Community mental health services for black and ethnic minorities

An investigation into the provision of community mental health services in one local authority Borough found that facilities for the rehabilitation and resettlement of the recovering mentally ill into the community were very limited and fell far short of ofJicial recommendations and that very little consideration was given to meeting the needs of black and ethnic minorities. An analysis of data porn service providers (Local Authority/Social Services/Health Authority), multidisciplinary teams, voluntary agencies and 120 black and ethnic minorities (users and non-users of mental health services) in the Borough suggested that black and ethnic minorities had little or no say in decisions about the provision of community mental health services to the extent that they feLt excluded. In many instances service providers had limited contact with black and ethnic minorities and some members of the multidisciplinary team had little to do with black people but yet influenced major decisions about the provision of services to meet their needs. The findings drew sharp attention to the diference between the views of service providers and those of service users in terms of the provision of community mental health services to meet the needs of black and ethnic minorities. Ninety six percent of those involved in the study were appalled over the apparent lack of emphasis placed on the provision of services to meet the needs of black and ethnic minorities and felt that nothing was being done to improve the inadequate service which was offered ly the voluntary sector.     

Heart rate during group flooding therapy for PTSD

The objective of this study was to assess, via heart rate, the arousal levels of participants in group trauma reexposure therapy for posttraumatic stress disorder, and so to better understand this common mode of treatment, particularly in regards to its presumed curative factor, extinction. Six Vietnam combat-related PTSD inpatients participated twice weekly in group trauma reexposure therapy during which their electrocardiograms were recorded. Heart rate was quantified continuously off-line. Heart rates of participantsnot directly engaged in imaginal reexposure to their personal combat traumas consistently exhibited mild linear declines from the beginnings to the ends of the approximately 2.5 hour sessions. Participants actively engaged in personal combat trauma reexposure exhibited higher whole-session heart rates. Most also exhibited more specific elevation extending over the later portions of therapy sessions during which intensive reexposure usually occurred. Surprisingly, no patients exhibitedfocal increases in heart rate concurrent with periods of most intensive traumatic incident review as judged from videotape. Administering imaginal reexposure in a group context does not preclude substantial physiological (sympathetic) arousal, as is preconditional for extinction. Under conditions in which the actively engaged reexposure patient is reliably identified, group trauma reexposure therapy may not provide an opportunity for “vicarious” flooding in nonengaged participants.     

Stuffed Cabbage in the Old New School Cafeteria

The purpose of this lecture is to celebrate the memory of Aron Gurwitsch by examining and enlarging the domain of phenomenological clarification of some elements of what Gurwitsch called the logic of reality. Chief among those elements are the nature of the taken-for-grantedness of our existential belief, the difference between presentive and non-presentive indices of reality and the ground for the self-illumination of the world of working.     

A low-cost solid state device for producing delayed auditory feedback

This paper presents a design for construction of a relatively low-cost solid state delayed auditory feedback device. The advantages of this unit are that it is reliable, flexible, easy to operate, and it does not require audio tape.     

In vitro fertilization and surrogate motherhood: The Jewish view

This paper examines the legal, moral, ethical, and Jewish religious issues involved inin vitro fertilization and surrogate motherhood. Also briefly discussed are the topics of artificial insemination and sex organ transplants. Jewish views on these subjects are based on the cardinal principles that life is of infinite value, that human life is sacred, and that the divine license to heal granted to the physician carries with it certain well-defined obligations and restrictions.     

A Parallax View of Counseling: The Social Influence Model

Heppner, Paul, & Heesacker, Martin. Interpersonal Influence Process in Real-Life Counseling: Investigating Client Perceptions, Counselor Experience Level, and Counselor Power Over Time. Journal of Counseling Psychology, 1982, 29, 215–223. Hackman, Hollis, & Claiborn, Charles. An Attributional Approach to Counselor Attractiveness. Journal of Counseling Psychology, 1982, 29, 224–231.     

Attending to feelings and cognitive performance

The effect on cognitive performance of attending to internally generated stimuli was examined. Specifically, the effect of examining feelings and sensations upon performance in the Stroop test and upon the performance of mental addition was measured. In two initial experiments subjects more quickly named, in the Stroop test, the color of the ink (“red”) in which a color word (“green”) was printed following instructions to attend to their feelings. It was found that this facilitation was due in part to the slowing of the automatic, interfering habit of reading for word meanings. In a third experiment, the effect of attending to physical sensations on the back of the hand was found to have a similar facilitating effect and was seen as resulting from the allocation of attention to internally generated stimuli. In a final experiment, attending to feelings and to the physical sensations on the back of the hand was found to increase speed of mental addition. This effect was attributed to increased attention to internally generated stimuli (here knowledge about the arithmetic performance at the moment).