Gaslighting: A marital syndrome

This paper is concerned with certain male behaviors during and after their extramarital affairs and the impact of those behaviors and associated attitudes on the men's spouses. The observations cited here are drawn from clinical samples but seemingly have some features in common with what appears in nonclinical populations as well. Not only the husbands but also male therapists may contribute to the women's distress through mislabeling the women's reactions and through continuation of certain stereotypical attitudes that reflect negatively on the wife whose husband has had an affair.Gertrude Zemon Gass, PhD, and William C. Nichols, EdD, are clinical psychologists and marital and family therapists in independent practice.     

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.