Reciprocal inhibition by aversion relief in the treatment of phobias

The treatment reported is a combination of Wolpeian reciprocal inhibition and aversion-relief therapies. The relief following termination of electric shock was substituted for Jacobsonian relaxation in the reciprocal inhibition of anxiety. Photographs of phobic objects and tape recordings of narrated phobic experiences were utilized in treating seven phobic patients and one ticqueur. Six of the seven phobic patients were free of phobic fears, without symptom substitution, at time of follow-up. Theoretical implications and research possibilities of the treatment procedure are discussed.     

Graphic precision: Controlling stimulus displays on IBM PC-compatible computers

Tachistoscopic presentation of stimuli on IBM PC-compatible computers is limited by a number of factors, including video retrace rates, screen scrolling, and the shape and density of picture elements. A method is presented for overcoming these difficulties through the use of enhanced graphic adapters or video graphic arrays. A C-language program demonstrates (1) synchronous scroll-free displays achieved by writing alternating images to “hidden” pages of video memory, (2) alternative techniques for erasing images, and (3) use of an empirically derived aspect ratio to produce symmetrical figures.     

CHANGING PROTECTIVE AND RISKY BEHAVIORS TO PREVENT CHILD-TO-PARENT TRANSMISSION OF CYTOMEGALOVIRUS

Child-to-parent transmission of cytomegalovirus may be reduced by increasing protective behaviors (handwashing and glove use) and decreasing risky behaviors (intimate contact between child and parent). This study showed that an educational intervention resulted in increases in reported and objective measures of protective behaviors and decreases in reported risky behaviors. Further study must determine if changes in protective and risky behavior are maintained and prevent cytomegalovirus transmission.     

Social Interactions of Obese and Nonobese Women

The stigma associated with obesity is likely to limit the opportunities obese women have to develop social skills. This hypothesis was tested by having obese (n = 15) and nonobese (n = 22) women converse on the telephone with college students who were unaware of the women's weights. Ratings made by judges who listened to the women's contributions to the conversations but who were unaware of their weights showed that obesity was negatively related to judgments about the women's likability, social skills, and physical attractiveness. The telephone partners of obese women rated the women and themselves more negatively than did the partners of nonobese women. Obese and nonobese women generally did not differ in their evaluations of their own and their telephone partners' behavior, and they also did not differ on a measure of social self-esteem. These findings suggest that there are real differences in the social behavior of obese and nonobese women and that these differences affect the impressions formed by those with whom they interact.     

Using the Millon Clinical Multiaxial Inventory's Scale B and the MacAndrew Alcoholism Scale to identify alcoholics with concurrent psychiatric diagnoses

The ability of the MacAndrew Alcoholism Scale (MAC) and Scale B of the Millon Clinical Multiaxial Inventory (MCMI) to discriminate independently defined alcoholics with psychiatric diagnoses from other psychiatric patients was examined for males and all alcoholics, using three different criteria of alcoholism. The MAC identified from 80% to 87% of male alcoholics and 76% to 82% of all alcoholics, and from 25% to 52% of male nonalcoholics and 55% to 75% of all nonalcoholics, resulting in a large number of false positives. Scale B identified from 31% to 60% of male alcoholics and 33% to 43% of all alcoholics, and from 73% to 85% of male nonalcoholics and 85% to 94% of all nonalcoholics. The operating characteristics of Scale B showed that it was not as efficient in identifying alcoholics as previous work had indicated. We suggest that Scale B should not be used and the MAC should be used cautiously to discriminate alcoholics with psychiatric disorders from patients without alcoholism.     

Rationalising conventions

Conformity by an agent to a convention to which the agent is a party is rational only if the agent prefers to conform given the other parties conform and believes the others will conform. But this justification is inadequate; what, for example, is the justification for this belief? The required rational justification requires recourse to (a) preferences for general conformity (as opposed to merely conditional preferences for one's own conformity) and (b) procedures. An agent adopts a procedure when he chooses to perform a whole set of future actions, as opposed to a single action.     

Clinical pragmatism: a method of moral problem solving

This paper presents a method of moral problem solving in clinical practice that is inspired by the philosophy of John Dewey. This method, called "clinical pragmatism," integrates clinical and ethical decision making. Clinical pragmatism focuses on the interpersonal processes of assessment and consensus formation as well as the ethical analysis of relevant moral considerations. The steps in this method are delineated and then illustrated through a detailed case study. The implications of clinical pragmatism for the use of principles in moral problem solving are discussed.