EVALUATION OF BIOFEEDBACK IN THE TREATMENT OF BORDERLINE ESSENTIAL HYPERTENSION1

Direct biofeedback of blood pressure was compared with frontal EMG biofeedback and with self-instructed relaxation for the treatment of essential hypertension in a controlled group outcome study. Patients were followed up for four months after the end of treatment. Generalization of treatment effects was assessed through pre- and posttreatment measurements of blood pressure under clinical conditions in a physician's office. There were no significant reductions in diastolic blood pressure. The systolic blood pressure (SBP) of the patients receiving blood pressure biofeedback decreased 8.1 mm mercury (p = 0.07) and the SBP of the patients in the relaxation condition decreased 9.5 mm mercury (p = 0.05). In the generalization measures, there were significant reductions in SBP for the relaxation group. The results are discussed in terms of the general lack of replicability within the area of biofeedback treatment of hypertension.     

Hairdressers as caregivers. I. A descriptive profile of interpersonal help-giving involvements

The interpersonal help-giving behaviors of 90 hairdressers were explored in depth in an interview study. On the average, hairdressers saw 55 customers a week, and talked 25 minutes with each. About one-third of the talking time concerned clients' moderate to serious personal problems--particularly problems with children, physical health, marriage, depression, and anxiety. Hairdressers reported that offering sympathy and support, being lighthearted, just listening, and presenting alternatives were among their most frequent response strategies. Although they often enjoyed fielding clients' personal problems, at times they felt perplexed by them. Hairdressers perceived listening to customers' interpersonal problems to be an important part of their everyday function and expressed a need for professional inputs in that domain.     

The Creative Use of Poetry in the Counseling Process

Poetry is an effective, creative tool in counseling. This article enumerates the advantages of using poetry and poetic methods (e.g., such language makes use of a natural system of communication) and mentions techniques for incorporating either the poem as a whole or in part. Ways of creating poetic awareness in counseling are emphasized. Guidelines for when to use poetry in counseling are suggested along with cautions on the incorporation of this method.     

Measurement of head movement during auditory localization

Head movement can have a significant effect on the ability to locate the direction of a sound source. A system has been designed to track the head movement in response to sound originating at different azimuth locations with respect to the head. A videotape record is made of a light approximating a point source carried on a lightweight “beanie” mounted on the listener’s head. Movement of the light is monitored by the video camera and recorded on tape, along with the sound stimulus and information concerning loudspeaker location and time. The horizontal and vertical coordinates of the light-spot image are determined in relation to the video synch pulses defining the field borders. Synch signals are available from a video monitor either in real-time or from tape replay to define each TV frame and horizontal scan line. The circuitry interfaces to a computer programmed to take the information, apply a calibration, and process the data into records of time-varying head position and velocity. Examples of both digital and graphic printouts of head movement are given. The system is capable of expansion to three-axis operation.     

Effects of assertive training on three dimensions of assertiveness

The relative effectiveness of several components of an assertive training program in shaping assertive responses on three dimensions of assertiveness (refusal, investigatory, commendatory) was assessed. Thirty-two unassertive females were randomly assigned to one of four experimental groups: coaching plus behavior rehearsal plus modeling, coaching plus behavior rehearsal, behavior rehearsal plus modeling, and placebo control. Five behavioral and three self-report inventories were used as dependent measures. Coaching plus behavior rehearsal appears to be the most essential treatment components. Training was effective in improving assertiveness on all three dimensions.     

Handedness and stuttering: A dead horse?

A handedness questionnaire was administered to 446 stutterers and a control group. No significant male/female or stutterer/control effects were found, although both males and stutterers tended to be less right handed. The slight sex effect in handedness is consistent with previously reported studies and with cerebral structural and functional asymmetries.