The case of Peter and Susan: The psychotherapeutic treatment of an acute psychotic episode at the Arbours Crisis Centre

The case of Peter and Susan is an example of multiple crisis intervention at the Arbours Crisis Centre in London. Both were treated by psychoanalytic psychotherapy together with intensive interpersonal support in a live-in therapeutic milieu, with successful results.An extended discussion about the work of the Arbours Association in London will be published by Human Sciences Press as a chapter entitled, An Alternative Sanctuary: The Arbours Crisis Centre, in the forthcoming book,Healing Human Systems, edited by U. Reuveni and R. & J. Speck. For further information about the Centre write to: The Arbours Association, 41a Western Park, London N.8.     

Divorce in the kibbutz: Affective responses to separation

This article is part of a comprehensive research project in which the central characteristics of the process of divorce in the kibbutz were examined. It appears that the framework of the kibbutz, free as it is from socio-economic pressures and boundary factors not directly connected with the marital relationship as such, provides an excellent and perhaps unique opportunity to investigate the pure emotional effects of the marital breakup.     

Shame and fragmentation in the marital dyad

The paper outlines an expansion of object relations theory to account for fragmentation and shame. This expansion promotes a better psychodynamic perspective on the type of marital conflict escalation that occurs when each spouse turns to the other for empathic receptiveness while that other is also in a disorganized and vulnerable state of mind. Escalation occurs when spouses have different needs for safety and optimum distance and when the shame generated by continued exposure of these needs is not acknowledged. Clinical precepts promoting a focus on fragmentation and acknowledgement of shame are elaborated.     

Reducing color-color interference by optimizing selection for action

Color-color interference refers to the finding that the naming of a target color is hampered by the simultaneous presentation of an incongruent distractor color somewhere else in the visual field. This interference effect has been attributed to an imperfect input selection (selection-for-processing). We test an alternative account in which it is assumed that (a) target and distractor are identified in parallel without mutual interference, (b) the identified target color has to be selected to control the naming response (selection-for-action), and (c) this selection process takes more time and is less accurate in the incongruent condition than in the control conditions. Experiment 1 shows that color-color interference is obtained when a target color, presented at the point of fixation, is flanked by incongruent colors. In Experiments 2 and 3, the central target position is indicated by an additional exogenous selection cue. The results show that an abrupt-onset cue, presented at the central target position 160 ms after the onset of the target and distractors, reduces the interference effect. This finding is interpreted as supporting evidence for a selection-for-action account of color-color interference.     

Do women and men receive different care for sore throats?

Several studies have shown differences in the rates at which women and men receive treatment for several common medical problems, especially heart disease. The reason for these differences and the extent to which men and women receive different treatments for other problems is unclear. The purpose of the current study was to determine whether there are differences in the rates men and women receive antibiotic therapy for pharyngitis (sore throat), whether these differences are related to differences in disease severity or comorbidity across the sexes, and whether these differences could be due to prejudice against women by male clinicians. This was a retrospective analysis of data at two university student health services in Pennsylvania and Nebraska. Male clinicians did not prescribe antibiotics at significantly different rates for male and female patients, but female clinicians prescribed antibiotics more frequently for their male patients.The original data collection was supported in part by a grant from the National Library of Medicine, LM-04321.Presented in part at the Annual Meeting of the Society for Medical Decision Making, Portland, Oregon, October, 1992, and at the Third Primary Care Research Conference, Atlanta, Georgia, 1993.We thank Jane Kreisberg and Linda Rizjis for coordination of the collection of the original data, Linda Gray for help with data entry, and Cheryl Kull and Mary Martino for secretarial support. We are grateful to all the physicians who participated in the original study.     

Applying developmental previewing to the principles of family therapy

This paper discusses the application of principles of infant psychiatry to the diagnosis and treatment of multigenerational family conflict. Using a technique referred to as previewing, the therapist can focus on the interpersonal meaning that the infant's development precipitates in the family and determine how the parents' relationships with the infant replicate their relationships with their own families of origin. The therapist may then use these insights for overcoming conflict and for acclimating parents to new developmental skills in an optimal manner. Specific suggestions for how parents may promote more adaptive patterns of interaction with the infant using previewing are offered.     

Are criminals better lie detectors? Investigating offenders' abilities in the context of deception detection

The present research examined lie detection abilities of a rarely investigated group, namely offenders. Results of the studies conducted thus far indicated a better performance of offenders compared to non‐offenders when discriminating between true and false messages. With two new studies, we aimed at replicating offenders' superior abilities in the context of deception detection. Results of Study 1 (N = 76 males), in contrast, revealed that offenders were significantly worse at accurately classifying true and false messages compared to non‐offenders (students). Results of Study 2 (N = 175 males) revealed that offenders' discrimination performance was not significantly different compared to non‐offenders (clinic staff). An internal meta‐analysis yielded no significant difference between offenders and non‐offenders, questioning the generalizability of previous findings.     

Effects of medical resonance therapy music on patients with psoriasis and neurodermatitis—A pilot study

Stress medicine has shown that emotional disharmony can be a substantial factor for skin diseases. The harmonisation of the emotional status and a corresponding reduction of stress hormones by the Medical Resonance Therapy Music^® (MRT-Music) as shown in other studies (1,2,3,4) inspired us to investigate its benefits for patients with psoriasis vulgaris and neurodermatitis (neurodermatitis constitutionalis atopica). Over a period of 14 days we measured the parameters of blood pressure, heart rate, stimulus to scratch and the degree of sickness in two, respectively four groups of 68 patients in total: two experimental groups (psoriasis/neurodermatitis) and two control gropus. All patients received the normal treatment of our hospital, the experimental groups were additionally treated with 3 × 30 minutes of MTR-Music per day, while the controls were asked to somehow relax during this time. In the experimental groups the measurements showed to somehow relax during this time. In the experimental groups the measurements showed a reduction of blood pressure and heart rate and revealed an enhanced reduction of the stimulus to scratch and an enhanced reduction in the degree of sickness. Interestingly the effects of MRT-Music were stronger with the psoriasis patients than with the neurodermatitis patients. The results of this pilot study convinced us to offer the treatment with the Medical Resonance Therapy Music to all our patients.     

Construct validation of the Zimbardo Time Perspectives Inventory

The aim of the present study was to validate the factorial structure and psychometric properties of the Zimbardo Time Perspectives Inventory (ZTPI) in a South African student sample. A total of 200 students completed the ZTPI. The sample comprised 58 0.8% female students. Of these, 61.1% were black students and 38.9% were white students. The average age for the sample was 21.59 years. Exploratory and confirmatory factor analyses were used to examine the construct and discriminant validity of the ZTPI. The data suggest ZTPI to comprise four factors of Present-Fatalistic (PF), Present-Hedonistic (PH), Past-Negative (PN), and Past-Positive (PP). Many of the factors cross-loaded onto one or two others, suggesting poor differentiation in the study sample. Scores from the ZTPI were of acceptable reliability. The study results suggest the ZTPI is usable for research purposes in South Africa.