Impact of Childhood Sexual Abuse on Client Spiritual Development: Counseling Implications

The spiritual development of sexually traumatized clients is an important area of concern for counselors. In this paper, spirituality is defined, and its relevance for counselors who work with childhood sexual abuse survivors is discussed. Impact of abuse on client spirituality is described, and several suggestions are given for assessment and intervention approaches that address spiritual issues as part of the counseling process.     

The psychologist's role in assessing and facilitating patients' knowledge of advance directives in medical settings: A preliminary investigation

In a time of budgetary shortfalls in the medical industry, an aging population, and an increased emphasis on health care choices, psychologists are being called upon to administer advance medical directive programs to patients. This study reports preliminary findings from a program to assess and facilitate patients' knowledge of advance directives (ADs) by the Psychology Service at the Ann Arbor VA Medical Center. The participant pool included 243 male veteran patients admitted to medical and surgical wards at the hospital. The intervention included the use of a computer-generated prompt for consultation, which was sent to the psychology staff in response to a patient inquiry regarding ADs. It also involved an increased emphasis on the delivery of written material on ADs by the admissions clerks. The intervention appeared to result in a modest increase in patients' knowledge of advance directives. Suggestions are offered for areas that should be emphasized in future attempts to increase patients' knowledge and utilization of advance directives.     

Further analysis of stuttering as a phonetic transition defect

This article presents a further analysis of stuttering as a phonetic transition defect. Three types of phonetic transitions are identified. Two of these occur within words and represent sites where stutterings are readily detectable. The third transition involves movement from the end of one word to the beginning of the next. Spectrographic evidence is provided to show that stuttering also occurs at points of transition of this type. The same data are interpreted relative to their implications for stuttering theory, research, and therapy.     

Experimental assessment of tinnitus aurium

A 32-year-old male volunteer with an eight year history of chronic unilateral tinnitus (ear-ringing) participated in a behavioral assessment strategy that included a series of measurement and modification procedures. A psychophysical matching technique was employed throughout a planned combination of procedures to assess and manipulate the intensity or loudness of tinnitus responses. Following baseline assessment, measurements were conducted at varying times of the day, concomitant with exposure to music, during progressive relaxation training, and under conditions of caffeine consumption. The value of careful assessment to describe cues and conditions associated with tinnitus and its reduction are discussed with implications for behavior treatment design and evaluation.     

Conceptual development in learning-disabled and normal boys

In two related studies, a pictorial sorting task served as the means of measuring conceptual development in LD and normal boys. The studies found no differences in the bases on which groups were formed (perceptible attributes, function, or nominal class membership) or in the manner in which groups were structured (thematically, in complexive groups or superordinate groups). Furthermore, parallel developmental trends were found in both LD and normal subjects groups. These findings are not consistent with early studies of concept formation in brain-damaged subjects, most of whom were retarded. Subjects in the present studies were selected on the basis of clinical diagnosis of LD and average IQ. The findings of the present studies suggest that generalizations about conceptual abilities of LD children of normal intelligence should not be based on early studies of the effects of brain damage.     

Stuttering and fluency: Exclusive events or points on a continuum?

In recent years, several studies have been conducted in which the fluency of stutterers was compared with that of normal speakers. These investigations have been of two basic types, some involving objective measures of physiologic, aerodynamic, or acoustic features of the subjects' fluent speech signal, and others involving experiments performed in which listeners attempted to distinguish the fluency produced by stutterers from that generated by normal speakers. The body of literature pertaining to each of these two types of investigations is reviewed and interpreted. The interpretations offered are then developed in an effort to shed further light on both fluency and stuttering. Implications for further research, as well as for the evaluation, treatment, and post-therapy assessment of stutterers are drawn.     

The inter-domain among personality and cognition variables in people who commit murder

The inter-domain among personality (MMPI) and cognition (intelligence) variables in a sample of 137 males charged with first degree or capital murder was examined through canonical analysis. Race was included as a control variable. Two significant canonical correlations were found which contribute to an understanding of the relationship between personality and cognition in violent people. These variates were identified as Problem-solving Focus and Introspective Self-focus. Results also suggest that these inter-domain variates explain the relationship between personality and cognition variables to a greater degree for black murderers than for white murderers.