Is there a ‘psychosomatogenic’ family?*

Review of the literature revealed two family theories of psychosomatic illness: the ‘enmeshed’ family of Minuchin and the family with affect disturbances. We interviewed twelve families, each containing a child with eczema. Most, but not all, of the families do fit in with one or other or both of the proposed interactional patterns, but the theory of a single family type, the ‘psychosomatogenic family’, is not supported. This complements the studies of individuals where specificity hypotheses have proved oversimplified.     

Vowel-contingent feature detection

Do vowel-contingent selective adaptation effects for place of articulation depend on vowel identity, or on the particular formant frequencies used? An experiment is reported here which tested the adaptation effects of consonants with exactly the same formant transitions before different diphthongs. In this experiment, the phonetic identity of the vowel and the formant frequencies of the consonant are not confounded as they have been in previous studies. In the contingent adaptation condition, no phoneme boundary shifts were observed, and this is interpreted along with previous evidencefor such phoneme boundary shifts when phonetic identity of the vowel and formant frequencies are confounded as indicating that adaptation operates on the spectral representation of the stimulus. Other evidence consistent with this conclusion is that adaptation with alternating adaptors from each end of the test series produced negligible shifts, and that a single adaptor from a diphthong series different from that of the test series produced phoneme boundary shifts as large as those with a single adaptor from the same test series.     

Lexicographic additive differences

Several authors have identified sets of axioms for a preference relation ? on a two-factor set A × X which imply that ? can be represented by specific types of numerical structures. Perhaps the two best-known of these are the additive representation, for which there are real valued functions f_A on A and f_X on X such that (a, x) ? (b, y) if and only if f_A(a) + f_X(x) > f_A(b) + f_X(y), and the lexicographic representation which, with A as the dominant factor, has (a, x) ? (b, y) if and only if f_A(a) > f_A(b) or {f_A(a) = f_A(b) and f_X(x) > f_X(y)}. Recently, Duncan Luce has combined the additive and lexicographic notions in a model for which A is the dominant factor if the difference between a and b is sufficiently large but which adheres to the additive representation when the difference between a and b lies within what might be referred to as a lexicographic threshold. The present paper specifies axioms for ? which lead to a numerical model which also has a lexicographic component but whose local tradeoff structure is governed by the additive-difference model instead of the additive model. Although the additive-difference model includes the additive model as a special case, the new lexicographic additive-difference model is not more general than Luce's model since the former has a “constant” lexicographic threshold whereas Luce's model has a “variable” lexicographic threshold. Realizations of the new model range from the completely lexicographic representation to the regular additive-difference model with no genuine lexicographic component. Axioms for the latter model are obtained from the general axioms with one slight modification.     

Intervals and tenses

Concluding Remarks Neither question (1) nor question (2) posed on page 446 have been adequately answered in this paper. Regarding (1) we have merely given functor maps onto the object languages of physical theories and regarding (2) we have merely described the algebraic structure of observables. A more satisfactory treatment will most likely involve (1) a generalization to algebraic categories, universal algebra and model theory in such a way as to capture the full inference structure of (perhaps van Fraassen's modal) quantum logic, and (2) the introduction of the category of differentiable manifolds in order to capture the full symplectic structure of (perhaps Chernoff-Marsden's) Hamiltonian dynamics. (See van Fraassen [4] and Chernoff-Marsden [5] in Other References.)Finally, the intriguing suggestion of Finkelstein that category theory is to metaphysics what group theory is to physics deserves serious consideration. Indeed, although the theme has not been touched on explicitly in this paper it was central in motivating the project initially. However, it is more properly to be developed in a context external to a symposium on quantum logic.     

Depression and engagement in a residential home for the elderly

Traditional residential care environments for the elderly have been criticized because of the observed low levels of residents' engagement. Behavioural models of depression suggest an inverse relationship between engagement in pleasant activities and depression. The present study examined the relationship between depression and engagement in the residents of a home for the elderly. Correlational analyses indicated no relationship between level of depression and level of engagement but an association was found between level of depression and engagement in activities subjectively most enjoyed. There was considerable variation in the residents' perception of their behaviour; some residents viewed active engagement negatively whilst clearly enjoying behaviour that is technically disengaged. It is suggested that the results of the study emphasize the importance both of individual differences in behaviour and of covert behaviour. Implications for the engagement concept are discussed. In particular it is suggested that programmes in care environments aimed at increasing engagement in order to enhance the quality of life should focus more on the individual and on his perception of his behaviour.     

Ethical issues and the family doctor

Issues recognized as having ethical or moral components are becoming increasingly common, for society in general, the health care system and for general practitioner/family physicians in particular. Some of the peculiar problems for GP's relate to the provision of continuing, comprehensive, primary medical care to large numbers of individuals who provide extensive potential for conflict between all the involved elements: patients, physicians, families, consultants and societal attitudes. There is a need for more formal education programs.     

The use of a double-blind drug trial in family therapy to demedicalize a problem

A family therapy approach to a problem that had led previous clinicians to diagnose and treat a child as 'hyperkinetic', is described. The resistance to change that the preceding diagnosis had inculcated, is described. A method of overcoming this resistance by active involvement of the family in a double-blind trial of the drug treatment, was devised and used concurrently with a structural form of family therapy.     

Reliability, homogeneity and the construct validity of Cattell's 16PF

This paper reviews criticisms of the psychometric properties of Cattell's Sixteen Personality Factor Questionnaire and examines Cattell's claims that 16PF scale reliabilities and factor validities are seriously underestimated by conventional internal consistency approaches to reliability estimation.On large samples of British adults and undergraduates no evidence was found to support the claim that the 16PF is deliberately heterogeneous in item content. No presence of suppressor effects or balancing of specifics were found in the 16PF scales, most of which were reasonably homogenous by conventional standards. Conventional internal-consistency reliability estimates in fact give very similar results to alternate form reliability coefficients and Cattell's factorial validities. 16PF scales which were particularly poor in terms of scale consistency were L, M and N with C, O and Q4 emerging as measures of essentially the same trait of anxiety.