Research-structured vs clinically flexible versions of social learning-based marital therapy

The purpose of this study was to compare our structured research-based version of marital therapy from a social learning perspective with a clinically flexible version of the same treatment where treatment plans were individually-based and there was no specific number of treatment sessions. Thirty distressed married couples were randomly assigned to one of these two treatments. Assessment of outcome was based on global marital satisfaction, spouse reports of functioning in specific areas, and direct observational measures of communication. At posttest there were no differences in efficacy between structured and flexible treatments, although both treatments led to significant improvements. At a 6-month follow-up couples treated with the structured format were more likely to have deteriorated and flexibly treated couples were more likely to have maintained their treatment gains.     

Definitional deficit: a model of senile dementia in context

This article presents some general theoretical concepts that can be used to consider processes of reality construction in interpersonal contexts. I developed a model of family context that taps affective dimensions of reality construction and used this model to explore these processes as highlighted by the labeling of symptoms of senile dementia. Ethnographic observations of 45 families with aged members were used to sketch a dichotomous typology of family-context patterns that promote symptom identification versus patterns that do not. The model suggests that the categorization of behavior as symptomatic or normal in context may be related to the extent to which reality construction processes are shared among members.     

Occupational choices of daughters of practicing rabbis

This paper examines the psychological impact that rabbis, as character types, have on their daughters. It describes how the father's impact psychologically predisposes these women to enter the helping professions in disporportionate numbers, and it shows how these job choices are often a means of coping with psychological issues connected to their upbringing.She is a candidate to become a psychoanalyst at the Chicago Center for Psychoanalytic Psychology.     

A CROSS-CULTURAL STUDY OF PERSONALITY: EGYPTIAN AND ENGLISH CHILDREN*

679 Egyptian boys and 696 girls completed the Junior Eysenck Personality Questionnaire, translated into Arabic. Factor comparisons were moderately high for extraversion and social desirability but weak for neuroticism and psychoticism. Suitable item substitution produced a scoring key resulting in adequate reliabilities with the exception of a somewhat low reliability for the boys on extraversion and low reliabilities on psychoticism for both sexes. Sex differences on means of the dimensions were as usual, boys scoring higher than girls on extraversion and psychoticism, but lower on neuroticism and social desirability. Moreover, on comparing Egyptian with English means, using scales of items in common only, the English boys and girls scored higher than their Egyptian counterparts on extraversion but significantly lower on social desirability. British boys scored higher on psychoticism than did Egyptian boys but British girls scored lower than Egyptian girls.     

Effect of depression on processing interactions in group psychotherapy

Two studies were conducted to investigate the possibility of individual differences in the ability of inpatients to process interactions in group psychotherapy. The first was a pilot study conducted on groups of major depressive patients and matched normal subjects. Subjects were asked to give process comments after viewing simulations of typical group therapy interactions. These comments were later rated on the extent to which they reflected process qualities and accuracy. These data led to a more rigorous and extensive study that included more appropriate control groups as well as measures of potential confounding factors, such as simulation realism, verbal ability, and interaction comprehension. Results indicated that major depressives suffer from deficits in the ability to process group interactions, relative to three types of control groups, including normals. These differences in processing were not significantly positively correlated with any of the potential confounding factors. The implications for understanding interactional processing and group psychotherapy are discussed.     

The "psychosomatic family" model: an empirical and theoretical analysis

Evolution of the Family Systems Paradigm has been constrained by the dichotomy between theory building and empirical research. This article integrates these two domains by presenting a theoretical analysis of the "psychosomatic family" model as it informs and is informed by an empirical research project. Forty families of children with Crohn's disease (CD), ulcerative colitis (UC), and functional recurrent abdominal pain syndrome (RAP) were rated during standard, videotaped family interaction tasks, lunch, and interview. Laboratory scores of disease activity were associated with triangulation, marital dysfunction, and total "psychosomatic family" scores. Disease activity was not significantly correlated with enmeshment, overprotection, rigidity, conflict avoidance, or poor conflict resolution. Thus, the marital/triangulation and enmeshment/overprotection/conflict clusters may be subcomplexes of the "psychosomatic family" complex. CD, UC, and RAP groups differed in the relations among particular family patterns and disease activity. A heuristic family-psycho-somatic model is presented to facilitate future research.     

