A systems analysis of a campus community mental health facility: A preliminary investigation

Faced with increasing demand and relatively static resources, community mental health facilities need to evaluate their functions in terms of time, cost, and performance effectiveness. For this study, the technology of systems analysis was applied to the functions of a progressive university counseling center. The systems analysis provided a management and information flow analysis and a time and cost analysis, as well as a performance analysis. This study focused on the preliminary results of the time, cost, and performance analysis.Gratitude is extended to the remainder of the systems analysis team for their assistance in the project, as well as the staff of The University of Texas Counseling-Psychological Services Center for their cooperation. This project was partially funded by National Science Foundation grant GJ 509X3, by the Counseling-Psychological Services Center, and by the Office of the Vice President for Student Affairs. Special acknowledgement is made of the support of Ronald M. Brown, Vice President for Student Affairs, The University of Texas at Austin. The systems analysis team included T. Bishop, C. Black, J. Byars, R. Byars, P. Caroom, J. Littlefield, A. Nutt, M. Rood, E. Salsbury, and C. Weinstein.     

Perception of multidimensional stimuli: a differential-sensitivity account of cognitive processing and development.

A differential-sensitivity account of cognitive processing is described that emphasizes the development of perceptual sensitivity to object relations that are directly perceived. Four experiments are presented that investigate this account and compare it to the integrality-separability view of development and the view that younger children are nonselective in their processing of multidimensional stimuli. Results show that stimulus differences are more salient than identities (Expt. 1), younger as well as older children are highly selective in their perception and classify stimuli by separate dimensions (Expt. 2), differential sensitivity affects the perceived magnitude of stimulus differences (Expt. 3), and younger and older children perceive separate dimensions in speeded classifications (Expt. 4). The importance of considering individual patterns of responses in cognitive and developmental research is also demonstrated.     

Choice of Therapeutic Approaches as a Function of Sex of Subject, Type of Problem, and Sex and Title of Helper

A study was carried out using 96 subjects to discover how their preferences for four therapeutic approaches varied as a function of their sex, the type of problem they were asked to imagine they had (intimate or work/academic), and sex and title (counsellor or psychotherapist) of the professional from whom they would seek help. The four approaches used were: psychoanalytic therapy, cognitive-behavioural therapy, humanistic therapy, and a 'common-sense' approach consisting of responses typically given by non-professional helpers (e.g. friends and relatives). The results showed that the cognitive-behavioural approach was preferred overall, closely followed by the humanistic approach; the common-sense approach and psychoanalytic therapy were given the lowest ratings. However, interactions showed the picture to be more complex than this: women preferred female helpers, with men having no particular preferences; and the type of approach subjects preferred depended to some extent on the type of problem they had and the title of the helper consulted. The results suggest that counselling centres should be staffed with helpers of both sexes and differing theoretical backgrounds, so as to give clients as wide a choice of therapeutic help as possible.     

Social positions in the city of light

This article describes the social positions of inhabitants in the otherworldly City of Light as reported by a limited number of Mormon near-death experiences (NDErs). These social positions included men and women and various relatives and friends, in addition to authorities or administrators, genealogists, guardians, guides, homemakers, missionaries, teachers, and students. These reports of social positions in the City of Light are similar to those described by other researchers, and are comparable to those found in our own world.The authors thanks Jay G.Burrup for providing a section of theDiary of George Henry Carver. This research was supported in part by a sabbatical leave granted to Dr. Lundahl by the Sabbatical Leave Committee of Western New Mexico University.     

The personal inventory as a psychotherapeutic technique in treating a person with AIDS

The use of a personal inventory, an adaptation of the moral inventory used in Twelve Step programs, is discussed as a psychotherapeutic tool in providing treatment to persons with AIDS. Clinical application of this technique can facilitate progress toward achieving a sense of integrity prior to death by addressing a client's feelings of guilt and shame. The authors describe the use of this technique in working with a young adult African-American female diagnosed with AIDS and discuss appropriate and inappropriate applications of this approach.     

Trends in geriatric psychiatry relevant to pastoral counselors

This article is a general overview of mental disorders in the aged that stresses the complementary roles that religious and mental health professionals can play in meeting the psychological and spiritual needs of elders. Chaplains and pastoral counselors should be competent in recognizing serious psychiatric disorders in older adults and able to differentiate them from the more common and benign emotional disturbances. Both counseling and biological treatments have distinct but often overlapping roles in the treatment of mental disorders in the aged. When treating emotionally disturbed elders, religious professionals should be aware of new trends in psychotherapy and biological psychiatry that are now making the integration of secular and religious techniques more and more feasible.Funding for this study was provided by the Center for the Study of Aging and Human Development at Duke University Medical Center and by the Geriatric Research, Education, and Clinical Center of the Veterans Administration Medical Center in Durham, North Carolina.     

Representation of spatial structure in reaching to a visual target.

Reaches made without feedback to positions on an object's surface reflect the spatial form of the surface. In Experiment 1, the reaching pattern varied with the stimulus surface's spatial attributes, consistent with a point-by-point perceptual representation of the surface. In Experiment 2, systematic reaching errors were determined solely by target position regardless of surface structure, implying a highly consistent representation of location. In Experiment 3, illusory slant was imparted to a surface by an aniseikonic lens. Individual variations in directly judged slant were reflected in the reaching pattern, implying organization of local perceptual representation of location and global perception of spatial attributes of the stimulus into a coherent structure.     

Patterns and determinants of attitudes of psychiatric residents toward group therapy

The nature and origins of psychiatric residents' attitudes toward group psychotherapy were assessed by means of a semistructured interview. Subjects were 10 PGY-4 residents from five different residency training programs. Questions focused on subjects' perceptions of the possibilities and limitations of group therapy as a treatment modality, the efficacy and dangers of combined and conjoint treatment, the nature and extent of their training experiences in group approaches, the salient characteristics of their group therapy teachers and supervisors, and the attitudes of faculty about group psychotherapy that they were able to infer. Results suggest enormous variability of residents' attitudes. Hypotheses about the reasons for such variability are offered.     

Shame,attachment, and addictions: Implications for family therapists

Research based on attachment theory is reviewed for its relevance to the development of later addictions. The problem of internalized shame as an attachment related issue is discussed. Some original research into internalized shame using the Internalized Shame Scale is summarized. The relevance of this research and theory for family of origin based treatment of addictions is explored.