Factor structure of the mobility inventory for agoraphobia: A validational study with australian samples of agoraphobic patients

This study examines the factor structure of the Mobility Inventory for Agoraphobia and attempts to validate the inventory, using an Australian sample of agoraphobic patients, by comparison with other scales. One hundred twentyfour panic disorder with agoraphobia patients were studied. Factor analysis showed that a two-factor solution was the most suitable both when subjects were accompanied (accompanied condition) and when alone (alone condition). Factor I represented public, crowded, or social situations including department stores, supermarkets, restaurants, theaters, and panics and social gatherings. Factor II reflected enclosed or riding situations such as elevators, parking garages, enclosed spaces, and riding in subways or airplanes. These two factors accounted for 46.6% and 44.3% of the variance on the accompanied condition and the alone condition, respectively. The Mobility Inventory was significantly correlated with the Agoraphobia factor of the Fear Questionnaire and the Social Avoidance and Distress scale. These results indicated that the Mobility Inventory is a valid instrument to measure agoraphobic behavior.     

Humility as a psychotherapeutic formulation

Humility training is conceptualized as an appropriate treatment for persons who occasionally describe themselves, but are most frequently described by others as overbearing, insensitive and deceitful. Procedures are outlined to identify unrecognized fears and improve interpersonal skills. Humility is presented as a counterpoint to assertiveness and aggression/anger control interventions.     

A SEARCH FOR PRINCIPLES IN PRINCIPLES OF PSYCHOLOGY

Principles of Psychology was published as an introductory textbook, with the contemporary virtue of having chapters that "can he assigned in any order." It is a compendium of speculation, with very few connecting threads to tie materials together. This article reports one psychologist's travels through thex Principles, in search of latent organizing structure, using as a guidebook the methodological and substantive content of two recent articles (Kimble. 1989. 1990a). The journey had its low and high points: The methodology encountered was hardly worth the trip. The exciting moments were the views of correspondences between James' insights and what we know today.     

Counseling psychology and employee assistance programs: Previous obstacles and potential contributions

In the last two decades, an important new therapeutic delivery system has been emerging to serve the needs of the American workforce. Known as Employee Assistance Programs (EAPs), these company and community based programs were created to provide mental health services to workers whose job performance is impaired due to substance abuse or other difficulties. Although there are obvious similarities between the mission espoused by EAPs and traditions of the counseling psychology profession, many members of our discipline have only recently become involved in these programs. This paper discusses various reasons why counseling psychologists have not become involved with EAPs. It also presents some ways that counseling psychologists may contribute to these programs and it highlights the similarities in the philosophies and the activities of EAP and counseling psychology practitioners and scientists. Additionally, some suggestions for how to prepare counseling psychologists for entrance into the EAP profession are offered. Finally, a brief research agenda designed to guide counseling psychologists who are interested in the study of EAP related variables is presented.We are appreciative of Karen Novak's and Marilyn Bayer's editorial assistance on this paper.     

Sexual addiction: Understanding and treating the phenomenon

The authors describe their multi-faceted treatment of sex addicts and co-dependents, make observations about the needs and issues involved in such therapy, and discuss some of the desired outcomes from the combination of professional help and self-help in the treatment regimen.Ralph H. Earle, PhD, and Gregory M. Crow, PhD, are family therapists and psychologists in private practice in Scottsdale, Arizona     

Agricultural policy and strategic investment in information technology

In this article the perspective shifts to the “upstream” end of the agricultural knowledge and information system (AKIS). Because knowledge policy and strategic decision-making are not the prerogative of the public sector, organizations such as cooperative unions and multinational companies are included. After considering the influence of the changing environment on the nature of the AKIS, the role of knowledge management and policy in the emerging knowledge and information market is examined. Special attention is given to public and private R&D. The article then looks where information technology (IT) fits in and what considerations determine strategic investment in IT projects and sustained services. Some of the European experiences with this strategic investment are evaluated.     

Depression in patients with spinal cord injuries: A synthesis of cognitive and somatic processes

Depression in some patients with spinal cord injuries may be clinically significant and, when present, should be treated to decrease morbidity including decreased physical functioning. Depression associated with spinal cord injury (SCI) may be misevaluated, due to (1) nonspecific multifactorial production of depression symptoms and (2) SCI-specific decrease in somatic sensory central nervous system input. The Somatic Suppression Hypothesis suggests that SCI patients have difficulty experiencing any intense emotion because of suppression of physiological arousal. In addition, cognitive processes that may reduce depression in SCI patients include: (1) attribution of somatic symptoms of depression to medical (biological) causes, (2) realistic, positive expectations for physical improvement, and (3) the perception that the disability of the SCI is only minimally related to the patient’s self-care after complete evaluation. Health personnel should accept lack of depression in SCI, and should encourage positive realistic expectations of recovery.