A controlled comparative investigation of psychological treatments for chronic sleep-onset insomnia

A sample of physician-referred chronic insomniacs was randomly allocated to either progressive relaxation, stimulus control, paradoxical intention, placebo or no treatment conditions. Treatment process and outcome were investigated in terms of mean and standard deviation (night to night variability) measures of sleep pattern and sleep quality. Only active treatments were associated with significant improvement, but the nature of treatment gains varied. In particular, stimulus control improved sleep pattern, whereas relaxation affected perception of sleep quality. All improvements were maintained at 17 month follow-up. Results are discussed with reference to previous research and guidelines are given for clinical practice.     

Students' preferences for male or female counselors for social and educational problems

Fifty-eight male and 66 female junior high school students were examined to determine their preferences for sex of counselor under personal/social and educational hypothetical counseling situations. Girls demonstrated a definite same-sex preference for both counseling situations, while boys preferred male counselors for personal/social counseling and had opposite-sex preferences for educational counseling. Implications of the findings are discussed in light of earlier contradictory results from research on college students.     

Negativism and countertransference

The purpose of this work is to explore the phenomenon of negativism and the analyst's response to it during the course of analytic work with a patient in whom negativism is a central behavioral pattern. Melville's short story, "Bartleby the Scrivener," describing in telling detail the response of a sympathetic lawyer to profound and pervasive negativism in his legal scribe, is discussed as a literary analogy to the analyst-analysand dyad. Aspects of the concept of negativism within psychoanalysis are discussed. The potential usefulness of understanding certain unexpected countertransference responses to pervasive negativism is explored, as this is a relatively neglected area of psychoanalytic technique. A case is presented describing the analysis of a patient whose character, like Bartleby's, is a mixture of profound negativism along with schizoid, obsessional, and masochistic elements.     

Reducing smoking among pregnant adolescents

Pregnant adolescents who smoke present a double obstetrical risk. Not only is the adolescent mother at risk from the biological, social, educational, and economic factors associated with childbearing at a young age, she and her developing infant also risk the complications associated with maternal smoking. This paper describes a psychosocial intervention designed to reduce smoking in a group of pregnant adolescents. Five modules are presented. Each is designed to: (1) heighten awareness of the issue, (2) provide motivational messages, (3) enhance the adolescent's social skills, and (4) teach specific smoking-cessation skills.     

Microgenesis as traced by the transient paired-forms paradigm

Two successive, spatially overlapping human faces were exposed for recognition with SOAs ranging from 20 to 160 msec. The subjects effectively perceived one face, which at short SOAs mostly resembled the first stimulus and with increasing SOAs gradually shifted towards the appearance of the second, dimmer stimulus. These results replicated those from the study by Calis, et al, and extended them to the experimental conditions of controlled simultaneity of each of the two temporally separate, extremely brief stimuli and to the conditions of personally unfamiliar stimulus-subjects. In the second experiment we employed a direct measurement of the microgenetic focus in real time by using a procedure by which the subjects' judgments about the relative temporal order of the critical visual stimulus and an auditory click were recorded. Via this procedure it was shown that one of the effects of the first visual stimulus is to speed up the microgenetic process for the second stimulus which then appears subjectively earlier as compared to the single-stimulus control.     

Acquired affective-evaluative value: conservative but not unchangeable

In a previous study on Evaluative Conditioning it was found that unlike signal-learning, evaluative learning is resistant to extinction. In the present experiment we tried to replicate and corroborate this finding. In addition, we investigated the effectiveness of a counterconditioning procedure to alter acquired evaluative value. On a within-subject base (n = 30), it was found that the mere contingent presentation of neutral with (dis)liked pictures of human faces was sufficient to change the affective-evaluative tone of the originally neutral stimuli in (negative) positive direction. Next, we replicated the finding that an extinction procedure does not have any influence on the acquired evaluative value of the originally neutral stimuli, and this even in subjects fully aware of the extinction presentations. We demonstrated the effectiveness of a counterconditioning procedure to alter acquired evaluative value, and in addition, found some evidence that awareness of the counterconditioning manipulations is not a prerequisite for its effectiveness. The theoretical consequences of these findings are phrased in terms of a fundamental distinction between signal-learning and evaluative learning, and some important implications for the behavioral treatment of affective-emotional disorders are suggested.     

Factor structure in groups selected on observed scores

A new method is proposed for estimating factor means and factor covariances in a group of individuals selected on their observed scores. The selection variable is, for example, the total score on an admissions test. Given a factor model for the test items based on the group of test takers, we may be interested in the factor structure for those in the top quartile. The differences in factor means and covariances between this selected group and the full group gives useful information both on successful test performance and on test validity. The new method draws on the classic Pearson-Lawley selection formulas. It avoids the fallacy of factor analysis on the selected group, which would lead to incorrect estimates. The new method is applied to a simple factor structure model for the GMAT test. Although the majority of the GMAT items test verbal skills, it is found that a quantitative factor shows the greatest change in moving from average to top quartile test takers.     

A sermon from hell: Toward a theology of loneliness

Loneliness as part of the human condition is first explored from an experiential-philosophical perspective. A biblical survey suggests loneliness is normative to the faith experience and may portray a more realistic religiosity. Desert imagery in Scripture indicates a strong association among solitude, spiritual development, and potential dangers of spiritual deception. God's not yet-ness-itself a cause of existential loneliness—is paradoxically the way in which communion with God functions in the here and now. The creative use of solitude may enhance social, psychological, and spiritual well-being, and provide a way to theologize about personal isolation and disorientation.He is also editor of theHarding Journal of Religion and Psychiatry.     

Sex differences in the psychological well-being of Chinese adolescents

This study assessed sex differences affecting the psychological well-being of Chinese adolescents. Various instruments were used to measure psychiatric symptoms and positive mental health. The results showed that female adolescents displayed significantly more psychiatric as well as somatic symptoms and scored lower on scales reflecting positive mental health. The findings are generally consistent with those found in the Western literature, but suggest that, in the Chinese culture, sex differences in mental health begin to appear in adolescents.     

Self-discrepancies in clinical depression and social phobia: cognitive structures that underlie emotional disorders?

Previous research indicates that self-discrepancies are cognitive structures that can induce emotional discomfort. The present study compared clinically depressed and social phobic subjects (plus controls) to determine whether different self-discrepancies were associated with the two disorders. In Part 1, it was shown that the depressives possessed the greatest discrepancy between their actual and ideal/own self-states, whereas the social phobics possessed the greatest discrepancy between their actual and ought/other self-states. In a later, ostensibly unrelated study, subjects responded verbally to questions about other people while their mood changes, skin conductance responses, and verbalizations were recorded. The questions included attributes from the subject's ideal and ought self-states that were mismatches with attributes from his or her actual self, as well as mismatch attributes from other subjects. Priming with self-referential mismatches induced momentary syndromes of dejection or agitation (depending on the type of mismatch). The depressives and social phobics showed the greatest increases in dejection and agitation, respectively, according to their dominant self-discrepancy. The results suggest that specific cognitive structures may underlie clinical depression and anxiety.