Governing Humanity

In the United Kingdom, clinical governance has become a master narrative for health care over the last decade. While many see this political imperative as embodying both enlightening and humanistic goals, I argue that it has also become an apparatus for resuscitating a hypermodernist worldview which further conceals the political drivers of health care delivery. While resistance to clinical governance seems futile, insistence on the inclusion of historical analysis in understanding modern health care delivery may be profitable. Drawing from selected dramatic texts by Henrik Ibsen, an historical moment of clinical governance may be analysed showing the complex interplay of the personal, social, empirical and ethical dimensions of health care delivery.     

Enhanced perceptual processing of speech in autism

Theories of autism have proposed that a bias towards low-level perceptual information, or a featural/surface-biased information-processing style, may compromise higher-level language processing in such individuals. Two experiments, utilizing linguistic stimuli with competing low-level/perceptual and high-level/semantic information, tested processing biases in children with autism and matched controls. Whereas children with autism exhibited superior perceptual processing of speech relative to controls, and showed no evidence of either a perceptual or semantic processing bias, controls showed a tendency to process speech semantically. The data provide partial support to the perceptual theories of autism. It is additionally proposed that the pattern of results may reflect different patterns of attentional focusing towards single or multiple stimulus cues in speech between children with autism and controls.     

Determinants of phrasing effects in rat serial pattern learning

Two experiments investigated how brief pauses introduced into serial patterns as phrasing cues would affect pattern learning in rats. In Experiment 1, a 24-element pattern consisted of eight 3-element chunks, whereas a 20-element pattern consisted of four 5-element chunks. In both patterns, 3.0-s temporal pauses placed at chunk boundaries (synchronous phrasing cues) facilitated learning compared to no phrasing. Cues "out of sync" with pattern structure (asynchronous phrasing cues) facilitated learning for the 24-element pattern and retarded learning for the 20-element pattern. Evidence suggested that in the latter case, 3.0-s pauses served as "blank" trials that induced rats to "skip" to the next serial position in sequence. In Experiment 2, shorter 0.5-s pauses served as phrasing cues in the 20-element pattern of Experiment 1. Synchronous short cues facilitated learning, whereas asynchronous phrasing cues had no effect. Furthermore, removal of synchronous cues produced deficits in performance on formerly cued trials, whereas removal of asynchronous cues had no effect. The results of Experiment 2 support the notion that in both experiments phrasing cues served as discriminative cues and indirectly suggest that rats are concurrently sensitive to pattern element cues, extra-sequence cues (such as phrasing cues), and to the relative timing of sequential events.     

Measures of expressions of love

This study developed scales for Chapman's five expressions of love: quality time, receiving gifts, words of affirmation, physical touch, and acts of service (two dimensions). A total of 338 student respondents were surveyed resulting in 321 usable surveys (95%). Of this total, 177 were women and 144 men, with a median age of 24 yr.     

The effects of blocking mouthing of leisure items on their effectiveness as reinforcers

Leisure items are commonly used as reinforcers in behavior-analytic applications. However, a defining feature of autism is the occurrence of stereotypy, and individuals with autism often engage leisure items in a stereotyped manner. The opportunity for stereotyped interaction may be the only aspect of a contingent stimulus that makes it a reinforcer for appropriate behavior. Therefore, this study investigated the effects of blocking stereotyped reinforcer interaction on reinforcer efficacy for 2 children with autism. Results showed that blocking stereotypic reinforcer interaction did not influence reinforcer efficacy.     

Countertransference and Large Group Dynamics in the church: Reflections on Pamela Cooper-White’s, Shared wisdom: Use of the self in pastoral care and counseling

This article was presented as part of a 2005 American Academy of Religion book panel on Pamela Cooper-White's recent book on countertransference in pastoral care and counseling. A response to Dr. Cooper-White's contribution is offered from the perspective of large group dynamics and their countertransference implications for pastors and church consultants.Wallace N. Fletcher is an instructor in pastoral counseling at Newman College. He also teaches psychoanalytic theory at the Philadelphia School of Psychoanalysis in Philadelphia, PA.     

Evaluating the Parentification Questionnaire: Psychometric Properties and Psychopathology Correlates

The Parentification questionniare (PQ; Jurkovic and Thirkield in Parentification questionnaire, University Plaza, Atlanta, GA, 1998), developed to assess various levels of parentification retrospectively, is one of the most widely used instruments in the clinical and research literature base. Yet, despite its frequent use, no studies of which we are aware have examined the psychometric properties of this instrument. Thus, this study fills a gap in the literature by examining the psychometric properties of the PQ with a sample of 143 racially diverse college students. The data were subjected to exploratory analysis using principal component analysis. Varimax orthogonal rotations were applied to the analyses. The final results supported a three-component solution (although with fewer items), consistent with Jurkovic’s three-factor multidimensional clinical framework for understanding parentification. We also examined the relations between the resultant scores of the PQ and scores from the Brief Symptom Inventory (BSI; Derogatis in Derogatis Brief symptom inventory: Administration, scoring, and procedures manual, National Computer Systems, Inc., Minneapolis, MN, 1993), which captures mental health symptomatology. These results reflected significant correlations in theoretically expected directions. However, taken together, the three PQ factors significantly accounted for the variance in psychopathology scores in only two of the four regression models. The preliminary results from this study support the reliability and multidimensional nature of the PQ scores. Implications for family therapy and suggestions for future family systems research are discussed.