Functional Status, Receipt of Help, and Perceived Health

We model the effects of disability, functional limitation, and receipt of help on perceived health. This analysis specifies a model with two dimensions of disability and three dimensions of functional limitation, including upper body disability, lower body disability, basic activities of daily living (ADLs), household ADLs, and advanced ADLs. The latent variables of receiving help are modeled for each of the ADLs as intervening between limitations and perceived health. The results show that instrumental social support in the form of receiving help for ADLs has no substantive independent effect on perceived health. In addition, receiving instrumental social support shows a pattern of task-specific responses to individual measures of need. Implications for both caregiver and care recipient are discussed.     

Reframing the question of forbidden knowledge for modern science

In this paper I use the concept of forbidden knowledge to explore questions about putting limits on science. Science has generally been understood to seek and produce objective truth, and this understanding of science has grounded its claim to freedom of inquiry. What happens to decision making about science when this claim to objective, disinterested truth is rejected? There are two changes that must be made to update the idea of forbidden knowledge for modern science. The first is to shift from presuming that decisions to constrain or even forbid knowledge can be made from a position of omniscience (perfect knowledge) to recognizing that such decisions made by human beings are made from a position of limited or partial knowledge. The second is to reject the idea that knowledge is objective and disinterested and accept that knowledge (even scientific knowledge) is interested. In particular, choices about what knowledge gets created are normative, value choices. When these two changes are made to the idea of forbidden knowledge, questions about limiting or forbidding lines of inquiry are shown to distract attention from the more important matters of who makes and how decisions are made about what knowledge is produced. Much more attention should be focused on choosing directions in science, and as this is done, the matter of whether constraints should be placed on science will fall into place.     

Demonizing and mental illness: The problem of identification,Hong Kong

Conclusions Our experience in the seminars and our study of the cases has encouraged us to believe that many Christian pastors, theological students, and lay leaders are open to a multiple causation explanation for demonizing and mental illness.At the same time we recognize that the depth and discernment of cases is very limited in our present experience. Our hope is that more definable criteria for demonizing and mental illness may be developed and that theories for spiritual discernment will be more closely related to clinical practice.Our most satisfying conclusion from the seminars was the willingness of students to think about demonizing and mental illness from a variety of viewpoints, to develop more inductive thinking and to begin the process of dynamic rather than behavioral approaches to these related forms of illness.     

Social phobia: Relationship to shyness

The characteristics of social phobia and shyness were compared on six dimensions: somatic features, cognitive characteristics, behavioral responses, daily functioning, clinical course, and onset characteristics. The results revealed that shyness and social phobia have a number of similar features. However, as currently conceptualized, the two syndromes differ in a number of important aspects as well. Definitive distinctions are hampered by the lack of empirical studies directing comparing the two conditions and by the heterogeneity of the shy population. Recommendations for clarifying some of the ambiguities are made.     

Effect of familiarity and category contrast on stimulus and response priming

In a letter-symbol classification task, flanking incompatible symbols slowed response latencies to letter targets, whereas incompatible letter flankers did not slow the classification of symbol targets. The conditions surrounding this asymmetry in response competition were investigated in five experiments. The results showed that: (1) the asymmetry was not related to the familiarity of the symbol targets or to the prime-target interval; (2) when the classification involved familiar and unfamiliar symbols, the asymmetry remained (i.e., there was less interference associated with the unfamiliar symbol targets), but there was now significant response competition associated with both symbol categories; and (3) with a mixed-category task (i.e., letters and symbols assigned to both responses), the symbol targets continued to be less interfered with by both letter and symbol incompatible flankers. These findings were interpreted as suggesting that response competition can be influenced by both classification decision rules and cohesiveness of exemplars comprising a category.     

Psychological Differential Diagnosis: Alternatives to the DSM System

This article discusses the question of diagnosis of mental disorders and argues for the development of alternatives to the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders. A selected review of this issue is presented along with various alternative conceptions of psychopathology. It is suggested that the categorical and medical orientation of the DSM do not adequately describe psychological processes. It is recommended that Psychology and other health care disciplines, advance alternative conceptions and models of psychological disturbance to educate the public and guide further scientific inquiry.     

Rational-Emotive Assessment with Religious Clients

Rational Emotive Behavior Therapy (REBT), when practiced effectively and flexibly, can be an excellent treatment modality for religious clients. Most of the American population acknowledges some religious belief and/or practice and religious clients sometimes present with unique disturbances and concerns about psychotherapy. In this article we discuss the rapidly changing literature relative to religiousness and mental health and highlight the ethical-professional risks of failing to carefully assess and responsibly manage client religiousness when it is personally and clinically salient. We conclude by outlining a model for focused assessment of religiousness early in REBT and recommend that REBT practitioners consider different components of religiousness and the manner in which they may impact response to treatment.