IMPROVING SOCIAL INTERACTION IN A CHRONIC PSYCHOTIC USING DISCRIMINATED AVOIDANCE (“NAGGING”): EXPERIMENTAL ANALYSIS AND GENERALIZATION

Three social-interaction behaviors of a withdrawn, chronic schizophrenic were increased using a discriminated avoidance (“nagging”) procedure. The three behaviors were: (a) voice volume loud enough so that two-thirds of his speech was intelligible at a distance of 3 m; (b) duration of speech of at least 15 sec; (c) placement of hands and elbows on the armrests of the chair in which he was sitting. “Nagging” consisted of verbal prompts to improve performance when the behaviors did not meet their criteria. A combined withdrawal and multiple-baseline design was used to evaluate the effectiveness of the procedure, and the contingency was sequentially applied to each of the three behaviors in each of four different interactions to determine the degree of stimulus and response generalization. Results indicated that the contingency was the effective element in increasing the patient's appropriate performance, and that there was a high degree of stimulus generalization and a moderate degree of response generalization. After the patient's discharge from the hospital, the durability of improvement across time and setting was determined in followup sessions conducted at a day treatment center and at a residential care home. Volume and duration generalized well to the new settings, while arm placement extinguished immediately.     

Observing groups as seen from both sides of the looking glass

Conclusion This paper attempts to make a contribution to an area of the literature on group therapy about which very little has been published—the effects of the therapy group upon the observing group and the dynamics of the observing group as an entity in itself. Although work on which this paper is based took place in training institutions where education is the primary function, it is important to emphasize that education and personal change are interrelated. Psychotherapeutic activity takes place spontaneously with the observers and needs to be constructively utilized. This wealth of process and reaction is an untapped training opportunity for the observing group. The challenge of method, personal reactions, and group process responses are all opportunities for its members to both learn more as therapists and mature as individuals. At this juncture, we are trying to establish ways of     

Adaptive mechanisms in perceptual-motor coordination: components of prism adaptation

Aftereffect measures of visual shift and proprioceptive shift were obtained for prism exposure conditions in which, at the end of a sagittal pointing movement, most of the arm was visible (concurrent exposure) or only the first finger joint was visible (terminal exposure). Intermediate exposure conditions permitted view of the hand or the first two finger joints. Under the concurrent exposure condition, proprioceptive shift was greater than visual shift but, as view of the pointing hand decreased, the relative magnitude of the two components gradually reversed so that, under the terminal exposure condition, visual shift was greater than proprioceptive shift. These results are discussed in terms of a model of perceptual-motor organization (Redding, Clark, & Wallace, 1985) in which the direction of coordinative linkage between eye-head and hand-head systems determines the locus of discordance and adaptive recalibration.     

Does family therapy produce change? an overview of outcome studies

Summary Families were randomly assigned to one of two forms of conjoint marital therapy: an insight-oriented treatment (n=10) or a problem-solving intervention (n=10.). The results on self-report measures of family functioning indicate that the problem-solving intervention produced more favorable changes after three months. However on long-term follow-up after a year, this more positive effect did not apparently persist, since the insight treatment group reported better results. Experienced therapists did better than inexperienced therapists in the insight treatment condition, but level of experience did not make a difference in the problem-solving intervention. A group of eight families who dropped out of the insight treatment group provided data on correlates of premature termination. Several of the practical obstacles to implementing an experimental design in a clinic setting are illustrated by the research.As we develop more sophisticated methodology, we hope that is the near future family therapy researchers will be better able to state which type of approach is more effective for whom and under what circumstances. A review of current studies of family therapy outcome research indicates that family therapy seems to be as effective as individual psychological treatment.     

Proprioception and the production of adaptation and intermanual transfer to prismatic displacement

Proprioceptive adaptation to prismatic displacement and resultant intermanual transfer were investigated in two experiments. In Experiment 1, magnitude of adaptation and transfer were assessed as a result of the reduction of felt sensation via hypnotic anesthesia in an adapting limb. Such anesthesia reduced the magnitude of adaptation in that limb and resultant transfer in the nonadapting limb to a nonsignificant level. Such was not the case when the adapting limb was nonanesthetic. In Experiment 2, adaptation and transfer magnitude were assessed as the result of anesthetic induction in a nonadapting limb. When this was the case, adaptation was produced in the adapting limb but not in the anesthetized, nonadapting limb. The results of the two experiments generally point to proprioception as being the major source of input to the production of intermanual transfer in a prismatic adaptation task.     

Hypnotic susceptibility and the perception of afterimages and dot stimuli

Three experiments were conducted to determine the relationship between hypnotic susceptibility level and the susceptibility to several perceptual phenomena. Experiment I required subjects to observe an induced afterimage in a light-proofed environment and to report the frequency of direction and color changes. In addition, subjects reported the persistence of the afterimage. Experiment II involved the observation of a black dot against a white background, with frequency of observed movement being the dependent measure. Experiment III was similar to the second experiment except that the stimulus was encompassed by a frame. In Experiments I and II, subjects judged high in hypnotic susceptibility reported perceiving the strongest effect. This phenomenon was virtually eliminated in the third experiment. These results were interpreted as supporting a process whereby subjects judged high in hypnotic susceptibility are better able to selectively attend to relevant cues in a stimulus array during conditions of perceptual impoverishment.     

Visuomotor coordination and intermanual transfer for a proprioceptive reaching task

Two experiments were conducted to determine the role of head constraint, whether present or absent and arm exposure type (terminal or continuous) on the production of intermanual transfer to two types of visual distortion. Experiment 1 investigated intermanual transfer to binocular, lateral prism displacement where the prism base orientation for both eyes was in the same direction. Experiment 2 determined whether intermanual transfer could be produced to squint prism viewing where the prism base orientation for each eye was in an opposite direction (base-out prisms). In both experiments transfer was produced when either head movement during prism exposure was unconstrained or when a terminal arm exposure was employed. Maximal transfer was produced when both of these conditions were employed.