Combined group and individual treatment for the borderline patient

This article discusses the attenuating mechanisms of group psychotherapy that support and enhance analytic work with borderline patients in combined group and individual psychotherapy. A group case study is presented which addresses the manifestations and management of transference and countertransference in a combined treatment approach. Combined treatment was observed to respond effectively to both the intrapsychic and interpersonal difficulties of borderline patients. A multidimensional model for treating these patients in a community mental health setting is proposed.     

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.     

Recent developments in psychiatric malpractice

Common issues of mental health liability are examined in relationship to recent legislative and case law. Matters of practical importance to practitioners including the applicability insurance coverage to punitive damage awards of arising from malpractice are addressed. Specific legal doctrines involving proof of liability, proximate cause and the standard of care are explored as they relate to mental health malpractice cases.     

Tardive dyskinesia and malpractice

Tardive dyskinesia is a potentially irreversible disorder of involuntary movement which may result from the prolonged use of neuroleptic medication in some patients. Its increase in prevalence in recent years has been accompanied by increased apprehension in the medical community regarding malpractice litigation. Following an update of current knowledge about tardive dyskinesia, several legal aspects of tardive dyskinesia are reviewed, including negligence, breach of contract, fraud, strict liability and informed consent. Despite considerable criticism of the doctrine of informed consent, it is suggested that it constitutes an inherent and indispensable component of long-term psychiatric treatment, where tardive dyskinesia is at issue.     

CAPS: A language for modeling highly skilled knowledge-intensive behavior

CAPS is a computer language specialized for modeling highly skilled and knowledge-intensive human activities such as reading (Thibadeau, Just, & Carpenter, 1982). The present paper provides a critical analysis of the particular style of psychological modeling of which CAPS is an example. Suggestions are presented for modeling environments for psychologists.     

A precision electronic timer for the measurement of acoustic signals

An electronic speech timer that uses only relatively inexpensive and readily available electronic components and common circuitry is described. This device rapidly and accurately measures the durational characteristics of speech and the durations of other acoustic signals over extended lengths of time. Its application to the measurement of total speaking time, articulation time, and phonation time are outlined. Accuracy, reliability, and validity are discussed and compared with other, more time-consuming and cumbersome methods of durational measurement.     

An electronic cine camera system for the automatic collection and analysis of high-speed movement of unrestrained animals

A system is decribed that collects visual data using a solid-state photodiode image sensor at rates of up to 600 frames/sec in a binary format suitable for image-analysis techniques. Of particular interest is the system’s ability to analyze high-speed movement of animals without prior modification of the subject (e.g., attachment of lamps or reflectors to the subject).     

The semantic congruity effect: Some tests of the expectancy hypothesis

Subjects comparing items in memory along some dimension are usually quicker to specify the lesser (than the greater) of two low magnitude items and the greater (than the lesser) of two high magnitude ones. One account explains this congruity effect as due to subjects instructed to specify the higher as expecting high magnitude items to follow and the reverse being true for subjects specifying the lesser. Three experiments tested this expectancy hypothesis. In experiment 1, subjects were set to the actual size range of each pair before the pair was shown but the congruity effect still occurred. In experiments 2 and 3, subjects compared critical pairs from a narrow size range plus more from either the same or much broader ranges. Times to compare the critical pairs were the same regardless of the range of the other pairs that subjects were exposed to. These results are strong evidence against the expectancy hypothesis.     

Focus shift and individual differences in the Sternberg memory-search task

One consistent finding in research using the memory search task developed by Sternberg (1966) is that negative set size has no effect on search reaction time, even when the negative set contains fewer items than the positive set. Such inefficient behavior appears to result from an intense positive focus generated by standard memory search task instructions. The present research was designed to explore the conditions under which a subject will switch focus to a smaller negative set. Two experiments were carried out using standard Sternberg instructions. The first experiment examined the effects of making the contents of the negative set explicit. The result was a shift to negative focus when the negative set was much smaller than the positive set. In the second experiment the size of the positive set was increased systematically to induce a shift to negative focus. The second experiment also examined the relationship between focus shift and measures of intelligence (Raven Progressive Matrices) and information storage capacity (digit span). The results are evidence that negative set size can affect reaction time in the memory search task, and that individual differences in ability to shift focus are related to intelligence.