Long-term outcome of sex therapy

In a prospective investigation of the long-term outcome of 140 couples who had entered sex therapy 1–6 yrs earlier for a variety of sexual dysfunctions, successful follow-up, mostly by interview, was possible with at least one partner in 75% of cases. While recurrence of sexual difficulties was common, coping strategies were identified which often helped overcome relapses. Improvements in couples' general relationships resulting from treatment were usually sustained. Long-term outcome was excellent for vaginismus, good for erectile dysfunction, but often poor for premature ejaculation, and especially, for female impaired sexual interest. While the results of this study support the continued use of sex therapy for sexual dysfunction, they also emphasize the need for new therapeutic approaches for problems with poor outcome, especially female loss of sexual interest.     

The relationship of self-esteem, maternal employment, and work-family plans to sex role orientations of late adolescents

Self-esteem, maternal employment, and work-family plans are examined in relation to sex role orientations of late adolescents. Data are analyzed from questionnaires administered to 387 males and females. It was found that future work-family plans were closely tied to sex role orientations of adolescents of both sexes. However, self-esteem, evaluation of the relative difficulty of male-female sex roles, and projected childlessness were salient to sex role attitudes of females but not of males. Positive evaluations of self were related to non-traditional sex role orientations among females. Maternal employment differentially affected male and female children. Sons of women in high-status occupations were reluctant to get involved in a two-career family with children. Mothers' occupational status had little influence on the plans or sex role attitudes of daughters. The results indicate that future research should investigate whether maternal employment in high-status occupations, while providing a wider range of acceptable models for girls, may serve as a negative model for boys.     

The conflict cycle in families and therapy

Conflict is not an aberration but rather part of the structure of human relationships. It is defined in this paper as consisting of four stages. Once the first stage (the dispute) is triggered, there is a high likelihood that the second (blaming) will occur, and the third (shame, guilt, or denial), and then the fourth (reparation, reconciliation, or retaliation). Three case presentations illustrate the conflict cycle in various clinical and nonclinical situations. The family therapist should be readily able to identify the cycle in clinical situations, and knowledge of it should prove fruitful in identifying pathogenic relating and in planning interventions and their timing.     

Cooperative learning and classroom climate

The impact of two cooperative learning techniques, Student Teams-Achievement Divisions and Teams-Games-Tournaments, on classroom climate among students was compared to a traditional whole-class format. Thirty-five student teachers were randomly assigned to one of the three classroom structures. Their pupils were 864 second-through sixth-grade students, including 288 non-Anglo (black and Mexican American) students. A new measure of classroom climate, the Classroom Attitudes Scale, was developed that produced two attitude factors: Social Relations and School-work Cooperative techniques generally produced a slightly more favorable climate on both dimensions, and especially for females on Social Relations. Of the cooperative methods, Teams-Games-Tournament produced a significantly more favorable climate for Anglo-American students. The results support the conclusion that choice of classroom structure can bias classroom climate in favor of or against different ethnic groups.     

Does family therapy produce change? an overview of outcome studies

Summary Families were randomly assigned to one of two forms of conjoint marital therapy: an insight-oriented treatment (n=10) or a problem-solving intervention (n=10.). The results on self-report measures of family functioning indicate that the problem-solving intervention produced more favorable changes after three months. However on long-term follow-up after a year, this more positive effect did not apparently persist, since the insight treatment group reported better results. Experienced therapists did better than inexperienced therapists in the insight treatment condition, but level of experience did not make a difference in the problem-solving intervention. A group of eight families who dropped out of the insight treatment group provided data on correlates of premature termination. Several of the practical obstacles to implementing an experimental design in a clinic setting are illustrated by the research.As we develop more sophisticated methodology, we hope that is the near future family therapy researchers will be better able to state which type of approach is more effective for whom and under what circumstances. A review of current studies of family therapy outcome research indicates that family therapy seems to be as effective as individual psychological treatment.     

Disorders of oculomotor scanning and graphic orientation in developmental Gerstmann syndrome

A patient with developmental Gerstmann syndrome who experiences great difficulty in performing tasks requiring visuoconstructive and reading abilities is described. Neuropsychological assessment revealed normal range verbal abilities but severe deficits in directional orientation, finger differentiation, calculational ability, copying, and reading ability. Achievement in reading was measured at the sixth-grade level despite the fact that this patient is a third-year college student. Using infrared photoelectric sensors, we monitored the horizontal saccades of this patient while reading from a standardized reading test. Fixation durations were not abnormal. However, instances of reverse-staircase movement were exhibited. While reading from an inverted test, she showed a normal eye-movement pattern (although in the reverse direction since the task now called for right-to-left saccades). The processing of spatial information in this patient is severely disturbed and this may account for the apparently abnormal oculomotor scanning, an “irrepressible tendency” to move her eyes in a right-to-left direction.     

Visual angle and the word superiority effect

Two experiments are reported in which a word superiority effect is obtained under conditions where a fixed set of alternatives are employed with positional certainty as to the critical letter, trial type (word or nonword) is mixed, and the subject is told to fixate the position of the critical letter. A third experiment employed the same methodology except for the fact that the stimuli subtended a larger retinal angle. No word superiority effect was observed in the third experiment. It is suggested that the visual angle of the stimulus display is a crucial factor in experiments on the word superiority effect.     

Positional discriminability in linear orderings

Subjects were taught two eight-term linear orders of the form “A taller than B taller than C ….,” They were then asked to choose the “taller” term in all possible pairwise combinations within each series, and reaction time was measured for each pair. In addition, subjects performed a further task in which they judged whether or not two terms were adjacent in the ordering. In subsequent sessions, subjects were told that the “shortest” term on one list was taller than the “tallest” term on the other, so that the two lists were merged into a single 16-term series. They were then required to choose the “taller” term for both within-groups and between-groups pairs. Subjects did not appear to use the initial groupings in performing this task, even when given training on differential categorical codes (“tall” vs. “short”) for the two sublists. Rather, subjects in all tasks appeared to represent the items as ordered positions along an internal array, so that comparison times depended largely on the differential discriminability of the item positions. In each task decisions were made more quickly if the terms being compared were near the ends of the ordering, rather than near the middle.