MAINTAINING PERFORMANCE OF AUTISTIC CLIENTS IN COMMUNITY SETTINGS WITH DELAYED CONTINGENCIES

To facilitate the classroom and workshop integration of three autistic clients, we examined the feasibility of teaching them to respond appropriately without the continual presence of specially trained treatment providers. Within a multiple baseline design, a 4-step treatment process was implemented to promote durable responsive performance. Results indicated that the therapist could be removed from the treatment environment and that appropriate behavior could be successfully maintained in community settings with only infrequent and delayed contingencies.     

The fundamental rule: a study of current usage

Members of the editorial boards of the Journal of the American Psychoanalytic Association, Psychoanalytic Quarterly, and Psychoanalytic Inquiry, plus selected analysts from Canada, France, and England, were asked how they presented the fundamental rule to their analysands and what considerations led to their choice of initial guidelines. Forty-nine of eight-three analysts responded to the survey. The respondents described diversity in phrasing of the fundamental rule, the time in analysis when the guidelines are given, and the reasons for the practice they follow. The method each chose appears to reflect the differing conceptions analysts have of the analytic process. Two major trends emerged: either our respondents emphasized delineating a work or functional framework or contract, or they emphasized establishing an attitude or spirit of cooperation, mutuality and work sharing. In each group respondents differed as to whether they favored minimal or more lengthy instructions. They also differed as to whether they followed a consistent approach or one tailored to the needs of the individual analysand. A source of tension lay in an inclination either to remain in the tradition set by Freud or to experiment with different phrasings and timings. The authors give their reasons for choosing to give explicit instructions, requesting associational material beyond thoughts and feelings, and describing resistance as inevitable and a potential source of insight.     

Changes in the level and quality of object relations in psychoanalysis: followup of a longitudinal, prospective study

As part of a prospective, longitudinal study of suitability for and outcome of psychoanalysis, 22 patients were evaluated for changes in the level and quality of their object relations. These patients had been accepted for supervised analysis with candidates in training by senior analysts who had diagnosed them as neurotic. The majority of these patients reported difficulties in relationships as at least one of their reasons for originally seeking psychoanalytic treatment. Prior to beginning analysis, each patient was given a battery of psychological tests. One year after the termination of analysis, the test battery was readministered and a followup interview was conducted separately with each patient and analyst. Ratings of change based on patient and analyst interviews and comparisons of psychological tests before and after treatment all showed statistically significant improvement in the level and quality of object relations for this patient group. The results of this study support what is often observed in clinical practice, that psychoanalysis has a positive effect on the level and quality of a patient's object relations.     

Adolescent marijuana use: the role of the physician

Adolescent marijuana use is an issue of concern to the community at large. Physicians now have the technology to identify marijuana use and thus are in a unique position to deal with the issue. This article addresses the moral issues related to screening and surveillance of adolescent marijuana use and postulates the justification for active physician intervention.     

Violent crime, sociopathy and love deprivation among adolescent delinquents

Ever since Wechsler observed that the adolescent sociopath characteristically scored higher on the performance section of the Wechsler IQ scale relative to the verbal section, psychologists have been debating its meaning. This study examines the relationships between P-V discrepancy scores, love deprivation, and juvenile delinquency among a sample of juvenile probationers. P greater than V scores were significantly related to love deprivation and violent crimes. It was determined that much of the explanatory power of P greater than V with regard to violent delinquent behavior was mediated by love deprivation. We also found that P greater than V scores could not be explained away by social class, low verbal scores, or lower full-scale scores. Only love deprivation was found to be significantly related to P greater than V scores in our path model, thus offering some support to the assertions of some authors that early emotional stresses affect subsequent autonomic nervous system function.     

How adolescents perceive their relationships

In order to determine how adolescents perceive their relationships, a set of eight drawings representing one, two or three characters, whose sex and relationships where not clearly defined, were shown to 403 Parisian adolescents (227 girls and 176 boys) aged 15 to 19. The majority of data converge for all subjects, regardless of the sex, curriculum or socioeconomic factors. The subjects consistently identify more mixed-sex dyads and triads than same-sex in all pictures. This predominance does not imply that the adolescents perceived all relationships as having a romantic connotation. Some data seem consistent with the traditional sex role stereotypes. The subjects' responses do not seem to reflect the reality of their own peer relationships.     

A DAY AT DEVELOPMENTAL DOWNS: SPORTSCAST FOR RACE #2 - NEO-PIAGETIAN THEORIES OF COGNITIVE DEVELOPMENT

This article discusses the neo-Piagetian theories of cognitive development proposed by Robbie Case, Andreas Demetriou and Anastasia Efklides, Kurt Fischer, Jeffrey Farrar, Graeme Halford, Juan Pascual-Leone, Michael Shayer, and Robert Siegler. Each theory is discussed in terms of its basic assumptions, and propositions regarding structure, process, novelty and automatization, context, and mechanisms of development. Then some general conclusions are drawn about the enterprise of neo-Piagetian theorizing as a whole.