Her own decision: impairment and authenticity in adolescence

This case describes an adolescent in a crisis of a chronic medical condition whose situation is complicated by substance abuse and mental illness. D. Micah Hester provides an analytic approach, teasing apart the multiple layers of medical, developmental, and moral issues at hand and describing possible responses and outcomes. Amy T. Campbell examines existing legal guidelines for adolescent decision making, arguing that greater space exists for clinical discretion in these matters than commonly thought. Cheryl D. Lew discusses the development of agency in adolescent patients, the ideal of autonomous decision making in the context of impairment and chronic illness, and the obligation of healthcare teams to examine an adolescent patient's decisions in relation to her identity.     

Transforming valences through transitive inference: How are faces emotionally dissonant?

Information that is emotionally incongruous with self-concepts can produce feelings of unease. This implies that embedding incongruous information in newly formed relational structures would have little effect on their previous emotive properties. Alternatively, Relational Frame Theory highlights the importance of contextualized stimulus-stimulus relations, where the structure of a relational series is key in determining the function of its elements. To see whether series membership can mitigate ‘dissonance’ when a salient element is employed, the present investigation trained and tested a seven-term relational series (X>A>B>C>D>E>Y) using blurred faces as stimuli. Specifically, Stimuli X, A, B, D, E and Y were blurred unfamiliar faces and Stimulus C constituted of the participant’s own blurred face, assumed to be more salient than the former. To assess how the valences of the related stimuli were transformed by relational series membership, self-report ratings and electroencephalographic (EEG) recordings were collected before and after training the X>A>B>C>D>E>Y series. These pre vs. post contrasts revealed that, for unfamiliar faces, stimulus valence transformed as a function of relational structure. Conversely, the lack of difference in pre vs. post contrasts of Stimulus C, which maintained a high valence, suggest that relational series membership may not suffice to mitigate emotionally dissonant information.     

Exploring metacognitive accuracy in visual search

For decades, researchers have examined visual search. Much of this work has focused on the factors (e.g., movement, set size, luminance, distractor features and proximity) that influence search speed. However, no research has explored whether people are aware of the influence of these factors. For instance, increases in set size will typically slow down target detection; yet no research has measured participants' metacognitive awareness of this phenomenon. The present research explores this area by integrating a visual search task with a metacognitive monitoring paradigm. All of the explored factors influenced search latency. However, all of the factors except target presence influenced ratings. Saliency and suppression are discussed as two possible explanations for the results. Future directions for extending the theory and the practical benefits of this research are also outlined.     

Family/school strategies in dealing with the troubled child

Often a troubled child will exhibit problem behaviors in school. In many cases, these behaviors can be controlled and quickly curtailed by the teacher. In other cases, parents may have to intervene with rules and consequences. Sometimes, however, both teacher and parents fail, and the child's school problems escalate until they have reached crisis proportions. At this point, a therapist often becomes involved. The therapist can greatly enhance his or her range of possible therapeutic strategies by temporarily including the child's teacher in the hierarchical reorganization of the family. The expansion of the family hierarchy to include the teacher expedites the problem-solving process. The phases of problem escalation and proposed hierarchical reorganization are offered by way of clinical principles and case illustrations to demonstrate this viewpoint.Barbara E. DiCocco, L.C.S.W., is the Clinical Coordinator of the RICA II Satellite Program, a bio-psycho-educational day program in Frederick, Maryland and is a private practicing fmaily therapist. Ellen B. Lott, Ph.D., Counseling Psychology, is a family therapist and psychometrician in the RICA II Satellite Program. Boththerapists are grateful to Jay Haley for his suggestions and support of this work.     

Observations on the adaptation of induced motion

Induced motion (IM) was measured before and after a 10-min adaptation period during which subjects viewed the IM display without judging IM magnitude. The inducing stimulus was a rectangle, which contains both horizontal and vertical reference detail. The magnitude of IM was significantly lower following the adaptation period. This result is inconsistent with the hypothesis that adaptation of IM represents an instance of perceptual learning wherein the contribution of relative motion to motion perception is reduced. In a separate study, similar results were obtained when the inducing stimulus was a single vertical bar presented either to the left or to the right of the fixation stimulus. In addition, adaptation was obtained when the location of the inducing bar was changed during test measures, demonstrating that this effect is not specific to the retinal locus of the adaptation stimulus.     

Why we must leave our organs to others

Organ procurement presents several ethical concerns (from what constitutes acceptable criteria for death to issues involved in specifically designating to whom an organ can be given), but none is more central than the concern for what are appropriate means for acquiring organs. The following discussion attempts a different perspective on the issue of organ procurement by arguing that, rather than appealing to our charitable consciences or our pocketbooks, relinquishing our organs after death in this day and age is, in fact, obligatory for most people. Each of us is pressed by the growing demand for our organs should we die "rightly," and that desperate need has risen to such a level that not to release our organs for transplantation would constitute a serious moral wrong.     

Personal reflections: barriers and strategies in increasing diversity in psychology

In this article, six faculty and students of color who participated in a panel discussion at a symposium during the National Multicultural Conference and Summit of 2003 talk about the barriers they encountered and continue to encounter in their graduate training and places of employment. They also discuss strategies they found to be effective, enhancing, and positive and suggest other possibilities. The contributors describe their relationships with dominant-group and minority peers and talk about how issues of social class, disability, and sexual orientation as well as color have been part of their experience.     

Women as cues for men's approach or distancing behavior: A study of interpersonal sexist discrimination

The purpose of this study was to investigate interpersonal sexist discrimination, operationally defined as distancing behavior. A heterogeneous sample of participants were approached at four train stations and completed two paper and pencil simulated seating measures, a sex role attitudes measure, and provided demographic information. It was predicted that in the neutral situations presented in the seating measures where there is a choice to sit either next to a man or a woman, men would more often choose to sit next to a man but women were not expected to make seating choices based on the gender of the person seated. Men's seating choices were found to be influenced by the gender of target persons whereas women's choices were not, but men either distanced from or approached women target persons. Self-reported sex role attitudes were found not to be related to distancing behavior.We gratefully acknowledge the assistance of Alyson Andrews, Nicholas Geraci, Scott Marino, Stacy Schiff, Robert Victoria, and Lisa Zamara, seniors at the University of Rhode Island, who served as investigators in this study and also assisted in the coding of data. Portions of this paper were presented at the national conference of the Association for Women in Psychology in Oakland, CA, on March 6, 1994.Requests for reprints may be sent to any of the authors at the University of Rhode Island, Department of Psychology, Kingston, RI 02881.