The concept of the fully functioning person

Conclusion Here then is my theoretical model of the person who emerges from therapy—a person functioning freely in all the fullness of his organismic potentialities; a person who is dependable in being realistic, self-enhancing, socialized and appropriate in his behavior; a creative person, whose specific formings of behavior are not easily predictable; a person who is ever changing, ever developing, always discovering himself and the newness in himself in each succeeding moment of time. This is the person who in an imperfect way actually emerges from the experience of safety and freedom in a therapeutic experience, and this is the person whom I have tried to describe for you in pure form.My purpose has not been to convince you of the correctness of this view. Indeed I would have to confess that I have written this paper primarily for my own satisfaction, to clarify the thoughts which have been stirring in me. But if this presentation causes you to formulate your view of the person who emerges from therapy, or enables you to point out flaws in my own thinking which I have not yet seen, or arouses in you the desire to put to objective test either this picture or one which you paint for yourself, then it will have fully served both its primary and its secondary purpose.Reprinted by permission from Psychotherapy: Theory, Research and Practice, Vol. 1, No. 1, August, 1963.     

Individual differences in client reactions to counseling and psychotherapy: A challenge for research

Recent research is reviewed that suggests extensive individual differences in how clients respond to therapeutic interventions and therapist response modes. Three research strategies are proposed as parts of a therapeutic science that aims at both nomothetic generalizations and explications of idiographic meanings, while simultaneously confronting conceptual and methodological complexities arising from client individual differences in response to counseling.     

Subclmical depression and role fulfillment in domestic settings: Spurious relationships,imagined problems,or real effects?

Considerable evidence has accumulated in support of the hypothesis that subclinical depression may inhibit role performance in important ways. However, interpersonal stress and marital discord often precede the development of depressive symptomatology and may independently predict deficits in family role functioning. In addition, cognitive theories suggest that persons with subclinical depression may report poor role functioning even in the absence of any real performance deficits. The current research examines the possibility (1) that the effect of depression on the fulfillment of important family roles is attributable to previously unmeasured contextual variables of ongoing interpersonal stress and/or relationship dissatisfaction or, alternatively, (2) that this relationship is the result of depressive distortion associated with self-report of symptoms and performance. Multiple regression analyses of interview data collected from 495 community-dwelling adults found, however, that depression is related to role functioning beyond any spurious effects attributable to interpersonal stress, spousal stress, or marital satisfaction. In addition, the effect of depression persists when collateral reports of role functioning utilized. Accordingly, it appears that subclinical depression is related to decrements in role performance, and this effect is not entirely due to contextual elements or shared method variance between self-report measures.The authors acknowledge research support from Research Grants R01-AA-07250 and R01-AA-07218 from the National Institute on Alcohol Abuse and Alcoholism, Research Grant R01-DA-07417 from the National Institute on Drug Abuse, and National Institutes of Mental Health Grant A-41487-07.     

CHANGING PROTECTIVE AND RISKY BEHAVIORS TO PREVENT CHILD-TO-PARENT TRANSMISSION OF CYTOMEGALOVIRUS

Child-to-parent transmission of cytomegalovirus may be reduced by increasing protective behaviors (handwashing and glove use) and decreasing risky behaviors (intimate contact between child and parent). This study showed that an educational intervention resulted in increases in reported and objective measures of protective behaviors and decreases in reported risky behaviors. Further study must determine if changes in protective and risky behavior are maintained and prevent cytomegalovirus transmission.     

Vulnerability to Stress: Self-Criticism and Stress-Induced Changes In Biochemistry

ABSTRACT It has been hypothesized that individuals who are high on the attribute of self-criticism are particularly vulnerable to failure stress. To test this hypothesis, we examined the relationship between self-criticism and changes in plasma homovanillic acid (HVA; the metabolite of dopamine) and emotion during exposure to an induced-failure task. Participants consisted of 21 women. Plasma HVA and emotion were assessed at three time points: baseline (T1), during stress exposure (T2), and 40 minutes after cessation of the stressor (T3). We found that self-criticism was significantly and positively related to changes in plasma HVA during stress exposure. In addition, the personality attribute was significantly and positively related to subjective ratings of stress and changes in scores on the Confusion-Bewilderment scale of the Profile of Mood States during the task. To our knowledge, this is the first study to report that self-criticism is related to stress-induced changes in biochemistry.     

WHAT IS THE SCIENCE OF THE SOUL? A CASE STUDY IN THE EVOLUTION OF LATE MEDIEVAL NATURAL PHILOSOPHY

This paper aims at a partial rehabilitation of E. A. Moody's characterization of the 14th century as an age of rising empiricism, specifically by contrasting the conception of the natural science of psychology found in the writings of a prominent 13th-century philosopher (Thomas Aquinas) with those of two 14th-century philosophers (John Buridan and Nicole Oresme). What emerges is that if the meaning of empiricism can be disengaged from modern and contemporary paradigms, and understood more broadly in terms of a cluster of epistemic doctrines concerned with the methodology of knowing, it characterizes very appropriately some of the differences between the ways in which late-medieval thinkers both understood and practised the science of psychology. In particular, whereas Aquinas thinks psychology is about reasoning demonstratively to the real nature of the soul from its evident operations (thereby assimilating psychology to metaphysics), Buridan and Oresme, both of whom doubt whether real animate natures can be known empirically, focus on giving detailed accounts of those operations themselves (thereby assimilating psychology to physics).     

State regulation of managed care: fragments of reform

State legislatures consider numerous bills to regulate managed care organizations. After identifying the legal, political, and economic barriers to state reform efforts, the paper assesses recent types of state regulation, particularly mandated benefits and disclosure requirements. Two prerequisites to future reform, coalition building and the diffusion of information about managed care, are analyzed.