Psychotherapy with families of psychosomatic patients

Paradigmatic complexes in family psychotherapy have been indicating a revolutionary change and the creation of new paradigms for the past thirty years. Starting with the application of the general systems theory and the development of those concepts that have been emerging regarding psychosomatic illnesses we discuss the epistemological confusion created, the methodological problems and the dissociation between theory and practice. We suggest a double process of investigation of the family structure using a knowledge of the basic attitudes and the development of a psychotherapy programme within the family of the psychosomatic patient.     

Orientation-invariant transfer of training in the identification of rotated natural objects

The effects of stimulus orientation on naming were examined in two experiments in which subjects identified line drawings of natural objects following practice with the objects at the same or different orientations. Half the rotated objects were viewed in the orientation that matched the earlier presentations, and half were viewed at an orientation that mismatched the earlier presentations. Systematic effects of orientation on naming time were found during the early presentations. These effects were reduced during later presentations, and the size of this reduction did not depend on the orientation in which the object had been seen originally. The results are consistent with a dual-systems model of object identification in which initially large effects of disorientation are the result of a normalization process such as mental rotation, and in which attenuation of the effects is due to a shift from the normalization system to a feature/part-based     

Changes in information as a function of a culturally appropriate smoking cessation community intervention for Hispanics

Tested a 7-month, media-based, community intervention among Hispanics in San Francisco designed to change levels of information on the damaging effects of cigarette smoking and on the availability of culturally appropriate cessation services. Three community-wide surveys of Hispanics were conducted with independent random samples, two as baselines (n = 1,660 and 2,053) and one postintervention (n = 1,965). Results showed that changes in the level of awareness of cessation services had taken place after implementation of the intervention. Furthermore, those changes took place primarily among the less acculturated Spanish-speaking Hispanics who were the target of the intervention. The changes in information reported here demonstrate that a culturally appropriate information dissemination campaign that utilizes multiple channels can produce changes in a community's level of information even when the campaign is implemented for a relatively short period.     

AIDS prevention for intravenous drug users in the community: Street-based education and risk behavior

Conducted a study of behavior change associated with a street-based AIDS education project targeted to intravenous (IV) drug users in San Francisco. Two cross-sections were sampled from drug detoxification clinics and street locations in 1986 (n = 438) and 1987 (n = 623). Significant increases were reported in the percentage of IV drug users who used bleach to decontaminate syringes, who did not share needles in past year, and in condom use. A significant reduction in an index of the number of needle-sharing partners was reported. Respondents ranked treatment program as most important source of AIDS information prior to implementation of the program, and ranked outreach workers as most important after implementation. Findings suggest that this community-based outreach program had at least some impact on knowledge about AIDS and may have led to reductions in behaviors known to transmit HIV.     

Negatively biased recall in children with self-reported symptoms of depression

This study investigated differences in depressed and nondepressed children's recall of positively and negatively reinforced behavior. Twenty-six children with self-reported symptoms of depression in the fourth through sixth grades were compared with a matched sample of 26 nondepressed children to determine if there was a negative bias in depressed children's recall. Subjects first generated guesses of the most common associations to each of a series of 40 words. Later, when compared with their nondepressed peers, the children with depressive symptomology were less accurate in recalling which words they had answered correctly and remembered fewer of their own correct responses. They also did more poorly when asked to recall the correct answers that had been provided by the investigator. The two groups did not differ, however, in their recall of which items had been answered incorrectly or in their recall of their previous wrong responses. These results suggest that children with self-reported depressive symptomology do not remember negative experiences more than do nondepressed children; rather, they recall positive experiences less well. Selective forgetting of positively reinforced behavior could be a serious handicap for depressed children in school. It could also play an important role in the maintenance and perhaps even the etiology of depressive symptomatology in children.We wish to thank Bruce Compas for his helpful comments on an earlier draft of this paper.     

Attention and personality in augmenting/reducing of visual evoked potentials

Earlier research has shown that extraverts tend to increase their visual evoked potential amplitudes with increasing light intensity (augmenting), while introverts reach their maximum amplitude at lower intensities (reducing). The evoked response has normally been measured from association areas of the brain (at the vertex). The present study measured VEP amplitudes over visual cortex and at the vertex, using four light intensities in two conditions, where attention was either directed towards the light stimuli, or away from them by a concurrent auditory task. Forty subjects were classified as extraverts or introverts based on the Eysenck Personality Inventory. The results show that attention interacted significantly with extraversion. Introverts exhibited a narrower focus of attention, while higher amplitudes and amplitude-intensity functions when attending to the light flashes and lower when distracted. Extraverts showed smaller differences between conditions, indicating a more evenly distributed attention. Higher arousal in introverts is the probable cause of their narrower focus of attention. There were marked differences in the distribution of activity between vertex and occipital cortex. Introverts showed relatively stronger occipital responses and extraverts stronger vertex responses across all intensities and in both conditions. The predisposition for mainly perceptual responses to aversive stimuli in introverts, and for general alerting and motor preparatory responses in extraverts, are interpreted as supportive of Brebner and Cooper's hypothesis that introverts are ‘geared to inspect’ and extraverts are ‘geared to respond’.     

Effects of Level of Processing on Implicit and Explicit Memory in Depressed Mood

Recently, several studies have addressed the question of whether depression affects priming in implicit memory tasks. The main aim of this experiment was to assess the presence of a bias for negative information in explicit memory (free recall) and implicit memory (word-stem completion) tasks among subclinically depressed subjects compared to nondepressed subjects, using the typical levels of processing manipulation. The results of this study show the existence of a mood-congruent memory bias for both implicit and explicit memory in depressed subjects. The theoretical implications of these findings for implicit and explicit memory biases associated with depressed mood are discussed.     

Therapeutic Interaction and Dropout: Measuring Relational Communication in Solution-focused Therapy

The relational communication of sixteen dropout versus sixteen continuation sessions of solution-focused therapy was studied using two different coding schemes. On the Topic Initiation/Topic Following coding scheme (Tracey, 1986) no differences were found between dropout and continuation sessions, whereas the Family-Relational Communication Control Coding Scheme (Heatherington and Friedlander, 1987) yielded a number of significant findings. Both in 'successful' and in 'unsuccessful' dropout sessions, therapeutic interaction was found to be more conflictive than in continuation cases, with clients showing more domineering behaviour in dropout than in continuation sessions. Markovian and lag sequential analysis are used to clarify some of these findings, and their implications are discussed.