The Pavlovian basis of reciprocal inhibition therapy

While there is a slight disagreement between Wolpe’s views and Pavlov’s statements concerning the application of experimental psychology to the study of psychiatry, Wolpe indicates that he owes much to Pavlov. A Pavlovian analysis of therapy by reciprocal inhibition, which includes the physiological constructs as well as Pavlovian methodology, will increase our understanding of Reciprocal Inhibition therapy. The major techniques of Reciprocal Inhibition therapy are discussed in the terms of Pavlovian method and theory. Desensitization based on systematic relaxation appears to be effective because the excitatory stimulus is presented when the subject’s cortex is predominantly in an inhibitory state while relaxed. Assertive training relies mainly on building up the excitatory process by use of the second signal system. Thought-stopping is analogous to the external inhibition procedure with the use of the second signaling system as the “extra” stimulus. Deductions from Pavlov’s typology predict that an excitable subject will be difficult to desensitize and somewhat easier to train in assertive behavior and thought-stopping. Some implications of relating Pavlovian method and theory to Reciprocal Inhibition therapy are discussed.     

Binocular summation in the perception of form at brief durations

Visual form identification at brief durations was studied under: (a) monocular presentation; (b) dichopic presentation where the same form was presented successively on noncorresponding areas; and (c) dichopic presentation where the same form was presented on corresponding areas simultaneously and successively. Form identification for noncorresponding area dichopic presentation was at the level to be expected from 2independent chances to perceive. Both simultaneous and successive dichopic presentation on corresponding areas gave identification accuracy significantly above the level predicted by the assumption of independence. However, the binocular summation was not complete. When the same amount of energy entering the visual system in a binocular presentation was given in a monocular stimulation, the latter condition gave significantly better identification.     

Humility as a psychotherapeutic formulation

Humility training is conceptualized as an appropriate treatment for persons who occasionally describe themselves, but are most frequently described by others as overbearing, insensitive and deceitful. Procedures are outlined to identify unrecognized fears and improve interpersonal skills. Humility is presented as a counterpoint to assertiveness and aggression/anger control interventions.     

Enhancing Consultee Problem-Solving Skills in Consultative Interactions

Selected empirical research on consultative problem solving is reviewed. Although there is general support for the effectiveness of consultation in resolving a variety of presenting problems and in improving consultees' skills for solving future problems, there is a need for additional methods to facilitate the process. Direct training of consultees in behavior management, communication, and consultation process skills is advocated as one means of attaining this goal.     

The rationing of health care: A doctor's dilemma

Physicians are currently presented with very difficult ethical issues regarding who receives what level of medical care and for how long. A meaningful response to these perplexing issues necessitates a collaboration of doctors with others steeped in religious and ethical traditions. This paper addresses the complicated issue of the rationing of health care, and this issue is then addressed by responses from representatives of the religious community. This symposium took place at the New York Hospital—Cornell Medical Center in March 1991.The Rev. Curtis W. Hart, M.Div. is Director of Pastoral Care and Education at the New York Hospital—Cornell Medical Center.The Rev. Paul Conner, O.P., is Associate Professor and Director of the Master's Program in Public Health Care Ethics at New York Medical College. Larry Rasmussen, Th.D., is Reinhold Niebuhr Professor of Social Ethics at Union Theological Seminary in New York. Dr. Harlan J. Wechsler is Rabbi of Congregation Or Zarua and Visiting Professor of Philosophy at Jewish Theological Seminary in New York.     

Concurrent Use of Cigarettes,Alcohol, and Coffee1

The interrelationships between cigarette, alcohol, and coffee use were examined in 307 U.S. army trainees and 304 U.S. enlisted army personnel. Usage patterns indicated distinct gender differences in this occupational setting. Among women, cigarette use and alcohol consumption were positively correlated; whereas for men, cigarette and coffee use were positively related. For both males and females, alcohol and coffee use were only weakly correlated. As demonstrated in other studies, nonsmokers showed a consistent pattern of abstention from coffee and alcohol or moderate alcohol use.