AIDS Counselling: Clinical Application and Development of Services

The reasons for the provision of AIDS counselling services, and the ways in which they have developed, are described. The role of the counsellor both in medicine, and in the field of AIDS/HIV infection, is outlined. The psychosocial difficulties accompanying this illness are reviewed. Stress is placed on the need to consider not only the client, but also their sexual partners, family, friends, colleagues and even other members of the health-care team. Further investigations need to be carried out to clarify where AIDS counselling services fit with other medical and paramedical services.     

Dying: A universal human experience?

This paper explores the question, “Is there a universal psychological experience suffered by all dying persons?” a question to which the popular theory of Kübler-Ross presupposes an affirmative answer. Our answer takes three steps: first, a comparison between the Kübler-Ross model of dying and that of the late medievalBook of the Craft of Dying centered upon the five Kübler-Ross “stages”; second, a philosophical critique of the terms of this comparison; and third, a revised look at the alleged similarities between the two models, providing a deeper look at the moral and spiritual assumptions behind each.     

Health care utilization by low-income clients of a community clinic: an archival study

An archival study was done of 500 medical records from a community clinic serving a low income predominantly Hispanic area of Los Angeles. The data collected included demographic characteristics and presented symptoms or reasons for visit, as well as diagnosis and treatment. The greatest number of patient visits were made for family planning services. A large porportion of the patients who received initial family planning services failed to return to the clinic for follow ups or additional supplies. A total of 208 pregnancy tests were performed in 151 of the 500 cases sampled. Of these, 152 were positive. The most frequently stated reason for requesting pediatric services was for physical exams, accounting for 30% of the visits. It should be noted that the discontinuity of care and insufficient utilization of preventive care seen in these results deserve serious attention by medical clinic administrators. The rate of patients who do not return for family planning after the initial visit is worrisome. A greater effort to attract women to family planning services at the time they request pregnancy verification could reduce the need for abortion of unwanted pregnancy. The data also indicate that changes in the wording of certain questions commonly asked of clients may be needed. This study allowed service providers to obtain important information about their performance, their needs, and the future direction that their services might take. This type of analysis is relatively low in cost and can yield important benefits, espicially if done on a periodical base in a search for policy implications.     

The Anatomy of Revolutionists

A questionnaire containing 62 items relating to the New Left and 28 items measuring anomia, authoritarianism, and Machiavellianism was given to 153 entering freshmen at Columbia in the fall of 1968. The five factors emerging from a factor analysis of responses to the items were labeled: New Left Philosophy, Revolutionary Tactics, Machiavellian Tactics, Machiavellian Cynicism, and Traditional Moralism. Students who had been politically active prior to coming to college scored higher than the rest of the group on New Left Philosophy, Revolutionary Tactics, and Machiavellian Cynicism, but scored lower on Machiavellian'Tactics and Traditional Moralism. In the spring of 1969, a revised set of items was given to students in introductory psychology classes at Columbia University and New York University. While the findings from these subjects replicated those found with the Columbia freshmen, they showed subtle differences which led to speculations about the radicalization process. Also discussed are the relationships between the nature of political participation and all of the factors, with special emphasis on the discrepancy between Machiavellian Tactics and Cynicism.     

Components of Stroop-like interference in picture naming

The semantic interference effect observed in Stroop tasks and picture-word interference tasks might be due to the previous confounding of semantic similarity with task relevance (in the Stroop task) and with perceptual similarity (in the picture-word interference task). A picture-word variant of the Stroop task was devised in which the factors of task relevance and perceptual similarity were controlled. The distractor conditions allowed for the examination of four types of context effects. The results show that the overall Stroop-like interference effect can be decomposed into interference effects due to (1) a semantic relation between distractor and target, (2) the semantic relevance of the distractor word in the task at hand, (3) the presence of the distractor word in the response set, and (4) the mere presence of a word. Implications of these findings for the locus or loci of Stroop and picture-word interference effects are discussed. It is concluded that distractor words in Stroop-like naming tasks interfere mainly in the process of name retrieval.