You must leave before you can cleave: A family systems approach to premarital pastoral work

We advocate the use of a family systems approach to premarital pastoral work, involving exploration of the families of origin of the intended spouses. Family systems theory argues that a marriage is like a merger of two corporations, each having its own stockholders; thus, adequate preparation for marriage involves coming to terms with the realities of one's family of origin and that of one's intended spouse. Exploratory techniques include genograms, house tours, family photo albums, and discussions of the rules and rituals in the respective families. Leaving father and mother is the central prerequisite to marriage.Dr. Mitchell is Professor of Pastoral Care and Theology, Eden Theological Seminary, 475 E. Lockwood Ave., Webster Groves, Missouri 63119. Dr. Anderson is Associate Professor of Pastoral Theology, Wartburg Theological Seminary, 333 Wartburg Place, Dubuque, Iowa 52001.     

Modeling medical diagnosis: Logical and computer approaches

Conclusion In the present article I have surveyed several approaches to modeling the clinical diagnostic process. I have argued that at this point of the field's development, logics which simulate the reasoning patterns and knowledge base of expert clinicians represent research programs that are most likely to succeed. No logic of diagnosis has yet attained the status of being definitive; in spite of striking progress much more research and testing is required. On the basis of various existing logics, I have attempted to articulate a number of desiderata which an ideal diagnostic logic should satisfy. In spite of these criticisms, I would maintain that programs such as MYCIN and INTERNIST have already matured to the point where they are useful both in consultations and in teaching diagnostic reasoning.Department of History and Philosophy of Science, University of Pittsburgh, Pittsburgh, PA 15260. The author wishes to acknowledge gratefully the assistance of Drs. Jack D. Myers, Harry E. Pople, Jr., Joshua Nagin, and Randy Miller with the research that resulted in this essay and thanks to L. J. Cohen, J. F. Fries, R. N. Giere, and C. Whitbeck for comments on an earlier draft. Supported in part by training grant MB 00199-01 from the Bureau of Health Manpower (DHEW) and by the National Science Foundation and the National Endowment for the Humanities.Presented at a symposium on Philosophy and Medicine held at the American Philosophical Association's Eastern Division Meeting in Washington, D.C., December 27–29, 1978. This essay partially overlaps with an article on Problems in computer diagnosis to appear inThe Ethics of Diagnosis, H. T. Engelhardt, Jr. and S. Spicker (eds.) Dordrecht: D. Reidel, forthcoming.     

Information Processing in Joined and Severed Trials

The present study was conducted to determine the process by which jurors reach verdicts in trials in which multiple charges are joined in one indictment. The experiment was designed to test the impact of joinder of affenses, similarity of offenses, and evidentiary strength of jurors' ability to process trial evidence. The results gathered from 220 male and female subjects indicated, as previous research has shown, that joined trials lead to more guilty verdicts than severed trials; that the first charge in a joined trial accounts for this "joinder effect," receiving significantly more guilty verdicts than its severed counterpart. When joined trials are composed of similar categories of crimes, guilt verdicts increase and jurors tend to confuse evidence-as shown by a high rate of antidefendant intrusions from case two to case one. More antidefendant cognitions were also found when the cases were similar. Furthermore, case similarity interacted with the evidentiary strength of the charges in joined trials.     

Contemporary Worldviews: Personal and Policy Implications12

In the past several decades, changes in industrial societies have presented a host of issues, worldwide in scope, around which individual attitudes may form: technological growth, population expansion, environmental quality, global resources, differing societal goals, etc. This study (N= 325) was conducted to identify and assess the major attitude/belief constellations surrounding these issues and to examine their psychological basis and implications for risk perception and societal decision-making procedures. Results supported the hypotheses that assessed contemporary worldviews are related in predictable ways to (a) the pexceived risk associated with selected technologies, (b) preferences for the manner in which societal decisions should be made, and (c) a coherent set of psychological variables. Discussion focuses on policy implications of differing contemporary worldviews and on future directions and applications of this line of research.     

