Facilitating autonomy in passive-dependent persons: An integrative model

Passive and dependent qualities are commonly found in psychiatric patients suffering from a variety of disorders. While such tendencies are often secondary to an Axis I clinical syndrome, they are occasionally more persistent and refractory. The present article attempts to provide therapeutic guidelines useful when working with clients displaying stable personality traits of passivity and dependency. An attempt is made to adapt and combine several therapeutic techniques to be applicable to passive-dependent clients. More specifically, problem-solving approaches and self-control strategies can be used to facilitate autonomy if precautions are taken to reduce the dogmatic and didactic styles commonly employed with these techniques. The Socratic method of interviewing is posited as a useful means of developing problem-solving skills without creating unnecessary dependence on the therapist. Self-control strategies can help reduce the reliance on others as the primary source of satisfaction for dependent clients. In this way, passive-dependent clients may become more self- reliant and autonomous in their daily functioning.The author would like to thank Patti Watson, Katie Brooks, and Estyn Williams for comments made on an earlier draft of this article.     

Lateral asymmetry in visual detection under hypnosis

It has been suggested that the hypnotic state results in a greater relative activation or priming of the right cerebral hemisphere than of the left hemisphere. The experiment reported here employed hypnosis to produce such a priming effect in a visual-detection task. Subjects were required to detect the presence or absence of a gap in outline squares presented either to the left visual field or right visual field, with response time as the primary dependent measure. Those subjects who were hypnotized produced a 50-msec. response time difference favoring squares presented to the left visual field whereas control subjects and simulator-control subjects showed no lateral asymmetries. The result is classified as a material-nonspecific priming effect and discussed with regard to the nature of processing resources.     

Handedness and dementia

Some researchers have speculated that left-hand dominance is more prevalent among patients suffering from dementia of the Alzheimer's type which began prior to age 65 yr. and that, in those patients, the disease runs a more rapid course. In the present study, seven left-handed dementia patients were matched with seven right-handed dementia patients on the basis of age and years of education and were compared with regard to neuropsychological compromise. While the left-handed group was somewhat more impaired than the right-handed subjects, the difference between the two groups was not statistically significant.     

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Spatial constraints on attention to speech in the blind

When sighted persons try to identify one of two speech utterances coming from different directions, they display both a frontal position advantage, i.e., better recognition of inputs from the front than of those from the rear, and a right-side advantage, better recognition of inputs from the right than of those from the left. The present study demonstrates a dissociation of the two effects in blind subjects (N = 10) who showed no frontal position advantage together with a right-side advantage superior to that of control sighted subjects (N = 16). There was no systematic difference between congenitally blind subjects and noncongenitals. The absence of frontal position advantage in the blind is consistent with the notion that this effect originates in the habit of sighted listeners to orient toward the source of heard speech. The occurrence of at least normal right-side advantage in the blind does not support recent suggestions of reduced lateralization of language functions in such subjects.     

The effects of continuous phonation on Xenon-inhalation air curves (of the kind used in deriving regional cerebral blood flow)

Regional cerebral blood flow (rCBF) may be measured with inhalation techniques that use end-expired values of radioactivity to estimate the isotope concentration in arterial blood. These end-expired data are used as an input function in a mathematical equation to derive rCBF. End-expired air is assumed normally to be in equilibrium with the arterial blood at the alveolar surface of the lung during regular (passive) breathing; this assumption may not be valid during continuous phonation. We therefore have analyzed breathing (inhalation/exhalation) patterns and end-expired radioactivity (¹³³Xe) during (1) speaking, (2) singing, and (3) humming of the national anthem, and also during (4) passive breathing. Statistically significant differences in breathing patterns were measured between a group of nonmusicians and two groups of musicians (singers) during the phonation tasks: The nonmusicians breathed more often (and more rapidly) and exhibited less variability in their breathing patterns than did the musicians. Notwithstanding these differences, the shapes of smoothed functions derived from the end-expired values were not influenced appreciably during phonation (except possibly during talking). The latter finding suggests that estimates of rCBF derived with these data should not be confounded seriously because of the continuous phonation.     

Risk factors and the Child Behavior Checklist in a child mental health center setting

The relationship between risk factors and the severity and type of childhood disorder, as measured by parent-completed Child Behavior Checklists, was examined for 768 children, ages 4–16, seen at a child mental health center. Regression analyses revealed no significant relationships between any combination of risk factors and the total number of behavior problems, internalizing, or externalizing scores for the entire group, males and females separately, or for the age and sex groupings of 6- to 11- and 12-to 16-yearolds. Chi-square tests revealed no relationship of profile type with any risk factor or with total number of risk factors. Implications for broad-based child assessment and risk factor research within a clinical population are discussed.We wish to thank Orin Bolstad, Linda Magnuson, and Julian Taplin for their assistance in this project.     

The relationship of affiliative arousal to dopamine release

Higher levels of affiliation motivation after exposure to affiliative films are significantly related to higher dopamine concentrations in saliva in one study of 61 college students of both sexes, and in plasma in another study of 47 adults of both sexes. Individuals high in dispositionaln Affiliation, if they also reported high life stress, showed high gains in dopamine concentration in plasma after exposure to an affiliative film significantly more often than other individuals. Since aroused affiliation motivation was not associated with higher concentrations of norepinephrine, epinephrine, or cortisol in either study, it appears likely that dopamine is especially associated with arousal of affiliation motivation, just as norepinephrine has been found to be associated with arousal of power motivation. Thus, different motives may be subserved by different hormones, making it unlikely that all motives lead to the same state of physiological arousal.This research was carried out when all the authors were connected with the Department of Psychology and Social Relations at Harvard University. We acknowledge with thanks the support of the John D. and Catherine T. MacArthur Foundation through a grant to the senior author.     

Perceptual normalization of vowels produced by sinusoidal voices

When listeners hear a sinusoidal replica of a sentence, they perceive linguistic properties despite the absence of short-time acoustic components typical of vocal signals. Is this accomplished by a postperceptual strategy that accommodates the anomalous acoustic pattern ad hoc, or is a sinusoidal sentence understood by the ordinary means of speech perception? If listeners treat sinusoidal signals as speech signals however unlike speech they may be, then perception should exhibit the commonplace sensitivity to the dimensions of the originating vocal tract. The present study, employing sinusoidal signals, raised this issue by testing the identification of target /bVt/, or b-vowel-t, syllables occurring in sentences that differed in the range of frequency variation of their component tones. Vowel quality of target syllables was influenced by this acoustic correlate of vocal-tract scale, implying that the perception of these nonvocal signals includes a process of vocal-tract scale, implying that the perception of these nonvocal signals includes a process of vocal-tract normalization. Converging evidence suggests that the perception of sinusoidal vowels depends on the relation among component tones and not on the phonetic likeness of each tone in isolation. The findings support the general claim that sinusoidal replicas of natural speech signals are perceptible phonetically because they preserve time-varying information present in natural signals.