Transformation in Counselling

The view is put forward that counselling appears to be undergoing a transformation which renders the old distinction between counselling and therapy no longer meaningful or practical. This transformation reflects the psychic backdrop of our times; it has come about because the needs of people seeking help, as well as the needs of those counselling, have altered and developed. Increasingly, clients are acknowledging the need for radical change which involves exploration of all levels of their being. This transformative work, a moving across inner barriers and coming into wholeness, necessarily involves active awareness of spirit. Thus it is no longer possible to be a client-centred counsellor without being willing to address the spiritual dimension ofhuman-beingness.     

DEGREES OF FREEDOM AND THE INTERPRETATION OF QUANTUM FIELD THEORY

Nick Huggett and Robert Weingard (1994) have recently proposed a novel approach to interpreting field theories in physics, one which makes central use of the fact that a field generally has an infinite number of degrees of freedom in any finite region of space it occupies. Their characterization, they argue, (i) reproduces our intuitive categorizations of fields in the classical domain and thereby (ii) provides a basis for arguing that the quantum field is a field. Furthermore, (iii) it accomplishes these tasks better than does a well-known rival approach due to Paul Teller (1990, 1995). This paper contends that all three of these claims are mistaken, and suggests that Huggett and Weingard have not shown how counting degrees of freedom provides any insight into the interpretation or the formal properties of field theories in physics.     

DIRECT AND COLLATERAL EFFECTS OF RESTRAINTS AND RESTRAINT FADING

Mechanical restraints are commonly used to reduce the risks associated with severe self-injurious behavior (SIB), but may result in movement restriction and adverse side effects (e.g., bone demineralization). Restraint fading may provide a method for decreasing SIB while increasing movement and reducing these side effects. In the current investigation, rigid arm sleeves and restraint fading (gradually reducing the rigidity of the sleeves) were used with 3 clients who engaged in hand-to-head SIB. Restraints and fading reduced the hand-to-head SIB of all clients. However, for 1 client, the addition of a water mist procedure further reduced SIB to near-zero levels. For a 2nd client, another form of SIB developed that was not prevented by the rigid sleeves. For a 3rd client, a topography of SIB that was not physically prevented by the rigid sleeves was also reduced when restraints and fading were introduced.     

BALANCING SOCIAL ACCEPTABILITY WITH TREATMENT EFFECTIVENESS OF AN INTRUSIVE PROCEDURE: A CASE REPORT

The debate over social acceptability of intrusive procedures has led some school districts to adopt policies allowing punishment for only the most extreme forms of destructive behavior. We investigated the effectiveness of selectively implementing punishment for only the most severe topographies of aggression and property destruction, while less extreme behaviors were ignored. Results indicated that severe behaviors were reduced to near-zero levels only when both severe and less severe behaviors were similarly punished.     

ACHIEVING AND MAINTAINING COMPLIANCE WITH THE KETOGENIC DIET

The ketogenic diet, a treatment for intractable epilepsy, is rarely initiated because it requires strict compliance with a diet that is perceived to be unpalatable. In a case study of a 15-year-old girl with uncontrolled epilepsy, we used a stimulus-choice procedure to assess relative preferences of 33 foods from the diet and to develop two treatments based on Premack's principle. The results of a multielement analysis showed that both treatments increased dietary compliance. Compliance was maintained with generalization of treatment across settings, and was associated with a 40% reduction in seizures.     

The relationship of spiritual maturity to level of object relations development and God image

Several theoretical studies have suggested that spiritual maturity parallels psychological maturity from an object relations perspective in that both involve a relationality that is characterized by mature dependence (Shackelford, 1978; Pingleton, 1984). In addition, previous research has suggested that there is a positive relationship between level of object relations development and God image (Rizzuto, 1979; McDargh, 1983, 1986; Birky & Ball, 1988; Brokaw, 1991). In light of this, the present study theoretically and empirically explored the notion that both level of object relations development and God image are positively correlated with spiritual maturity. The results suggest initial support for the present hypotheses. Theoretical as well as clinical implications of the results are discussed.This paper was presented at the 1994 American Psychological Association Annual Meeting, Los Angeles, CA.     

The detection and management of mental health disorders in pediatric primary care

We reviewed the literature on the detection and management of mental health disorders within the context of pediatric primary care. Pediatricians have displayed a low sensitivity and high specificity in research investigating the detection of mental health impairment in children. Active management efforts characterize approaches to identified cases with more recently trained primary care pediatricians displaying a wider range of skills in managing mental health disorders. Few efforts have been made by pediatric psychologists to develop strategies for enhancing detection rates and management or to empirically evaluate the integration of pediatric psychology services into the primary care context. A conceptual model of factors influencing detection rates and ongoing management of mental health disorders within pediatric primary care is presented. Recommendations are made for more direct involvement of pediatric psychologists within the primary care context.     

Within-category discrimination of musical chords: Perceptual magnet or anchor?

Recent speech research has begun to evaluate the internal structure of categories. In one such study, Kuhl (1991) found that discrimination was poorer for vowel stimuli that were more representative of the category (prototype, or P, set) than it was for less representative stimuli (nonprototype, or NP, set). This finding was interpreted as indicating that a category prototype may function as a “perceptual magnet,” effectively decreasing perceptual distance, and thus discriminability, between stimuli. The present study examines the function of prototypes in a musical category—another natural, but nonspeech category. Paralleling the Kuhl study, representative (P) and less representative (NP) sets of major triad stimuli were constructed, based on equal temperament. Musically experienced subjects rated the stimuli in each set for goodness as a major triad, with the highest rated stimulus serving as a prototype standard for a subsequent discrimination task. Results from the discrimination task demonstrated better performance in the P context than in the NP context. The current nonspeech results indicate that a prototype functions as an anchor rather than a magnet. In addition to providing a natural, nonspeech standard for comparison with speech findings, the results provide some important insights into the nature of musical categories.     

“Subordination” and sensitivity to nonverbal cues: A study of married working women

Sex Roles - Women's superiority in decoding nonverbal cues of emotion has often been discussed as an adaptation to low status. To examine the relation of status to nonverbal sensitivity,...     

Shape discriminations of three-dimensional objects depend on the number and location of bends

In three experiments, subjects made shape discriminations of three-dimensional objects differing in orientation, number of bends, and location of bends (e.g., the central arm vs. a minor subarm). In general, encoding times at 0° disparity on bothsame anddifferent trials were affected by the number of bends, but only after a certain threshold of bends in the objects had been reached (Experiment 1). This effect was not due to the subjects’ having to search for matching ends of the objects (Experiment 2). In contrast, rotation rates were influenced by the location of the bends, but not by the number of bends per se (Experiment 3). The results support a representational scheme that is hierarchical, but not necessarily one in which the principal axis of an object is paramount.