Why families of children with biological deficits require a systems approach.

A number of assumptions related to the systemic therapists' view of family functioning in the case of biological deficit in the child are presented and challenged. The families' behavior, it is argued, may not be primarily responsible for the difficulties of their biologically impaired offspring. Severity of handicap need not be directly linked to stress in these families, nor is avoiding an individual diagnosis helpful to them. To further clarify the relevant issues, the family's "reactions" to a dysfunctional member, along with the professionals' previously unhelpful approaches to dealing with the impairment of these children, are presented. Finally, the therapeutic implications of the position presented in this article are drawn, and specific recommendations for working with these families are offered.     

Haptic classification of common objects: Knowledge-driven exploration

In Experiment 1, haptically available object properties that would be diagnostic for constrained common object classification at the basic and subordinate levels were elicited in a questionnaire. The results are considered in terms of the nature of the haptically derived representations of common objects. Initial data are also presented regarding knowledge of the natural co-occurrence of properties in haptic object perception. In Experiment 2, the hand movements executed during haptic classification of manipulable common objects were examined. Manual exploration consisted of a two-stage sequence, an initial generalized "grasp-and -lift" routine, followed by a series of more specialized hand-movement patterns strongly driven by knowledge of the property diagnosticity for the specific object (obtained in Experiment 1). The current results may guide computational models of human haptic object classification and the development of perceptual systems for robots equipped with sensate dextrous hands, capable of intelligent exploration, recognition, and manipulation of concrete objects.     

Literalism as a marker of hypnotic "trance": disconfirming evidence

The responses given by highly hypnotizable, hypnotic subjects and those of unhypnotizable subjects who simulated hypnosis to questions of the type, "Do you mind telling me your name?" and "Do you mind standing up?" were contrasted. The purpose was to examine Erickson's (1980) assertion that literalism (answering "yes" or "no" verbally or nonverbally without any cognitive elaboration) is a marker of hypnotic "trance." Simulators exhibited a greater rate of literalism than hypnotic "virtuosos" (i.e., extreme scorers on both group and individual hypnotizability measures). Hypnotized subjects and nonhypnotized subjects approached in the campus library responded comparably. Because less than a third of hypnotic virtuosos responded literally, our results strongly refuted Erickson's assertion that literalism is a cognitive feature of hypnosis.     

PROMPTING BAR PATRONS WITH SIGNS TO TAKE FREE CONDOMS

This study was designed to determine whether signs would prompt bar patrons to avail themselves of free condoms. The intervention at three “gay bars” involved placing a large sign directly above a container of free condoms; the sign gave statistics for the number of people who have died from AIDS in the state and pointed out that condoms can reduce the spread of AIDS. Additional signs placed in the restrooms gave information about safe sex practices and reminded patrons that free condoms could be obtained at a given location in the bar. An ABAB design was used, with a 2-week baseline, 2-week treatment with signs present, 2-week reversal with no signs, and 2-week reinstatement of treatment with signs present. For all three bars combined, 748 condoms were taken with signs present and 510 condoms were taken with signs absent. Overall, when signs were present, the number of condoms taken increased by 47%.     

Ecology of depression in late childhood and early adolescence: a profile of daily states and activities

This study investigated daily states and time use patterns associated with depression. Four hundred eighty-three 5th to 9th graders reported on their experience when signalled by pagers at random times. Depressed youth reported more negative affect and social emotions, lower psychological investment, lower energy, and greater variability in affect. These differences were weaker for 5th and 6th graders, suggesting that self-reported feeling states are a poor indicator of depression prior to adolescence. No differences were found in the daily activities of depressed youths nor in the amount of time spent alone, but depressed youths experienced other people as less friendly and more often reported wanting to be alone, especially when with their families. They also spent less time in public places and more time in their bedrooms. Finally, depressed boys, but not girls, spent much less time with friends, particularly of the same sex, suggesting that social isolation is more strongly associated with depression for boys.     

