Sado-masochism as a defense against merging: Six case studies

This paper reports on several patients who use sado-masochism as a defense against an unconscious wish for and fear of merging. The sado-masochism can be expressed as a sexual perversion or in a difficult ungratifying interpersonal relationship. These relationships have some of the quality of addictions in that the patients have a compulsive need to continue them and find it extremely difficult to leave them. Therapy must focus on helping the patient become more separate, rather than on other problems which may also be present. Initially, the therapist needs to take an educational stance in regard to the process the patient must complete, rather than the more traditional analytic stance.     

Proximal and Distal Predictors of Homophobia: Framing the Multivariate Roots of Outgroup Rejection1

A proximal-distal theoretical framework was developed to examine the multivariate roots of homophobia. Using data from a sample of 288 undergraduates who had participated in a computer-assisted panel study over a three-year period, the effects on homophobia of distal and proximal family factors (e. g., parental education and family environment), distal and proximal individual factors (e. g., personality constructs and current beliefs), and proximal individual-situational factors (e. g., acquaintance with homosexuals) were tested in regression analyses. Both analyses employing sets of variables varying in proximity to the homophobic attitude and hierarchical regression employing variables contributing significantly in each set supported the proposed framework. All sets predicted significantly when regressed separately on homophobia; the sets containing the distal factors contributed most weakly, and the sets containing the proximal factors contributed most strongly. In hierarchical regression analysis, this pattern maintained such that the incremental increase in r² decreased with the addition of each more distal set, with the most distal factors failing to contribute significantly to the prediction. The importance of study findings for attitude change efforts is discussed.     

EXPERIMENTAL ANALYSIS AND TREATMENT OF MULTIPLY CONTROLLED SELF-INJURY

A functional analysis of the self-injurious behavior (SIB) of 3 adults with profound developmental disabilities showed that each engaged in SIB in more than one assessment condition. Such outcomes may result from a failure to isolate the variable maintaining SIB, or they may reflect multiple sources of control over SIB. In order to identify more clearly the determinants of SIB, each subject was exposed to a series of treatments appropriate to one or both of the apparent functions of SIB. These treatments, applied sequentially on baselines appropriate to each behavioral function, identified the maintaining variables for SIB through differential outcomes across baselines. Results indicated that the SIB of 2 subjects was multiply controlled, confirming the outcomes of the functional analysis. However, the SIB of the 3rd subject was eliminated using a treatment designed for a single function, suggesting spurious results of the original assessment. Alternative interpretations of undifferentiated assessment data are discussed, as are analysis and treatment issues related to multiply determined behavior disorders.     

Group Commitment and Resource Conservation: Two Field Experiments on Promoting Recycling1

Two experiments evaluated the effect of commitment on paper recycling. Using an ABA design, Experiment 1 asked 24 individuals in a retirement home to sign a 4-week group commitment pledge to recycle paper. During this intervention, the subjects recycled 47% more paper than they had during baseline. They continued to recycle at this level during a 4-week follow-up period, when the group commitment was removed. Experiment 2 evaluated the relative effectiveness of group commitment, individual commitment, and token reinforcers on paper recycling in a college dormitory. The students in all three experimental conditions recycled from three to five times more paper than those in the control group during the 4-week intervention. However, in the 3-week follow-up period, when the treatments were removed, only the individually committed subjects continued to recycle significantly more paper than the controls.     

Clinician preparation: Experiences with pseudostuttering : “It was the longest day of my life!”

The response of lay persons to pseudostuttering in approximately 200 spontaneous communication situations were reported and evaluated by 24 graduate students in an advanced class in fluency disorders. The students each spent a day as a “stutterer” in all speech contacts. They summarized their pseudostuttering efforts, the perceived auditor reactions, and their own feelings, in each situation. Results indicated that most lay reactions to any stuttering behavior were, at best, neutral or characterized by obvious changes in behavior. Many reactions were overtly and strongly negative. Student reactions were consistently ones of anxiety, fear, the desire to avoid, frustration, and irritation. Feelings of anger and humiliation were common. Discussion of results points out the value of pseudostuttering experience in clinician training, the possible importance of attitude and adjustment consideration in management of clients who stutter, and the apparent failure of (and need for) our profession to educate the lay public about communicative disorders.