The "psychosomatic family" model: an empirical and theoretical analysis

Evolution of the Family Systems Paradigm has been constrained by the dichotomy between theory building and empirical research. This article integrates these two domains by presenting a theoretical analysis of the "psychosomatic family" model as it informs and is informed by an empirical research project. Forty families of children with Crohn's disease (CD), ulcerative colitis (UC), and functional recurrent abdominal pain syndrome (RAP) were rated during standard, videotaped family interaction tasks, lunch, and interview. Laboratory scores of disease activity were associated with triangulation, marital dysfunction, and total "psychosomatic family" scores. Disease activity was not significantly correlated with enmeshment, overprotection, rigidity, conflict avoidance, or poor conflict resolution. Thus, the marital/triangulation and enmeshment/overprotection/conflict clusters may be subcomplexes of the "psychosomatic family" complex. CD, UC, and RAP groups differed in the relations among particular family patterns and disease activity. A heuristic family-psycho-somatic model is presented to facilitate future research.     

From rarity to evaluative extremity: effects of prevalence information on evaluations of positive and negative characteristics

Experiments showed a scarcity principle in evaluative judgments such that the identical characteristic is evaluated more extremely the lower its perceived prevalence. In Study 1, Ss evaluated a fictitious medical condition that was described as either beneficial or detrimental to health and as occurring in either 30% or in one half of 1% of a test population. The condition was evaluated more extremely--as as a more positive health asset or a more negative health liability--in the low-prevalence than in the high-prevalence conditions. Study 2 demonstrated the same effect in self-evaluations and with a different manipulation of perceived prevalence. Ss were told that they actually had the fictitious medical condition, that it was either beneficial or detrimental to their health, and either that they were the only 1 of 5 Ss who had it or that 4 of the 5 did. Low-prevalence Ss exhibited more extreme evaluative, affective, and behavioral reactions to the medical condition than did high-prevalence Ss. The origins and validity of the scarcity principle are discussed, as are its implications for uniqueness theory, reactance theory, and social evaluation theories.     

The sensitivity of the Bender-Gestalt Test as a screening instrument for neuropsychological impairment in older adults

We investigated the sensitivity of the Bender (1938) Visual-Motor Gestalt Test (BGT) using the Halstead-Reitan Neuropsychological Battery (HRB) as the criterion for cortical dysfunction. We studied 95 subjects over age 55 who had been diagnosed as having dementia or pseudodementia. Subjects were classified as mild, moderately, or severely impaired on the HRB and as impaired or unimpaired on the BGT. The results indicated that the BGT is less sensitive (36%) than was expected when used on an impaired geriatric population. The data further indicated that false negatives occurred more frequently with the BGT when individuals had mild neuropsychological impairment. Less frequent misclassifications occurred as the severity of impairment on HRB indices increased.     

Enuresis in cross-cultural perspective: a comparison of training for elimination control in three Israeli ethnic groups

Enuresis was investigated in the context of different styles of training for bladder control among three Israeli ethnic groups (Jews of Moroccan, Kurdish or Eastern European descent). Semistructured interviews were conducted in ethnically homogeneous agricultural villages with 46 mothers of 248 children between the ages of 3 and 18 years. In contrast to previous British and American studies, no sex differences were found, but there were higher rates of primary enuresis and lower rates of secondary (regressive) enuresis. Enuresis was correlated among siblings in the Kurdish group only and with disorderly sleeping arrangements in the Moroccan group. The Moroccan and Kurdish groups had higher rates of enuresis than the Ashkenazi group. The higher rates appear to be related to differences in the age of onset of training and a lack of age-appropriate changes in the parent-child interaction, which led to chronic enuresis and the inability to seek effective assistance. These results are discussed in terms of a proposed typology for training: an early symbiotic style, a strict toddler style, and a communicative partnership.     

