Reflections on group psychotherapy with eating-disordered patients

This paper addresses some of the dynamics, resistances, and transference and countertransference considerations in group psychotherapy with eating disordered patients. Several resistances are delineated, including guilt over being helped, the recreation of early problems around control and forced feeding, and withdrawal as a defensive operation. A brief vignette is presented which highlights the demand on the part of the therapist as well as the patient to contain and manage feelings rather than acting on them. Lastly, the author argues that group participation helps the patient to identify, articulate, and accept feelings and to promote assertiveness.This paper is based on a presentation given at the Training Institute for Mental Health on May 11, 1991.     

The Counseling Process as Defined by Relationship Types: A Test of Helms's Interactional Model

Helms (1984) presented a model to explain the influence of Black and White racial identity development on counseling interactions. The purpose of this study was to examine her hypothesis that specific combinations of racial identity attitudes contribute to qualitatively different counseling process and outcome or relationship types.     

Behavioral correlates of developmental expressive language disorder

The association of behavior problems with preschool language disorders has been documented extensively. However, researchers have typically failed to differentiate subgroups of language-impaired children, to use observational data in documenting the behavior disorders, or to study children at the youngest ages. Using a multimodal assessment, this study examined parent-child interaction and behavior problems in a clearly defined subgroup of language-impaired children, those with developmental expressive language disorder (ELD). These children exhibit a delay in expressive language compared with receptive language and nonverbal cognitive skills. Subjects were identified and studied at the youngest age at which the disorder can be assessed. A group of ELD children, averaging 27 months of age, was contrasted with a group of normally developing children, matched for age, sex, and receptive language ability. Groups were compared on observed parent-child interactions as well as maternal responses on the Parenting Stress Index, the Eyberg Child Behavior Inventory, and a behavior-related structured interview. ELD children, when compared with normally developing children, exhibited higher levels of negative behavior and were perceived as different by their parents.Portions of these data were presented at the biennial meeting of the Society for Research in Child Development, Baltimore, April 1987, and at the annual meeting of the Society for Pediatrie Research, Anaheim, California, April 1987. This work has been supported by NIMH grant no. 1 R03 MH41603 to author Fischel, and by NICHD grant no. 1 ROI HD19245 to authors Whitehurst and Fischel. It has also been supported by grants of equipment from Commodore Business Machines, Inc., Koala Corporation, and NEC Telephones. We thank the Department of Pediatrics at the Nassau County Medical Center for the use of their facilities.     

The 20 questions task with families of schizophrenics: divergent findings

The study attempted to replicate and extend the results of an earlier study by Wild and Shapiro (16), establishing the utility of Mosher and Hornsby's (8) 20 Questions Task as a means of differentiating families with schizophrenic patients from those of psychiatrically hospitalized but nonschizophrenic individuals. In the current study, Wild and Shapiro's original design was expanded and revised by (a) diagnosing patients using Research Diagnostic Criteria rather than hospital diagnoses and (b) including families with schizophrenic daughters and/or one-parent families, in addition to intact families with schizophrenic sons. Families were comparable on age, intelligence, and socioeconomic variables. The results failed to replicate those reported by Wild and Shapiro, and indicated that the 20 Questions Task was sensitive to differences in family constellation and offspring gender as well as offspring diagnosis. The findings suggest that forms of familial communication deviance detected with the 20 Questions Task may not be unique to families of schizophrenics, thus highlighting the need to expand research on family communication deviance in families with schizophrenic offspring to families with varied family constellations and characteristics.     

Fallout From The Day After. The Impact of a TV Film on Attitudes Related to Nuclear War1

