Toward a psychology of courage: Implications for the change (healing) process

Courage is a virtue which has been held in highest regard by all societies. In an age in which courage and its companions, human dignity and commitment, seem sadly lacking, it is imperative that we reacquaint ourselves with the implications of these attributes. In this paper we demonstrate the integral relationship between courage and intimacy and the importance of the concept of therapeutic caring to their development. We also introduce the theory of the double in which the self, in the act of intimacy, seeks to come together with its contradictory and disavowed attributes. These concepts are related to a psychotherapeutic paradigm in which we examine the requirements courage, intimacy, and caring impose upon practitioner and client.Paper presented at the 25th winter meeting of The American Academy of Psychoanalysis, New York City, December, 1981.     

The death crisis and pastoral counseling

Death is an event that presents a crisis to the family system. Conceptualizing death as a stressor event and recognizing the variety of coping resources present in and available to bereaved families and individuals, along with the meaning attached to death, can help interventionists to perceive stategies for providing assistance in time of grief. Pastoral counselors are often needed to interpret death from a faith perspective, yet they may need to interpret the family's reaction to the death crisis in order to facilitate their readjustment. Analysis of the death event using Reuben Hill's crisis equation provides a workable conceptual framework.     

Agreement among teacher,peer, and self-ratings of children's aggression,withdrawal, and likability

This study examined the relationship among teacher, peer, and self-ratings of children's social behavior. The Pupil Evaluation Inventory was completed by 172 first-graders, 346 fourth-graders, 283 seventh-graders, and 30 teachers. Groups of deviant responders and controls were also selected from the total sample on the basis of peer-rated aggression and withdrawal scores. Interrater agreement was consistently greater between peer and teacher ratings than between self-ratings and either peer or teacher ratings. Discrepancies between raters were greatest for children with more deviant scores, with peer ratings providing the highest estimates of deviant behavior, and self ratings yielding the lowest. Self ratings were lower than teacher or peer ratings on aggression and withdrawal, and higher on likability. Aggression produced greatest agreement between raters. Agreement was uninfluenced by the cognitive maturity of peer evaluators. The results suggest that the selection of raters should be influenced by the class of behaviors to be evaluated and the context in which they occur.This research was funded by Québec Ministry of Social Affairs Grant RS 281 to Jane Ledingham and Alex Schwartzman. The authors wish to thank Lisa Serbin for her helpful comments on this article, and Claude Senneville, Geoff Selig, and Denise Morin for their assistance in the data collection and analysis.     

Bulimia: New Mental Health Problem on the Campus?

Thomas Hohenshil and Rodney K. Goodyear : Special Assignment Editors Regina C. Casper, Elke D. Eckert, Katherine A. Halmi, Solomon C. Goldberg, and John M. Davis, Bulimia: Its Incidence and Clinical Importance in Patients with Anorexia Nervosa. Archives of General Psychiatry, 1980, 37, 1030–1035. Paul E. Garfinkel, Harvey Moldofsky, and David M. Garner, The Heterogeneity of Anorexia Nervosa: Bulimia as a Distinct Subgroup. Archives of General Psychiatry, 1980, 37, 1036–1040.     

Gender differences in the correlates of preschoolers' behavior

This study is concerned with the nature of gender differences in 4-year-olds. In each of three replications, 18–21 girls and 20–22 boys (all white) were observed at home and school. Temperamental characteristics were assessed and (in one replication) a self-concept instrument was used. Gender differences in the frequencies of particular types of interaction were few and inconsistent across replications. There were, however, consistent gender differences in the correlations between characteristics and aspects of behavior. For instance, boys tended to be less consistent across situations in showing hostility, and to mix positive and negative interactions more, than girls. Mothers' use of Strong Control had different correlates in boys and girls. It is suggested that such differences in relations between measures may provide the raw material from which later gender differences develop.     

Prosopagnosia: A face-specific disorder

A follow-up study of a patient, WJ, with a very severe prosopagnosia is reported. After a stroke he became a farmer and acquired a flock of sheep. He learnt to recognize and name many of his sheep, and his performance on tests of recognition memory and paired-associate learning for sheep was significantly better than on comparable tests using human face stimuli. It is concluded that in some instances prosopagnosia can be a face-specific disorder.     

British parents' beliefs about the causes of three forms of childhood psychological disturbance

Parents were asked to rate which of 40 items were likely causes of one of three types of psychological disturbance common among 9-year-old children, the symptoms of which were outlined in vignettes. Parents' accounts were consistent and coherent. Symptoms of hyperactivity were linked to poor diet, antisocial conduct to a lack of discipline and unhappiness at school, and emotional problems to breakdowns in interpersonal relations and unhppiness at school. However, a number of factors (socioeconomic difficulties, attachment risks, and organic dysfunction) that research suggests are risks to development were rated by parents as unlikely causes of problems. The implications of this mismatch between lay and expert views is examined.We would like to thank Dr. Margaret Thompson for her clinical advice as well as the parents who took part in the study.     

REDUCTION OF SEVERE BEHAVIOR PROBLEMS IN THE COMMUNITY USING A MULTICOMPONENT TREATMENT APPROACH

Problem behavior often prevents community integration of people with developmental disabilities. Therefore, we evaluated a multicomponent approach for remediating problem behavior in public community settings (specifically, supermarkets). We selected treatments based on hypotheses about the variables controlling the problem behavior (hypothesis-driven model). The multicomponent intervention included choice making, embedding, functional communication training, building tolerance for delay of reinforcement, and presenting discriminative stimuli for nonproblem behavior. Treatment progress was monitored using measures of latency and task completion rather than traditional measures of frequency and time sampling. Results showed substantial increases in task completion and duration of time spent in supermarkets without problem behavior. Outcomes were socially validated by group-home staff and cashiers. We discuss how the intervention approach taken can resolve some of the issues involved in assessing, measuring, and treating problem behavior in the community.     

DOES SLEEPTIGHT WORK? A BEHAVIORAL ANALYSIS OF THE EFFECTIVENESS OF SLEEPTIGHT FOR THE MANAGEMENT OF INFANT COLIC

We evaluated the effectiveness of SleepTight in the management of infant colic. SleepTight is a device that vibrates the infant's crib to simulate the action of a car traveling at 55 mph. A multiple baseline design across 6 infants was used. Data were collected on infant crying, parental use of SleepTight, and parental satisfaction. The application of SleepTight was associated with reduction in crying in 4 of the 6 infants. These outcome data notwithstanding, consideration of reported nonrecording of severe episodes and mixed reports of satisfaction suggests that SleepTight may not be a viable means of managing infant colic.