The evolution of a therapy group for vietnam veterans on a general psychiatry unit

The evolution of a therapy group for hospitalized Vietnam veterans with post-traumatic stress disorder (PTSD) and related symptomatology is described. The literature on group treatment for this population is briefly reviewed and discussed in relation to an inpatient psychiatry setting. The prevailing conditions at the time of group inception are recalled along with the initial goals of the therapeutic intervention. Problems encountered are also discussed, along with the changes made in response to these identified difficulties. The results of three and one-half years of experience with this group are described in detail.The authors would like to thank Cynthia Sturm, Ph.D. for her helpful editorial assistance.     

SERIOUS DELINQUENT BEHAVIOR AS PART OF A SIGNIFICANTLY HANDICAPPING CONDITION: CURES AND SUPPORTIVE ENVIRONMENTS

The past 20 years have been productive ones for the field of applied behavior analysis. A brief review of our own efforts during this period reveals that we have accomplished several but not all of our goals for the Teaching-Family approach. In this context, we note that the setting of realistic and appropriate goals is important for the field and for society. Moreover, we suggest that the realistic goal for some persons with serious delinquent behavior may be extended supportive and socializing treatment rather than permanent cure from conventional short-term treatment programs. We base this suggestion on the accumulating evidence that serious delinquent behavior may often be part of a significantly disabling and durable condition that consists of multiple antisocial and dysfunctional behaviors, often runs in families, and robustly eludes effective short-term treatment. Like other significant disabilities such as retardation, autism, and blindness, the effects of this condition may be a function of an interaction of environmental and constitutional variables. We argue that our field has the wherewithal to construct effective and humane long-term supportive environments for seriously delinquent youths. In this regard, we explore the dimensions, rationales, logistics, and beginnings of a new treatment direction that involves long-term supportive family treatment. We contend that such supportive families may be able to provide long, perhaps even lifetime, socializing influences through models, values, and contingencies that seem essential for developing and maintaining prosocial behavior in these high-risk youths.     

Recommended Regulation of Common Drugs: The Relative Influence of Facts vs. Labels

The present study examined the hypothesis that individuals are more influenced by a drug name than by the side effects associated with that drug when making recommendations regarding regulation. Subjects recommended the amount of regulation that should exist for eight drugs ranging from aspirin to LSD. One third of the subjects were asked to make recommendations based only on the drug name. Another third made recommendations based only on the facts associated with the drugs (i.e., side effects, symptoms). A final third made recommendations based on both facts and the drug name. Results indicated that, when given only the facts, subjects' recommendations deviated greatly from the actual regulation of the drugs but that the facts were ignored if subjects knew the name of the drug. These results suggest that critical information may be ignored when decisions are made about drug regulation. The implications for self-regulated drug use are discussed.     

The Effects of Clothing and Dyad Sex Composition on Perceptions of Sexual Intent: Do Women and Men Evaluate These Cues Differently1

The effects of clothing revealingness and dyad-sex composition on perceptions of male- and female-stimulus persons' sexuality were examined. Based on Abbey's (1982) findings, we hypothesized that men would attribute more sexuality to both male and female targets than women would. Furthermore, we predicted that the difference between men's and women's sexuality ratings would be most divergent when a male-female dyad was presented and when the female stimulus person wore revealing clothing. A laboratory study was conducted in which subjects viewed a photograph of two students in a classroom. As predicted, male subjects rated female targets as more sexy and seductive than did female subjects. Also as predicted, female targets who wore revealing clothing were rated as more sexy and seductive than those wearing nonrevealing clothing. Female targets were rated higher on sexual traits regardless of the gender of their partner. Men did not consistently perceive male stimulus persons more sexually than women did. Finally, both female and male targets were perceived as more kind and warm when they wore nonrevealing clothing. The implications of these findings for person perception and date rape research are described.     

The fundamental rule: a study of current usage

Members of the editorial boards of the Journal of the American Psychoanalytic Association, Psychoanalytic Quarterly, and Psychoanalytic Inquiry, plus selected analysts from Canada, France, and England, were asked how they presented the fundamental rule to their analysands and what considerations led to their choice of initial guidelines. Forty-nine of eight-three analysts responded to the survey. The respondents described diversity in phrasing of the fundamental rule, the time in analysis when the guidelines are given, and the reasons for the practice they follow. The method each chose appears to reflect the differing conceptions analysts have of the analytic process. Two major trends emerged: either our respondents emphasized delineating a work or functional framework or contract, or they emphasized establishing an attitude or spirit of cooperation, mutuality and work sharing. In each group respondents differed as to whether they favored minimal or more lengthy instructions. They also differed as to whether they followed a consistent approach or one tailored to the needs of the individual analysand. A source of tension lay in an inclination either to remain in the tradition set by Freud or to experiment with different phrasings and timings. The authors give their reasons for choosing to give explicit instructions, requesting associational material beyond thoughts and feelings, and describing resistance as inevitable and a potential source of insight.     

Changes in the level and quality of object relations in psychoanalysis: followup of a longitudinal, prospective study

As part of a prospective, longitudinal study of suitability for and outcome of psychoanalysis, 22 patients were evaluated for changes in the level and quality of their object relations. These patients had been accepted for supervised analysis with candidates in training by senior analysts who had diagnosed them as neurotic. The majority of these patients reported difficulties in relationships as at least one of their reasons for originally seeking psychoanalytic treatment. Prior to beginning analysis, each patient was given a battery of psychological tests. One year after the termination of analysis, the test battery was readministered and a followup interview was conducted separately with each patient and analyst. Ratings of change based on patient and analyst interviews and comparisons of psychological tests before and after treatment all showed statistically significant improvement in the level and quality of object relations for this patient group. The results of this study support what is often observed in clinical practice, that psychoanalysis has a positive effect on the level and quality of a patient's object relations.     

Adolescent marijuana use: the role of the physician

Adolescent marijuana use is an issue of concern to the community at large. Physicians now have the technology to identify marijuana use and thus are in a unique position to deal with the issue. This article addresses the moral issues related to screening and surveillance of adolescent marijuana use and postulates the justification for active physician intervention.     

Violent crime, sociopathy and love deprivation among adolescent delinquents

Ever since Wechsler observed that the adolescent sociopath characteristically scored higher on the performance section of the Wechsler IQ scale relative to the verbal section, psychologists have been debating its meaning. This study examines the relationships between P-V discrepancy scores, love deprivation, and juvenile delinquency among a sample of juvenile probationers. P greater than V scores were significantly related to love deprivation and violent crimes. It was determined that much of the explanatory power of P greater than V with regard to violent delinquent behavior was mediated by love deprivation. We also found that P greater than V scores could not be explained away by social class, low verbal scores, or lower full-scale scores. Only love deprivation was found to be significantly related to P greater than V scores in our path model, thus offering some support to the assertions of some authors that early emotional stresses affect subsequent autonomic nervous system function.     

How adolescents perceive their relationships

In order to determine how adolescents perceive their relationships, a set of eight drawings representing one, two or three characters, whose sex and relationships where not clearly defined, were shown to 403 Parisian adolescents (227 girls and 176 boys) aged 15 to 19. The majority of data converge for all subjects, regardless of the sex, curriculum or socioeconomic factors. The subjects consistently identify more mixed-sex dyads and triads than same-sex in all pictures. This predominance does not imply that the adolescents perceived all relationships as having a romantic connotation. Some data seem consistent with the traditional sex role stereotypes. The subjects' responses do not seem to reflect the reality of their own peer relationships.