From rarity to evaluative extremity: effects of prevalence information on evaluations of positive and negative characteristics

Experiments showed a scarcity principle in evaluative judgments such that the identical characteristic is evaluated more extremely the lower its perceived prevalence. In Study 1, Ss evaluated a fictitious medical condition that was described as either beneficial or detrimental to health and as occurring in either 30% or in one half of 1% of a test population. The condition was evaluated more extremely--as as a more positive health asset or a more negative health liability--in the low-prevalence than in the high-prevalence conditions. Study 2 demonstrated the same effect in self-evaluations and with a different manipulation of perceived prevalence. Ss were told that they actually had the fictitious medical condition, that it was either beneficial or detrimental to their health, and either that they were the only 1 of 5 Ss who had it or that 4 of the 5 did. Low-prevalence Ss exhibited more extreme evaluative, affective, and behavioral reactions to the medical condition than did high-prevalence Ss. The origins and validity of the scarcity principle are discussed, as are its implications for uniqueness theory, reactance theory, and social evaluation theories.     

The sensitivity of the Bender-Gestalt Test as a screening instrument for neuropsychological impairment in older adults

We investigated the sensitivity of the Bender (1938) Visual-Motor Gestalt Test (BGT) using the Halstead-Reitan Neuropsychological Battery (HRB) as the criterion for cortical dysfunction. We studied 95 subjects over age 55 who had been diagnosed as having dementia or pseudodementia. Subjects were classified as mild, moderately, or severely impaired on the HRB and as impaired or unimpaired on the BGT. The results indicated that the BGT is less sensitive (36%) than was expected when used on an impaired geriatric population. The data further indicated that false negatives occurred more frequently with the BGT when individuals had mild neuropsychological impairment. Less frequent misclassifications occurred as the severity of impairment on HRB indices increased.     

Enuresis in cross-cultural perspective: a comparison of training for elimination control in three Israeli ethnic groups

Enuresis was investigated in the context of different styles of training for bladder control among three Israeli ethnic groups (Jews of Moroccan, Kurdish or Eastern European descent). Semistructured interviews were conducted in ethnically homogeneous agricultural villages with 46 mothers of 248 children between the ages of 3 and 18 years. In contrast to previous British and American studies, no sex differences were found, but there were higher rates of primary enuresis and lower rates of secondary (regressive) enuresis. Enuresis was correlated among siblings in the Kurdish group only and with disorderly sleeping arrangements in the Moroccan group. The Moroccan and Kurdish groups had higher rates of enuresis than the Ashkenazi group. The higher rates appear to be related to differences in the age of onset of training and a lack of age-appropriate changes in the parent-child interaction, which led to chronic enuresis and the inability to seek effective assistance. These results are discussed in terms of a proposed typology for training: an early symbiotic style, a strict toddler style, and a communicative partnership.     

Development of stepping patterns in human infants: a dynamical systems perspective

Upright locomotion has been, perhaps, the most studied of all human motor behaviors. The acquisition of this motor milestone has been of major interest to developmentalists from the motor as well as the cognitive domains. Until recently, developmentalists have chosen a nonexperimental approach, opting instead to describe the motor behaviors that precede walking, assigning them precursor status, and attributing the sequence solely to maturation of the nervous system. In this paper, I will discuss evidence that suggests that we may better understand this and other aspects of motor development by viewing them from the theoretical perspective of nonlinear and complex dynamical systems. Focus will be on the availability of a coordinated and alternating stepping pattern throughout much of the first year of life. Factors that influence the expression of and variability in this movement pattern will also be discussed. In addition, I will address the need to understand the development of control of pattern formations as well as their coordination, and I will discuss one approach that may provide some insight; that is, to study the modulations and patterns of muscle and other forces underlying limb movements.