Projective-cognitive assessment of thoughts and feelings and their relationship to adaptive behavior in a dental situation

The purpose of this study is to examine the interrelationships among coping statements, a self-report measure of anxiety and maladaptive overt behavior in a real-life stressful situation. Measures of these variables (interviews using TAT-like cards, State-Trait Anxiety Inventory for Children, Behavior Profile Rating Scale) were taken from 23 adolescents prior to and during their dental visit. Results indicated that as disruptive "in-chair" overt behavior increased, so did the percentage of coping statements. In addition, as self-report levels of anxiety increased, the percentage of coping statements significantly decreased. Interestingly, there was no significant relationship between self-report levels of anxiety and disruptive in-chair behavior. It was also noted that the subjects' self-report levels of anxiety significantly decreased following their opportunity to verbalize their coping/noncoping statements via the TAT-like procedure. The implications of these interrelationships to cognitive-behavioral theory are discussed.     

Students' attitudes toward university health services

This study measured students' attitudes toward a university's student health services (SHS) and identified factors that were related to their attitudes. A questionnaire surveying students' attitudes was administered to a sample of 150 students at the Oxford Campus of the University of Mississippi. Analysis of the data revealed that students' attitudes had a statistically significant correlation with the following variables: perceived medical care cost, amount of health information/education received during medical encounters, time spent in the waiting room of the SHS, sex of the student, and income of the student. There was no significant relationship between attitude and age.     

Three visits to eternity: Freud, Wiesel, and Patient X

Freud's experience on the Acropolis is reviewed and reappraised. Also, the experience of Elie Wiesel at the Wall in Jerusalem and Patient X's reaction visiting an Egyptian temple are examined. Carl Jung's wish to go to Rome and his inability to do so are noted. The aim of the paper is to offer deeper understanding about intense reactions many sensitive and creative people experience over travel to special places. These places are treated as idealized and ambivalently loved transference objects. Normal anticipatory pleasure prior to the trip is impaired and reality pleasure at the site cannot be enjoyed. When these spots are reached, ego regression is initiated by the intolerably intense narcissistic pleasure mobilized by the gratification of fantasies that were felt to be unrealizable. The fantasies can be conscious or unconscious and from oedipal as well as preoedipal and postoedipal developmental levels; however, they always involve the fulfillment of overwhelmingly powerful wishes. The deep ego regression, archaic fantasies, and the complex defenses mobilized are frightening since there may also be concern about ego dissolution or irreversible transformation. One highly adaptive solution which helps master these conflictual and developmental experiences is creative ego activity. While maintaining integrity for the individual ego and enhancing the self, creative work and accomplishment also enrich and advance the cultural process.     

A preliminary report on defenses and conflicts associated with borderline personality disorder

The authors present preliminary psychodynamic findings from a naturalistic study of borderline personality disorder compared to antisocial personality disorder and bipolar type II (depression with hypomania) affective disorder. An independent psychodynamic interview of each subject was videotaped from which ratings were made of the presence of 22 defense mechanisms and 11 psychodynamic conflicts. A factor analysis of ratings from 81 subjects supported the separation of borderline (splitting, projective identification) from narcissistic defenses (devaluation, omnipotence, idealization, mood-incongruent denial). While certain groups of defenses were associated with each diagnosis, defense ratings did not significantly discriminate the three diagnostic groups, suggesting a limit to their diagnostic value. Among 27 subjects rated, borderline personality was strongly associated with two conflicts: separation-abandonment, and a global conflict over the experience and expression of emotional needs and anger. Antisocial personality was psychodynamically distinct and more heterogeneous. Bipolar type II was associated with two hypothesized depressive conflicts: dominant other and dominant goal. Chronic depression, which was more common in both personality disorder groups than in bipolar type II, was associated with a third depressive conflict, overall gratification inhibition. Overall, conflicts were powerful discriminators of the three diagnostic groups. The heuristic value of these findings is discussed.     

Individual Marital Therapy: A Critical Reappraisal

The belief that individual marital therapy (IMT) is an ineffective form of treatment for marriage problems and markedly inferior to the conjoint approaches has become almost an article of faith in family therapy circles. This position was originally advanced in the influential reviews of the research literature conducted by Gurman and Kniskern, and their conclusions have been cited in numerous other articles. This paper re-reviews the research studies purportedly supporting this conclusion and finds almost all of them to be invalidated by gross flaws in design and implementation. It is argued that from the highly inadequate evidence available, no conclusions can be reached concerning either the absolute or relative effectiveness of IMT.     

Postperformance attributions and task persistence among type A and B individuals: a clarification

We examined task persistence and postperformance attributions by Type As and Bs on tasks that varied in level of difficulty. On the basis of past research, we hypothesized that Type As would be more self-serving than Type Bs in their attributions for success and failure. We also hypothesized that task persistence would differ among Type As and Bs and would be dependent on task difficulty and perceived task diagnosticity. Type As and Bs attempted multiple sets of anagrams that were either easy or difficult. We measured persistence by the number of anagram sets attempted, and, after task performance, we assessed attributions for success and failure. Results supported both hypotheses. Type As took more credit for success than for failure, whereas Type Bs did not provide reliably different attributions for success and failure. Furthermore, Type As persisted longer at the task when it was difficult and when it was viewed as relatively low in information value. Type Bs persisted longer at the task when it was difficult but viewed as relatively high in information value. Results are discussed in the context of current debates regarding the responses of Type As and Bs to performance settings.     

Adjustment to rape

This questionnaire study of rape victims' reactions, causal attributions for the rape, coping behaviors after the rape, and psychological adjustment to the rape were examined. As in previous research, high levels of behavioral and characterological self-blame for rape were found. Contrary to prior hypotheses, behavioral self-blame was not associated with good adjustment. Rather, both behavioral and characterological self-blame were associated with poor adjustment. Societal blame was the only causal attribution for rape that was unassociated with adjustment. Remaining at home and withdrawing from others were both associated with poor adjustment, and the use of stress reduction techniques was associated with good adjustment. The implications of the results for theories of victimization and for clinical interventions with rape victims are discussed.     

Twentieth-century attitudes toward masturbation

This article demonstrates the progress that medicine, psychiatry, religion, and anthropology have made toward a variant perspective, of masturbation. Researchers documented the suffering and damage caused by classically ingrained religious and medical distortions.The secret sin of Judeo-Christianity and the social disease of nineteenth-century medicine has paradoxially become the therapy for various forms of psychosexual dysfunction. Catholic, Protestant, and Jewish denominations polarize opinions from rigorous orthodoxy to unconditional acceptance of this psychosexual behavior as a source of emotional homeostasis.Michael S. Patton, Ph.D., is an anthropologist concerned with sex research in society, history, and religion. He lives in Mansfield, OH 44903.     

Time: a speeding train or wind-driven sand? The estimation of fixed temporal intervals as related to images of time

Relationship between Knapp's metaphor scale of attitudes toward time and subjective estimation of fixed time intervals, measured by a modification of Lovett Doust's method, was described. Results were discussed within the framework of studies relating the measurements of cognitive styles and altered consciousness states to the dilated or accelerated perceptions of time.