Pharmacotherapy of schizophrenia and affective disorders: Behavioral assessment of psychiatric medications

Objectively defined, publicly observable ward behaviors (body activity, extremity activity, scanning, social interaction, proximity, participation, laughing/smiling, and idiosyncratic behavior) emitted by psychiatric inpatients with either schizophrenic or affective disorders were time sampled both before and during the administration of psychiatric medications (neuroleptics, tricyclics, and lithium). The data indicate that the primary effects of the pharmacological interventions are confined to activity measures and symptoms rather than social behaviors. The implications of these results for treatment protocols are discussed in terms of interactions between pharmacological and psychosocial interventions. In addition, rates of behavior during treatment were related to baseline rates via a log-log function of negative slope, a result that is consistent with data derived from the infrahuman laboratories. Taken together the results provide support for attempts to relate preclinical and clinical psychopharmacology and suggest that behavioral assessment can be applied profitably to drug effects in clinical situations.These investigations were supported in part by State of Illinois Department of Mental Health and Developmental Disabilities Grants RD836-13 and RD622-02 to the first author. The cooperation of the Illinois State Psychiatric Institute staff is gratefully acknowledged. Assistance in data collection was provided by S. Sussman and K. Mueser.     

THE EXPERIMENTAL MODIFICATION OF SONOROUS BREATHING

Loud snoring is a noxious habit and potential personal health risk. We are reporting the first experimental study of simple behavioral techniques for the modification of chronic snoring. Twenty-four volunteers participated in a repeated measures, randomized group design over 2 weeks of intervention and one-month follow-up. Treatment groups included a contingent-awakening and breathing retraining (self-control) condition. Both treatment groups were compared to a no-treatment control. Despite considerable intrasubject variability and the lack of an adequate attention-placebo control group, objective assessment indicated a substantial reduction in snoring amplitude and frequency in both treatment groups. Follow-up assessments further demonstrated maintenance of change. This study has implications for modification of sleep habit disorders and learning without awareness.     

Recipient need and efficacious caring as moderators of helpers’ reactions to rejection and acceptance

Two experiments support and extend the thesis that rejection of their help is stressful for would-be helpers, and that it leads to “damage controlling” reactions whose eventual goal is to restore their self-image of being efficacious at helping and caring. American college students were invited to offer help, if they wished, to a poorly performing (confederate) recipient who then either rejected or accepted it. Rejected helpers expressed relatively negative affect, biased postdictions of low acceptance, claims of low decision control, recipient- and self-devaluation, and less desire for further association. Individual differences in self-perceived “efficacious caring” and manipulated level of recipient need were shown to moderate some of these outcome reactions. Violated expectancy of acceptance was shown to mediate some of these reactions. Studies were cited showing the generalizability of these findings and theoretical framework to applied contexts and across cultural settings.     

Marital Adjustment of Army Spouses One Year After Operation Desert Storm1

One year after Operation Desert Storm, marital adjustment was studied among 773 Army spouses married to soldiers who had been deployed. Interviews with some spouses and soldiers, conducted during site visits to a sample of installations, led to the identification of 19 marital adjustment events. Questions regarding these events were included in a mailed questionnaire that was sent to a sample of Army spouses. A factor analysis of the 19 events produced five factors: (a) Distance, (b) Closeness, (c) Role sharing, (d) Independent Spouse, (e) Dependent Spouse/Withdrawn Soldier. Predictors of factor scores were examined through multiple regression analysis. Predictors of factor scores included stress, prior marital problems, social support, and emotional well-being. Most spouses adjusted well to the deployment. Adjustment patterns are discussed in light of previous literature on war separation and attachment theory.     

Visual experience, visual field size, and the development of nonvisual sensitivity to the spatial structure of outdoor neighborhoods explored by walking.

When places are explored without vision, observers go from temporally sequenced, circuitous inputs available along walks to knowledge of spatial structure (i.e., straight-line distances and directions characterizing the simultaneous arrangement of the objects passed along the way). Studies show that a life history of vision helps develop nonvisual sensitivity, but they are unspecific on the formative experiences or the underlying processes. This study compared judgments of straight-line distances and directions among landmarks in a familiar area of town by partially sighted persons who varied in types and ages of visual impairment. Those with early childhood loss of broad-field vision and those blind from birth performed significantly worse than those with early or late acuity loss and those with late field loss. Broad-field visual experience facilitates perceptual development by providing a basis for proprioceptive and efferent information from locomotion against distances and directions relative to the surrounding environment. Differences in the perception of walking, in turn, cause the observed differences in sensitivity to spatial structure.     

Evaluating Rehabilitation Caseload Management Skills Through Computer Simulations

In this article the authors report on the development and validation of a computer-based rehabilitation caseload management simulation as a teaching and evaluation tool in counselor education. The computer simulation was administered to 18 rehabilitation students and 18 rehabilitation counselors. Their performance on the simulation was evaluated using six caseload management performance indicators. These performance indicators, derived from the computer simulation, were found to be effective in differentiating the student group from the experienced counselor group using discriminant analysis. Implications for the use of computer simulations in rehabilitation counselor education and future research directions are discussed.     

The development of adolescent sexual intimacy: implications for counseling

This paper proposes a perspective for understanding the development of adolescent sexual intimacy. A "transitional stage" is described in which adolescents, driven by a variety of developmental needs influenced by external forces such as peers and family, experiment with sexual behaviors. The completion of the transitional stage results in the adolescent's ability to achieve "relational" sexual intimacy, which is also described. The problems and implications for counseling associated with the biophysiological and family dynamic influences on the development of adolescent sexual intimacy are discussed.     

If only jung had had a rabbi

An analytical and feeling response regarding the question of Jung's anti-Semitism is presented. The author calls for a compassionate and understanding approach to Jung's lifelong development, based on an appreciation of Jung's religious attitude, which evolved toward a deep acceptance of Judaism and its traditions. Characteristic of analysts as healers is the maxim that individuals grow and change; such was certainly the case with Jung as can be seen clearly in his later sunset years. After all, will we remember Frederick de Klerk as a proponent of apartheid or as the Afrikaaner who shared the Nobel Prize for Peace with Nelson Mandela?     

Regaining lost time: adult aging and the effect of time restoration on recall of time-compressed speech.

Two experiments in which time was restored to artificially accelerated (time-compressed) speech are reported. Experiment 1 showed that although both young and older adults' recall of the speech benefited from the restoration of time, time restoration failed to boost the older adults to their baseline levels for unaltered speech. In Experiment 2, either 100% or 125% of lost time was restored by inserting pauses, either at linguistic boundaries or at random points within the passages. Experiment 2 showed that the beneficial effects of time restoration depended on where processing time was inserted, as well as how much time was restored. Results are interpreted in terms of age-related slowing in speech processing moderated by preserved linguistic knowledge and short-term conceptual memory.     

Equivalence Class Formation Using Stimulus-Pairing and Yes-No Responding

The Psychological Record - Equivalence classes were established using a stimuluspairing/yes-no procedure. On all trials, two stimuli were presented with the second introduced 250 ms after...