The development of therapeutic consultations in child-focused family work

This paper outlines the theoretical influences that have led to our use of a consultation approach to work with children and families. Winnicott's notion of therapeutic consultation, the narrative approach in family therapy, the use of letters in therapeutic work and the two-plus-one model of therapeutic contact are discussed. A model of the consultation interview and process is presented together with examples of consultation letters responding to typical client expectations of the process.     

Attentional scanning and space errors

Using the method of paired comparisons, pairs of simultaneous horizontal or vertical lines, with one line above and one below or one on the left and one on the right of a fixation point, respectively, were presented tachistoscopically for length comparison. Space errors were found to have a pattern similar to that of time errors. The tendency to guess the comparative response from the absolute magnitude of stimuli is proposed as a basis for time and space errors. Manipulation of attentional scanning, which implies a more frequent usage of this guessing strategy for one of the two lines in a pair, was shown to affect space errors.     

Gender differences in autonomous and social achievement orientations

This research examined gender differences in orientations toward autonomous and social achievement. Three independent samples of subjects (total N= 359 males and 574 females) completed measures of achievement orientation (including Strumpfer's [1975] Autonomous Achievement Values and Social Achievement Values scales) and relevant cognitive, affective, and behavioral variables. Correlational and factor analyses clearly identified distinct autonomous and social achievement factors for both men and women in each of the samples. Examination of the correlates of achievement orientation indicated that whereas an autonomous achievement orientation is similarly expressed in males and females, there are considerable sex differences in the expression of an orientation toward social achievement. In particular, a social achievement orientation was associated with concerns over social approval and responsiveness to social influence among males, but was generally unrelated to these factors among females. Findings are discussed in terms of several recent hypotheses concerning the effects of sex role norms on the development and expression of achievement needs in men and women.     

Visual comparison processes: Identity and similarity decisions

In the first experiment, in which two successively presented free-form visual patterns varied in their similarity to each other, subjects had to decide, in one condition, if the patterns were “identical” and in two other conditions if the patterns were “similar.” Qualitative individual differences in the effect of similarity on the time required to make a decision were found in the “identity” condition, and these differences interacted with the “similarity” conditions. The individual differences and the experimental effects are interpreted in terms of a two-process model of the visual comparison process—a holistic matching process that is sometimes accompanied by an analytic difference detection process. In the second experiment, the same subjects repeatedly categorized subsets of the free-form visual patterns on the basis of similarity. There appeared to be no individual differences in the subjects’ perceptions of similarity, but subjects’ perceptions did differ from the assumptions made by the experimenters when they established the response criteria for the first experiment.     

Conditioned tilt naming: A modified absolute judgment method is used to measure the oblique effect

Two naive human observers were conditioned to report on the slant of a 3.8-cpd sinusoidal grating viewed monocularly with a light-adapted eye and presented at various orientations extending from ?45 to +135 deg. The procedures used yielded a baseline measure of performance and measures obtained during conditioning, extinction, and reconditioning of the tilt-naming response. Both subjects learned rapidly, achieving a level of performance that permits efficient measurement of meridional differences in perceived orientation Ithe oblique effect) at a large number of angles.     

BEHAVIORAL ASSESSMENT FOR PEDIATRIC INTENSIVE CARE UNITS1

Two studies were conducted to analyze behaviors of staff and patients on a Pediatric Intensive Care Unit (PICU). In the first study, behavioral observation procedures were employed to assess patient state, physical position, affect, verbal behaviors, visual attention and activity engagement, and staff verbal behavior. On the average, one-third of the patients were judged to be conscious and alert but markedly nonengaged with their environment. In the second study, a member of the hospital staff provided alert patients with individual activities to determine whether a simple environmental manipulation could positively affect behavior of children in intensive care. Employing a reversal design, the activity intervention was found to increase attention and engagement and positive affect, and to decrease inappropriate behavior. Both studies demonstrate that behavioral assessment procedures can provide an empirical basis for designing PICU routines affecting children's psychosocial status, and, thus, complement current procedures designed to provide quality medical care.     

Role of contextual imagery in associative recall

The advantage of interactive over separation imagery in associative recall was markedly diminished when a unique imaginary context was provided for each imaged pair of words. Separation imagery was much more sensitive to contextual redundancy than was interactive imagery. Context was viewed as facilitating organization at encoding as well as affecting cue loading at retrieval. A three-element associative model is described.     

Some effects of positive life events on community mental health

Measures of positive and negative events were derived from a life-event inventory to test the predictions of an equilibrium model and a positive mental health model of psychological well-being. These measures were related to indicators of individual and community well-being with data obtained through a household survey of 454 residents. Residents who reported more negative events also reported more psychological distress and less positive adjustment. Positive events were associated with reports of positive adjustment. An analysis of census tract scores on life events revealed that the relative absence of positive events in census tracts was associated with higher service utilization rates to the community mental health center serving those tracts. The number of negative events was unrelated to service rates for census tracts but was related to several demographic indicators of well-being.