Poverty,state, and the family: A challenge for family therapy

Much family therapy writing has focused on work with discrete presenting problems in circumscribed clinical practice settings. This paper takes a broader focus of poor families which do not fit easily into the one-hour therapy schedule, in the context of the powerful forces of politics and economics. If the prevailing political attitudes and economic realities are ignored, direct practice with families may fail to meet them at their point of experience. Examples of political views, and therapeutic and research thinking which do not pay attention to these aspects, are used to highlight the author's point of view.     

Racial Identity Development Among Gifted Black Students: Counseling Issues and Concerns

A review of the literature suggests that a paucity of information exists regarding how culture-specific issues such as being both Black and gifted influence the psychological needs and personality development of gifted Black students. Stellar attempts, however, are currently underway to develop theories and perspectives of racial identity development among Black students. These theories and perspectives are discussed in an attempt to understand and address the psychological and social needs of gifted Black students.     

Persuasion criteria in research and practice: Gathering more meaningful psychotherapy data

Psychotherapy research should ultimately benefit the psychotherapy client. Unfortunately, traditional psychotherapy research continues to have little influence on practicing clinicians and, therefore, does not benefit psychotherapy clients. As behavior analysts begin to show interest in this area of research, they may be in a position to improve its quality. We argue that traditional psychotherapy researchers have become prematurely wedded to a methodology that does not address the concerns of clinical audiences. Furthermore, we make a case for defining and evaluating psychotherapy data in terms of its capacity to influence both researchers and clinicians. We also suggest several alternative methods for gathering psychotherapy data based on the case formulation approach. We argue that this approach may be one of the most promising methods for gathering useful psychotherapy data.     

Live supervision in the postmodern era of family therapy: Issues,reflections, and questions

This article asserts that the family therapy field is approaching an epistemological shift from structuralism and positivism to postmodernism and relativism. The confluence of these movements: feminism, constructivism/constructionism, and cultural relativism is cited as a major impetus for the shift. Live supervision is examined within the context of this transformation, with a discussion of implications for the future.     

Menarche: A crossroads that previews developmental change

In recent years the developmental implications of menarche have garnered particular attention. Investigators have determined that this developmental event tends to affect three significant domains of the adolescent girl's function: psychological status, relationships with peers, and role in the family. This paper explores these issues and introduces a new technique, referred to as previewing, that may help the teenage girl acclimate to the status of sexual maturity. Derived from the early life interactions of caregiver and infant, previewing promotes representational skills and enhances self-esteem as the adolescent confronts developmental challenges.     

Development of the University of Pittsburgh Medical Center policy for the care of terminally ill patients who may become organ donors after death following the removal of life support

In the mid 1980s it was apparent that the need for organ donors exceeded those willing to donate. Some University of Pittsburgh Medical Center (UPMC) physicians initiated discussion of possible new organ donor categories including individuals pronounced dead by traditional cardiac criteria. However, they reached no conclusion and dropped the discussion. In the late 1980s and the early 1990s, four cases arose in which dying patients or their families requested organ donation following the elective removal of mechanical ventilation. Controversy surrounding these cases precipitated open discussion of the use of organ donors pronounced dead on the basis of cardiac criteria. Prolonged deliberations by many committees in the absence of precedent ultimately resulted in what is, to our knowledge, the country's first policy for organ donation following elective removal of life support. The policy is intricate and conservative. Care was taken to include as many interested parties as possible in an effort to achieve representative and broad based support. This paper describes the development of the UPMC policy on non-heart-beating organ donation.     

Infant use of relative motion as information for form: Evidence for spatiotemporal integration of complex motion displays

Previous studies of infants’ ability to integrate and to utilize relative motion as information for form in the absence of structural cues have primarily involved motions that are uniform in rate, direction, and path within the form to be constructed. In the present study, we examined infants’ ability to integrate relative motion information from motions that are nonuniform along these dimensions, and from this integrative process to construct a coherently rotating two-dimensional form. Infants’ ability to integrate nonuniform motion was measured with regard to their ability to discriminate the rotating form from a noncoherent control display containing the same absolute motions. The results showed that discrimination of the coherent and incoherent displays was not demonstrated until 7 months of age. Two additional experiments were conducted to rule out the possibility that this discrimination was based on the detection of local regions of coherence, rather than the perception of the global rotating form. In both experiments, the results did not support discrimination based exclusively on local cues alone. From the combined results of all three experiments, we conclude that infants demonstrate the capacity to integrate the information contained within nonuniform trajectories into a coherent structure by 7 months of age.     

The Horsley gantt medal address October 11, 1992

The concept of systemic quantization of behavior was used to study the interaction between dominant motivation and reinforcement on brain neurons. Feeding and escape were used as experimental models. Results showed that feeding and escape motivations are based on the mechanisms of ascending activating influences of lateral or ventromedial hypothalamic centers, respectively, on cortical neurons. Feeding and escape motivations evoked by electrical stimulation of hypothalamus, or the ones occurring naturally, modify the responses of single neurons of sensorimotor and insular cortex to sensory stimuli, to microiontophoretic application of neurotransmitters and neuropeptides, and especially to reinforcement. Dominant motivations are reflected in the burst-like activity and in a specific pattern of interpulse intervals of single units in various brain structures. Reinforcement transforms this activity into a regular pattern and also changes the neuronal responses of hypothalamic feeding and escape centers, to electrical stimulation and to microiontophoretic application of oligopeptides. Specific patterns of the unit responses to conditioned stimuli in the course of consecutive reinforcement was determined. After several instances of reinforcement, especially after repetitive reinforcement, the brain neurons influenced by the dominant motivation begin to produce specific protein molecules that are important for organization of an appropriate type of behavior. This process can be blocked by protein synthesis inhibitors.     

Role of eye and hand initial position in the directional coding of reaching

To investigate the nature of the frames of reference used to control an arm movement aimed at a visual target, we studied the accuracy of movements differing by the initial arm and eye positions. The results support the assumption that in darkness target location is internally represented in an egocentric frame of reference. Furthermore, when movements carried out with and without eye saccade are compared, it appears that foveating the target changes the reference used to generate the reaching arm movements, that is, the oculocentric reference is replaced by a head-trunk reference. An explanation for this phenomenon could be that a steady body-related landmark is needed to insure stable registering of the target location in the surrounding space, despite displacement of the body segments with respect to one another.