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.     

Variations on the Ramsey test: More triviality results

The purpose of this note is to formulate some weaker versions of the so called Ramsey test that do not entail the following unacceptable consequenceIf A and C are already accepted in K, then if A, then C is also accepted in K. and to show that these versions still lead to the same triviality result when combined with a preservation criterion.     

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 effects of perceived parental rearing style on the development of Type A pattern

The aetiological antecedents of the Type A pattern have not been studied widely. In the present study the effects of parental rearing practices on the development of Type A pattern were evaluated. Perceived parental rearing style was assessed by the EMBU and Type A pattern by the JAS. Subjects were drawn from a random sample of residents (older than 21 years) of a Dutch community. Results suggested that a significant amount of variance of Type A behaviour can be accounted for by perceived parental characteristics, especially rejection and lack of emotional warmth. It is suggested that lack of emotional warmth and negative evaluation of children by their parents may lead to an internalized maladaptive cognitive set in the children which may be a developmental antecedent for eliciting the competitiveness, achievement striving, and sense of time urgency characteristic of Type A adults.     

A brief neuropsychological screening battery to detect brain damage in a psychiatric population

Seventy-five patients admitted to the psychiatric unit of a general hospital were administered a brief neuropsychological screening battery. Discharge diagnoses obtained from the medical records revealed that 20% had brainbased pathology. A discriminant function analysis resulted in a five-variable model (Symbol-Digit Modalities Test, educational level, Psychiatric-Organic subscale of the MMPI, and Shipley Vocabulary and Abstraction scores) which correctly classified 84% of the subjects, with 87% correct identification of the brain-damaged group. A jackknife cross-validation procedure resulted in comparable hit rates.     

The Coping with Stress Model: A Counseling Approach for Families with a Handicapped Child

The authors describe a cognitive-behavioral model for coping with stress that counselors can use as the basis for family assessment and personalized intervention. The model, assessment procedures, and appropriate counseling strategies are discussed. Translation of the model into clinical practice is examined with families of handicapped young children. A brief case study is provided to illustrate the model's usefulness for counselors.