A review of: “Breach of trust: Sexual exploitation by health care professionals and clergy”

John C. Gonsiorek (ed.) (1995) Breach of Trust: Sexual Exploitation by Health Care Professionals and Clergy, Beverly Hills, CA: Sage, $21.95     

The place of psychotherapy and counselling in a healthy European social order: A commentary on Tantam and Van Deurzen

This commentary on Tantam and van Deurzen's vision for psychotherapy in Europe (this issue, pp. 228-235) interrogates their seeming modernity-driven, rights-obsessed convictions. Specifically, their uncritical advocacy of control-fixated political intrusions into the cultural-spiritual sphere is challenged; and critical reflections are offered on institutional professionalization; the authors' profession-centred, grandiose discourse; and therapy's alleged scientificity. Some dangers associated with individualised therapy's becoming a fetishized, institutionally sanctioned ‘regime of truth’ are voiced — one practicable antidote to which is the deliberate cultivation of an ongoingly deconstructive, ‘New Paradigm’ approach to therapy which, not least, mistrusts therapy's tendency towards delusory, self-interested exaggeration of its own cultural indispensability.     

Time,money, and happiness: How does putting a price on time affect our ability to smell the roses?

In this paper, we investigate how the impatience that results from placing a price on time impairs individuals' ability to derive happiness from pleasurable experiences. Experiment 1 demonstrated that thinking about one's income as an hourly wage reduced the happiness that participants derived from leisure time on the internet. Experiment 2 revealed that a similar manipulation decreased participants' state of happiness after listening to a pleasant song and that this effect was fully mediated by the degree of impatience experienced during the music. Finally, Experiment 3 showed that the deleterious effect on happiness caused by impatience was attenuated by offering participants monetary compensation in exchange for time spent listening to music, suggesting that a sensation of unprofitably wasted time underlay the induced impatience. Together these experiments establish that thinking about time in terms of money can influence how people experience pleasurable events by instigating greater impatience during unpaid time.     

Transfer of therapeutic effects from institution to home: faith, hope, and behavior modification.

Effective transfer of therapeutic results from institutional to home settings is a demanding problem facing family therapists. The issues involved and one approach to their solution are examined through the case of a 10-year-old boy hospitalized for severe antisocial behavior. Once results were obtained in an institutional setting, the therapeutic program there was faded out and concurrently faded into the home. Three- and 12-month follow-ups revealed continued improvement.     

Measures of interobserver agreement: Calculation formulas and distribution effects

Seventeen measures of association for observer reliability (interobserver agreement) are reviewed and computational formulas are given in a common notational system. An empirical comparison of 10 of these measures is made over a range of potential reliability check results. The effects on percentage and correlational measures of occurrence frequency, error frequency, and error distribution are examined. The question of which is the best measure of interobserver agreement is discussed in terms of critical issues to be considered     

The ontogeny of defensive reactions in the rat: Influence of the monoamine transmission systems

The effects of neonatal treatment of rats with the neurotoxins 5,7-dihydroxytryptamine and 6-hydroxydopamine on the ontogeny of the ultra sound vocalization and the immobility response were studied. The 5,7-dihydroxytryptamine treated rats showed reduced strength of both reactions indicating involvement of the serotonin system in their ontogeny. This hypothesis was supported by experiments with depletion of serotonin by para-chlorophenylalanine followed by replenishment with 5-hydroxytryptophan. The 6-hydroxydopamine treated rats showed normal defensive reactions, but displayed hyperactivity from their second week of age. The role of the dopamine system in the defensive reactions was studied by variations of the dopamine activity level by traditional tools: depletion by α-methyl-tyrosin followed by replenishment by l -DOPA; stimulation or inhibition of the dopamine receptors by apomorphine or haloperidol. The results suggested an inhibitory function of the dopamine system in both defensive reactions, antagonistic to that of the serotonin system.     

A National Survey of AIDS Training in Counselor Education Programs

A review of the literature suggests that counseling professionals may not be receiving substantive training related to AIDS. In this article, all U.S. counselor education programs were surveyed to determine the extent of such training. The responding programs (N = 243) identified AIDS as a high priority for inclusion in curricular programming, yet nearly 40% of the responding programs did not include any AIDS training in their curricula. Implications for counselor education and the counseling profession are discussed, and suggestions are made for including AIDS-related training in programs.     

The relationship between age and depressive symptoms in two national surveys.

There is inconsistency in the literature on the relationship between age and depressive symptoms. Although a careful review shows that some of this inconsistency can be reconciled by recognizing the nonlinear relationship (Newmann, 1989), 2 additional issues remain unclear. One is that most previous studies used depression screening scales that contain somatic items that could introduce an age bias. The other is that most previous studies combined samples of men and women even though there is evidence that the sex difference in depressive symptoms varies with age. These 2 issues are addressed in this article, using analyzed data from 2 large national surveys. There is a consistent, but quite modest, nonlinear association between age, somatic, and nonsomatic depressive symptoms in both surveys. There is no significant sex difference in the age curves.