Influences of Acculturation on Mexican-American Drinking Practices: Implications for Counseling

Literature on the drinking practices of Mexican Americans is discussed from the perspectives of three acculturation models: linear acculturation, acculturative stress, and marginality stress. Culturally competent alcohol counseling practices are proposed.     

Cross-Cultural Counseling and Neurolinguistic Mirroring With Native American Adolescents

This study examined the effects of neurolinguistic mirroring versus nonmirroring of selected nonverbal behaviors on empathy, trustworthiness, and positive interaction in a cross-cultural setting among 60 Choctaw adolecents and Caucasian female counselors. Results indicated significant mirroring effects on the empathy scale of the Barrett-Lennard Relationship Inventory.     

A near-death experience among the Mapuche people

This paper describes a possible near-death experience (NDE) among the Mapuche people of Chile. The individual reporting the experience was in a cataleptic-like state for two days, the experience itself occurring at the end of this period. Some common features of NDEs, such as encounters with deceased people and being sent back, are present, together with clear evidence that past and present cultural environment shape in part the content of mental experiences.This work was funded in part by the University of Chile (DTI Project Q-3064).The author thanks Editorial Andrés Bello for permissionto translate the near death account into English.     

The effects of violence on infants and young children: international perspectives on prevention

People become subject to political and social violence when governments fail to give priority to basic health care or education. Attempts to meet foreign obligations also produce severe economic recessions which further impede efforts to improve the general quality of life of disadvantaged populations. Since multiple factors contribute to violence, a multidisciplinary approach is best suited to address the problem. For example, poverty and its associated risks are linked to violence, but living in poverty does not necessarily engender violence. Living in poverty may, however, fuel high rates of child mortality, illiteracy, malnutrition, excessive population growth, street children, and familial disintegration. An integrated action program was developed in Brazil for at-risk individuals and their families based upon the idea of building and reinforcing family ties and intergenerational togetherness. Undernourished infants, street children, the handicapped, women subjected to violence, and neglected senior citizens received special interventions in the program described in the text.     

Group analytic therapy with schizophrenic outpatients

This paper describes a model for group analytic psychotherapy with patients who have been psychotic, namely, schizophrenics and manic depressives. The groups are run on the group centered principles of S. H. Foulkes. They are continuous, slow-open groups, in line with these patients' needs for long-term therapy. A theory is proposed which justifies treating these patients in group-centered groups despite their great dependency needs. The paper also describes the task of the therapist in building and running such a group.Acknowledgments to Geoffrey Elkan, Marcia Levene, Noa Rotem, Aya Levi-Posnanski, Yossi Ezrati, S. Littman, Tamar Sternberg, E. Danilowitz, and C. Kauffman.     

Self-Monitoring negative statements

We examined the effects of a self-monitoring program on reducing the frequency of negative statements of a student with mild mental retardation who was enrolled in a self-contained classroom at a middle school. A changing criterion design was used within a multiple baseline design across two classroom periods. Additionally, the frequency of positive statements was reported. The results showed a decrease in the number of negative statements, and an increase in the number of positive statements. Maintenance data collected up to 8 weeks after the program ended indicated that the student continued to emit positive rather than negative statements. The use of this procedure to decelerate undesirable behavior is discussed.     

The dead donor rule: should we stretch it, bend it, or abandon it?

The dead donor rule--that persons must be dead before their organs are taken--is a central part of the moral framework underlying organ procurement. Efforts to increase the pool of transplantable organs have been forced either to redefine death (e.g., anencephaly) or take advantage of ambiguities in the current definition of death (e.g., the Pittsburgh protocol). Society's growing acceptance of circumstances in which health care professionals can hasten a patient's death also may weaken the symbolic importance of the dead donor rule. We consider the implications of these efforts to continually revise the line between life and death and ask whether it would be preferable to abandon the dead donor rule and rely entirely on informed consent as a safeguard against abuse.