A household survey utilizing a quasi-experimental design was undertaken to assess the impact of the TV movie. The Day After, on a number of psychologically and politically important variables such as the salience of the issue of nuclear war and individuals' beliefs about the efficacy of their own political actions in helping to prevent such a war. Respondents were initially surveyed 2 weeks prior to the movie's airing and were resurveyed afterwards. Contrary to the impression conveyed by reports of a number of public opinion polls, which focussed on attitudes toward government policies, we found that The Day After and the surrounding controversy had a substantial impact on many dimensions including the salience of nuclear war, feelings of personal efficacy, affect related to the idea of a nuclear war, intentions to engage in anti-nuclear behavior, estimates of the probability that a nuclear war would occur, and beliefs about the likelihood and desirability of survival. Two general conclusions emerged. First, many of the effects occurred for the entire sample rather than only for those who watched the film, suggesting that the widely publicized controversy that surrounded the movie contributed to its impact. Second, reactions appeared to be depressive in nature. Compared to the pre-airing responses, the post-airing survey found more passive affective reactions to the idea of nuclear war, decreased estimates of the chances of survival, a decreased desire to survive, and a decreased sense of personal efficiacy. Nonetheless, respondents, especially those who watched The Day After, were more likely to intend to engage in antinuclear war activities after the film than before.     

Development of learning-disabled and normally achieving children's causal attributions

The causal attributions of learning-disabled (LD) and normally achieving (NA) children in grades 3 through 8 were compared. Attributions were measured by two scales that asked children to attribute hypothetical academic failure situations to factors that were either within (e.g., insufficient effort) or beyond (e.g., insufficient ability, blaming others) their control. Consistent with a learned helplessness hypothesis, LD girls, regardless of age, were more likely than NA children to attribute their failures to factors beyond their control. In contrast, LD boys' explanations for their failures paralleled those of NA children. That is, with increasing age the LD boys were more likely to attribute their failures to insufficient effort. Explanations and implications of sex differences in developmental patterns of LD children's causal attributions are discussed.The authors wish to thank Ruth Dusseault and Betty Wallace for their help in conducting this research. We also wish to thank the teachers, children, and administrators from the Leon County Schools for their cooperation.     

Intuition in insight and noninsight problem solving

People’s metacognitions, both before and during problem solving, may be of importance in motivating and guiding problem-solving behavior. These metacognitions could also be diagnostic for distinguishing among different classes of problems, each perhaps controlled by different cognitive processes. In the present experiments, intuitions on classic insight problems were compared with those on noninsight and algebra problems. The findings were as follows: (1) subjective feeling of knowing predicted performance on algebra problems but not on insight problems; (2) subjects’ expectations of performance greatly exceeded their actual performance, especially on insight problems; (3) normative predictions provided a better estimate of individual performance than did subjects’ own predictions, especially on the insight problems; and, most importantly, (4) the patterns-of-warmth ratings, which reflect subjects’ feelings of approaching solution, differed for insight and noninsight problems. Algebra problems and noninsight problems showed a more incremental pattern over the course of solving than did insight problems. In general, then, the data indicated that noninsight problems were open to accurate predictions of performance, whereas insight problems were opaque to such predictions. Also, the phenomenology of insight-problem solution was characterized by a sudden, unforeseen flash of illumination. We propose that the difference in phenomenology accompanying insight and noninsight problem solving, as empirically demonstrated here, be used to define insight.     

Investigation of a social-interactional model of depression with mildly depressed males and females

Recent research has explored social-interactional factors in the etiology and maintenance of depression. The current investigation further explored the social-interactional model using face-to-face interactions between depressed and nondepressed individuals, as well as the applicability of this model to observed differences in male and female depression. Forty depressed and 40 nondepressed subjects interacted with same or opposite-sex partners. The 20-minute interactions were videotaped and scored with a behavioral coding system. Subjects completed questionnaires concerning perceptions of their partners and the interaction. Results indicated that depressed and non-depressed subjects behaved similarly during the interactions. However, depression was associated with a number of socially unskilled behaviors. Depression in males was related to additional skills deficits not observed for females. While male and female self-report of depression did not differ, males consistently reported greater negative affect. Partner impressions differed based upon sex of partner, and not his or her level of depression. The robustness of the social-interactional model and methodological considerations for future research with this model are discussed.This article is based on the first author's master's thesis conducted under the supervision of the second author who is now at Catholic University. Portions of this research were presented at the 32nd annual meeting of the Southeastern Psychological Association.The authors wish to thank George A. Clum and Thomas H. Ollendick for serving as committee members; Teresa K. Meade for her invaluable help in data collection; and Katie Bechtel, Ruth Townsley, and Mike Cobler for their assistance in scoring and coding data. Thanks also to an anonymous reviewer for helpful comments on an earlier draft of this paper.