Sexual addiction: Understanding and treating the phenomenon

The authors describe their multi-faceted treatment of sex addicts and co-dependents, make observations about the needs and issues involved in such therapy, and discuss some of the desired outcomes from the combination of professional help and self-help in the treatment regimen.Ralph H. Earle, PhD, and Gregory M. Crow, PhD, are family therapists and psychologists in private practice in Scottsdale, Arizona     

Should we study the Hippocratic Oath?

In this commentary on a study by H. Steven Moffic, et al., of the current status of the Hippocratic Oath in medical education, Veatch discusses the relation of the oath to ethical conduct, the meaning of primum non nocere ("do no harm"), and the limitations of practicing Hippocratic ethics.     

Book reviews

The Word Speaks to the Faustian Man. Som Raj Gupta. Delhi, Motilal Banarsidass. 455+xvi pp., Rs. 500

A History of Indian Buddhism, From Sākyamuni to Early Mahāyāna. Hirakawa Akira, translated and edited by Paul Groner, 1990. Asian Studies at Hawaii, No. 36. Honolulu, HI, University of Hawaii Press. xix +402, £33.25

The Doctrine of the Upanisads and the Early Buddhism. Hermann Oldenberg, translated by Shridhar B. Shrotri, 1991. Delhi, Motilal Banarsidass. Rs. 225

Evil and the Mystics’ God: Towards a Mystical Theodicy. Michael Stoeber. London, Macmillan. x+225 pp., £40     

Public self-Attention and personal standards: The impact of group composition

Increases in self-attention as a function of decreases in the relative size of one’s subgroup in a heterogeneous group context have been shown to result in increased regulation of behavior toward social (normative) standards for behavior. The present study demonstrated increased regulation of behavior toward a personal standard for behavior as a function of variations in group composition. One hundred twenty-five subjects individually completed the Creativity subscale of Scott’s Personal Value Scale assessing attitudes toward originality. They then completed a word-association task in groups ranging in size from 2 to 8. Originality of word-associations was determined by reference to previously established word-association norms and norms based on frequency of responses given in the present study. Results indicate that originality in responses increase as the relative size of one’s own subgroup decreases (indexing increases in self-attention) for subjects who value originality. Discussion centers on the distinction between experimentally manipulated public and private self-attention and standards that are adopted for behavioral self-regulation. Portions of this study were presented at the annual meeting of the Eastern Psychological Association, New York, April 1991.     

Subclmical depression and role fulfillment in domestic settings: Spurious relationships,imagined problems,or real effects?

Considerable evidence has accumulated in support of the hypothesis that subclinical depression may inhibit role performance in important ways. However, interpersonal stress and marital discord often precede the development of depressive symptomatology and may independently predict deficits in family role functioning. In addition, cognitive theories suggest that persons with subclinical depression may report poor role functioning even in the absence of any real performance deficits. The current research examines the possibility (1) that the effect of depression on the fulfillment of important family roles is attributable to previously unmeasured contextual variables of ongoing interpersonal stress and/or relationship dissatisfaction or, alternatively, (2) that this relationship is the result of depressive distortion associated with self-report of symptoms and performance. Multiple regression analyses of interview data collected from 495 community-dwelling adults found, however, that depression is related to role functioning beyond any spurious effects attributable to interpersonal stress, spousal stress, or marital satisfaction. In addition, the effect of depression persists when collateral reports of role functioning utilized. Accordingly, it appears that subclinical depression is related to decrements in role performance, and this effect is not entirely due to contextual elements or shared method variance between self-report measures.The authors acknowledge research support from Research Grants R01-AA-07250 and R01-AA-07218 from the National Institute on Alcohol Abuse and Alcoholism, Research Grant R01-DA-07417 from the National Institute on Drug Abuse, and National Institutes of Mental Health Grant A-41487-07.