Differential Reactions of Patients Receiving Group Psychotherapy with Concomitant Somatic and Drug Therapies

The embeddedness of combat aggression, violence, survival, and antiauthority dynamics in the psychic organization of Vietnam veterans in groups shape the treatment enterprise. Inherent in treatment interactions and dynamic processes of the Vietnam therapy group are the reactivations of Vietnam-historical reenactments. These involve strong affective reactions toward superiors and toward fellow combatants (“grunts”), with an attendant sense of group danger, unconsciously reminiscent of Vietnam's guerrilla war terrain. This paper notes that because of the tendency of the group to repeat actual events (as opposed to fantasied events), these groups require divergent conceptualizations and technical management. An innovative model comprising a series of developmental phases is presented. This model, called “the curvilinear regressive-progressive model” of treatment with Vietnam veterans, focuses on both peer- and leader-centered dynamics in working through guilt-driven defenses in members. The leader plays a pivotal function in monitoring levels of affect tolerance in the group, and is expected to manage countertransference reactions, and to have sensitivity to the effects of combat stress on self structure. As the Vietnam therapy group members relive the history of the Vietnam conflict in the group, the leader utilizes a flexible, phase-sensitive system of interventions to reactivate arrested development by creating a healing climate where developmental tasks can be mastered and integrated by group members.     

Subjectivity and environmentalism

The main thesis of this paper is that the most cogent demands of subjectivity, at least with respect to questions concerning the contents of our thoughts, can be accommodated within an objectivist framework. I begin with two theses: (1) Subjectivity: I can know (the contents of) my own thoughts without appeal to any knowledge of features external to my mind; (2) Environmentalism: (The contents of) my thoughts are determined by features external to my mind, at least in this sense: without causal and/or social interaction between my internal states and various external features, these internal states would not have the particular contents they have and therefore would not be the mental states they are. Section I proceeds by elucidating various lines of environmentalism, an overtly objectivist thesis. Section II considers and refutes one purported environmentalist challenge to subjectivity, namely, that, according to it, thoughts are not in the head. Section III discusses a central subjectivist thesis, namely, thoughts do not admit of an appearance/reality distinction. Tyler Burge and Hilary Putnam, two environmentalists, seem to endorse such a distinction. It is argued that the two most reasonable routes of escape open to them require a retreat from environmentalism. This leaves us with an apparent dilemma: reject either subjectivity or environmentalism Section IV defends environmentalism. Section V considers and criticizes a maneuver Donald Davidson makes to preserve first‐person authority over thought‐contents. Section VI concludes with a brief defense of environmentalism which rests largely on rejecting a deeply entrenched epistemic model about how we access our own thoughts. It is argued that it is this bad epistemic model and not subjectivity per se, which has created whatever tension there appears to be between subjectivity and environmentalism.     

Redundancy: A Similar Principle in Independent Adaptation Techniques

The present study examined the similarities between four auditory adaptation techniques to determine whether the effects were correlated. The four adaptation techniques compared were: Simultaneous Dichotic Loudness Balance technique (SDLB; Hood, 1950), Magnitude Estimated Binaural technique (MEB; Botté, Canévet, & Scharf, 1982), Magnitude Estimated Monaural technique, (MEM; Weiler, Sandman, & Pederson, 1981), and the Monaural Reaction Time technique (RT; Davis & Weiler, 1976). Results did not show significant correlations between the four techniques, except (r = 0.39) between MEB and MEM procedures. This correlation was much less than the reliability of the measures would allow (r = 0.98 and r = 0.99, respectively). Thus, it appears that the different methods either produced different adaptation effects or measured different aspects of auditory adaptation. The normal ear apparently shows several forms of adaptation, which reduces the perceptual strength of a continuing stimulus, in favor of an intermittent, less redundant one.     

