Case vignette: cybertherapy

Dr. Neuro Transmitter, a psychotherapist in Paramus, New Jersey, provides services through an online, real-time consultation service known as CyberShrink, Inc., of Dallas, Texas. He is paid by the hour for his consultation services to subscribers who are billed by credit card through CyberShrink. One afternoon he logs on and is connected via private "chat channel" to a new subscriber to the service. She is Ann Hedonia of Simi Valley, California. Ten minutes into the session, Dr Transmitter recognizes that Ms. Hedonia is seriously depressed with suicidal ideation and is feeling on the edge of her ability to cope. He gently suggests that perhaps she ought to think about hospitalization near her home. Ms. Hedonia replies, "Even you don't care about me! That's it. I'm going to do it!" and disconnects. Discussion questions: Is offering psychotherapy services online ethical? What are Dr. Transmitter's obligations in general and at this particular moment to Ms. Hedonia? Suppose Ms. Hedonia has a complaint about Dr. Transmitter. From whom can she seek a remedy? Which state's laws apply regarding professional practice, confidentiality, or licensing qualifications? Must Dr. Transmitter be licensed in any state to offer this service?     

Sexual responding of “nonrapists” to aggressive sexual themes: Normative data

The present study presents data relevant to the sexual responding to aggressive cues of a large sample of nonrapist males recruited from the community. Two hundred three subjects received physiological assessment of sexual arousal to heterosexual and rape stimuli. Results indicated that under instructions not to interfere with sexual responding, approximately 80% of the nonrapists would be correctly classified, which was significantly different from chance. However, under instructions to suppress arousal, classification was no better than chance. The rape index was not related to age, socioeconomic status, sexual experience, or amount of arousal shown in the laboratory. However, there was a small but significant relationship to IQ. Overall, the data suggest that for instructions not to interfere with responding, the error rate seen in this larger-scale sample was equivalent to that in previous studies using smaller normative samples and that classification in general is not biased by the subject characteristics measured in this study.Portions of this project were supported by USPHS Grant MH-34030-02 from the Center for the Studies of Crime and Delinquency and by Tennessee Department of Mental Health and Mental Retardation Research Contract ID-0783 to the Department of Psychiatry.     

When is an easy task difficult and vice versa? A reply to lane

Lane has argued that kantowitz and Knight incorrectly predicted an interaction between primary and secondary task difficulty for the variable-allocation model of attention. It is shown that such an interaction is indeed obtained if task-performance difficulty is defined in terms of capacity and only reasonable transformations of data are permitted. This interaction holds for any set of monotonic resource operating characteristics.     

The effects of observation on emotional arousal and affiliation

This study assessed the influence of anticipated experimenter surveillance during the performance of a painful or potentially embarrassing act on affiliative preferences before engaging in that act. As predicted, there was an overall preference for isolation when the act to be performed was embarrassing, and this tendency increased with anticipated surveillance. There was an overall preference for affiliation under fear arousal, and this preference also increased with anticipated surveillance. Contrary to previous research, whether or not the potential affiliate was a subject in the experiment (i.e., in a similar or dissimilar emotional state) did not affect these tendencies. Possible ways of accounting for these findings are discussed.     

Signal value and preliminary processes in or elicitation

The evoked cardiac response (ECR) of heart rate deceleration, respiratory pause, the peripheral pulse amplitude response (PPAR) of vascular constriction, and the galvanic skin response (GSR) were recorded from 20 subjects presented with a series of brief target and nontarget stimuli in a random order. Prestimulus vigilance was equivalent for the two types of stimuli since each had to be identified as target or nontarget before being processed, or ignored, respectively. This difference in signal value following identification affected only the GSR, supporting a conceptualization of preliminary processes in orienting response (OR) elicitation rather than Sokolov’s unitary OR concept.     

Cognitive advantage in sport: the nature of perceptual structures

To extend and clarify the nature of the perceptual processes used by sport experts to perceive schematic sport information, two experiments used schematic football diagrams that varied in structure (structured vs. unstructured) and complexity (complex vs. easy). The primary objective was to examine and characterize the nature of the perceptual structures (chunks) that are initially encoded, stored, and subsequently retrieved. In Experiment 1, compared with nonexperts, experts recalled larger perceptual structures following the initial stimulus presentation of structured stimuli only, replicating the recall findings of previous research in other skill domains. Experiment 2 used a long-term memory recognition task and a sorting task. Experts had superior recall and recognition of structured stimuli only, along with more discriminating sorting criteria of perceptual structures within long-term memory. This suggests that experts possess a highly refined semantic network or organized, structured schematic information. This research extends and clarifies the similarities between the perceptual processes of experts in sport (i.e., football) and experts in skill domains that require obvious cognitive involvement (i.e., chess). The results are discussed with reference to the perceptual and conceptual chunking hypotheses. It is proposed that sport experts' knowledge of a conceptual category enables them to retrieve elements using a "generate-and-test process."     

On the ethics of psychological research

Three philosophical positions on the nature of ethics were examined and contrasted within the context of psychological research: (a) teleology, which involves the balancing of the costs and benefits associated with an action as a means of developing general ethical rules; (b) deontology, which involves the rational adherence to rigid, universal rules that hold irrespective of the situation or consequences; and (c) skepticism, which involves denying the ability to apply universal rules and asserting the individuality of moral codes. Two experiments investigated the degree to which judgments of the ethicality of psychological research are affected by the consequences of the research and judge's ethical ideology. Subjects judged experiments that investigated obedience to an authority as generally less moral and more threatening to the participants' dignity and welfare when the proportion of total obedience was high rather than low. The proportion of participants (10 vs 40%) who were described as “psychologically upset” by the research did not affect moral judgments. These results were obtained across two different obedience situations (Milgram's study and a Watergate study) and different subject populations (high school and college students, males and females). As suggested by philosophers, a judge's ethical ideology determined how the perceived benefits and costs of the research were correlated with moral judgments. Teleologists weighed scientific benefits heavily, deontologists weighed participants' costs heavily, and skeptics weighed both heavily.     

Parents as therapeutic agents: The usefulness of filial therapy in a community mental health center

Filial Therapy, a program training parents as play therapists for their own children, has been found an effective part of the functioning of a child unit in a community mental health center. The basic philosophy and principles of Filial Therapy are identified. The use of parents as therapists is viewed as consistent with the growth of the community mental health movement and the concept of treating the context in which the child resides. The structure and flexibility of this model are delineated to provide the reader with a basis to introduce Filial Therapy in his/her own setting.