Restricted environmental stimulation therapy in the treatment of essential hypertension

Restricted Environmental Stimulation Therapy (REST) has been useful in treating a variety of health-related problems, including obesity and cigarette smoking. The pilot project described in this paper used 24 hr of REST (darkness and silence) with four patients suffering from essential hypertension. Long-term changes have included lower blood pressure, a reduced need for medication, and improved coping with stressful life events.     

Problems of Communication in Inter-American Programs

We use our own culture as a basis for interpreting the behavior of others and their failure to make responses we expect. Sometimes the nature of the problem soon becomes apparent but in other situations the causes may remain invisible. Certain problems may relate particularly to two characteristics of Latin American countries: the absence of our “puritanical” tradition and the presence of an elaborate system of “extended family” relationships we do not have. Counseling and guidance specialists may be affected by (1) the fact that teacher-pupil relationships include less of the “surrogate parent” element than in the U.S.; (2) difficulties students encounter in moving from one career choice to another; (3) the power of student organizations; and (4) an expectation that the specialist will provide definitive advice rather than help the student solve his own problems. Many Latin American students have negative images of North Americans; they “remember” history and tend to think in longer time blocks than are customary with us. A 10-year aid program, for example, may be seen as a short-range venture.     

Legitimizing Paltry Contributions: On-the-spot vs. Mail-in Requests1

Two versions of the legitimization-of-paltry-contributions technique (Cialdini & Schroeder, 1976) were compared with respect to their effectiveness in generating compliance with requests for charitable donations. When immediate, on-the-spot donations were requested, the technique significantly increased compliance rates relative to control conditions; but when the respondents were asked to mail in their contributions, virtually none did. The results offered some support for an image-maintenance explanation of the technique and were viewed as indicating that the effectiveness of the technique is reliable, but primarily under conditions that impose a high degree of situational constraint upon respondents. Implications of the results for door-to-door fundraising and for future research were discussed.     

Procedural learning across the lifespan: A systematic review with implications for atypical development

This systematic review aimed to investigate procedural learning across the lifespan in typical and atypical development. Procedural learning is essential for the development of everyday skills, including language and communication skills. Although procedural learning efficiency has been extensively studied, there is no consensus yet on potential procedural learning changes during development and ageing. Currently, three conflicting models regarding this trajectory exist: (1) a model of age invariance; (2a) a model with a peak in young adulthood; and (2b) a model with a plateau in childhood followed by a decline. The aims of this study were (1) to investigate this debate on procedural learning across the lifespan by systematically reviewing evidence for each model from studies using the serial reaction time task; and (2) to review procedural learning in autism spectrum disorder (ASD) and specific language impairment (SLI), two developmental disorders characterized by deficits in communication skills, in the light of these models. Our findings on typical development strongly support a model of age-related changes (Model 2a or 2b) and show that mixed findings regarding the developmental trajectory during childhood can be explained by methodological differences across studies. Applying these conclusions to systematic reviews of studies of ASD and SLI makes it clear that there is a strong need for the inclusion of multiple age groups in these clinical studies to model procedural learning in atypical development. Clinical implications of the findings are discussed. Future research should focus on the role of declarative learning in both typical and atypical development.     

You Can Get Here From There

This paper is a review of my development from psychology intern and research assistant to the psychoanalytic tester and theoretician David Rapaport at the Menninger Clinic in the 1940s, through my career in psychological testing, my psychoanalytic training in the Western New England Institute, and my working successively at the Austen Riggs Center, Yale Department of Psychiatry, Yale Student Mental Health Center, Cornell Department of Psychiatry, and eventually private practice in New York City. During this period, I rose to the academic rank of Professor and the analytic position of Training Analyst. I have written extensively: first on testing, then more or less in turn on psychoanalytic ego psychology, action language for psychoanalysis, feminist issues, narrative in psychoanalysis, and the contemporary Kleinians of London. This memoir traces the intellectual continuity that characterizes these writings and my continuing development as a psycho-analyst—my first ambition and great love.