Monaural Loudness Adaptation for Middle-Intensity Middle-Frequency Signals: The Importance of Measurement Technique

Using the Simple Adaptation technique (SA) and the Ipsilateral Comparison Paradigm (ICP), the authors studied monaural loudness adaptation to a middle-intensity [60 dB(A)] tone at signal frequencies of 250, 1000, and 4000 Hz in the left and right ears. Adaptation effects were absent when the SA procedure was used. However, they were observed uniformly across all frequency values with the ICP, a result that challenges the assertion in the literature, on the basis of SA measures, that loudness adaptation for middle-intensity signals occurs only at frequencies above 4000 Hz. The ICP features periodic intensity modulations (±10 dB relative to the base signal) to accommodate listeners' needs for referents by which they can gauge subtle changes in the loudness of the adapting tone, a key component that is missing in the SA method. Adaptation effects in this investigation were similar in both ears, supporting the equal susceptibility assumption common in loudness adaptation studies.     

Probing the public's honesty: A field experiment using the “lost letter” technique∗

The present study probed the honesty of the general public through an experimentl approach. A variaty of experimental procedures have been used in previous research. This study used the “lost letter” technique, whereby ordinary citizens are offered an opportunity to keep envelopes that are planted on their cars and that are apparently lost. They are stamped and addressed (actually they are addressed to the investigators).

One quarter of the “lost” letters were kept by the subjects. On the whole, the value of the contents (some contained a coin made to appear valuable) did not seem to affect the return rate. Also, little difference was found in the behavior of the male and female subjects. Age, however, did appear important as younger subjects were significantly more likely to keep the letters. Since the value of the contents was not important, a failure to return could simply indicate less altruism on their part. Also, an interaction was found between the variables of age and sex, as young females had the lowest return rate and older females the highest return rate, with males of both age categories falling in between these extremes. This finding suggests that future research comparing the criminality or deviance of tie sexes consider the variations in the behavior of each sex across different age categories.     

The feigenbaum scenario in a unified science of life and mind

In exploring the possibilities for creating a model of the creative cosmos, it is important to seek mathematical models that can express the common relationships unifying the sciences of matter, life and mind. Current candidates for such all embracing mathematical models come from the burgeoning fields of non‐linear dynamics that are described under varying labels as Chaos Theory, Self‐Organization Theory and Adaptive Complexity Theory. In this paper we will limit ourselves to only one mathematical model called, “The Feigenbaum Scenario.” A major virtue of The Feigenbaum Scenario is that it is relatively easy to understand by non‐mathematicians and it has led to new depths of profound understanding in a wide variety of the physical and biological sciences. Everything from purely mechanical systems, fluid dynamics and the weather to the patterns of biological growth in nature and the dynamics of heart, hormone and brain rhythms have been found to exhibit aspects of the Feigenbaum scenario. We explore the possibility that the Feigenbaum scenario can be extended to experiences of mind, sensation, perception and human behavior as well. We conclude that a major function of consciousness may be to transform the non‐linear, irrational, unconscious and difficult to predict dynamics of unconscious nature into the more linear, rational and predictable psycho‐dynamics that make human experience and social life possible.     

To be in touch

This study examined the constellation of interaction structures – repetitive patterns of interactions between patient and therapist over the course of treatment – that emerged in the psychodynamic therapy (PDT) of a child diagnosed with borderline personality disorder and treated by two doctoral student therapists. Identification of these interaction structures can inform therapists of what might be expected from patients with particular symptom or behaviour patterns and how interactions change over time. This study also examined each session’s adherence to three session prototypes: PDT, cognitive-behavioural therapy (CBT) and reflective functioning (RF) process. The Child Psychotherapy Q-Set (CPQ) is a 100-item instrument that assesses the processes within a single psychotherapy session. Items reflect a wide range of therapist attitudes and behaviours, patient attitudes and behaviours and interactions between therapist and patient. Experts used the CPQ to define PDT, CBT and RF process session prototypes. The results suggested that four distinct interaction structures could be identified and that their constellations differed between the two therapists and also differed over time within each treatment. Therapists were more structured and accommodating early on in their treatments and more interpretive later. Prototypical PDT process was more prominent in the sessions than RF process, which in turn was more prominent than CBT process. Unique therapeutic processes are at work in every dyad, despite holding the patient and theoretical orientation constant. An effective treatment in one dyad might not work in another due to therapist-specific and dyad-specific effects.