The self in transformation: Dialectical processes in long-term psychotherapy

A number of phases are notable during the process of integration of the self through psychotherapy. Each of these phases encompasses a particular ontology in relation to the dynamic self. The underlying process of change, moreover, may be conceived of as dialectical in nature with each phase having a unique thesis and antithesis. A clinical case is presented to illustrate these ideas for the therapist.     

The semantics of therapeutic change

Some contemporary theorists of family therapy have recently addressed the question of how to explore the 'meaning' dimension of therapeutic change, particularly in the context of the fragmentation of 'post-modern' culture. A particularly interesting strand of work has focused on the narrative or discursive components of the family therapeutic encounter. In this article an argument is made for the importance of a 'semantic' element in theories of family therapeutic change, and the general shape of such a semantic element is outlined.     

Relations between neonatal states and 8-month developmental outcome in preterm infants

This study investigated longitudinal relations between measures of neonatal state behavior and developmental outcome in a sample of preterm infants (N = 16). Results indicate that irritability/reactivity in the neonatal period is positively associated with Bayley scores and exploratory play at 8 months. Conversely, neonatal alertness was not associated with these developmental measures. These preliminary findings, based on a small sample, are discussed in the context of preterm function.     

Selective delayed alternation deficits in dominantly inherited olivopontocerebellar atrophy

In order to characterize more completely the nature of the frontal lobe-type cognitive changes in patients with dominantly inherited olivopontocerebellar atrophy (OPCA) we administered two tasks sensitive to frontal system dysfunction, delayed alternation (DA) and delayed response (DR), to 12 patients from one OPCA family. Affected members from this family have previously been shown to have a marked and widespread cerebral (including frontal) cortical cholinergic reduction as severe as that observed in Alzheimer's disease. Performance on DA, but not on DR, was significantly impaired in the OPCA patients compared to that in the controls. We suggest that the DA deficits in OPCA could be a consequence of a loss of cholinergic innervation to orbitofrontal or possibly temporal cortical areas and/or damage to the integrity of the cerebello-frontal neuronal connections.     

Gender and values: What is the impact on decision making?

In this study we investigated C. Gilligan's [(1982), In a different voice: Psychological theory and women's development, Cambridge, Massachusetts: Harvard University Press] suggestion that women and men, due to socialization, develop differently in terms of moral development [L. Kohlberg (1969), “Stage and Consequence: The Cognitive Development Approach to Socialization,” In D. G. Goslin (Ed.), Handbook of socialization: Theory and research, Chicago: Rand McNally]. We also considered whether men and women differ in terms of a related construct, values of equity and equality [K. A. Rasinski (1987), “What's Fair Is Fair or Is It? Value Differences Underlying Public Views About Social Justice,” Journal of Personality and Social Psychology, Vol. 53, pp. 201–211]. It is our expectation that gender influences overall orientation in terms of the two sets of values, and that differences in values lead decision makers to weigh decision issues and to make final decisions differently. Results suggest that there are some gender-related differences in value systems, weights of decision issues, and final decisions.     

Determinants of satisfaction with specific job facets: A test of Locke's model

Survey results supported Locke's (1969, 1976) contention that facet job satisfaction is a function of three basic determinants: 1) facet amount; 2) wanted amount; and 3) facet importance. We found several three-way interactions that were generally consistent with Locke's model. Specifically, facet satisfaction was highest when employees wanted a large amount of the facet in question, were currently receiving a large amount, and felt that the facet was personally important. Conversely, satisfaction was lowest when employees wanted a large amount of the facet, were currently receiving only a small amount, and felt that the facet was personally important. When job facets were viewed as unimportant to employees, however, the amount of facet desired and currently possessed had little impact on satisfaction. Implications, limitations, and directions for research are discussed.Bob Rice passed away recently. He will be sorely missed.     

Teaching minority high school students to recruit helpers to attain personal and educational goals

Recruiting help from mentors and other potential helpers is a promising strategy for helping disadvantaged and minority youths meet their personal and educational goals. Three African-American high school seniors participated in a project designed to evaluate the effectiveness of training procedures that would allow them to ask for help in attaining educational and other personal goals. A behavioral training procedure that included instructional materials, role-play practice, praise, and feedback was used. Targeted skills included goal setting and 30 responses involved in the process of meeting with a potential helper. Role-play situations were used to evaluate participants' help-recruiting skills before and after training. Participants increased their help-recruiting skills from an average of 38% during baseline, to an average of 75% after training. Self-reported measures of goal attainment suggested that the students benefited from the training. Implications for mentoring programs designed to increase minority students' opportunities to reach educational goals were discussed.     

Psychiatry, religious conversion, and medical ethics.

The interface between religion, psychiatry, and ethics is often a locus for considerable controversy. This article focuses on the response of American psychiatry to religious nonconformism, and to religious conversion generally. At issue is the societal pressure against unpopular religious movements. The author argues for an ethic that conserves the freedom of religious conscience, and that guards against inquisitions in the guise of medical expertise and nosology.     

Cerebral lateralization in individuals diagnosed as autistic in early childhood

Early infantile autism was found to be associated with an atypical pattern of cerebral lateralization. Based on EEG measures of hemispheric activation during cognitive processing, it was found that 7 of the 10 autistic individuals tested showed a pattern of hemispheric specialization rarely seen in the normal population; namely, a “reversal” in lateralization reflective of a lack of left-hemisphere specialization for linguistic functions. Furthermore, the autistic individuals' pattern of cognitive strengths and weakness is suggestive of a selective impairment of the left cerebral hemisphere.