San Diego suicide study: comparison of gay to straight males

Previous large studies of completed suicides have not considered sexual orientation in their data analyses. In this study, data from the known homosexual subpopulation (13 males, aged 21-42) in a series of 283 suicides were examined. They were compared with all other aged male suicides 21-42 (n = 106). Both groups showed considerable substance abuse plus a variety of other psychiatric diagnoses. Both also had a high frequency of relationship difficulties near the time of death. Gays who committed suicide did not have a history of more police trouble and were no more likely to be living alone than the comparison group. They did not have more prior suicide attempts or previous psychiatric treatment. We conclude that, among the factors examined here, there appears to be little difference between gay and heterosexual male suicides.     

Sex difference trends in completed suicide

The recent suicide literature increasingly has contained statements suggesting that the differences in completed suicide between the sexes are lessening. A compilation of official suicide data for 1933-1980 verifies such a trend from the 1950s through 1971. However, increased differences (as measured by the ratio of male to female rates) were consistently observed from 1971 to 1980. These trends were found for data for the nation, for whites and nonwhites, for numbers of suicides, for crude rates, and for age-adjusted rates. Decreased sex differences were obtained for those 35-44, 45-54, 55-64, and for 65+ years of age, but increased sex differences were observed for those aged 15-24 and 25-34. Possible explanations for these findings are presented.     

On the relation between genuine and simulated amnesia

When claims of amnesia are made in legal cases, it is necessary to determine whether they are genuine or simulated. This article assesses current knowledge of the relation between genuine and simulated amnesia and discusses issues that are critical to understanding of the problem. It is argued that there are few well established facts regarding the nature of simulated amnesia, and no evidence that experts can distinguish accurately between genuine and simulated amnesia. Suggestions are made for future research that draw upon recent advances in cognitive psychology, social psychology, and neuropsychology.     

How much and how fast: rapid processing of spoken language in later adulthood

Speech processing involves rapid decoding and construction of meaning from a transitory acoustic signal. Because older adults have been found to be slower in performing many cognitive tasks, we hypothesized that they may have difficulty in immediate recall for speech of increasing input rate. Two experiments are reported in which both older and younger participants listened to and immediately recalled sentences that were systematically varied in speech rate and number of propositions. Although recall performance of the older adults showed a disproportionate decline when speech rate was increased, older adults, as well as the younger adults, were able to recall sentences of increasing propositional densities. We also found that the tendency to recall a greater proportion of main ideas than details (the levels effect) was enhanced by increased propositional density, and depressed by increased speech rate and increased age. These results are discussed in terms of an age-related change in the rate at which information can be processed in working memory.     

A guide to family/school interventions for the family therapist

When presented with a behavioral problem or symptom expression that involves two systems, such as a serious school-related problem, the therapist needs to design an approach that will intervene effectively and expeditiously in both systems. This paper offers a guide to stages of problem escalation and therapeutic intervention that is intended to aid the problem-solver's thinking processes in approaching a troubled situation that involves two systems, the school and the home.     

Family therapy of school-focused problems: A macrosystemic perspective

School-focused problems present an interesting challenge to family therapists in that they take place in a system outside of the family. Treating the family without including the school often leads to a poor outcome. This article presents a macrosystemic model of treatment which views the family and school as an interacting system that maintains the ongoing problem. The therapist intervenes in this larger system by separately treating the family and school, then rejoining them to create a more functional working relationship.     

Book reviews

With Faith and Fury. Delos McKown. New York: Promethius Books, 1985. pp 440. $16.95

The Sacred in a Secular Age. Phillip E. Hammond, Editor. University of California Press, 379 pages (p/b) $8.95 (£8.50)