Systematic 24-hr behavioral observations of sleep and wakefulness in a skilled-care nursing facility

Sleep patterns of aged, infirm, demented, chronically institutionalized residents of a skilled-care nursing facility were studied. The purpose of this naturalistic study was to describe sleep and wakefulness (S/W) within the limits afforded by brief behavioral observations and to examine homeostasis and diurnal rhythmicity of S/W as a function of psychoactive drug intake. Observers noted S/W every 15 min, 24 hr a day for 10 days in 24 Ss. Results indicated substantial individual variation in daytime hours. Daily and weekly variation within Ss was minimal. Sleep was least likely near sunset. Ss on psychoactive drugs showed dampened diurnal variation in S/W rhythms. In Ss not on such drugs, there was a suggestion of homeostasis of S/W between sleep during the morning and evening hours. Results are discussed methodologically (viability of approach), theoretically (age-related change in sleep), and practically (potential treatments).     

Critical flicker fusion in normal elderly subjects; a cross-sectional community study

Critical Flicker Fusion Thresholds (CFFTs) were measured in 644 elderly people identified from community-based general practice records, and the relationship of CFFT with age was investigated. The CFFT was measured using the method of limits with mean scores for three ascending (flicker/fusion) and three descending (fusion/flicker) presentations being recorded. The difference between the ascending and descending means was found to be significantly correlated with age (r=−0.131,P<0.001) and may reflect a reduced sensitivity of the Central Nervous System to suprathreshold flicker with increasing age. The results suggest that CFFT measurement has an important role to play in gerontological research as an objective measure of cognitive aspects of the ageing process.     

Correlates of age at first sexual intercourse in a national sample of young women

A subsample of 814 sexually experienced adolescent females from the 1979 U.S. National Survey of Young Women was analyzed to assess the correlates of age at 1st sexual intercourse. Multiple regression procedures were used to examine sets of variables sequentially. In the hierarchical regression model, the control variables (respondent's age, race, religion, and age at menarche), along with 3 independent variables (household income, ideal age at 1st marriage, and ideal age for 1st birth), predicted age at 1st intercourse. The control variables accounted for a major portion of the variance in the model. Of the controls, chronological age and age at menarche were highly significant across all models tested.     

Individual differences in client reactions to counseling and psychotherapy: A challenge for research

Recent research is reviewed that suggests extensive individual differences in how clients respond to therapeutic interventions and therapist response modes. Three research strategies are proposed as parts of a therapeutic science that aims at both nomothetic generalizations and explications of idiographic meanings, while simultaneously confronting conceptual and methodological complexities arising from client individual differences in response to counseling.     

Reflections on uncomplemented philosophies,integrated curriculums and words that bind and separate in counseling and clinical psychology

Should counseling psychology remain a distinct specialty or should it merge with clinical psychology? Recently, a growing amount of attention has been directed toward the increasing similarities between the counseling and clinical specialties, and musings about integrating them into a generic training model have emerged. This position paper considers some problems with the current divisions existing between counseling and clinical psychology. Three basic points are examined: (a) the effects of language systems on the counseling and clinical specialties; (b) the normal-abnormal dimension of behavior as a weak justification for distinct specialties; and (c) the fostering of distorted views of human behavior through counseling and clinical training programs.     

Near-death experiences and the measurement of blood gases

Although cerebral anoxia is not thought to be responsible for triggering near-death experiences (NDEs), the issue is not so clear in the case of hypercapnia. Detection of normal blood gases in Michael Sabom's (1982) case study seems to be the major reply to suggestions that hypercapnia may have a causal role in NDEs. We argue, however, that routine arterial measures of blood gases are not a reliable indicator of cerebral levels.