Family-centered intensive case management: A step toward understanding individualized care

New York State's initial attempt at individualizing services occurred within the context of an experiment. We randomly assigned children 5–12 years old who were referred for out-of-home placement in treatment foster care to either treatment foster care, Family-Based Treatment (n=15), or to Family-Centered Intensive Case Management (FCICM) (n=27). FCICM used teams of case managers and parent advocates to provide in-home services. Flexible service dollars, respite care, and behavior management skills training were available to assist teams in individualizing care. Preliminary outcomes indicate that children in FCICM are doing as well or better than children assigned to FBT in their functioning and symptom reduction. Parents of children in FCICM have made gains, although not at a statistically significant level, in behavior management skills and family strengths that allow them to provide care for their children at home.     

Gravitational acceleration as a cue for absolute size and distance?

When an object’s motion is influenced by gravity, as in the rise and fall of a thrown ball, the vertical component of acceleration is roughly constant at 9.8 m/sec². In principle, an observer could use this information to estimate the absolute size and distance of the object (Saxberg, 1987a; Watson, Banks, von Hofsten, & Royden, 1992). In five experiments, we examined people’s ability to utilize the size and distance information provided by gravitational acceleration. Observers viewed computer simulations of an object rising and falling on a trajectory aligned with the gravitational vector. The simulated objects were balls of different diameters presented across a wide range of simulated distances. Observers were asked to identify the ball that was presented and to estimate its distance. The results showed that observers were much more sensitive to average velocity than to the gravitational acceleration pattern. Likewise, verticality of the motion and visibility of the trajectory’s apex had negligible effects on the accuracy of size and distance judgments.     

Death of a Salesman: A clinical look at the Willy Loman family

A separation-individuation model is used to explore the dynamics of the Willy Loman family as depicted in the play,Death of a Salesman. The concept of differentiation is discussed, with examples from the play used to magnify the applicability of this construct. The family is viewed in three-generational context, using Erickson's definition of identity as it relates to the continuity between the past, present and future. The low level of differentiation inexorably leads to a void of intimacy, reflected in the form of emotional isolation, inability to tolerate differences and lack of problem solving skills. Finally, the discussion accents the difficulties experienced by the Loman children to separate and in individuation.     

Sexual responding of “nonrapists” to aggressive sexual themes: Normative data

The present study presents data relevant to the sexual responding to aggressive cues of a large sample of nonrapist males recruited from the community. Two hundred three subjects received physiological assessment of sexual arousal to heterosexual and rape stimuli. Results indicated that under instructions not to interfere with sexual responding, approximately 80% of the nonrapists would be correctly classified, which was significantly different from chance. However, under instructions to suppress arousal, classification was no better than chance. The rape index was not related to age, socioeconomic status, sexual experience, or amount of arousal shown in the laboratory. However, there was a small but significant relationship to IQ. Overall, the data suggest that for instructions not to interfere with responding, the error rate seen in this larger-scale sample was equivalent to that in previous studies using smaller normative samples and that classification in general is not biased by the subject characteristics measured in this study.Portions of this project were supported by USPHS Grant MH-34030-02 from the Center for the Studies of Crime and Delinquency and by Tennessee Department of Mental Health and Mental Retardation Research Contract ID-0783 to the Department of Psychiatry.     

Determining a child's strong and weak areas of functioning on the Stanford-Binet: A simplication of Sattler's SD method

Interpreting areas of strength and weakness on the Stanford-Binet presents problems for many clinicians. Sattler's SD method for determining normal variability provides an objective approach for dealing with this issue, and is thus a valuable tool for Binet interpretation. However, Sattler's procedure is beset by practical problems that limit its usefulness. The aim of this paper was to develop a simplification of Sattler's technique (in the form of a table) to make it easier to use and to apply to the Binet profile of any child tested. An illustration is included to demonstrate the role of the table for generating hypotheses about a child's strong and weak areas of functioning. Cautions are discussed regarding the application of the interpretive procedure.     

Negative and affirmative precepts

Summary That negative precepts play the critical role in the generalization principle is a consequence of the relationship of negative to affirmative precepts, i.e. that the negative give the essential negative condition for observing the affirmative precept. This relationship in turn is based on the nature of: 1) the negative precept which obliges to inaction and consequently demands action in order to violate it; 2) the affirmative precept which obliges to action and can be violated by inaction. Since action requires agency, and agency involves more responsibility than does the non-agency present in violating affirmative percepts, we conclude that violating negative precepts demands more responsibility and consequently that they oblige more than do affirmative precepts. To emphasize this critical role of agency I shall conclude with an example proposed by Michael Tooley: Imagine a machine which contains two children, John and Mary. If one pushes a button, John will be killed, but Mary will emerge unharmed. If one does not push the button, John will emerge unharmed, but Mary will be killed. In the first case one kills John, while in the second case one merely lets Mary die. Does one seriously wish to say that the action of intentionally refraining from pushing the button is morally preferable to the action of pushing it, even though exactly one person will perish in either case?²⁰ Tooley's judgment on this example indicates that the outcome - in either case one person will perish - is the sole moral determinant (intentions do not enter this case) and that agency of pushing the button is of no moral significance. Yet, if you, the reader, stood before this machine and tried to decide what you should do, the fact of your agency in pushing the button would control your decision. Consider pushing the button. What reason could you have for that action? That otherwise Mary would die. But who can say that Mary's life is more valuable than John's? That Mary will die is no valid reason for pushing the button. But what of saving Mary's life? You can't do that without yourself actively killing John. But if you don't, Mary will die. This is true, but she will not die from your agency, and this is critical to your choice. What a machine may or may not do may or may not be under your control. What you do is under your control, and you may not do evil, not even that good may come of it. Consequently, you would be forced to say: the decision of intentionally refraining from pushing the button is morally preferable to the action of pushing it even though exactly one person perishes in either case.     

An alternative perspective on sex differences in organizational settings: The process of legitimation

This article takes a sociological approach to a problem that has usually been considered as a psychological phenomenon. It addresses the problem of male—female interactions in work situations utilizing the organizational concepts of division of labor and legitimacy. Traditional explanations evoking sex-role socialization are reviewed and rejected for purposes of experimentation and intervention. An alternative argument, focusing on the structural arrangements of organizational settings, is presented as an explanation for behavioral effects previously attributed to inherent sex differences. The results of a pilot study are briefly described, and directions for further experimentation and possible intervention strategies are suggested.The bibliographic search and initial conceptualization of this research was supported by a grant from the Ford Foundation under the auspices of the Center for Research on Women at Stanford University. We are grateful to Miriam Rosen for much of the bibliographic work. The pilot study was supported in part by funds from the Guggenheim Foundation and by a grant from the Spencer Foundation. We also wish to thank Richard Torres and Christie Timberlake for their invaluable assistance on this project.     

Barriers to Adult Career Change

Adults have unique problems in making career changes. They face crucial economic, educational, and psychological barriers that require special guidance services. In this article, barriers to adult career change are identified and a five-county regional learning service using paraprofessionals is described. Results in working with more than 200 adults making career changes is reported. Suggestions for overcoming some of the problems adults face in making career changes are explained.