The role of faith in the psychotherapeutic context

The focus of this article is the role of faith in psychotherapy. It is suggested that the psychotherapeutic endeavor may be fruitfully informed by insights from other disciplines. The theologian Paul Tillich's view of faith is discussed as it applies to the psychotherapeutic endeavor. The relation between faith and anxiety is explored in the context of the problem of resistance and change in psychotherapy. The work of theorists from various perspectives (existential, analytic) is discussed in the light of Tillich's view of faith.     

Distance and fusion in Robinson Jeffers' “the purse-seine” and other poems

Distance and fusion are fundamental ideas in Bowenian thinking, especially as expressed in the dynamic of distancing and pursuing. In this paper I have used these ideas as a means to briefly examine a short selection of Robinson Jeffers' poetry, which provides us with a literary example of these concepts in action.My thanks to M. K. Lane and the anonymous reviewers of an earlier draft of this article for their many suggestions, especially to the reviewer who helped me better distinguish between distance and fusion, and intimacy and autonomy.     

Raids upon the random in family therapy training: Discovering what becomes significant

How do you provide family therapy training in a primarily rural state with limited resources? A model for training therapists and supervisors that well may offer guidance to other states that face such a challenge is described here. A meta supervision approach over long distance was used in the three-year project that is described in this paper. Self-reports from the 31 participants who completed the program reveal some interesting positive reactions.     

Psychological aspects of scuba diving injuries: Suggestions for short-term treatment from a psychodynamic perspective

Dive medicine is described as an area of practice in which psychologists may choose to expand their clinical service and research activities. The author argues that most research studying risk behavior and sports take into account biological, behavioral or cognitive approaches, while ignoring unconscious conflict in risk-taking and injury management. The present paper uses a psychodynamically-oriented, interview-based approach to studying psychological reactions to decompression sickness in three experienced scuba divers. Brief interventions and their outcomes are described.     

Psychological distress and well-being in advanced cancer: The effects of optimism and coping

This study examined the relations among optimism, coping, functional status, and psychological adjustment in 75 adults diagnosed with cancer. Both the positive and the negative aspects of psychological adjustment were assessed. All participants had been diagnosed with advanced stages of cancer (i.e., Stages II, III, and IV). Participants completed three assessments across a 4-month time period. Both optimism and coping were associated with psychological adjustment, even after controlling for functional status and prior adjustment. Additionally, optimism and coping were differentially related to distress and well-being. Optimism was strongly and positively associated with well-being and inversely related to distress. Escape-Avoidance coping was positively associated with distress and Accepting Responsibility coping was negatively associated with well-being. Comparisons between the current and prior studies indicated that individuals who are diagnosed with more advanced stages of cancer or who have survived bone marrow transplantation exhibit higher levels of optimism than do healthy individuals and individuals with early-stage disease.     

Accountability in a computerized society

This essay warns of eroding accountability in computerized societies. It argues that assumptions about computing and features of situations in which computers are produced create barriers to accountability. Drawing on philosophical analyses of moral blame and responsibility, four barriers are identified: 1) the problem of many hands, 2) the problem of bugs, 3) blaming the computer, and 4) software ownership without liability. The paper concludes with ideas on how to reverse this trend. Several people have contributed generously to this work. Michael Davis, Deborah G. Johnson, Arthur Kuflik, Pamela Samuelson, Debra Satz, Richard De George, Larry May, and Dennis Thompson read drafts and made invaluable suggestions. Reviewers forScience and Engineering Ethics offered thorough and challenging commentary. An earlier version of the paper was presented at The American Philosophical Association, Eastern Division Meeting, December 1993, where audience comments and questions led to clarification of several key issues.     

SEPARATE AND COMBINED EFFECTS OF METHYLPHENIDATE AND A BEHAVIORAL INTERVENTION ON DISRUPTIVE BEHAVIOR IN CHILDREN WITH MENTAL RETARDATION

We investigated the separate and combined effects of a behavioral intervention and methylphenidate (Ritalin®) on disruptive behavior and task engagement in 3 children with severe to profound mental retardation. The behavioral intervention involved differential reinforcement of appropriate behavior and guided compliance. All 3 children demonstrated decreased disruptive behavior and improved task engagement in response to the behavioral intervention. Two of the 3 children demonstrated similar improvement in response to methylphenidate. Although both interventions were highly effective for these 2 participants, the relative efficacy of the interventions varied between the 2 children. There was no evidence of an additive or synergistic effect of the two interventions, but the high efficacy of each intervention alone limited our ability to detect such effects.     

BRIEF EXPERIMENTAL ANALYSIS OF STIMULUS PROMPTS FOR ACCURATE RESPONDING ON ACADEMIC TASKS IN AN OUTPATIENT CLINIC

Brief multielement designs were used to examine the effects of specific instructional strategies on accuracy of academic performance during outpatient evaluations of 4 children with learning disorders. Instructional strategies that improved accuracy on academic tasks were identified for all participants. These results suggest that the application of experimental analysis methodologies to instructional variables may facilitate the identification of stimulus prompts that are associated with enhanced academic performance.     

Body Language of Women and Judgments of Vulnerability to Sexual Assault

The present study experimentally examined the effects of body language on judgments of vulnerability to sexual assault by strangers. Four features of body language (stride length, weight shift, body-limb movement, and foot movement) were manipulated to create 2 typical victim profiles and 1 typical nonvictim profile. Short videotapes of 3 adult female models walking alone in each of the 3 body language profiles were filmed. Forty-one college students and 33 police officers individually viewed 3 videotapes (each showing a different model and a different body language profile) and made judgments for each about the woman's confidence level and vulnerability to sexual assault. As predicted, women in the 2 victim profiles were judged to be significantly more vulnerable to sexual assault and significantly less confident than women in the nonvictim profile. Implications and suggestions for future research are discussed.