Improvisational therapy: Evolving one's own clinical style

This article offers an invitation to develop one's own unique clinical style, relying less on institutionalized schools of therapy and more on the therapist's own natural resources. An emphasis is placed upon understanding therapy as art, trusting one's imagination, and maintaining a healthy irreverence for professional politics.     

Argument as a formulation-decision-decision... sequence

Problems with regard to the analysis of argumentative partly discourse arise from definitorial disconformity. In this article, Informal argument is taken as the primary definition to study the basic structure of argument from a fragment of an Agatha Christie novel. Bilmes' account of the notions of Formulation (F) and Decision (D+/D-) are adapted to describe the relations of opposition which are displayed in informal argument. The minimal structure of argument is represented by the formula F/D-/D-, in which F is a speaker's personal composition of a fact, the first D- is the disconfirming uptake of it by another speaker and the second D- is the completing disconfirming uptake by the initial speaker. Some of the speaker's possibilities to initiate an argument by expressing a Formulation are explored, as well as the social and cultural norms which play a role in argument-initiation and the concepts of win and loss.     

VSearch: Macintosh software for experiments in visual search

In this paper, we describe software that turns a Macintosh computer into an off-the-shelf tool for experiments on visual search. Our design goals included portability (between members of the Macintosh computer family and between various research settings), user-friendliness (equivalent to Macintosh programming standards), flexibility (to allow replication and extension of important experiments on visual search), and adaptability (very short design-to-data and data-to-analysis turnaround times). We describe how the software meets these goals in three major phases of an experiment: stimulus construction, experimental control, and statistical analysis. We then list several landmark studies of visual search that can be easily designed and extended with the software. Finally, we outline plans for expanding the experimental variations that will be supported in future versions of the software.     

A computerized system for monitoring and controlling intracranial electrical self-stimulation behavior

An automated system for measuring intracranial self-stimulation behavior is described. The system consists of two Commodore 6502 microcomputers interfaced with a constant-current generator and a standard operant chamber. The system hardware allows sine- and square-wave stimulation. Stimulus intensity can be varied in 256 steps between 0 and 100, 0 and 500, or 0 and 1,000 /µA. The system programs, which are written in machine language, allow the control of various schedules of reinforcement, the counting of operant responses and reinforcements, the measurement of interresponse intervals, and the storage of the data on disk. The software is designed for the determination of the threshold of reinforcement, on the basis of the titration of postreinforcement pauses caused by changeover in schedule control between concurrent continuous reinforcement and fixed ratio schedules.     

The orienting response,and future directions of its development

The orienting response (OR) is a specific behavioral act directed towards extraction of information from the environment. Head and eye movements represent only the tip of the iceberg of internal responses, which includes vascular modifications, EEG changes, and event-related potentials. Two mechanisms of the OR have to be differentiated: voluntary and involuntary. In the event-related potential, such a differentiation is expressed in mismatch negativity (involuntary effect) and processing negativity (voluntary effect). Single unit studies have shown that hippocampal neurones are simulating specific features of the OR as a response to novelty. Repeated presentation of stimuli results in a selective habituation of novelty detectors in hippocampus and of the OR. The trace of a standard stimulus formed at the level of hippocampal neurones matches the features of the standard stimulus and can be called a “neuronal model of the stimulus.” The OR is triggered by mismatch between the test stimulus and the elaborated neuronal model, and is activated by verbal instruction, by reinforcement during the initial stage of conditioned reflex elaboration, and by differentiation of signal and non-signal stimuli. A promising new area of practical application of the OR lies in the evaluation of a corridor of optimal functional state for efficient computer-based learning. Registration of the OR and defensive responses can be used for an objective evaluation of the functional state of the student, or, in a wider sense, of the industrial operator. New avenues of OR research are opened by recent techniques that isolate single-trial event related potentials, and their correlation with autonomic and behavioral manifestations of the OR. The combination of single unit recording with such isolated event related potentials can elucidate the neuronal basis of OR generation. Intracellular recording combined with dye injection can be used for analysis of the synaptic contacts involved in generation of the OR. Integration of macro and micro levels of OR organization can be achieved in a computerized model that can be used for simulation and planning of experiments. A step-by-step improvement of the model will accumulate knowledge about the OR as an important mechanism of information processing.     

Depression in patients with spinal cord injuries: A synthesis of cognitive and somatic processes

Depression in some patients with spinal cord injuries may be clinically significant and, when present, should be treated to decrease morbidity including decreased physical functioning. Depression associated with spinal cord injury (SCI) may be misevaluated, due to (1) nonspecific multifactorial production of depression symptoms and (2) SCI-specific decrease in somatic sensory central nervous system input. The Somatic Suppression Hypothesis suggests that SCI patients have difficulty experiencing any intense emotion because of suppression of physiological arousal. In addition, cognitive processes that may reduce depression in SCI patients include: (1) attribution of somatic symptoms of depression to medical (biological) causes, (2) realistic, positive expectations for physical improvement, and (3) the perception that the disability of the SCI is only minimally related to the patient’s self-care after complete evaluation. Health personnel should accept lack of depression in SCI, and should encourage positive realistic expectations of recovery.