Screening people with anxiety/depression for suitability for guided self-help

The aim of this study was to test a questionnaire for screening people with anxiety/ depression for their suitability for certain forms of computer-guided self-help. A total of 196 referrals completed the screening questionnaire. Three clinicians each independently judged the referrals' broad problem type and suitability. Referrals were randomized to 1 of 3 clinicians for a screening interview. The results show that inter-clinician agreement was good for questionnaire-based problem type and suitability, and excellent for screening interview-based problem type and suitability. Agreement between the questionnaire and interview was good on problem type but poor on suitability. Compared with the screening interview, the questionnaire detected suitable patients well but unsuitable patients less well. In conclusion, by quickly scanning the completed questionnaire, clinicians were able sensitively to detect patients' problem types that were suitable for certain forms of self-help. Some unsuitability items need refining.     

The Classroom as a Courtroom

Using the metaphor of the classroom as a courtroom promotes insights regarding our school system. For example, in the courtroom, act severity and the presence or absence of a guilty mind determine criminal sentencing. In a similar manner, in the classroom, the respective determinants of performance evaluation are exam score and the presence or absence of effort expenditure. In addition, the purposes of courtroom punishment (utilitarian and retributive) can also be observed in classroom settings and pupil impression management strategies concerning why they performed poorly can be viewed as attempts to communicate mitigating circumstances so that their punishment is lessened. Some additional consequences of this ill-fated metaphor are also examined.     

Eroticism in group psychotherapy: psychoanalytic reflections on desire, agony, and ecstasy

To fully understand the complexities of eroticism in groups, it may be necessary to review a conceptual differentiation of desire and its allies: agony and ecstasy. This article suggests that psychoanalytic group psychotherapy is made for neither agony nor ecstasy. Sexual excitement maybe; eroticism and desire, yes; agony and ecstasy, no. While agony or ecstasy imply a threat to the survival of the group, eroticism and desire reaffirm its existence. In this manner the group may be converted into a theater where desire may be celebrated, while the threat of being dissolved in the depths or exaltation of agony and ecstasy is elaborated and worked through: "Desire is desire only if it succeeds in postponing something".     

Legal issues raised in treating sex offenders

For the past 50 years the criminal justice system has distinguished sex offenders from other criminals. This has resulted in their differential treatment, with the goal being to eliminate their inappropriate behavior. This article discusses the history and status of mentally disordered sex offender (MDSO) statutes. A review of the legal issues which arise when treating a sex offender without statutory authorization is provided. A discussion of problems raised in treating the offender on both an inpatient and outpatient setting is presented. The article concludes with an analysis of the legal problems confronting the treatment provider in working with this group of individuals.     

Temporal aspects of female musk shrew (Suncus murinus) sexual behavior

The effects of testing condition on sexual behavior were examined in female musk shrews (Suncus murinus). Females were tested in 2 conditions, a pair test and a paced test. The pair test was similar to traditional sex test conditions in which the female and male are placed into the same chamber together until mating occurs. The paced condition allowed the female to leave the male's chamber and revisit him at will, thus "pacing" the interaction. Females displayed receptivity continuously for 14 days in both conditions. In the paced condition, females were less likely to become receptive within 30 min and mate to ejaculation. However, few additional differences were found between test conditions. Because this is the 1st experiment to use a pacing test paradigm in a species with induced ovulation, the authors speculate that the absence of pacing behavior during mating may be shown by other species that have induced ovulation.     

The influence of perceived responsibility and personality characteristics on the emotional and behavioral reactions to people with AIDS.

The present study examined the effect of a target's personality and responsibility for a misdeed on a perceiver's emotions and behavior by determining the variables' impact on the perceiver's emotional reactions and willingness to help the target. A total of 134 Germans and 171 Americans were given information about the level of responsibility (low, medium, or high) for a person's infection with HIV, 2 variations of information about the target's personality (positive vs. negative), and the transmission mode of the virus (needle vs. unsafe sex). Although B. Weiner's (1995) model of responsibility partially explained the findings, the results showed that the target's personality also contributed to the perceiver's emotional and behavioral reactions.     

Group therapy reduces medical and psychiatric hospitalization.

This article studies the impact of outpatient group therapy on medical care at a large city-county hospital. Of the 65 group therapy outpatients, 33 persons met the criterion of having attended at least 12 group sessions over the course of a year. We compared a control period (the year prior to initiating group therapy) with a study period (months 6-18 after starting group) and found a sharp decrease in the number of hospitalizations and in-hospital days. There was significantly increased use of neuroleptics and nonpsychotropics and increased attendance at nonpsychiatric clinics.