story. In a test-retest study, 47 high school students retook the TAT after a year with instructions designed to break the implicit set to produce a new and different story from that previously written. The test-retest correlations were r = .48 (need for affiliation) and .56 (need for intimacy), or approximately the same as those for, e.g., the MMPI, 16PF, and CPI, It was demonstrated that this high stability over time was not due to subjects' recalling and repeating previous responses. Finally, it was shown that alpha considerably underestimated the test-retest reliability, contrary to assumptions of classical psychometrics.     

A short scale to measure self-righteousness

Two studies were conducted which created and tested a scale to measure self-righteousness. Self-righteousness was defined as the conviction that one's behaviors or beliefs are correct, especially in contrast to alternate behaviors or beliefs. In the first study, a 4-item scale to measure general self-righteousness was derived which demonstrated adequate levels of internal consistency and was related to dogmatism and ambiguity intolerance. In the second study, the items were worded to be specific to running a race. This study succeeded in demonstrating that the scale possessed predictive validity. This study also demonstrated the usefulness of rewording the general items to make them specific about the content of self-righteousness.     

Another look at sex stereotypes and social judgments: an analysis of the social perceiver's use of subjective probabilities

Locksley, Borgida, Brekke, and Hepburn (1980) assert that subjects fall prey to the base-rate fallacy when they make stereotype-related trait judgments. They found that subjects ignored their stereotypes when trait judgments were made in the presence of trait-related behavioral information. The present article reexamines those findings with respect to two issues: (a) the use of a normative criterion in comparison with subjects' judgments and (b) the level of analysis (group vs. individual) of subjects' judgments. We conducted a replication of the Locksley et al. (1980) Study 2, and the results were examined with respect to these two issues. We found no support for the base-rate fallacy. When a Bayesian normative criterion was constructed for each subject based on the subject's own stereotype judgments and was compared with assertiveness judgments made in the presence of individuating information, there was no evidence that subjects ignored or underused their stereotypes as the base-rate fallacy predicts.