Development of stepping patterns in human infants: a dynamical systems perspective

Upright locomotion has been, perhaps, the most studied of all human motor behaviors. The acquisition of this motor milestone has been of major interest to developmentalists from the motor as well as the cognitive domains. Until recently, developmentalists have chosen a nonexperimental approach, opting instead to describe the motor behaviors that precede walking, assigning them precursor status, and attributing the sequence solely to maturation of the nervous system. In this paper, I will discuss evidence that suggests that we may better understand this and other aspects of motor development by viewing them from the theoretical perspective of nonlinear and complex dynamical systems. Focus will be on the availability of a coordinated and alternating stepping pattern throughout much of the first year of life. Factors that influence the expression of and variability in this movement pattern will also be discussed. In addition, I will address the need to understand the development of control of pattern formations as well as their coordination, and I will discuss one approach that may provide some insight; that is, to study the modulations and patterns of muscle and other forces underlying limb movements.     

Autobiographical memory in a case of multiple personality disorder

Previous research on multiple personality disorder (MPD) has been concerned with between-personalities amnesia, and little attention has been paid to within-personality memory function. This study examined the autobiographical memory of a multiple personality patient, I.C., with cueing procedures that have proven useful in previous studies of normal and abnormal memory. Results indicated that I.C. was able to retrieve autobiographical episodes from the recent past, although her performance differed in several respects from that of matched controls. The study also revealed a striking deficit in I.C.'s autobiographical memory for childhood: She was unable to recall a single episode from prior to the age of 10 in response to various retrieval cues, whereas control subjects had no difficulty recalling numerous childhood episodes. This phenomenon of extended childhood amnesia has not been reported previously in studies of MPD.     

Is dependence on phonological information in children's reading a product of instructional approach?

Eight-year-old British children were found to be less accurate at rejecting pseudohomophones than ordinary nonwords in a lexical decision task, but 8-year-old New Zealand children did not show this effect. A subsequent homophone decision task showed that this difference was not due to the New Zealand children being unable to distinguish pseudohomophones from other nonwords. The New Zealand children, however, were less accurate than the British children in pronouncing the pseudohomophones they had identified. It was argued that the British children tended to sound out the items before making a choice in the lexical decision task, which gave salience to phonological rather than visual information, resulting in increased errors to the pseudohomophones. It was concluded that where the British children showed this dependency on use of phonological information it was a product of the teaching approach they had experienced.     

Metamemory, memory performance, and causal attributions in gifted and average children

Fifth and seventh graders who had been teacher-selected as high- or average-achieving were tested on the Kognitiver F?higkeits Test, a standardized test of intellectual abilities for German children. Children who met preestablished criteria as gifted or average were then tested on measures of metacognitive knowledge, attributional beliefs, and performance on a sort recall task. Results indicated ability-related differences in metamemory and sort recall performances. Responses to the attributional questionnaires also varied systematically according to ability: gifted children were more likely to attribute their academic successes to high ability than were average children, who showed a stronger belief in the importance of effort in determining task outcomes. Causal modeling analyses illustrated the strength of metacognitive knowledge as a performance predictor on the memory task, especially for average children. Results are discussed in terms of the value of metacognitive theory in understanding individual performance differences.     

Improving cognitive search skills in resistant hypnotic subjects

Subjects who were resistant (n = 20) and susceptible (n = 20) to hypnotic suggestion were asked to find the letter Z in an array of other straight-form letters. Susceptibles found the letter more quickly than resistants, and this superiority appeared to be related to their use of a more efficient search strategy. When resistants were taught this strategy, their performance was not significantly different from that of susceptibles. Implications of these results for teaching search strategies are discussed.     

Agreeable fancy or disagreeable truth? Reconciling self-enhancement and self-verification

Three studies asked why people sometimes seek positive feedback (self-enhance) and sometimes seek subjectively accurate feedback (self-verify). Consistent with self-enhancement theory, people with low self-esteem as well as those with high self-esteem indicated that they preferred feedback pertaining to their positive rather than negative self-views. Consistent with self-verification theory, the very people who sought favorable feedback pertaining to their positive self-conceptions sought unfavorable feedback pertaining to their negative self-views, regardless of their level of global self-esteem. Apparently, although all people prefer to seek feedback regarding their positive self-views, when they seek feedback regarding their negative self-views, they seek unfavorable feedback. Whether people self-enhance or self-verify thus seems to be determined by the positivity of the relevant self-conceptions rather than their level of self-esteem or the type of person they are.