Modification of the catastrophic cognitions questionnaire (CCQ-M) for normals and patients: Exploratory and LISREL analyses

The Recently developed Catastrophic Cognition Questionnaire (CCQ) was further investigated using both student and anxiety patient samples. LISREL confirmatory factor analyses was used. The results showed that the CCQ could be explained by a three-factor oblique solution. These are Emotional Catastrophes, Physical Catastrophes, and Mental Catastrophes. The modified version of CCQ (CCQ-M) revealed good internal consistency, test-retest reliability, and concurrent validity. It has also good discriminant validity. The CCQ-M can therefore be used with both normal and anxiety-disordered patients.We would like to thank the staff of the Anxiety Disorder clinic, in particular Dr. Larry Evans and Ms. Elly Staunton-McKenzie, for their assistance in data collection, and the subjects for their participation in this study. Dr. Khawaja was supported by a scholarship from the Government of Pakistan. She was on leave from the University of Punjab, Lahore, Pakistan. We would like to thank the anonymous reviewers for their excellent suggestions.     

Family Therapy with English Caribbean Immigrant Families in the United States: Issues of Emigration, Immigration, Culture, and Race

Many English Caribbean families in the United States are referred for therapy because of difficulties related to their adaptation to a new country/culture. This paper focuses on the intra-familial, and the family-larger system transitional/adjustment difficulties experienced by these families and presents issues specific to therapy with them. Effective therapy with English Caribbean families and their subsystems requires that therapists communicate to these families an understanding of their concerns, be knowledgeable about heterogeneity in cultural values and traditions, and create a therapeutic atmosphere in which families can feel valued and respected. Recommendations for therapists are presented and discussed.     

Increasing Marital Intimacy: Lessons from Marital Enrichment

Both marriage and family therapists and family life educators work to increase marital intimacy. In this study the effectiveness of two marriage enrichment programs was assessed with implications for practicing therapists. Participants were randomly assigned to an Adventure or ACME (Association for Couples in Marriage Enrichment) treatment group or to a control group. Marital intimacy was assessed before and after treatment. Findings demonstrated that both enrichment groups had a statistically significant increase in marital enrichment. Suggestions for adopting adventure-based interventions for traditional therapy are discussed.     

A KANTIAN PERSPECTIVE ON POLITICAL VIOLENCE

Rejecting Kant's absolute opposition to revolution, I propose a modified Kantian perspective for reflecting on political violence, drawing from Kant's basic ideas but abandoning some dubious assumptions. Developing suggestions in earlier papers, the essay sketches a model for moral legislation that combines the core ideas of each of Kant's formulas of the Categorical Imperative. Though only a framework for deliberation, not a complete decision procedure, this excludes extremist positions, prohibitive and permissive, about political violence. Despite Kant's hopes, the values implicit in his fundamental principle fail to support easy, inflexible solutions; but they place strong presumptions against lawless coercion and killing, undermining social order, treating persons as dispensable, underestimating options, arrogant faith in one's own judgment, and reckless simplicity in political thinking.     

Reflections on Contemporary Psychotherapy Practice, Research, and Training

We do not lack for criticism about psychotherapy practice, research, and training. Admittedly, there is much there that needs to change. But, thus far, what have we done right? What are some of the positive, affirming, constructive strides that have been made with regard to therapy practice, research, and training? In this paper, those questions are addressed. Ten broad-based themes about some aspects of psychotherapy are presented and discussed; while by no means exhaustive, each is considered to be quite robust and clearly reflective of some of the truly constructive facets now evident in the field.     

Exploring the Mind of Testosterone: A Beeper Study

Twelve low and 15 high testosterone subjects, representing the extremes in testosterone from a pool of 125 men and 128 women, kept diary records of their day-to-day thoughts and activities. Electronic pagers prompted subjects approximately 20 times over a four-day period to write down their locations, activity, thoughts, and feelings. Human coders and computer text analysis programs indicated a restless energy in the diaries of high testosterone subjects. High testosterone subjects experienced more arousal and tension than those low in testosterone. They spent more time thinking, especially about concrete problems in the immediate present. They wanted to get things done and felt frustrated when they could not. They mentioned friends more than family or lovers. Five terms characterized high testosterone subjects: restless, thinking, about action, right now, likely with friends.     

Epinephrine Effects on Memory Are Not Dependent on Hepatic Glucose Release

Epinephrine released or administered soon after a given training task modulates memory processes. Since epinephrine does not readily cross the blood–brain barrier, studies have suggested that some of the central effects of epinephrine might be mediated by peripheral release of glucose. These experiments examined the involvement of blood glucose levels in the posttraining effects of peripherally administered epinephrine. The effects of the administration of epinephrine (25 and 625 mg/kg) on memory of an inhibitory avoidance task were evaluated in fed and fasted rats (depleted glycogen stores in liver). Blood glucose levels after the task in each group were also measured. Female Wistar rats were divided in two groups. Fed and 48-h-fasted animals were submitted to the inhibitory avoidance task and received ip epinephrine or saline immediately after training. The test session was carried out 48 h after training. Epinephrine (25 or 625 mg/kg) caused an increased glycemia in fed rats, but no effect was observed in fasted animals. Administration of epinephrine 25 mg/kg induced a facilitation of memory, while epinephrine 625 mg/kg impaired retention (either in fasted or in fed animals). There was no relation between increased glycemia induced by epinephrine and its effects on memory, since this drug presented its classical effects independently of the previous state of the animal (fed or fasted). The results of the present study suggest that the effects of systemic released or administered epinephrine on memory processes are not dependent on hepatic glucose release.     

Subjective decision making in medical school admissions: Potentials for discrimination

Medical schools place considerable emphasis on admissions interviews in the selection of students. Interviews, with unwritten performance criteria and subjective evaluation, contain the potential for unconscious discrimination against certain groups of applicants. This study investigates the contribution of interview scores to the total evaluation of male and female applicants for admission to one medical school in the United States. Findings reveal that interveiw scores are counted more heavily for females than males in arriving at a final ranking for admission. Further, females were rated lower in general than males on interview evaluations. While the magnitude of the associations is small, the combined effect points to a potential for discrimination, however unintended, against women applicants in the present case study.The authors appreciate the valuable criticisms of and comments on an earlier draft from Drs. Sidney Fleming, Dorothy Brinsfiled, Glenn Clark, Maurice Jurkiewicz, and Michael Kutner, some of whom may still take exception to parts of this article.     

Neurological malingering

The detection of malingering in terms of neurologic signs and symptoms is described, including malingered coma, simulated deafness, feigned blindness, feigned weakness, and diminished sensation. While neurologic malingering is not an actual diagnosis, it is best detected through medical procedures. To identify malingering, the physician must demonstrate that the malingered sign or symptom is not caused by a diagnosable order and is instead clearly a consequence of the subject's volition.