'After my breakdown': Implications for counsellors of accounts of change in self-understanding during recovery

In this exploratory study, 22 individuals who understood themselves to have had a nervous breakdown were interviewed and their experiences were compared with those of another group of 10 individuals who survived very stressful life events without ‘breaking down’. It was concluded that a nervous breakdown can be understood as an individual's experience of the collapse of his or her framework of self-understanding. Also that an important aspect of recovery from a breakdown involves the search for, and appropriation of, a new and more viable understanding of self. Counselling strategies aimed at promoting this process are discussed.     

Concurrent Use of Cigarettes,Alcohol, and Coffee1

The interrelationships between cigarette, alcohol, and coffee use were examined in 307 U.S. army trainees and 304 U.S. enlisted army personnel. Usage patterns indicated distinct gender differences in this occupational setting. Among women, cigarette use and alcohol consumption were positively correlated; whereas for men, cigarette and coffee use were positively related. For both males and females, alcohol and coffee use were only weakly correlated. As demonstrated in other studies, nonsmokers showed a consistent pattern of abstention from coffee and alcohol or moderate alcohol use.     

Delayed and current stimulus control in successive discriminations

In a successive discrimination in which successively alternating red and green hues signaled component variable-interval schedules, sensitivity of the ratio of responses in the two components to variation in the component reinforcer ratio decreased systematically during the course of the component. This decrease in stimulus control or discrimination over the course of the component was shown to be the result of delayed control of responding during the component by the stimulus transition between components. When the red–green stimulus transition was altered by interpolating a white stimulus at the end of each 60-s component, discrimination at the beginning of the component (measured by the power-function exponent for sensitivity to reinforcement) was reduced. Conditions with the white stimulus inserted in other quarters of the component indicated that the current discriminative stimulus exerts control over responding throughout the component, whereas during about the first half of the component, response differentials are influenced by the transition between discriminative stimuli.     

Hemispheric involvement in shadowing vs. interpretation: a time-sharing study of simultaneous interpreters with matched bilingual and monolingual controls

A time-sharing study used shadowing and interpretation/paraphrasing tasks to evaluate lateralization in professional interpreters individually matched to bilingual and monolingual controls. A two-step multivariate general linear model procedure was used to determine lateralized effects and extent of disruption produced by the tasks. Results revealed the monolingual group to be left lateralized for both tasks, but the two bilingual groups were lateralized in the LH only for shadowing. The monolingual group was significantly different from the bilingual groups in the pattern of hand asymmetry for interpretation/paraphrasing. The findings replicate outcomes of prior repeated measures analysis of variance procedures on percentage of change scores. However, new information is added by the more refined analysis. The findings are also discussed in terms of previous laterality studies using similar tasks and subject samples.     

Cognition and metacognition at extreme altitudes on Mount Everest

The FACTRETRIEVAL2 test battery, which assesses both retrieval of general information from memory and metacognition about that retrieval, was administered to people before and after a recent expedition to Mount Everest and at extreme altitudes above 6,400 m (higher than any mountain in North America or Europe). The major findings were as follows: First, the same extreme altitudes already known to impair learning did not affect either accuracy or latency of retrieval, and this robustness of retrieval occurred for both recall and forced-choice recognition. Second, extreme altitude did affect metacognition: The climbers showed a decline in their feeling of knowing both while at extreme altitude and after returning to Kathmandu (i.e., both an effect and an aftereffect of extreme altitude). Third, extreme altitude had different effects than alcohol intoxication (previously assessed by Nelson. McSpadden, Fromme, & Marlatt, 1986). Alcohol intoxication affected retrieval without affecting metacognition, whereas extreme altitude affected metacognition without affecting retrieval; this different pattern for extreme altitude versus alcohol intoxication implies that (a) hypoxia does not always yield the same outcome as alcohol intoxication and (b) neither retrieval nor metacognition is strictly more sensitive than the other for detecting changes in independent variables.     

An MMPI-based empirical model of malingering and deception

The empirically-based model of malingering and deception described by Rogers (1984b) was operationalized using MMPI and clinical interview data. Subjects (N = 159) were patients committed to an inpatient forensic hospital as ‘Incompetent to Stand Trial’ or ‘Not Guilty by Reason of Insanity’. Inter-rater reliability was acceptable for the 11 criteria used to define response styles. Each subject was categorized into one of five response style groups: ‘Reliable’, ‘Malingering’, ‘Defensive’, ‘Irrelevant’, or ‘Unclassifiable’. Factor analysis of the rating criteria yielded four factors, three of which are comparable to the assigned groups, providing some validation for the constructs underlying these groups.     

Notes on the Tenacity of Therapeutic Presuppositions in Process Research: Examining the Artfulness of Blamings in Family Therapy

In their recent contribution to the Journal of Family Therapy , Frosh et al . apply discourse analytic methods to the study of 'process' in family therapy. While we welcome this contribution, we suggest that the authors' reading of the data has been affected by a number of fundamental presuppositions, which have led them to neglect the skilful rhetorical work taking place in the session. In this paper, we have undertaken an alternative analysis of the data, examining its rhetorical features and suspending judgement on the efficacy of the therapeutic project and on the truth status of statements made by participants in the session. While acknowledging that our microanalytic method has some shortcomings, we contend that attention to the situated and strategic nature of 'therapy talk' has exposed the primacy of notions of responsibility and blame in family work, and has shown how these issues are artfully negotiated by therapist and family in the cut and thrust of the therapeutic interview.     

Deconstructing Dispositional Bias in Clinical Inference: Two Interventions

In this study, the authors examined the effectiveness of instruction in attribution processes and practice in empathic perspective taking in deconstructing dispositional bias of counselor trainees. Videotaped stimulus cases and a clinical attribution scale were used to assess the treatment effects when compared with a placebo control condition. Results revealed significant differences among groups. Counselor trainees receiving either of the 2 interventions showed significantly lower dispositional bias in responding to videotaped clinical cases than did their counterparts in the placebo condition. The study points to a need for a paradigm shift from a person-focused to a system-focused approach in counseling practice. Implications also point to the need for including critical thinking and empathic experiencing in clinical training