Short-Term Stability of Task-Generated,Interactional Patterns in Families of Schizophrenic Patients

Both researchers and therapists who study schizophrenia make inferences about enduring family roles from observed patterns of interactional talking behavior within families. Evidence regarding the stability of these patterns is rarely investigated. The present study examined the short-term stability of intrafamilial speech patterns (who talks to whom) across two consecutive discussions. The sample was composed of families containing a recent-onset, adult schizophrenic patient. All discussions involved two biological parents and a young adult patient (N = 28 ). Families were classified into one of three interactional role-structure categories based on the intrafamilial speech patterns in two 10-minute discussions obtained in the same session. In addition, the affective style ( 4 ) of the content of the discussions was coded. The results indicated that intrafamilial speech patterns were relatively stable across two discussions despite variations in the focus of the problem discussed. Further, when one parent was predominant in the discussion, a higher rate of negative affective statements was observed than when both parents were equal participants. The results provide further support for the use of discussion tasks in generating meaningful family interaction data.     

Is the cerebellum a smith predictor?

The motor system may use internal predictive models of the motor apparatus to achieve better control than would be possible by negative feedback. Several theories have proposed that the cerebellum may form these predictive representations. In this article, we review these theories and try to unify them by reference to an engineering control model known as a Smith Predictor. We suggest that the cerebellum forms two types of internal model. One model is a forward predictive model of the motor apparatus (e.g., limb and muscle), providing a rapid prediction of the sensory consequences of each movement. The second model is of the time delays in the control loop (due to receptor and effector delays, axonal conductances, and cognitive processing delays). This model delays a copy of the rapid prediction so that it can be compared in temporal register with actual sensory feedback from the movement. The result of this comparison is used both to correct for errors in performance and as a training signal to learn the first model. We discuss evidence that the cerebellum could form both of these models and suggest that the cerebellum may hold at least two separate Smith Predictors. One, in the lateral cerebellum, would predict the movement outcome in visual, egocentric, or peripersonal coordinates. Another, in the intermediate cerebellum, would predict the consequences in motor coordinates. Generalization of the Smith Predictor theory is discussed in light of cerebellar involvement in nonmotor control systems, including autonomic functions and cognition.     

A Coming-of-Age for Research on Interpersonal Perception

ABSTRACT Research on accuracy and consensus in interpersonal perception has become a major topic in the social sciences. Key methodological issues in this research are research design, statistical measures of agreement, unit of analysis, and data aggregation. I discuss the twelve articles devoted to these topics in this special issue in terms of moderators of agreement, the weighted average model of consensus and accuracy (Kenny, 1991), and methodological innovations.     

The mormon health traditions: An evolving view of modern medicine

The Mormon church has long been seen as an unusual group in relation to its health practices. But its health traditions and practices go much further than the ban on tobacco, coffee, and alcohol for which it is so well known. Church teachings and influences pervade the entire Mormon existence. This paper briefly discusses these traditions, first by examining their roots in the teachings of its first two prophet/presidents, Joseph Smith and Brigham Young. Then, how these ideas have evolved into the church's current thought is examined; and finally, the church's responses to many modern-day health care issues are presented.The author wishes to thank Dr. John King at Eastern Virginia Medical School in Norfolk, for his assistance and encouragement.     

What is a difficult mental health case? An empirical study of relationships among domain variables

A difficult case in psychotherapy can be defined in many ways. This study proposes a model for that definition, in which three domains (patient characteristics, case characteristics, and therapist characteristics) are considered to impact on that definition. A total of 264 professionals received a questionnaire to assess the relative importance of a series of variables within and across these domains. Wilcoxon Matched-Pairs Signed-Ranks tests indicated that patient characteristics were considered more important than therapist or case characteristics in defining a difficult case. Case characteristics were considered more important than therapist characteristics. Pearson correlations, however, suggested that the three domains in the model are related. Correlations (for years of experience) and Kruskal-Wallis one-way ANOVA for ranks (for professions) also indicated that participants were able to identify variables within domains as important in that definition regardless of years of experience or professions. Across domains, the most important variables included the motivation of the client (a patient characteristic), dropout/attrition and multiple diagnoses (case characteristics), and the degree of therapist-client racial similarity (a therapist characteristic).     

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.     

The use of subtle items in detecting deception

When subjects attempt to fake psychopathology on the MMPI, scores on subtle subscales tend to be lower than those of nonfaking subjects. Our study hypothesized that this paradox comes about because the subtle subscales have no predictive validity, but their face validity for psychopathology is the opposite of the keyed direction for psychopathology. Subjects who attempt to fake psychopathology do so on the basis of item content and thus achieve lower rather than higher scores. Three groups of 80 undergraduates took the MMPI under regular, faking-good, or faking-bad instructions. As expected, faking-bad subjects scored significantly lower than regular subjects on the 100 most subtle items, and this was due to their responses to those. 73 of the items whose face validity was misleading. The results are consistent with other work showing valid uses of subtle items in detecting deception.