An indigenous community mental health service on the Tohono O'odham (Papago) Indian reservation: Seventeen years later

The status of a fully indigenous mental health program serviced and controlled by the Tohono O'odham (Papago) Indian tribe is reviewed from the perspective of its 17-year history. The program functions in large measure in a crisis intervention model, with suicidal or acutely disturbed cases being most frequent. However, a whole range of disorders and ages are seen. Traditional Medicine Men and Women are often used as consultants, as are some professionals. In recent years child sex abuse and abuse of drugs among youth are prominent problems. The program experienced problems of obtaining services off reservations for patients in need, and in establishing credibility of the Indian Mental Health workers with the outside service providers.     

Interfacing Apple and IBM computers for the analysis of clinical biofeedback

This paper demonstrates a method of transferring research data from a remote clinic to a large university mainframe for data manipulation and statistical analysis. Data collected by an Apple //e computer were transferred to an IBM 3031 mainframe by sending data files to an IBM PC by telephone modem or by direct hardwire connection to the PC. The IMB PC performed data-formatting routines and then uploaded the files to the mainframe for storage. Advantages and disadvantages of sending data over telephone lines via a modem are discussed.     

Single-subject statistical analysis of computer-assisted biofeedback

Single-subject statistics were used to analyze physiological data [electromyographic (EMG) temperature] recorded from two patients receiving computer-assisted biofeedback treatment in a clinic. When the data were analyzed by an ANOVA method or a regression technique, the results demonstrated that both patients learned to significantly reduce EMG levels. The rationale of using single-subject statistics is discussed, and the applicability of the statistical technique to the clinic population is illustrated.     

Acquisition and retention of gestures by apraxic patients

The purpose of this study was to examine whether apraxic-aphasic patients with parietal lesions had difficulty learning lists of gestures and whether the performance deficits they displayed resulted from an inability either to consolidate this information in memory or to retrieve the information once stored. The findings indicate that apraxic-aphasic patients do have difficulty acquiring lists of gestures. This inability to reproduce gestural information was not associated with a retrieval disorder, but instead the apraxic-aphasic subjects could not consolidate the information in memory.     

Parental alcohol consumption and postneonatal mortality

The purpose of this study was to evaluate the role of maternal and paternal alcohol consumption as independent risk factors in postneonatal mortality. Questions on the frequency and quantity of alcoholic drinks consumed were included in a questionnaire used as part of a case-control study. Over a period of 11 months the families of 157 cases and 468 controls, matched for age and locality, were interviewed. Odds ratios and 95% confidence intervals were obtained by matched univariate analysis and by multiple conditional logistic regression. Maternal consumption during pregnancy, maternal consumption during breastfeeding and maternal consumption in the past year were not risk factors for postneonatal mortality. A multiple matched analysis did not alter these results. Matched univariate analysis of paternal alcohol consumption gave several positive results, including variables pertaining to the father's consumption in a multiple logistic regression model with traditional risk factors, which revealed that the frequency of paternal consumption in the last year, as estimated by the mother, was found to have a significant effect on postneonatal mortality.     

Sequential dependencies in the lexical decision task

Two experiments addressed whether response latency in a trial of the lexical decision task is independent of the lexical status of the item presented in the previous trial. In Exp. 1, it was found that both word and nonword responses were significantly slower when the previous trial had involved a nonword than when it had involved a word. In Exp. 2, which employed a different list composition, it was found that responses to nonwords and pseudohomophones were significantly slower when the previous trial had involved a nonword or a pseudohomophone than when it had involved a word. However, responses to words were not influenced by the nature of the previous trial. We concluded that sequential dependencies exist across consecutive trials in the lexical decision task even when there is no semantic, morphological, phonological, or orthographic relationship between the items presented during those trials.     

Compassion: An east‐west comparison

Compassion is an emotion that occupies a central position in Mahāyāna Buddhist philosophy while it is often a neglected subject in contemporary western philosophy. This essay is a comparison between an Eastern view of compassion based upon Mahāyāna Buddhist perspectives and a western view of the same emotion. Certain principles found in Mahāyāna Buddhist philosophy such as the Bodhisattva Ideal, and suffering (dukkha) to name two, are explored for the information they contain about compassion. An essay by Lawrence Blum is taken as representative of a Western view (but not exclusively) and it is analyzed for its shortcomings in light of the Buddhist view. The conclusion briefly describes the value of understanding an eastern view on compassion as a means of filling the void one finds in western medical ethics discourse which focuses so heavily, and redundantly, upon issues such as patient autonomy and paternalism.     

An auto-adjusting shaping procedure

A variable interval (VI) schedule is described that automatically adjusts the programmed rates of reinforcement in accordance with the rates of responding of subjects during the two immediately preceding 30-sec time intervals. The schedule prescribes that as rate of responding decreases, programmed reinforcement rate increases, and that when rate of responding increases, reinforcement rate decreases. Thus, programmed reinforcement rate is adjusted continuously until some target value is reached. Ten rats were exposed to this procedure five times a day at 1-h intervals. The target, set at VI 120 sec, was reached by most subjects within 4 days of training. Subsequently, all subjects responded consistently during five daily 1-h sessions with VI 120 sec. This procedure speeds up the training of subjects on long VI schedules and substantially reduces the time and effort spent observing the subjects and adjusting the schedule parameter value during the early development of responding.