Family therapy alone is not enough or the dirty story of Dorian

When serious malfunctioning of an individual occurs in a secondary system (school, hospital, rehabilitation center, dormitory setting), the tendency often is to focus on the family as both the cause of the malfunctioning and the arena of intervention. Many times, family therapy alone is not enough because a parallel destructive constellation has formed around the Identified Patient in the secondary system as well and the symptoms catalyze that system's own maladaptive patterns. Often the IP is caught in the web of rigid pathological patterns of interactions between the two systems. A unique model of conjoined intersystemic intervention for dealing with such resistance to change is presented.     

HIV and the obligation to treat

The paper is an attempt to review the basis for the claim that physicians have a professional obligation to treat AIDS patients. Considered are the historical record, two professional codes of ethics, and several recent articles. The paper concludes that the arguments considered, which attempt to support the claim that physicians have an obligation to treat, fail. It is suggested, rather, that common humanity, which physicians share with those who suffer from AIDS, ought to be the basis for engaging in the care of AIDS patients.     

We have a prejudice against ourselves—Sentiment,ethics, and reason

Briefly stated my point is that the well-being of each person in a community conceived abstractly may be all too easily sacrificed for the sake of the abstraction. Physicians may offer critically ill patients places in programs of experimental treatment, but there is commonly a catch to the offer. To take part in a program of clinical experiment a patient must not only risk a possible failure of a fresh drug and the chance of destructive side effects from the drug, but the patients must risk only getting the traditional treatment along with a placebo rather than the experimental drug. Placebo control, double blind critical protocols for testing effects of fresh drugs on critically ill patients are a commonplace. I question the scientific objectivity of the protocols and the underlying ethic, and suggest use of alternate protocols. Experimental tests in the treatment gram-negative bacteria blood infections, muscular dystrophy, and AIDS and AIDS-related diseases are examples.     

Content analysis: a comparison of manual and computerized systems

Computerized content analysis is a technique for classifying texts. In personality research it has been used to make inferences about psychological states and traits of the speaker or writer. Whereas computerized techniques have been increasing in both sophistication and ease of use, questions remain regarding their validity compared to hand-scored scales. In this study, we compare a relatively simple computerized technique; a more sophisticated, context-sensitive computerized approach; and a context-sensitive, human-scored system. Seventy-one subjects, representing four diagnostic groups, provided free-speech samples which were scored according to all three methods. Data from each method were then submitted to discriminant and classification analyses. In comparing the classification performance of the three methods, we found that both computerized methods were more accurate than the human-scored method. The time and cost benefits of computerized systems are discussed.     

SUBLIMINAL EXPOSURE TO DEATH-RELATED STIMULI INCREASES DEFENSE OF THE CULTURAL WORLDVIEW

Abstract— Three experiments reported here provide empirical support for the hypothesis derived from terror management theory that unconscious concerns about death motivate allegiance to cultural beliefs, Study 1, contrasted exposure to a subliminal death-related stimulus, a standard mortality-salience treatment, and a neutral subliminal stimulus, and found that both the subliminal and the standard reminder of mortality led to more favorable evaluations of people who praised subjects' cultural worldview and more unfavorable evaluations of those who challenged it Study 2, replicated this finding by comparing the effects of exposure to subliminal death stimuli and subliminal pain stimuli. Study 3, contrasted subliminal death stimuli, supraliminal death stimuli, and subliminal pain stimuli and found that only subliminal death stimuli produced these effects.     

Delaying approval of a critical drug: Safety,efficacy, economics,compassion

Biotechnological advance is speeding the development of drugs. The approval processes for new drugs will inevitably involve a regulatory agency in making political-economic and scientific choices. Interests of specific patients and the public in general are to be considered, and enormous stakes are involved for companies concerned. A medical regulatory authority must be at once insulated from and responsive to many different mixes of singular and general interests and pressures. Access to new drugs can be spurred by the press of patient advocacy groups, but if there are well organized groups to monitor the testing and approval process for such as AIDS or cancer drugs there is often no similar group to represent patient needs. If there is no organized patient advocacy group, compassionate responsibility by a medical regulatory authority is indeed called for. Delay in the approval of new drugs for fighting severe blood infections raises the question of how to insure the compassionate responsibility of a regulatory authority.     

A model for the study of research and education in a transdisciplinary context

In an evaluation project at the Goteborg University, we have looked at the relationship between individual and collective production of knowledge within the Health sciences in order to facilitate a common ground for a Academy of Health Sciences. We found obstacles for developing an environment which could stimulate multilateral co-operation and creativity. Some of these obstacles have their root in the different cultural backgrounds indicated in the analysis and makes it difficult to find common aims and strategies. The Model used makes the organizations’ activities visible and encouraging transdisciplinary contacts and improve organizational, structural and ideological decision making emanating from overall policies of the boards concerned.     

Positive conditioned suppression: Transfer of performance between contingent and noncontingent reinforcement situations

Five homing pigeons were trained on concurrent variable-interval schedules. A fixed-duration stimulus was occasionally presented on one key; and, in various conditions, this stimulus terminated (a) without reinforcement, (b) in noncontingent reinforcement, (c) with reinforcement contingent on a response on the key on which the stimulus was presented, and (d) with reinforcement contingent on a response on the key on which the stimulus was not presented. Initially, a stimulus terminating in noncontingent reinforcement generally produced decreased response rates on both keys during the stimulus. Contingencies, however, reliably produced increased rates during the stimulus on the key on which the contingency was arranged, relative to the rate on the concurrently available key. Contingency conditions were followed by noncontingency conditions in which the separation of rates caused by contingencies was maintained. When rates during the stimulus were compared with response rates on the same keys in the absence of the stimulus, contingency-caused rate increases and decreases were again found, but only the rate decreases were maintained in subsequent noncontingency conditions. Further data suggested that the contingency-caused rate changes were not maintained when the stimulus terminated without reinforcement, and that they were unaffected by a threefold decrease in the reinforcement rate provided by the baseline schedules. The results support the suggestion that performance in the positive conditioned suppression procedure results from concurrent and multiple schedule interactions. They further suggest that the production of either acceleration or suppression is dependent on adventitious and historical contingencies.     

Subjective contours can facilitate performance in a reaction-time task

Subjective contours were compared with objective contours in their ability to facilitate performance in speeded tasks that required judging the position of a dot or the slope of a line segment relative to the contour. Subjective contours were found to reduce both reaction times and error rates for dot localization but not for the more difficult slope discrimination task. These results add to the growing body of evidence suggesting that subjective contours have functional properties similar to those of objective contours.     

Exercise, changes in aerobic capacity, and changes in self-perceptions: An experimental investigation

Subjects in an exercise training condition participated in a 10-week aerobic exercise class, whereas subjects in waiting-list control and independent control conditions did not. The results indicated that subjects in the training condition evidenced reliably greater improvements in physical fitness (aerobic capacity) and reported reliably greater improvements in their abilities and confidence in both the physical area (e.g., ability to run distances) and nonphysical area (e.g., frustration tolerance) than did subjects in the control conditions. On the other hand, improvements in physical fitness were not related to reported improvements in abilities and confidence. These findings are of interest because they indicate that some of the important personal changes that are associated with physical fitness training are not due to changes in fitness, but appear to be due to other factors (e.g., group participation and expectancies).