Facilitating autonomy in passive-dependent persons: An integrative model

Passive and dependent qualities are commonly found in psychiatric patients suffering from a variety of disorders. While such tendencies are often secondary to an Axis I clinical syndrome, they are occasionally more persistent and refractory. The present article attempts to provide therapeutic guidelines useful when working with clients displaying stable personality traits of passivity and dependency. An attempt is made to adapt and combine several therapeutic techniques to be applicable to passive-dependent clients. More specifically, problem-solving approaches and self-control strategies can be used to facilitate autonomy if precautions are taken to reduce the dogmatic and didactic styles commonly employed with these techniques. The Socratic method of interviewing is posited as a useful means of developing problem-solving skills without creating unnecessary dependence on the therapist. Self-control strategies can help reduce the reliance on others as the primary source of satisfaction for dependent clients. In this way, passive-dependent clients may become more self- reliant and autonomous in their daily functioning.The author would like to thank Patti Watson, Katie Brooks, and Estyn Williams for comments made on an earlier draft of this article.     

Discovery as correction

In recent years, there have been some attempts to defend the legitimacy of a non-inductive generative logic of discovery whose strategy is to analyze a variety of constraints on the actual generation of explanatory hypotheses. These proposed new theories, however, are only weakly generative (relying on sophisticated processes of elimination) rather than strongly generative (embodying processes of correction).This paper develops a strongly generative theory which holds that we can come to know something new only as a variant of what we already know — and that the novelty of this variant is not thereby eliminated nor beyond our powers of characterization, a double requirement that is vital for resolving the Meno paradox. In this light, the discovery of a new hypothesis is taken as the correction of an antecedent hypothesis in response to the discrepancies between the predictions generated by that antecedent hypothesis and the desired result (e.g. the actual data to be explained). This process comprises two parallel operations: the first, which demonstrates the positive role of the facts in generating new explanations, involves a mapping between multiple hypotheses and sets of predictions generated from those hypotheses, for the purpose of taking the actual data as a determinable variant of neighboring sets of predictions. This mapping permits the facts to indicate how corrective adjustments in the working hypothesis should be made; the second operation, which demonstrates the positive role of explanations in generating new facts, involves a mapping between differently construed versions of the actual data and the conceptualizations derived from those perceptual versions, for the purpose of taking the working hypothesis as a determinable variant of these neighboring conceptualizations. This mapping permits a given hypothesis to generate predictions increasingly closer to the actual facts.The proposed theory provides the basis for a reformed conception of justification. Because hypotheses are meaningful only as variants of neighboring hypotheses, and because such variation is corrective, their justification in the reformed sense will incorporate not only their justification in the traditional sense, but their generation as well.     

Risk factors and the Child Behavior Checklist in a child mental health center setting

The relationship between risk factors and the severity and type of childhood disorder, as measured by parent-completed Child Behavior Checklists, was examined for 768 children, ages 4–16, seen at a child mental health center. Regression analyses revealed no significant relationships between any combination of risk factors and the total number of behavior problems, internalizing, or externalizing scores for the entire group, males and females separately, or for the age and sex groupings of 6- to 11- and 12-to 16-yearolds. Chi-square tests revealed no relationship of profile type with any risk factor or with total number of risk factors. Implications for broad-based child assessment and risk factor research within a clinical population are discussed.We wish to thank Orin Bolstad, Linda Magnuson, and Julian Taplin for their assistance in this project.     

A brief neuropsychological screening battery to detect brain damage in a psychiatric population

Seventy-five patients admitted to the psychiatric unit of a general hospital were administered a brief neuropsychological screening battery. Discharge diagnoses obtained from the medical records revealed that 20% had brainbased pathology. A discriminant function analysis resulted in a five-variable model (Symbol-Digit Modalities Test, educational level, Psychiatric-Organic subscale of the MMPI, and Shipley Vocabulary and Abstraction scores) which correctly classified 84% of the subjects, with 87% correct identification of the brain-damaged group. A jackknife cross-validation procedure resulted in comparable hit rates.     

Macrocosm to microcosm: Toward a systemic model of personality

This paper attempts to: (1) provide a paradigm through which to understand the human self and, (2) bring some order out of the variety of theories of personality and strategies of change used in clinical practice today. Drawing on modern physics and general systems theory, a multi-leveled, systemic model incorporating physical, psychological, and spiritual dimensions is proposed and then applied to a representative clinical case. Implications of this model for clinical work and for a spiritual understanding of personality are elaborated.     

Discrepancy detection and vulnerability to misleading postevent information

When people are exposed to misleading details after a witnessed event, they often claim that they saw the misleading details as part of the event. We refer to this as themisinformation effect. In four experiments, involving 570 subjects, we explored the role that discrepancy detection plays in the misinformation effect. Experiment 1 showed that subjects who naturally read a post-event narrative more slowly were more resistant to the effects of misleading information contained in the narrative. In Experiment 2, subjects who naturally read more slowly were more likely to detect a discrepancy between what they were reading and what was stored in their memory. In Experiment 3, subjects who were instructed to read slowly were more likely to detect a discrepancy than were those who were instructed to read quickly. In Experiment 4, subjects who were instructed to read slowly were more resistant to misleading postevent information. Taken together, these results suggest that longer reading times are associated with a greater scrutiny of postevent information. This leads to an increased likelihood that discrepancies will be detected and that the misinformation will be resisted.     

Visual object recognition in patients with right-hemisphere lesions: axes or features?

An investigation is reported of the ability of normal subjects and patients with right-hemisphere lesions to identify 3-D shadow images of common objects from different viewpoints. Object recognition thresholds were measured in terms of angle of rotation (through the horizontal or vertical axis) required for correct identification. Effects of axial rotation were very variable and no evidence was found of a typical recognition threshold function relating angle of view to object identification. Although the right-hemisphere-lesion group was consistently and significantly worse than the control group, no qualitative differences between the groups were observed. The findings are discussed in relation to Marr's theory that the geometry of a 3-D shape is derived from axial information, and it is argued that the data reported are more consistent with a distinctive-features model of object recognition.     

Spatial attention in vision

Summary Human observers can selectively allocate processing resources to different areas of the visual field within a single fixation. This spatial attention system may affect either the quality of information extraction or the decisions and responses based on this information. This paper reviews evidence from behavioral, single-unit, and event-related potential paradigms; the evidence suggests a relatively early locus of spatial attention.This research was supported by the U. S. Army Research Office under contract DAAG 29-83-K-0049. Portions of this paper were presented to the Conference on Attention and Action, Bielefeld, West Germany, in July 1985     

RELIGIOUS EXPERIENCE, ARCHETYPES, AND THE NEUROPHYSIOLOGY OF EMOTIONS

Abstract. Established religions integrate a society's everyday secular realities with humankind's numinous experience of the holy. Powerful emotions nourish the cultural expression of the archetypes propelling the "ritual dances" of art, sport, and technocracy. During sacred moments such as mother-infant or adult bonding, neuroendocrine triggers activate lifelong ties. The cultural canon of the left cortex contrasts with the intuitive right. Brainstem "switches" alternate the left's cool, extraverted, sympathetic drive for control with the right's "warm" attachment behavior and dreaming sleep. Psychic trauma damages flexibility with resultant alexithymic blindness to emotions and archetypes. Substance abuse and narcissistic overemphasis on control ensue.