Depressive attributions: selection of different causes or assignment of dimensional meanings?

Attributional models of depression suggest that depression is associated with internal, stable, and global causal explanations of events. However, the models do not specify whether the depressive attributional process involves the selection of certain causes, the assignment of dimensional meanings to those causes, or both. A distinction between these two processes was suggested by the findings that the choice of causes does not reliably indicate the perceived dimensions and that there is poor convergence between existing methods that assess causes and those that assess dimensions. When causes and dimensions were each measured in a manner that avoided confounding by the other, each made a unique contribution to the prediction of depression scores. Cause ratings alone were significantly associated with depression scores, but the optimal prediction of depression included both causes and dimensions. The implications of the distinction between these two processes for experimental manipulations of attributions and for reattribution training programs are discussed.     

One last response to the Rorschach test: a second chance to reveal oneself

This paper explores a technical procedure, that of asking for one more response after the patient has given response(s) to Card X of the Rorschach. This "one last response" in the context of "ending" is discussed. Endings have many meanings but the ending of the Rorschach can be more than just a relief to the weary patient and/or tester who may have been experiencing the disquieting inner workings of the patient's unconscious. The ending of the Rorschach with the additional "one last response" can be the source of valuable clinical questions and inferences applicable to treatment.     

Withholding medical care for religious reasons

Stimulated by publicity over lawsuits involving parents of children who had died from deprivation of medical care, this article is a survey of the beliefs of religious groups that refuse medical care on theological grounds and the legal principles designed to protect children from such abuse. Particular attention is given to whether or not child-neglect laws that carve out exceptions for spiritual healing groups are constitutional under the establishment clause of the First Amendment. Very recent cases, including some still in progress, are used for illustration.     

Understanding and Counseling Narcissistic Clients

This article is intended to provide counselors with an overview of narcissism and its treatment. In the first section, dysfunctional narcissism is described, drawing on the diagnostic indicators presented in the DSM-III and the contemporary object relations theories of Heinz Kohut and Otto Kernberg. The second section focuses on counseling narcissistic clients.     

Assertiveness and cognitive processing in interpersonal situations

This study examined social skills components that precede the delivery of a skilled overt interpersonal response. Using a cognitive-behavioral systems approach to assertiveness, a task analysis of how women receive and process information in interpersonal situations requiring an assertive response to men was performed. Forty women were assigned to high- or low-assertive groups based on their Rathus Assertiveness Schedule scores. In small group sessions, each woman viewed four videotaped problem situations requiring an assertive response to both pleasant and angry males. After viewing each scene, each woman completed three questionnaires: (a) receiving information, (b) processing-generation of alternatives and decision making, and (c) processing-generation of consequences. High- and low-assertive participants were found to differ in their evaluation of consequences, for response options, particularly how a male would likely to behave to them. High-assertive participants were judged to evaluate more correctly than low-assertive participants the likely behavior of males if response options were implemented. All participants generated more complex alternatives and more assertive responses to situations involving an angry male as compared to a pleasant male. No differences were found between groups in their ability to receive information accurately. Correlational results were supportive of a cognitive-behavioral systems approach of assertion, that is, the emission of a skilled response depends on a chain of preceding responses.Thanks are due to Vida Dyson and Lenard Jason for their comments on an early draft of this paper.     

Perceived variability and symbol use: a common language-cognition interface in children and chimpanzees (Pan troglodytes)

Analysis of two chimpanzees' conversations with their teacher during a tool-use training task demonstrated that chimps use lexigrams, a humanly devised visual symbol system, selectively to encode perceived variability; that is, they generally used their symbols to differentiate alternative possibilities or to represent change or novelty in a situation. In contrast, they tended to leave unsaid what was unchanging, repetitive, or the unique possibility in a situation. Perceived variability influenced not only which symbols were selected but also utterance length: A single dimension of variability in a situation leads to single-lexigram utterances; multiple dimensions are associated with multi-lexigram utterances. This pattern of results indicates that the absence of formal grammatical structure in chimp language does not imply that utterances beyond one word in length are either rote strings or imitations. The chimps' tendency to mention the variable while leaving the constant or redundant unsaid is, moreover, strong support for the position that their use of a humanly devised symbol system is more than a series of conditioned responses.     

Scaling of output regularities in free recall: A review

Problems involved in scaling the output regularities observed in free recall are outlined, and assumptions underlying attempted solutions for both categorized and “unrelated” lists are discussed. Several studies that make claims for the superiority of particular measures have indeed demonstrated that it matters which index is selected, but they are shown to provide no justification for preferring one to another. Evidence from simulation studies, however, suggests that a number of measures have “built-in” correlations with theoretically relevant variables such as recall. Some of these biases have proved elusive because their appearance is confined to nonrandom output sequences. The relation between theoretical assumptions and simulation studies is discussed.     

The importance of assessing treatment integrity: An example in the anxiety disorders

One purpose of this investigation was to examine the importance of assessing treatment integrity in a study evaluating a treatment for specific anxiety disorders. Three subjects, two social phobics and one simple phobic, received self-instruction training (Phase I) followed by exposure and self-instruction training (Phase II) in a multiple baseline across subjects design. All subjects were assessed during a pretreatment baseline and throughout treatment using measures of treatment integrity and measures of change in phobic severity. Improvement took place at different times for different subjects. Measures of treatment integrity, which consisted of monitoring of self-statements as well as practice outside the session, indicated that treatment was not always received as intended and that improvement was correlated with practice. The usefulness of measures of treatment integrity in both clinical and research settings is highlighted.