The so-called duty to warn: The psychotherapeutic duty to protect third parties from patients' violent acts

This article discusses the much-misunderstood Tarasoff decision that requires psychotherapists to protect third parties from patients' violent acts. Through a normative approach, the paper analyzes four important issues: what to do when potential victims are unknown; what to do about the fact that the patients' potential for violence may be incorrectly perceived; the value of warning potential victims; and, the problem of discharging potentially violent patients from the hospital. The author proposes that the courts adopt a more flexible substantial departure test in most cases that involve psychiatric negligence.     

Effects of visual presentation of caloric values on food buying by normal and obese persons.

The effects of the visual presentation of the caloric values of food on the food buying behavior of 450 normal, overweight, and obese female subjects were studied, in a cafeteria setting. The caloric signs significantly decreased the total number of calories bought across all three weight groups. No differences were found among the three weight groups, either in the effect of the presentation of the caloric signs or in the total number of calories bought. The implications of these results were discussed, both in terms of present-day research on obesity as well as in terms of a large scale modification of eating behavior.     

Differences in baseline drinking behavior between alcoholics and normal drinkers

Drink preference, sip magnitude, amount of time taken to consume drinks and amount of time between sips were measured for 23 normal drinkers and 26 hospital admitted alcoholics while they consumed up to 16 oz. of 86-proof liquor or its equivalent in an experimental bar-and-lounge environment. The alcoholics as denned in this study ordered more drinks, preferred straight drinks, took larger sips and drank faster, but took a longer time between sips than did the normal drinkers. The utility of baseline drinking measures and the external validity of the results are discussed.     

Reviews of current books

Pastoral Psychology -     

Counselling breast cancer patients: A specialist nurse service

The evaluation of a specialist nurse-counselling service is described. Forty newly diagnosed breast cancer patients, treated by mastectomy, were randomised to receive either routine care or routine care plus counselling by a nurse. Psychological morbidity was assessed at one week, 3 months and 12 months postoperatively to determine the efficacy of this service. Comparisons between the groups indicated that counselled patients were significantly less depressed at 3 months postoperatively and reported more beliefs in personal control over health. At 12 months postoperatively there were no significant differences between the groups. Although both groups continued to adjust throughout the year following surgery, this adjustment occurred more rapidly if patients were counselled. The results suggest that a nurse-counselling service can be of value in helping to reduce the amount of distress experienced as a result of the diagnosis and treatment of breast cancer.     

Sociability and Social Withdrawal in Childhood: Stability and Outcomes

The stability and long-term correlates of both social withdrawal and sociability were investigated in a longitudinal study of normal children in kindergarten through the fifth grade. Both observational and peer assessment indices of withdrawal and sociability were considered; furthermore, a distinction was made between observed active versus passive solitude. Of particular interest was whether social withdrawal in early childhood was predictive of subsequent internalizing problems, as assessed by self-reports of social competence, overall self-worth, loneliness, and depression as well as teacher ratings of shy/anxious behavior, in later childhood. Results indicated a modest degree of stability for observed social withdrawal but not for observed sociability, nor for active or passive forms of solitude. Somewhat higher stability correlations were obtained for peer assessments of both sociability and withdrawal. In terms of predictive outcomes, significant relations were found between early social withdrawal in kindergarten and Grade 2 and subsequent internalizing problems in Grades 4 and 5, although the pattern of results was mixed. These data suggest that social withdrawal in early childhood may be predictive of risk for internalizing difficulties in later childhood.     

Traditional morality, moral reasoning and the moral education of adolescents

While many groups agree that there is a need for schools to give some value training, particularly to adolescents, there is much disagreement as to how this should be done. Two positions on value training seem to be most prevalent today. One has often been identified with Kohlberg--teaching moral reasoning. The other position, supported by most conservative groups in this country today, calls for the teaching of traditional values. Proponents of these two positions have strongly criticized each other's methods and philosophies. This paper examines both positions and attempts to establish a significant common ground. In doing so, it is hoped that educators will be encouraged to incorporate elements of both ideas in the moral education process.