Cognitive-behavior therapy and physical disability

This article attempts to assist the cognitive understanding of children and adults with significant physical disability. A discrimination is offered between disability and handicap. Common cognitive schemes and irrational beliefs of people with physical disabilities are explored. The development of belief systems from a social learning perspective and several cognitive assumptions of parents and families of children who have physical disabilities are presented. Finally, certain self evaluative beliefs specifically related to physical disability are examined in terms of how they relate to self image and, concomitantly, behavior. The article offers information arrived upon from the author's clinical practice as well as the author's personal experience as a person with a physical disability.Dr. John D. Sweetland, received his Ph.D. in Clinical and School Psychology from Hofstra University in 1979. His doctoral dissertation involved the application of a Rational Emotive Education program specifically for severely physically disabled children. He is a licensed psychologist in New York State, a school psychologist with the Port Washington Public Schools and in private practice with offices in Merrick and Massapequa, Long Island. Dr. Sweetland had polio and is semiambulatory. He was also a gymnast and a nationally ranked competitive acrobat.     

The etiology of schizophrenia as perceived by psychiatrists in Europe and the United States

This paper compares and contrasts statements made by American and European psychiatrists on the etiology of schizophrenia. In the U.S., leading figures in psychiatry hold increasingly to the view that the disorder is physiogenic at source—from which it seems to follow that the appropriate treatments should similarly focus on physiological and pharmacological therapies. In contrast, European psychiatrists seem to be divided in support for organic and psychodynamic explanations. Some European writers have pointedly warned against over-interpreting recent studies which seem to point to specific organic dysfunctions and deficits as schizophrenogenic. This paper was presented at the Second Annual Convention of the American Psychological Society, Dallas, Texas, June 7–10, 1990.     

Limiting the role of the family in discontinuation of life sustaining treatment

In matters of discontinuation of life-sustaining treatment, traditional role of the family to speak on behalf of the incompetent patient is questionable. We explore the reasons why physicians perceive patient autonomy to be transferrable to family members. Principle of patient autonomy may not suffice when futile treatment is demanded and may serve to erode the ethical integrity of medical profession. An enhanced role for bioethics committees is proposed when physicians propose to discontinue life-sustaining treatment against the wishes of the patient or their families.     

The elderly and high technology medicine: A case for individualized,autonomous allocation

The issues involved in decision making about the aggressiveness of future medical care for older persons are explored. They are related to population trends, the heterogeneity of older persons and a variety of factors involved in individual preferences. Case studies are presented to illustrate these points, as well as a review of pertinent literature. The argument is offered that, considering these many factors, a system of flexible, individualized care by informed patient preference, is more rational than the rationing of technological services by age.     

A Commodore 64-based interface system for the operant laboratory

A system of interfaces for the Commodore 64 (C-64) microcomputer for use in the operant laboratory is described. This system frees the experimenter from limitations on the number of I/O lines available on the user port of the C-64 and offers the control of operant chambers for a low cost. Subroutines in machine code to control the interfaces, offering millisecond timing of external events, are presented. A sample BASIC program demonstrates how the subroutines are called from BASIC to run a simple discrimination experiment.