The impact of the therapeutic environment

This paper emphasizes the impact of the setting, space, and general physical properties of the clinic upon the difficult patient's profound neediness and absence of inner regulatory structure. Moreover, the clinic's administrative style and requirements often related to fiscal restraints, demands for accountability for both how funds are spent and treatment outcome, all impinge upon the patient. Humanizing clinics so they have the capacity for psychotherapeutic holding and provision of safety for difficult patients are discussed in detail in this contribution.     

Preventing Substance Abuse Among American-Indian Adolescents: A Bicultural Competence Skills Approach

Tobacco, alcohol, and drug use are problems for American-Indian people. We reviewed these problems and the explanations for them and described a bicultural competence skills approach for preventing substance abuse with American-Indian adolescents. Data from a study of that approach suggest its efficacy with American-Indian youth. At posttest and a 6-month follow-up, American-Indian subjects who received preventive intervention based on bicultural competence skills concepts improved more than did American-Indian subjects in a no-intervention control condition on measures of substance-use knowledge, attitudes, and interactive skills, and on self-reported rates of tobacco, alcohol, and drug use. Our findings have implications for future substance-abuse prevention research with American-Indian people.     

A record-keeping format for training systemic therapists

Training in systemic therapy necessitates a structured approach to teaching systemic thinking. The Systemic Therapy Sessions Summary Form, a record-keeping method, is presented as a tool for enhancing training in systemic therapy. The purpose of this form is to provide the structure for the trainee to develop circular hypotheses, to connect reflexively the assessment and intervention components of therapy, and to maintain a sense of the evolving nature of therapy across sessions. A case example illustrates the use of this record-keeping format.     

Systemic crisis intervention as a response to adolescent crises: an outcome study

The present study demonstrates the safety and effectiveness of an outpatient program designed to respond to adolescent-precipitated crises by mobilizing and restructuring the family's kinship system. Families of 75 adolescents at risk for hospitalization were followed up to 24 months after treatment with Systemic Crisis Intervention. Measures of offspring and family functioning, suicidal behavior, institutional use, and treatment costs are presented. Results clearly demonstrate the safety, effectiveness, and economic viability of Systemic Crisis Intervention.     

Spatial coding in the processing of anaphor by good and poor readers: Evidence from eye movement analyses

An experiment that examined the way in which young readers deployed eye movements while reading sentences and while answering questions containing either a pronominal or noun anaphor is reported. To evaluate the possible causal role played by differences in inspection strategies between readers of above- and below-average reading skill, a third“age control” group of younger children was also tested. This group was matched on absolute reading ability with the less skilled group of older children, and on relative reading ability (i.e. reading quotient) with the more skilled group. Differences in inspection strategy were apparent between the groups of good and poor readers. Good readers launched more selective reinspections, whereas the poorer readers were more inclined to engage in“backtracking” and appeared to make less use of the displayed text. In every case there was a marked similarity in the behaviour of the good readers and the“age controls”. These results suggest that the ability to code the spatial location of words in a sentence, and, where necessary, to use this information to launch accurately targetted selective reinspections of previously read text, plays a crucial role in the development of skilled reading performance.     

The distorted room illusion, equivalent configurations, and the specificity of static optic arrays

The distorted room illusion (DRI) and the attendant argument for perceptual ambiguity is critically analyzed from a Gibsonian/ecological point of view. The notions of multiple specification, conflicting information, and perceptual skill are invoked in showing how the ecological approach can accommodate illusion effects that may remain under mobile binocular viewing conditions. Static optic arrays are shown not to be ambiguous. So-called equivalent configurations are found to be analytic artifacts, appearing when the problem of information is treated in geometrical terms without regard for constraints due to physical and ecological regularities. The relative importance of motion-based and motion-independent information is discussed.     

Short-term memory for Chinese characters and radicals

Short-term memory for Chinese radicals and characters, varying in orthographic complexity, frequency, and—for radicals—intercharacter frequency (the number of compound characters that contain the radical), was studied using an immediate free-recall task. When radicals or characters are relatively frequent, so that their pronunciations are well known by literate Chinese, they seem to be maintained in verbal form in short-term memory. For these stimuli, intercharacter frequency and complexity have relatively small influences on memory span. Stimuli low in frequency, with pronunciations that are not apt to be known, seem to be maintained in visual form in short-term memory. Memory span is much smaller for these stimuli and is influenced by both intercharacter frequency and complexity. Furthermore, short-term memory for relatively high-frequency characters is interfered with more by a verbal than by a visual intervening task, whereas the opposite is true for low-frequency characters.