The escape-to-Israel syndrome: Variations on the geographic cure

The author conceptualizes a pattern of thought and behavior that can be called the escape-to-Israel syndrome. This pattern is a contemporary variety, appearing primarily in the Jewish population, of the geographic cure: that is, one can solve one's personal dilemmas by moving from one place to another. The syndrome is characterized by a tendency to idealize life in Israel. This idealization, and the viewers' fantasy of their own future in Israel, deflect solid confrontation with genuine personal problems. If, in fact, they do move to Israel, they may experience shock and trauma at the gap between expected reality and the discovered one. This may only compound their emotional difficulties.The author wishes to express his gratitude to Professor Shamai Davidson, Clinical Director of the Shalvata Mental Health Center, Hod HaSharon, Israel, for his critical comments during the preparation of this article.     

Stressful events and coping responses among older adults in two sociocultural groups

In this study of the way 32 men and women between the ages of 60 to 90 coped with stressful situations, two instruments were used: the Life Experiences Survey and the Ways of Coping Checklist. Overall, health-related concerns were more frequently reported by older adults than any other stressful event. When coping responses were categorized according to four modes--intrapsychic, inaction, direct action, and information seeking--the Appalachian group was found to use the information-seeking mode; the Cherokee group, the intrapsychic mode. Significant differences were found between males and females in coping modes and life-stress categories. When groups were combined, significant correlations were noted between life stress, particularly health-related stress, and the coping modes of intrapsychic and information seeking.     

Characteristics of dropouts, remainers, and refusers at a psychosocial rehabilitation program for the chronically mentally disabled

Thirty-eight chronically mentally disabled patients who were invited to join a newly established, vocationally oriented, day treatment program in Raleigh, North Carolina, served as subjects. We attempted to determine whether demographic and psychosocial characteristics significantly differed among groups of clients who dropped out of, remained in, or refused membership in this community-support program. A variety of demographic, expectancy, psychological, and psychosocial measures were administered to each subject. Most significant was the finding that the subjects' perceived level of help and support from friends was a significant determinant of the level of program participation. Those subjects who refused to participate (refusers) perceived themselves as receiving proportionately less support than did members of the other two groups (dropouts and remainers).     

A supervision approach for teaching structural/strategic therapy in a limited setting

Many counselors are currently undergoing a Kuhnian paradigm shift from linear models of behavioral problem conceptualization to systemic conceptual models. As a result, it has become incumbent on counselor-educators to introduce the systems concept of family therapy to their students within a framework that renders it meaningful not only intellectually but also practically. This paper presents one way of doing this successfully with master's level counselors-in-training who have no live families on which to practice. An overview of systems approaches to family therapy is presented along with a seven-stage supervision approach for teaching structural/strategic therapy in limited situations where the supervision of live families is not practical or possible.     

The physician as priest,revisited

Despite much resistance from the medical profession, the notion persists in our culture that the physician plays a priestly role. Medical resistance must be taken seriously. It stems from legitimate concerns that the priestly role implies an unwelcome broadening of medical responsibilities, expectations of moral expertise, and being on the receiving end of people's most intense existential hopes. On the other hand, the nature of illness and healing makes it inevitable that physicianswill take on ministerial functions in their medical work. This essay attempts to recover the notion of the physician as priest on the basis of theological and religious reflection on the nature of ministry and pastoral care.     

The role of observing and attention in establishing stimulus control.

Early theorists (Skinner, Spence) interpreted discrimination learning in terms of the strengthening of the response to one stimulus and its weakening to the other. But this analysis does not account for the increasing independence of the two performances as training continues or for increases in control by dimensions of a stimulus other than the one used in training. Correlation of stimuli with different densities of reinforcement produces an increase in the behavior necessary to observe them, and greater observing of and attending to the relevant stimuli may account for the increase in control by these stimuli. The observing analysis also encompasses errorless training, and the selective nature of observing explains the feature-positive effect and the relatively shallow gradients of generalization generated by negative discriminative stimuli. The effectiveness of the observing analysis in handling these special cases adds to the converging lines of evidence supporting its integrative power and thus its validity.     

An infrared system for the detection of a pigeon''s pecks at alphanumeric characters on a TV screen: the dependency of letter detection on the predictability of one letter by another.

Three pigeons pecked at letters of the alphabet and at the symbol "?" displayed on a computer-driven cathode ray screen. A 4 by 4 matrix of infrared emitting and detecting diodes and associated circuitry identified the location of a pigeon''s responses to the screen. Responses at the target letter T were probabilistically reinforced with food whenever T appeared in a string of three letters in the middle of the screen. Responses at the symbol "?" appearing below this string were probabilistically reinforced whenever T did not appear. The letter F anywhere in the three-character string either strongly predicted the occurrence of the target letter T, in two conditions, or predicted its nonoccurrence, in a third. This manipulation of the frequency with which the familiar letter F predicted T was shown to change the function relating probability of a correct peck at the symbol "?" to the number of Fs in the string. This effect may be interpreted as an instance of the phenomenon where an organism''s acquired knowledge changes what it sees.