The Evolution of Empathy

Therapeutic empathy has been an often-used construct by counseling professionals. Through that usage, the term has evolved in meaning and significance from its original presentation by Carl Rogers. This article traces that evolution by identifying its users and contributors over the past 20 years. These include counselor-practitioners, counselor educators, researchers, and increasingly, the public. The resulting changes have implications for future research directions, counselor training, and the practice of counseling.     

Right hemisphere comprehension of verbs in patients with complete forebrain commissurotomy: Use of the dichotic method and manual performance

The paradigm of dichotic listening was used to investigate verbal comprehension in the right, so-called “nonverbal,” hemisphere. Verbal commands were presented to the right and left ears in the simultaneous (dichotic) paradigm. There were striking instances, especially when the left hemisphere was occupied with some extraneous task, in which the right hemisphere understood the verbal command and executed the appropriate motor responses. In those instances the left hemisphere gave no overt response. Although the left hemisphere was usually dominant, it can be nevertheless concluded that not only can the right hemisphere understand verbal commands but can also express itself manually by executing actions more complex than object retrieval or pointing. As has been known for some time, the blockage of the ipsilateral pathway seems so complete during dichotic listening in the commissurotomy patient that there is no report of the words in the left ear—only of those presented to the right. At the same time there is normal report when words are presented to the left ear alone. It was found in the present study, however, that this model is too simple and only applies to the verbal response paradigm of dichotic listening. Under circumstances of dichotic presentation where the stimulus in the left ear (ipsilateral pathway) is necessary or important to the left hemisphere for completing a task, words from both pathways are reported. One may conclude that there exists a gating mechanism in each hemisphere that controls the monitoring of each auditory pathway and the degree of ipsilateral suppression.     

Production deficits in aphasia: A voice-onset time analysis

An experimental study was conducted to examine phonetic and phonemic deficits in the speech production of aphasics. Subjects included four Broca's aphasics, four Conduction aphasics, five Wernicke's aphasics, one nonaphasic dysarthric patient, and four normal controls. The subjects read a list of words containing word-initial stop consonants which were subsequently measured acoustically for voice-onset time. The results showed that Broca's aphasics exhibit a more severe production disorder than Conduction aphasics who in turn exhibit a more severe disorder than Wernicke's aphasics, in accord with clinical observations. In addition, although Broca's aphasics produced both phonetic and phonemic errors, the results showed that they have a pervasive phonetic disorder which affects their correct target productions as well as the total number of phonetic errors produced. This deficit however seems to be a speech deficit rather than a low-level motor control problem. In contrast, the Wernicke's aphasics show a deficit characterized by isolated phonemic mistargeting errors. Finally, the pattern of productions for the Conduction aphasics indicates that some patients show a predominantly phonetic disorder similar to the Broca's aphasics and others show predominantly a phonemic disorder similar to the Wernicke's aphasics.     

The computer psychiatrist: How far have we come? Where are we heading? How far dare we go?

The use of computers in psychiatry and psychology is reviewed. It is noted that computers are already being used successfully for consultation, interviewing, and continuing education. Issues related to the usage of computers in mental health are discussed. Guidelines for future work in the area are suggested.     

Postdecision evaluation of choice alternatives as a function of valence of alternatives,choice, and expected delay of choice consequences

The effects of valence of alternatives, choice, and expected delay of choice consequences on postdecision evaluations of choice alternatives were studied by either giving subjects a choice between two experimental tasks (both either pleasant or unpleasant) or assigning subjects their initially preferred task. Crosscutting valence and choice, subjects expected either no delay, 10-min delay, or 30-min delay before engaging in the task. All subjects evaluated both tasks immediately after the delay instructions but before experiencing the actual delay. Results confirmed the expected dissonance effect; that is, an upward evaluation of the chosen alternative and a downward evaluation of the rejected alternative, relative to no-choice conditions. Moreover, the relative upward evaluation of the chosen alternative increased as the expected delay decreased. Valence was not found to interact with other variables. The results are discussed in terms of differential salience of choice alternatives.     

Ear differences in simple reaction time: The influence of attentional factors

Simple motor reaction times (right-handed) to tape-recorded consonant-vowel syllables were obtained from 12 subjects under two conditions of monotic stimulation: “expected” presentation (subject informed as to ear of presentation) and “random” presentation (ear of presentation varied randomly). Significantly faster left ear reaction times were obtained in the “expected” condition. The rank order of subjects' standard dichotic listening task scores correlated negatively with reaction time ear differences in the “expected” presentation condition. Results are discussed in terms of existing theories of response lateralization in simple reaction time tasks, and an expanded hypothesis is offered. Specifically, it is suggested that two or more distinct but potentially overlapping mechanisms may be responsible for observed asymmetries in monotic auditory perception. Both an attentional or lateralized motor response bias and an inherent lateralization of function may operate side by side, differentially activated by task demands, mode of stimulus presentation, and nature of stimuli.     

Changes in degree of sclerosis as a function of prophylactic treatment in cancer-prone and CHD-prone probands

One-hundred and ninety-two probands were selected on the basis of personality questionnaires as being cancer-prone (100) or CHD-prone (92). They were then randomly divided into a control and a treatment group, the latter receiving a special kind of behaviour therapy attempting to change the personality patterns in the direction of a healthier, more autonomous personality. Follow-up after 10 and 13 years disclosed significantly lower death rates in probands receiving prophylactic treatment than in controls. Of special interest was the degree of sclerosis in the fundus of the eye, rateds on a 3-point scale. This was significantly higher prior to therapy in the CHD-prone group than in the cancer-prone group. Treatment reduced the degree of sclerosis, particularly in the CHD group; lack of treatment was followed by an increase in sclerosis. Similar but less marked changes were found in the cancer-prone group. Clearly psychological treatment affects significantly bodily functions associated with CHD. Other risk factors considered were systolic and diastolic blood pressure, blood cholesterol and blood sugar, all of which, together with personality, influenced the degree of sclerosis observed.     

Self-Consciousness,Self-presentation,and Performance Under Pressure: Who Chokes,and When?

Choking under pressure by persons low and high in self-consciousness was examined as a function of two sources of performance pressure: audience and performance feedback. Subjects competed with an alleged opponent on a psychomotor task while alone, before a supportive (same team) audience, or a nonsupportive (opposing team) audience. Before the critical trial, subjects learned that their team was either somewhat ahead of or somewhat behind the opposing team. Self-consciousness, audience, and feedback interacted to affect performance during the critical trial. When disappointing the audience was likely, subjects low in self-consciousness choked. Subjects high in self-consciousness tended to choke when they were told that their team had fallen behind. It is suggested that persons who are low and high in self-consciousness experience different types of performance pressure due to disparate self-presentational motives.     

An application of a biased version of the Bradley-Terry-Luce model to professional basketball results

Some extensions of the Bradley-Terry-Luce model for paired comparisons are presented and used to assess the existence of a home court advantage for professional basketball teams. It is shown how maximum likelihood estimates for these models can be obtained from a simple iterative scaling algorithm. Won-loss records for the regular season are used to make predictions for playoff series. The models are extended to include possible differences among divisions. These models can be applied in many other situations to incorporate group effects and order effects into analysis of paired comparisons.