The treatment of tension headache—I. Muscular abnormality and biofeedback

The specificity and efficacy of a short EMG biofeedback treatment were assessed in a selected group of chronic tension-headache cases—those having significantly elevated levels of muscle tension. The effects of training patients to raise/maintain EMG levels were compared to those obtained from patients who were trained to lower tension levels. The results showed little evidence of increased self-control of the muscle despite successful EMG control during six bio-feedback sessions. A progressive and significant reduction in resting level was found only in the groups trained to reduce EMG levels. The treatment proved ineffectual in reducing headache. The implications of the dissociation of muscle tension and headache are discussed both with respect to current views of tension headaches and the role of biofeedback in their treatment.     

The treatment of tension headache—II. EMG ‘normality’ and relaxation

A selected group of patients complaining of severe and chronic tension headache (without muscular abnormality) were given a short 3-week course of relaxation treatment. Half of the subjects received progressive relaxation instructions, while the other half received relaxation plus calming imagery. Both groups showed substantial improvements in pain behaviour and in pain experience. The improvements were synchronous and still present at the 6–8 week follow-up assessment. Although no significant differences were found between the groups, the addition of imagery appeared to produce larger improvements on a number of measures. These results were compared with those reported obtained in a previous biofeedback study and the implications of both the studies were discussed with respect to tension headache and its treatment.     

Natural science and the healing of persons

The importance of a counselor's philosophical point of departure is emphasized. Viewing the self as a conscious, free, and responsible decision-making actor in a world of substantial and self-transcendent meanings and purposes is suggested as the core of a definition that uses an existentialist point of departure. In the light of this definition, four specific inadequacies of counseling that uses a natural-scientific point of departure are identified and discussed: 1) it is overreductionistic; 2) it reinforces the view of self as helpless victim; 3) it disregards the importance of transpersonal concerns; 4) it ignores the importance of conflicting world views between therapist and client.     

School psychology-observation and reminiscence

Analyses of certain characteristics of the membership of the Division of School Psychology and some of its efforts are presented. Evidence is presented which suggests unequivocally that school psychologists, whom the schools clearly need, must be soundly grounded in relevant psychological testing theory, must be fully sensitive to the social characteristics and needs of each child in whose interests they work, and must be fully conversant with the relevance of their psychological perceptions to the educational functioning of those children.     

Effects of Eltoprazine Hydrochloride on Predatory Behavior in Rats

Treatment of rats with the potent antiaggressive compound eltoprazine hydrochloride (1.0 & 2.0 mg/kg) slowed both predatory attack and killing of frogs. These results demonstrate a specific predation-inhibiting action of the drug which is not obscured by the elements of conspecific aggression seen during muricide. Unlike the closely related compound fluprazine, eltoprazine increased both attack and kill latencies implying that the effects of the two drugs on predation are mediated by at least somewhat distinct drug actions. It is further suggested that eltoprazine may be more specifically antiaggressive in its actions than related phenylpiperazine compounds.

     

The polar unities as a guide to psychotherapy

The author recognizes the need for a psychotherapy that aims to be either spiritual or wholistic to ground itself in appropriate philosophical and theological constructs. As one small step in this direction, the ontological elements as discussed by Paul Tillich are applied to some specific therapeutic issues. Striking parallels are found between Tillich's first two ontological elements (individualization-participation, and dynamics-form) and the two dimensions (cohesion and adaptability) of the circumplex model of family therapy. It is suggested that Tillich's third ontological element (freedom-destiny) throws useful light on the educational and psychotherapeutic issue of permissiveness versus authoritarianism.     

Concurrent schedules: undermatching and control by previous experimental conditions.

Five pigeons were trained on concurrent variable-interval schedules. A series of conditions in which the ratio of reinforcement rates on two keys was progressively increased and then decreased was arranged twice. The birds were then exposed to an irregular sequence of conditions. Each condition in which reinforcement was available on both keys lasted six sessions. Performance in the first, third, and sixth sessions after a condition change was analyzed. Following a condition change, preference was biased toward the preference in the last condition, but this effect largely disappeared before the sixth session of training. The birds' preferences also appeared less sensitive to reinforcement rates in early sessions after a transition. Preference in a session was a function of both the reinforcements in that session and the reinforcements obtained in as many as four or five previous sessions. The effects of reinforcements in previous sessions could be summarized by the performance in the immediately preceding session, giving a relatively simple relation between present performance and a combination of present reinforcement and prior session performance. While such hysteresis could cause undermatching when only a small number of sessions are arranged in a condition, undermatching in a stable-state performance probably arises elsewhere.     

How do group meetings make a community Therapeutic?

Summary Following an abrupt shift from a therapeutic community with emphasis on group meetings to a hierarchical medical model on a mental hospital floor, disturbed patients required extensive individual nursing care. This increased work load for the nursing staff resulted in admissions having to be limited to the rare cases who needed little or no nursing care. As patients were discharged, the vacancy rate went up to approximately 20% for a week and remained high for another two weeks. Nursing staff-patient relations deteriorated.Subsequently, it was possible to resume the emphasis on the groups of a therapeutic community and to observe the contrast. The experience showed how groups can effect and support a therapeutic community. It clarified some of the mechanisms by which groups positively affected disturbed patients. Some mechanisms by which the staff, community, and group meetings favorably influenced the nursing staff-patient relationship and intrastaff communications became clear also.