Sensitizing Medical Residents to Fantasies and Alignments in the Family: Mastering Psychosocial Skills in the Medical Encounter

In this paper, it is proposed that a) psychosocial medicine is best taught in a setting that provides technical and emotional support, while seizing for teaching only those moments when the learner is most receptive; and b) that the setting should avoid the development of a separate psychosocial skills curriculum, but should take the student where he or she is and integrate the psychosocial skills into his or her everyday biomedical practice. The paper gives specific case examples in which family based psychosocial issues were preeminent in the clinical problem-solving medical residents faced.     

Corporate consciousness: Defining the paradigm

The concept of corporate consciousness is defined and discussed. In response to Campion and Palmer (1996), it is asserted that corporate consciousness is not a construct related to conscientiousness or moral responsibility, but an entirely new paradigm, related to awareness and information processing; the concept is cognitive, not metaphysical. Corporate consciousness serves as a framework for understanding the current trend within organizations toward greater awareness of societal realities, and of the organization's impact within larger systems. This framework borrows heavily from the cognitive, social, and organizational psychological literature and can be understood from both micro and macro levels of analysis. Also discussed are the issues of why and how to study corporate consciousness, as well as implications for the organizational practitioner.     

Are attentional dwell times inconsistent with serial visual search?

Duncan, Ward, and Shapiro (1994) estimated that attention must remain focused on an object for several hundred milliseconds before being shifted to another object, and they referred to this period as theattentional dwell time. An important implication of these long estimates of the dwell time for models of visual search is that the search process must not involve an item-by-item serial scanning mechanism. If it did, then searching through an array of items would require enormous amounts of time, which—based on data from visual search experiments—it does not. The present report, however, provides evidence that the long estimates of attentional dwell time were caused, at least in part, by the use of masked targets. Implications of these variable estimates of the attentional dwell time for models of visual search are discussed.     

The effect of serving as a model of self-control on subsequent resistance to deviation in children

The effect of having a child serve as a rule-following model for other children on the model's own subsequent rule-following was investigated in a resistance to deviation situation. First- and second-grade boys (age range 73 to 94 months) who were told they would serve as self-controlling models for others and who actually served in this capacity touched prohibited toys less than did boys who were not told they would serve as models. Boys told they were to serve as models but who were prevented from performing deviated at a level between the models and boys given no responsibility. Having children serve as rule-following models for others is suggested as an effective, non-punitive technique to increase their self-control.     

Temporal control of behavior: schedule interactions

In Experiment I the response that terminated the postreinforcement pauses occurring under a fixed-interval 60-second schedule was reinforced, if the pause duration exceeded 30 seconds. The percentage of such pauses, rather than increasing, decreased. There were complex effects on the discriminative control of the pause by the reinforcer terminating the previous fixed interval, depending on whether the fixed interval and the added reinforcer were the same or different. In Experiments II(a) and II(b), each reinforcement initiated an alternative fixed-interval interresponse-time-greater-than-t-sec schedule, the schedule values being systematically varied. When the response following a pause exceeding a given duration was reinforced, fewer such pauses occurred than when they were not reinforced, i.e., on the comparable simple fixed-interval schedule. There was no systematic relationship between mean interrinforcement interval and duration of the postreinforcement pause. The pause duration initiated by reinforcement was directly related to the dependency controlling the shortest pause at that time, regardless of changes in mean interreinforcement interval.     

A reexamination of sex differences in job preferences

Previous research has found conflicting answers to the question of whether males and females share similar preferences for various job characteristics. It is difficult to determine if the different findings are due to the different populations sampled, the various methodologies employed, or to a real change in the phenomenon itself. This study essentially replicates earlier work by having 130 male and 84 female college students rate the importance of 10 job characteristics for both themselves and members of the opposite sex. Both sexes rated motivators as important, but females also placed importance on the hygienes. Males tended to underestimate the importance of the motivators for females, while females overestimated the importance of hygienes for males. The subject's sex could be predicted by both the importance for self and importance for opposite sex ratings, contrary to the earlier study. The difference in results and interpretation was shown to be due to the type of analyses used. Additionally, it was found that females' job preferences were related to their mothers' educational achievement.     

An awareness approach to the covert symptoms of stuttering

Speech-language clinicians working with the confirmed stuttering client are often faced with the clinical management of the covert symptoms of stuttering in addition to the more observable and measurable overt symptoms. The authors report the successful use of awareness techniques to exaggerate the subjective experience of these covert symptoms and encourage the use of these techniques as an adjunct to the counseling and desensitization procedures traditionally employed. A transcribed clinical management session in which several awareness techniques are used to aid the client in an introspective examination of “anticipation of stuttering,” is analyzed in order to reach some specific recommendations for using awareness techniques in the clinical management of the covert symptoms of stuttering.     

Peripheral visual changes and spatial attention.

Three experiments are reported investigating the attentional effects of peripheral visual changes. In agreement with previous work, experiment 1 demonstrated facilitatory and inhibitory effects of a peripheral visual change on the latency of peripheral target detection. However, after a few minutes practice the facilitatory effect disappeared entirely. The inhibitory effect, though slightly reduced in later blocks, remained significant. Hence, the two effects are dissociable and not inter-dependent as argued by Maylor (1985). In experiments 2 and 3 the perceptual salience of the peripheral cue was manipulated. With a low energy, barely noticeable cue there was no reduction in either facilitation or inhibition as a function of practice. In contrast, the attentional effects of cues higher in energy tended to diminish with practice. Theoretical implications of these data are discussed.     

Manifestations, acquisition and diagnostic categories of dental fear in a self-referred population

This study aimed to clarify how manifestations and acquisition relate to diagnostic categories of dental fear in a population of self-referred dental fear patients, since diagnostic criteria specifically related to dental fear have not been validated. DSM III-R diagnostic criteria for phobias were used to compare with four existing dental fear diagnostic categories, referred to as the Seattle system. Subjects were 208 persons with dental fear who were telephone interviewed, of whom a subsample of 155 responded to a mailed Dental Anxiety Scale (DAS), State-Trait Anxiety Inventory and a modified FSS-II Geer Fear Scale (GFS). Personal interviews and a Dental Beliefs Scale of perceived trust and social interaction with dentists were also used to evaluate a subsample of 80 patients selected by sex and high dental fear. Results showed that the majority of the 80 patients (66%), suffered from social embarrassment about their dental fear problem and their inability to do something about it. The largest cause of their fear (84%) was reported to be traumatic dental experiences, especially in childhood (70%). A minority of patients (16%) could not isolate traumatic experiences and had a history of general fearfulness or anxiety. Analysis of GFS data for the 155 subjects showed that fear of snakes and injuries were highest among women; heights and injections among men. Fear of blood was rarely reported. Spearman correlations between GFS individual items and DAS scores indicated functional independence between dental fear and common fears such as blood, injections and enclosures in most cases. Only in specific types of dental fear did these results support Rachman and Lopatka's contention that fears are thought to summate.(ABSTRACT TRUNCATED AT 250 WORDS)