Consciousness: A neurobiological approach

Consciousness and the disorders of consciousness can be more fully understood once they are integrated with the neurobiology of mental events. After a review of animal and human research, we found several anatomical structures in the central nervous system are required for consciousness. Identification of the critical structures, however, depends on what is meant by consciousness. In the general sense of mental responsivity, the reticular activating system must be intact. Consciousness has also been defined as the awareness of the sights, sounds, and feelings of everyday experience. In this sense, the system of sensory inputs and outputs of the anterior temporal cortex, amygdala, and the hippocampus must be functional. There is no neural evidence for “higher” consciousness.     

Gender and social support: Taking the bad with the good?

In examining past research, a paradox can be found in the relationships between gender, social support, and depression. Although women report higher levels of depression than men, they also generally report more social support—a factor found to reduce depressive symptoms. In efforts to explain this seeming inconsistency, it was hypothesized that women report both more support and more depression because they are more likely than men to experience both positive and negative aspects of social relationships. Based on a community sample of predominantly Caucasian respondents, findings indicate that greater perceived support among women can be explained by more frequent contact with network members and a tendency to possess relationships characterized by greater intimacy, emotional disclosure, and empathy. However, women also report more frequent negative interactions with network members and are more adversely affected by marital conflict than are men. While negative interactions and conflict cannot account for gender differences in depression, they do help to explain how women can experience both more support and more depression. Among women, the health-enhancing effects of support on depression may be balanced by the detrimental effect of conflict.     

Adaptation effects and reversible figures: A comment on Horlitz and O’Leary

In a recent article, Horlitz and O’Leary (1993) offer a reinterpretation of the results of several studies over the past 40 years that have employed the prolonged-inspection technique in the investigation of reversible figures. Specifically, they contend that, contrary to the favored interpretation of neural adaptation effects, the results of these studies reveal the combined influence of such topdown processes as attention and perceptual learning as well as such methodological difficulties as unwanted demand characteristics. In this note, we examine their analysis of the literature, their alternative theoretical model, and the supporting conclusions they draw from their two experiments. We argue that there is considerable evidence from a variety of studies for the joint role of bottom-up and top-down processes in reversible figures. Moreover, we propose that Horlitz and O’Leary’s own research, rather than eliminating the possibility of neural-adaptation effects, is best conceptualized as providing additional evidence for the role of higher-order processes in these phenomena.     

Modelling cognition in emotional disorder: The S-REF model

Cognitive therapy techniques are applied to an ever-increasing range of psychological disorders. However, both basic methods and general theory of therapy have evolved more slowly. Although cognitive therapy is based on experimentally testable concepts derived from cognitive psychology, an integration of these areas capable of explaining cognitive-attentional phenomena and offering treatment Implications remains to be achieved. In this paper, we outline the Self-Regulatory Executive Function (S-REF) model of emotional disorder, which integrates information processing research with Beck's schema theory. The model advances understanding of the roles of stimulus-driven and voluntary control of cognition, procedural knowledge (beliefs), and of the interactions between different levels of information-processing. It also accounts for cognitive bias effects demonstrated in the experimental psychopathology literature. The model presents implications concerning not only what should be done in cognitive therapy, but how cognitive change may be most effectively accomplished.     

When More is Better than Less; Three Theories of Psychosis—Projection, Double Bind, and Possession

Three psychological theories of psychosis are described, each of which has standing in psychiatry. Defined by the terms projection, double bind, and possession, they initially appear to have little or nothing in common to explain psychosis, but converge at four points: (1) A high degree of anxiety precipitated by a dilemma or conflict perceived to be unsolvable by the person; (2) the anxiety triggers a shift from one thought or motive in the direction of its opposite, because the original was believed too antagonistic to the wishes of significant others; (3) the opposite, in order to remain opposite, requires that the original thought or motive be forgotten, (4) a singular means to produce and reinforce forgetting is the interposition of psychiatric symptoms. In psychiatry today treatment would fit more consistently with the three theories taken as a whole rather than any one, and a rationale for this viewpoint is elaborated.     

The truncated nuclear family

The truncated nuclear family is defined: it is the garden-variety family pathology found. The critical role of polarized continuity and discontinuity values in producing the truncated nuclear family is discussed. There is a brief review of factors in American society which, over the decades since the Second World War, have evolved the nuclear family as a dominant family unit, and of how those and other factors in society have produced the large numbers of truncated nuclear families seen in clinics, particularly in the past decade. Family therapy is the treatment of choice for the truncated nuclear family, provided there is a readiness of the family to undertake the stress of therapy.Dr. Zuk is family therapy consultant to agencies in New Orleans and elsewhere, and clinical professor (psychology) in the Department of Psychiatry and Neurology at Tulane University Medical School.This paper is a chapter in the forthcoming 2nd edition ofProcess and Practice in Family Therapy, to be published by Human Sciences Press of New York City in 1985.     

Relationships between perceptions of organizational size and the organizational choice process

Expectancy theory concepts were used to predict (a) the attractiveness of, (b) the amount of effort directed toward entering, and (c) the eventual choice of a job in relatively big and small work organizations. It was found, among a group of graduating seniors from a technical college, that antecedent perceptions regarding organizational size (expectancy, valence, instrumentality) were significantly related to the relative attractiveness of different-sized organizations and the number of job interviews taken with relatively big and small companies. In addition, economically tied extrinsic outcomes were seen as more readily attainable in big organizations, whereas certain intrinsic outcomes were perceived to be more easily obtained in small organizations.     

Training children's self-control: A field experiment in self-monitoring and goal-setting in the classroom

A field experiment investigated the effects of training in self-monitoring and goal-setting skills on classroom study behavior and academic achievement among elementary school students in an individualized mathematics program. In the Self-Monitoring Conditions, students were shown a simple system for observing and maintaining daily records of their own study behavior during their math classes; orthogonally, in the Goal-Setting Conditions, students were shown a simple method of setting and recording daily performance goals during their math classes. Exposure to self-monitoring procedures produced significant increases in both appropriate study behavior and in actual achievement in the mathematics program, while exposure to goal-setting procedures had no effect on either study behavior or academic achievement. Nor, contrary to expectation, did exposure to the goal-setting instructions enhance the effectiveness of the self-monitoring system. The implications of these results in terms of implicit and explicit models of self-reinforcement processes were discussed.     

Self-report and physiologic responding during in vivo flooding

Self-report and physiologic measures of arousal were obtained during in vivo flooding sessions. Minimal correspondence was found between these two assessment modalities. The significance of these findings for treatment is discussed.