Multimodal therapy in an inpatient setting

Inpatient Multimodal Therapy (imt) is a residential treatment program, lasting a maximum of 36 weeks, for patients with severe neurotic symptoms. A group of 44 chronic obsessive-compulsive patients and a group of 40 chronic phobic patients were treated in order to assess the outcome and the process of treatment and to identify prognostic factors associated with the effect. At follow-up—on average, eight months after discharge—it was found that 60% had improved, 32% had remained the same, and 8% had deteriorated, indicating that, in general, the treatment was beneficial. That these effects were long-lasting is supported by the fact that, at follow-up, 78% of all patients were no longer receiving treatment, 18% were receiving outpatient or day treatment, and 4% were receiving inpatient treatment. Phobic patients appear to have gained more from the multimodal approach than did obsessive-compulsive patients, as indicated by the fact that the severity of symptoms decreased as they improved in rational thinking, assertiveness, and arousal. By contrast, obsessive-compulsive patients relapsed more than phobic patients did. This was attributed to the fact that the former gained less from the rational-emotive training, denied problems with assertiveness, and did not practice the acquired relaxation skills. It further appeared that a favorable outcome could be induced in patients who (1) expressed relatively mild symptoms in this otherwise severe group, (2) reported relatively few additional complaints, (3) could clearly indicate interpersonal problems, and (4) did not use psychotropic drugs. These prognostic factors are so widespread that not much weight can be ascribed to them. Yet they are useful for indication ofimt until better predictors are found.     

MATHEMATICS AND SELF-ESTEEM: IMPLICATIONS FOR WOMEN'S CAREER CHOICE

The relationship of math participation and success to self-esteem and career goals is examined in a sample of 64 women and 52 men college students at the end of their sophomore year. No gender differences were found in math anxiety or perceptions of the usefulness of mathematics, but women were less likely to select a math-related career goal. Among the men students, math participation and self-assessments of math ability were positively related to more general self-estimates of competence; among women, these variables were not related significantly. Women's choices for math-related careers were more closely associated with scholastic ability and math background than were men's career choices. These results are discussed in the context of societal pressures and supports for men and women in regard to math participation.     

The process of scapegoating in a neonatal nurses' group

This paper reviews the literature on scapegoating, elaborating on the underlying mechanisms before describing the process of scapegoating as it occurred in a neonatal nurse support group. Illustrative vignettes are used to discuss how scapegoating was used by group members to avoid painful feelings arising from their care of extremely ill infants. Group process is related to the stages of the group's development as feelings were addressed more directly and the need to use scapegoating as a defense decreased.     

The accommodative response to subthreshold blur and to perceptual fading during the Troxler phenomenon

A study is reported which shows that accommodation can be stimulated by a blur stimulus which is below the threshold for visual perception. It is also shown that perceptual fading of the target, caused by stabilization of the retinal image (Troxler phenomenon), can eliminate the accommodative response causing it to default to its resting level. The first finding suggests a way in which the visual system can filter the percept of blur out of our conscious awareness and still effectively utilize the blur as a steady-state error for the accommodative control system. The second finding is consistent with a locus for the Troxler phenomenon in the early afferent part of the visual pathway, ie the retinal ganglion cells.     

The role of spatial-frequency channels in the perception of local and global structure

Adaptation and reaction-time techniques were used to examine the role of different spatial-frequency channels in the perception of local and global structure. Subjects were shown figures consisting of a large C composed of smaller Cs and asked to identify the orientation of either the global C or its local elements. Prior to performing the task subjects were adapted to different spatial frequencies and the effect on subsequent performance was assessed. Two main results were found. First, the adapting frequency that most affected the global task was often lower than that most affecting the local task, suggesting that high and low frequencies independently code the structure of an image. Second, reaction time to global figures was often faster than to local figures at all levels of detectability, again suggesting a role of low-frequency channels in global processing.     

Visual object recognition in patients with right-hemisphere lesions: axes or features?

An investigation is reported of the ability of normal subjects and patients with right-hemisphere lesions to identify 3-D shadow images of common objects from different viewpoints. Object recognition thresholds were measured in terms of angle of rotation (through the horizontal or vertical axis) required for correct identification. Effects of axial rotation were very variable and no evidence was found of a typical recognition threshold function relating angle of view to object identification. Although the right-hemisphere-lesion group was consistently and significantly worse than the control group, no qualitative differences between the groups were observed. The findings are discussed in relation to Marr's theory that the geometry of a 3-D shape is derived from axial information, and it is argued that the data reported are more consistent with a distinctive-features model of object recognition.     

Children's assumptions about the generalizability of sex-typed abilities

Children (mean age = 103 months) were provided with information about the relative abilities of two stimulus children at a specific activity. They then were asked to predict which child would likely be superior at a second highly related activity. The two stimulus children were either same sex or opposite sex, and the activities in each pair were sex typed as male or female. The design was a 2 (sex of subject) × 2 (age of subject) × 4 (stimulus pair—MM, FF, MF, FM) × 2 (sex type of activities) mixed design, with sex of subject and age of subject as the between-subjects factors. Each child responded to 32 instances, representing four replications of eight possible combinations. The dependent variable was the child's choice of the initially superior child or initially inferior child as better at the second activity. The prediction was that children would be less likely to assume that superiority could generalize to a second activity if the initial superiority contradicted sexstereotyped expectations. This result would indicate that sex stereotypes interfere with inferences processes, supporting a scehmatic model of sex stereotyping. The results were consistent with the prediction. Compared to a baseline condition in which sex stereotypes were not relevant, children were less likely to choose the initially superior child when the sex stereotype had been violated, and more likely to select that child when it had been confirmed.     

The integration of visual and functional classifications in concept formation

Summary Simple motor responses of different similarity were assigned to geometric figures of different similarity. Subsequently, subjects had to learn hierarchical classifications of visually similar or dissimilar figures which were associated with either similar or dissimilar responses. In this way, the visual and the functional similarity of the conceptually united figures were orthogonally varied. It was found that visually similar figures are conceptually classified fastest regardless of their functional similarity. In contrast, functional similarity has a considerable impact on the hierarchical classification of visually dissimilar figures. Functionally similar figures are conceptually faster classified than dissimilar ones. From the results we conclude that concepts are autonomously formed as mediating representations in stimulus-response coordinations. The hierarchical organization of concepts is thereby based on the sequential organization of both the visual input and the behavioral output. Further consequences of this approach are discussed.Portions of this research were presented at the International Symposium on Structure and Function of Human Memory, in Memoriam Hermann Ebbinghaus, Berlin, July 1985