Leadership behavior,group climate and outcome in group psychotherapy: A study of outpatient psychotherapy groups

A recent clinical study of outpatient psychotherapy groups in a community mental health center explored the linkage between group leadership variables, group climate, and outcome. The study involved nine outpatient therapy groups, over 50 group clients, and several group therapists. A repeated measures design involving assessment of clients' outcome and level of functioning, group leadership style, and group climate was used to assess changes over a 6-month period. The findings suggest: 1) a reduction in symptoms and improved functioning for clients; 2) a similarity of perceptions by members and leaders of perceived leadership behaviors and group climate; 3) the presence of direct and indirect influences of group climate and leadership behavior on clients' outcome; and 4) a linkage between leadership behavior and group climate with the theoretical orientation of the group. The findings of the research are discussed in relation to the understanding of specific effects in group psychotherapy and the implications for construction of group psychotherapy theory.The authors would like to thank Robert Dies, Ph.D., for his helpful suggestions in the early phase of this study; Roy MacKenzie, M.D., for permission to use the Group Climate Questionnaire; Diane DePalma, Ph.D., for permission to use the Global Leadership Behavior Index; Chris Boltwood, B.A., for her untiring efforts in administering the instruments and coding and entering the data; and most importantly, the psychotherapy group members and the group therapists for their cooperation in this endeavor—without their help, this clinical study would not have been possible.A version of this paper was presented at the Annual Meeting of the American Group Psychotherapy Association, 1987, New Orleans, Louisiana. Lenore Phipps, R.N., M.S., C.S., was formerly Director, Group Psychotherapy Program at Park Ridge Mental Health Center, Rochester, now in private practice at Guild Medical Center, Norwood, MA 02062.     

Repairing the Microsoft BASIC RND function

Difficulties with the Microsoft BASIC function for generating random numbers (RND) are cited and new problems reported. Fixes are suggested that allow use of some of the speed of the original function and that produce greatly improved pseudorandom numbers. A published generator is combined with the RND function as a compromise solution.     

Apple slide tachistoscope

We outline a BASIC program and subsidiary machine language timing routines that enable the Apple II series of computers to be employed as control devices for the tachistoscopic presentation of 35-mm slides and the collection of response latencies. The program is functional for experiments that require pictorial stimuli to be presented in up to three separate fields, with precise display times, precise interstimulus and intertriai intervals, and the collection of manual or vocal reaction times with millisecond accuracy. The major advantages of this system are that initial setup costs are substantially lower than those for other similar systems (e.g., Loftus, Gillispie. Tigre, & Nelson, 1984) and that user customization of the program may be accomplished by anyone possessing rudimentary knowledge of the BASIC programming language.     

Professional liability (malpractice) coverage of humanist scholars functioning as clinical medical ethicists

In contrast to theoretical discussions about potential professional liability of clinical ethicists, this report gives the results of empirical data gathered in a national survey of clinical medical ethicists. The report assesses the types of activities of clinical ethicists, the extent and types of their professional liability coverage, and the influence that concerns about legal liability has on how they function as clinical ethicists. In addition demographic data on age, sex, educational background, etc. are reported. The results show that while nearly one third (28.9%) of the ethicists regularly make recommendations about patient care, only 10.8% of them regularly make entries in the medical record; only approximately half (53.0%) of them are covered by professional liability (malpractice) insurance; and the vast majority (84.3%) of them say that concerns about legal liability do not influence the way they function as clinical ethicists.     

From front line to home front: a study of secondary traumatization.

While the long-term effects of combat trauma on veterans have been studied extensively, its impact on veterans' wives has yet to be investigated. This study examined the implications of combat-induced psychopathology--wartime combat stress reaction (CSR) and current posttraumatic stress disorder (PTSD)--in a sample of 205 wives of Israeli combat veterans of the 1982 Lebanon war. Results show that both CSR and PTSD were associated with increased psychiatric symptoms in the wives. In addition, current PTSD was particularly found to contribute to impaired social relations among veterans' wives in a broad range of contexts, from inner feelings of loneliness, through impaired marital and family relations, and extending to the wider social network. Implications of these findings for treatment and further research are discussed.     

Seeing through CORNEA

For useful comments on an early draft of this paper, I wish to thank Andrew Cortens, William Hasker, Richard Swinburne and Mark Webb. I am especially grateful to William Alston, Frances Howard-Snyder and John O'Leary-Hawthorne for extended discussion on several pertinent matters.     

Information Load: A Test of an Inverted-U Hypothesis with Hourly and Salaried Employees

We surveyed 714 hourly and 516 salaried employees of a midwestern telephone company to test the effects of information load on work-related outcomes. Using curvilinear regression analyses, we found support for our hypothesis that employees are less satisfied with outcomes as the load of information deviates positively or negatively from some level. We also predicted, and found, that this quadratic function was more prevalent in the hourly group than in the salaried group. Implications, future research directions, and limitations of the present study are discussed.