The modification of sexual fantasies: A combined treatment approach to the reduction of deviant sexual behavior

A consideration of the literature on the behavioral therapy of sexual deviations suggests that the direct modification of fantasies will provide an effective treatment method. A combination of two procedures for modifying the content of sexual fantasies is outlined and the results of treatment with twelve patients using this combined approach are described. The hypothesis that the modification of fantasies would have a direct effect on both deviant behavior and attitudes toward deviant material, was not unequivocally supported. However, the program had eliminated deviant behavior in all subjects by the end of treatment, and this was maintained at follow-up in at least 75 per cent of the patients.     

The effect of vicarious punishment on prosocial behavior in children

Two experiments are reported dealing with the effects of vicarious punishment on prosocial behavior. In Experiment I, first and second grade females who witnessed a peer model being punished for a refusal to share (“nonsharing, punished”), shared more than an appropriate control group. Sharing was similarly heightened, however, in a group who witnessed punishment to the model which was not contingent upon any specific behavior (“punishment only”). Experiment II tested and confirmed the hypothesis derived from Experiment I that noncontingent vicarious punishment has a generalized inhibitory effect on antisocial behaviors. First, second, and third grade females were shown either the “nonsharing, punished,” “punishment only,” or baseline videotapes used in Experiment I. Subsequent to viewing the tapes, subjects in the “punishment only” condition helped the experimenter significantly more than did subjects in the “nonsharing, punished” and baseline conditions. The ability of existing theoretical treatments of vicarious punishment to account for these results is questioned.     

Activation-induced restoration of sensorimotor functions in rats with dopamine-depleting brain lesions.

Bilateral electrolytic lesions of the lateral hypothalamus or intraventricular 6-hydroxydopamine injections produced substantial depletions of striatal dopamine in rates. All animals with brain damage showed marked sensorimotor impairments. However, they began to move and respond appropriately to environmental stimuli when placed in a sink of water, in a shallow ice bath, or among a colony of cats or rats. A reversal of the sensorimotor dysfunctions was still apparent shortly after the animals were removed from each activating situation. However, the terapeutic effects dissipated rapidly, and by 4 hr after an exposure the rats responded as poorly as they had prior to activation. These findings are strikingly similar to the "paradoxical kinesia" seen in parkinsonism, a clinical disorder attributed to degeneration of central dopamine-containing neurons. Collectively, they suggest the importance of activation in maintaining responsiveness to senory stimuli in rats following dopamine-depleting brain lesions.     

Simultaneous electronic recording of video and digital information on the video channel of a VTR or VCR

A technique is described that permits precise synchronization of video recorded behavior with discrete stimuli and responses. These discrete events are recorded as digital data on the video channel of a video recorder on a horizontal line that lies above the visible video information. These data may be observed in single-frame playback mode by underscanning the playback monitor. A circuit is described for computerized decoding of the digital data. Because each video field is uniquely coded, an updating of the data is possible 60 times each second. The described technique has several advantages over current approaches for synchronizing discrete stimulus and response events with video recorded behavior.     

Bereavement following the death of a child: Implications for family therapy

The death of a child, is perhaps one of the most excruciating events that a family could experience. Although much literature exists on the short-term effects of child death, little is written on the long-term family repercussions.This article briefly reviews the literature on bereavement, and then focuses on the effects of child death in the family. Issues of specific interest to the family therapist are highlighted.     

Family decision-making for nursing home residents: Legal mechanisms and ethical underpinnings

Families frequently act as substitute decisionmakers for their older members who suffer from diminished mental capacity to make and express their own medical choices. Substitute decisionmaking takes on particular ethical and legal urgency within the nursing home environment, especially when choices concern potential medical treatment near the end of the nursing home resident's life. This article examines current legal mechanisms in the United States that enable a family to make substitute medical decisions, the ethical underpinnings of those mechanisms, and specific ethical and legal considerations implicated by their application to the nursing home setting. The article offers advice to nursing home professionals, including physicians, in working with families as substitute decisionmakers.     

Psychosocial Predictors of Change in Cigarette Smoking

Over a period of 6 months, factors related to change in cigarette smoking were investigated in a group of 250 adult outpatients, all of whom smoked at the time of enrollment in the study. Among the variables tested were demographic, social, and situational factors, beliefs about the health effects of smoking and difficulty of quitting, and intentions regarding future smoking. Information was gathered at baseline and the first and sixth months by means of telephone interviews. Relative to smoking at 6 months, intention, education, and professional advice made independent contributions to cessation. The processes of quitting were examined in more detail. Attempting to quit was related to intention, professional advice, level of smoking, and social cues to smoke. Among those who tried to stop, difficulty with urges to smoke, and education affected success versus failure. Earlier success related to less anxiety and tension, and to less difficulty in not smoking when in negative situations. The findings suggest that a complex set of social and cognitive factors affect change in smoking behavior, and that somewhat different factors are operative at different stages.