The different patterns of group climate critical incidents in high and low cohesion sessions of group psychotherapy

The total data set for this study consisted of 958 critical incidents from high and low cohesion sessions in person-centered group psychotherapy. These incidents were typically noted on a group climate questionnaire at the end of each session. Altogether 211 clients and students participated in twenty-six groups. The high cohesion sessions were dominated by the following cohesion dimensions in rank order: self-disclosure and feedback (24.0%); attraction and bonding (20.2%); listening and empathy (20.0%); process performance and goal attainment (15.0%); and support and caring (10.6%). The corresponding rank order for the low cohesion sessions was strikingly different: avoidance and defensiveness (43.5%); conflict and rebellion (22.2%); and self-disclosure and feedback (8.9%). Apparently then, there are very different patterns of critical incidents in high and low cohesion sessions of group psychotherapy.     

EXTENDED REDUCTIONS IN STEREOTYPIC BEHAVIOR OF STUDENTS WITH AUTISM THROUGH A SELF-MANAGEMENT TREATMENT PACKAGE

The literature suggests that self-management treatment packages have two potential strengths for the reduction or elimination of stereotypic behavior: (a) Self-management may be used for extended periods of time in the absence of a treatment provider, and (b) self-management techniques are easily adapated and used in a wide variety of natural settings. We assessed whether students with severe autistic disabilities could learn to use a self-management treatment package to reduce their stereotypic behavior within a multiple baseline across subjects design with withdrawals. The results showed that all of the students learned to use self-management procedures to reduce greatly levels of stereotypic behavior (typically to zero), and improvement occurred for extended periods of time in new settings without the presence of a treatment provider. The results are discussed in terms of the practical value of the treatment package and in terms of the implications for understanding autism.     

The Use of Psychoendocrine Strategies in Post-Traumatic Stress Disorder1

An overview is presented of a pilot psychoendocrine study of PTSD inpatients in comparison with several subgroups of schizophrenic and affective disorder patients. Using a hormonal profile including Cortisol, norepinephrine, epinephrine, testosterone, and thyroxine, it was found that the mean values for the PTSD group were at or near the extreme end of the range for every hormone measured, i.e., relatively low for Cortisol and high for the remaining hormones. The possible clinical meaning of these findings is considered in the light of prior psychoendocrine research on chronic stress. The hormonal alterations in PTSD appear to be persistent and suggest the possibility of being linked largely to traits or character structure, perhaps particularly to cognitive variables related to defense and coping mechanisms, as reviewed in detail for each hormonal system. There appears to be a potential for a fruitful union between the traumatic stress and psychoendocrine fields and some future strategies for developing and strengthening such a union are suggested.     

Preload and isometric force variability

Two experiments are reported, which examined the relative contributions of preload (resting force level), change of force, and the time taken to achieve the force in determining isometric force variability. The findings showed that change of force is the strongest determiner of peak force variability but that preload and time to peak force have smaller though systematic effects. A formula that predicts peak force variability is proposed, with preload as an additive effect to the ratio between the change of force level and the square root of time to peak force. These findings confirm that these three impulse variables are significant in predicting force variability and that the impact of rate of force on peak force variability is nonlinear.     

Relational aspects of identity: late adolescents' perceptions of their relationships with parents

This study examines the relationship between late adolescents' identity status and their memories of their relationships to their parents. One hundred male and female undergraduates completed two questionnaires. The first assessed subjects' retrospective perceptions of their affective relationships with parents across five age periods: 1 to 5 years, 5 to 10 years, 10 to 15 years, 15 to 20 years, and the present. The second questionnaire, the Extended Objective Measure of Ego Identity Status, assessed subjects' current identity status. Trend analyses revealed: (1) a significant quadratic trend in identity committed subjects' ratings of the amount of love they felt for mother across the five age periods, and (2) a significant linear trend of increasing love from mother. In contrast, uncommitted subjects showed significant linear trends of decreasing love both for and from their mothers. Results are interpreted as evidence of the importance of resolution of identity issues to the establishment of feelings of intimacy between late adolescents and their parents.