An awareness approach to the covert symptoms of stuttering

Speech-language clinicians working with the confirmed stuttering client are often faced with the clinical management of the covert symptoms of stuttering in addition to the more observable and measurable overt symptoms. The authors report the successful use of awareness techniques to exaggerate the subjective experience of these covert symptoms and encourage the use of these techniques as an adjunct to the counseling and desensitization procedures traditionally employed. A transcribed clinical management session in which several awareness techniques are used to aid the client in an introspective examination of “anticipation of stuttering,” is analyzed in order to reach some specific recommendations for using awareness techniques in the clinical management of the covert symptoms of stuttering.     

Working through a group's fantasy of the deceased leader's wish for the group's continuation

This paper reflects the working through of a group's fantasy that the deceased group leader wished the group to continue. As in any defense, the fantasy protected members from the pain of the finality of the leader's death. This article reveals the subjective experience concerning the effect of the leader's death on the group and members' intrapsychic struggle to separate and individuate from the deceased leader, while attending to and striving toward the group's continuation. The group's painful and growing individuation enabled the group to follow its own tasks without the spector of the deceased leader.     

Manifestations, acquisition and diagnostic categories of dental fear in a self-referred population

This study aimed to clarify how manifestations and acquisition relate to diagnostic categories of dental fear in a population of self-referred dental fear patients, since diagnostic criteria specifically related to dental fear have not been validated. DSM III-R diagnostic criteria for phobias were used to compare with four existing dental fear diagnostic categories, referred to as the Seattle system. Subjects were 208 persons with dental fear who were telephone interviewed, of whom a subsample of 155 responded to a mailed Dental Anxiety Scale (DAS), State-Trait Anxiety Inventory and a modified FSS-II Geer Fear Scale (GFS). Personal interviews and a Dental Beliefs Scale of perceived trust and social interaction with dentists were also used to evaluate a subsample of 80 patients selected by sex and high dental fear. Results showed that the majority of the 80 patients (66%), suffered from social embarrassment about their dental fear problem and their inability to do something about it. The largest cause of their fear (84%) was reported to be traumatic dental experiences, especially in childhood (70%). A minority of patients (16%) could not isolate traumatic experiences and had a history of general fearfulness or anxiety. Analysis of GFS data for the 155 subjects showed that fear of snakes and injuries were highest among women; heights and injections among men. Fear of blood was rarely reported. Spearman correlations between GFS individual items and DAS scores indicated functional independence between dental fear and common fears such as blood, injections and enclosures in most cases. Only in specific types of dental fear did these results support Rachman and Lopatka's contention that fears are thought to summate.(ABSTRACT TRUNCATED AT 250 WORDS)     

The Effects of Procedures, Social Accounts, and Benefits Level on Victims' Layoff Reactions

Three hundred and fifty-three layoff victims responded to questions describing their reactions to layoffs. Victims also described management layoff practices. Two measures of procedural fairness in layoff practices (decision-making characteristics and social accounts) and one measure of layoff outcomes (benefits level) were included. Only decision-making characteristics predicted exemployee willingness to recruit for a former employer and desire for regulation of layoffs. These results provide further evidence of the importance of procedural justice in organizational decision-making.     

Somatic complaints in anxious children

Although stomachaches and headaches are considered characteristic of children with anxiety disorders, there is converging evidence that a broader range of somatic symptoms may be associated with children's expressions of anxiety. The purpose of this study was to determine the prevalence of somatic complaints in anxious children. The results indicated that children with anxiety disorders endorsed the presence of many different somatic complaints, and that contrary to clinical intuition, stomaches and headaches were not among the most commonly reported symptoms. In addition, the anxious children endorsed significantly more somatic complaints when compared to normal controls. Furthermore, the symptom pattern reported by anxious children indicated the presence of both the somatic and cognitive components usually associated with panic attacks, although none of the children met diagnostic criteria for panic disorder. The results are discussed in terms of the contribution of somatic symptoms to the understanding of anxiety disorders in children.     

Depression and processing information about others

We investigated differences between mildly depressed subjects and normal controls in their memory for, and judgments of, another person. All subjects read a story (containing either predominately positive or predominately negative items) under instructions to form an impression of the story target. Subjects later made several judgments about the target and attempted to recall the story. For both the positive and the negative story, depressed subjects produced significantly more negative intrusions (i.e., recalled nonpresented negative items) than did the normal subjects, but they did not recall more negative items correctly than did the normal subjects. Depressed subjects also perceived themselves as more similar to the negative story target than did the normal controls and indicated greater liking for the negative story target than did the normal controls.     

Attractiveness in young children: Sex-differentiated reactions of adults

Attractiveness ratings of 50 children aged 12–38 months were investigated in relation to adult socializing agents' behavior toward the children in their homes and play groups and their attitudes toward the children. Attractiveness scores were derived from 43 judges' ratings of facial photographs of the children. The same children were observed in play groups with female care givers; 40 of them were also observed in their homes with their parents. Play-group care givers rated the children for likability, tractability, and peer relations. Parents rated their attitudes toward giving routine care to their child. Attractiveness scores were not correlated with any adult attitude measures. Girls' attractiveness scores were positively correlated with their attempts to communicate in home and play group, and with mothers', fathers', and care givers' instructional responses, but negatively correlated with passive behavior in the home and with mothers' positive reactions. Boys' attractiveness scores were negatively correlated with passive behavior in the play group; no other significant correlations were found in the data for boys.