DINING OUT WITH CHILDREN: EFFECTIVENESS OF A PARENT ADVICE PACKAGE ON PRE-MEAL INAPPROPRIATE BEHAVIOR

The effectiveness of an advice package designed to restructure the restaurant environment and encourage parent praise was examined. Experiment 1 assessed the usefulness of the package when used with experimenter assistance. Videotapes were used to record the target child's behavior. Pre-meal inappropriate behavior decreased an average of 51% across target children. Mealtime inappropriate behavior and parent praise and disapproval were also measured. Experiment 2 was designed to determine whether families could implement the package without experimenter assistance and whether effects obtained would generalize to a different restaurant. Data were taken in vivo. Nine families were randomly assigned to one of three groups. Group assignment determined the order in which families went to two restaurants, the number of dinners each family participated in, and the point at which parents received the advice package. The order in which the families went to the two restaurants as well as the number of baseline meals was counterbalanced. Results of Experiment 2 showed that, when using the advice package, parents in all sequences were able to decrease pre-meal inappropriate behavior of their children, and that these effects generalized to a second restaurant.     

On the examination of the role of the episcopalian priest in the pastoral ministry

The purpose of the research was to identify empirically and measurably those dimensions considered important by laity in evaluating their priest. The 83-item questionnaire was developed from existing instruments and from an interview survey carried out on laity from a national selection of Episcopal parishes. 221 parishes responded with complete data. A factor analysis was performed on the data yielding eight useable factors: (a) Pastoral sensitivity, (b) Administrative Skills, (c) Scholarship, (d) Personal Integrity, (e) Innovation, (f) Personal Spirituality, (g) Meaningfulness of Services, and (h) Laity Involvement. The results of the research were seen as a beginning insight into what the laity perceived as important aspects of their parish priest's role, and an instrument to measure these dimensions for further research was produced.     

Empirical sleep assessment in the home: A convenient,inexpensive approach

We have previously reported on a sleep assessment device (SAD) that addresses shortcomings inherent in self-report sleep data and polysomnography. The SAD produces a sleep record by tape recording subjects' verbal responses to auditory cues spaced at fixed intervals throughout the night. In prior studies, the SAD proved to be a reliable and valid assessment tool according to electroencephalographic comparisons. Herein, we report on the unassisted home use of the SAD by eight normal volunteers and four bedmates. Subjects and bedmates completed sleep questionnaires for 12 nights and subjects also employed the SAD the last 6 nights. Comparisons of subjects and bedmates self-report sleep data before and during SAD use indicated that the SAD did not disrupt sleep. Subjects were able to self-administer successfully the SAD in their homes. SAD data closely matched subjects' self-report data. The present study found the SAD to be an accurate, unobtrusive, and easily utilized empirical measure of sleep in the natural environment. In so doing, it extends the demonstrated reliability and validity of the SAD from the sleep laboratory to the home with normal sleepers.     

Marital disturbance and child problems: A cautionary note regarding hyperactive children

In previous work, investigators have found a relationship between marital discord and childhood conduct problems (aggression) in clinic samples. Given the wide variability of aggression found among hyperactive children,it would follow from previous work that child aggression may be associated with marital discord in a hyperactive population. This hypothesis was tested in a sample of 23 boys (ages 5 to 8) diagnosed as attention deficit with hyperactivity. Aggressive behaviors were tracked by the children's teachers for 12 school days. Parental and teacher ratings of conduct problems were also obtained. Additionally, the auditory version of the laboratory Continuous Performance Test was administered. Marital adjustment, overt hostility, and conflict tactics, as reported by the mothers, were not significantly correlated with any of the measures of aggression or conduct problems. In other words, marital discord in families with a hyperactive boy did not explain differential rates of aggressive behavior despite definite variability in both the marital and child behavioral measures. Marital discord was marginally related to severity of attentional deficit on the Continuous Performance Test. The results underscore the need for caution in attempting to extend findings from a general population (i.e., undifferentiated clinicreferred children) to a specific diagnostic subgroup (i.e., attention-deficit hyperactive children).     

Human figure drawings of gender-problem children: A comparison to sibling,psychiatric, and normal controls

The Draw-a-Person test was used to evaluate a number of questions regarding children referred for potential problems in their gender-identity development (N = 36). Sibling (N = 31), psychiatric (N = 23), and normal (N = 30) children served as comparison groups. The major results included the following: (1) The gender-referred children were more likely to draw an opposite-sex person when requested to "draw a person" than were the other three groups; (2) the gender-referred children who drew an opposite-sex person were more likely to play with opposite-sex toys and dress-up apparel on a free-play task than were the gender-referred children who drew a same-sex person; (3) the gender-referred children drew taller opposite-sex persons than same-sex persons; (4) using Koppitz's (1968) criteria, the normal children had a smaller proportion of emotional disturbance indicators in their same-sex drawings than did the other three groups. These findings were discussed with regard to psychometric and interpretive issues in the assessment of children with atypical gender-role behavior.