Physiological and psychological effects of acute intentional hyperventilation

Research is reviewed which suggests that hyperventilation syndrome is an underdiagnosed disorder for the presentation of many patients experiencing apparent anxiety states. In a test of this hypothesis, 21 normal individuals (9 female) underwent a 2 min period of intentional hyperventilation following a 10 min baseline phase. Hyperventilation was accompanied by increased subjective anxiety and tachycardia, and indications of peripheral vasoconstriction. Following hyperventilation, Ss experienced increased levels of state anxiety and perceived autonomic arousal, as indexed by self-report instruments. These results support the hypothesis that undiagnosed hyperventilatory phenomena may be etiologically implicated in states of pathologic anxiety.     

The Ramsay Family in Virginia Woolf''s To the Lighthouse: A Study of Arrest at Stage Three of Family Development as Delineated in Solomon''s "A Developmental, Conceptual Premise for Family Therapy"

The five stages of family development and their phase-specific tasks as delineated by Michael A. Solomon in an article that appeared in this journal (1973) are given dramatic representation by Virginia Woolf in her novel To the Lighthouse (1927). The novel begins with the Ramsay family system arrested at the third stage of development; and it is only after the death of Mrs. Ramsay that the remaining family members begin to attend to the phase-specific tasks of stages four and five, and family development commences.     

The Concept of Collusion: A Combined Systemic-Psychodynamic Approach to Marital Therapy

The author presents some new theoretical aspects and therapeutic implications of the concept of Couples in Collusion, (22), first published in 1975. According to this concept, the emotional attraction in the selection of a mate is based on a fascinating, mutual, and alarming theme, shared by both partners in order to be mastered together. The partners unavowedly start colluding to compensate for former frustrations and to repress fears of intimacy. After some time of living together and in defense of repressed feelings, they may enter into an escalation of the dysfunctional interactional pattern. Experience shows that severely neurotic personalities don't necessarily start colluding, provided that their partners don't gratify regressive needs or reinforce their defenses but help to cope with the frustrations of these unfulfilled regressive wishes. Therapies based on the concept of collusion aim at the improvement of intradyadic and extradyadic boundaries and the depolarization of extreme progressive-regressive behavior. These goals can be reached by both systemic and psychodynamic techniques. The concept of collusion may serve as a guide for this therapeutic process.     

REDUCING SELF-INJURY AND CORRESPONDING SELF-RESTRAINT THROUGH THE STRATEGIC USE OF PROTECTIVE CLOTHING

We examined the use of protective clothing to reduce a retarded male's face-punching and leg-kicking and two corresponding forms of self-restraint—arm and leg self-restraint. The resident was observed each day in three sessions of randomly ordered conditions (one condition per session): without any protective clothing, with a padded helmet, and with a padded helmet and padded slippers. Use of the padded helmet substantially reduced face-punching and arm self-restraint. The addition of padded slippers reduced leg-kicking and leg self-restraint. These results suggest a practical and effective means of controlling self-injury and self-restraint. They are also consistent with the possibility that the resident's arm restraint was maintained in part by escape or avoidance of face-punching and that his leg restraint was maintained in part by escape or avoidance of leg-kicking.