Psychopathology in anxiety disorders

Complaints of anxiety, often meetingDiagnostic and Statistical Manual of Mental Disorders, 3rd ed. (DSM-III), criteria for anxiety disorder, are among the most common problems presenting to health practitioners. In spite of the frequency of anxiety and anxiety disorders, little is known about the basic psychopathology of these conditions that would lead to the development of more efficient and effective treatments and possible preventive efforts. Recently, there has been an increase in research on the psychopathology of anxiety disorders from biological, psychological, and social perspectives. The National Institute of Mental Health's Clinical Research Branch sponsored a 2-day workshop of investigators representing diverse research approaches to discuss emerging issues and research practices within the anxiety disorders. Discussions centered on a review of the general areas of classification, phenomenology, and etiology. A selective summary of this workshop is presented along with recommendations for specific research directions.     

Beliefs about and experiences with battering: Women and men in two populations

A questionnaire was developed to measure beliefs about and experiences with violence in the family. Two groups of persons in two different states who had attended conferences on battered women participated in this research. Of the 177 subjects (84% women, 16% men), none of the men had been battered, yet over one-third of the women had been; more older women reported having been adult battering victims than did younger women; the women had less formal education than the men; the women in the lower educational groups were more likely to have been battered and to report fear of becoming victims; and the social service workers reported little fear of battering.     

The effects of verbal reinforcement of intrinsic motivation for sex-linked tasks

Recent studies have demonstrated that positive verbal feedback enhances males' intrinsic motivation for a task, while decreasing that of females. This result has been attributed to differential socialization forces which make the controlling aspects of rewards more salient for females as opposed to males, for whom the informational aspects are prepotent. A weakness in this conclusion stems from the use of a masculine sex-linked task in prior experiments, producing a result which may be due to gender congruence/incongruence rather than to socialization differences. Two laboratory experiments were performed to examine the effects of verbal praise on intrinsic motivation, controlling for sex-typing of the experimental activity. Experiment I found that verbal praise increased females' and males' intrinsic motivation on both a feminine and masculine task, and intrinsic motivation was higher for sex-appropriate than sex-inappropriate tasks. The sexes did not show a differential pattern of response to praise. In Experiment 2, verbal praise also enhanced sex-role traditional females' intrinsic motivation on the same activity used in prior research. These results suggest that socialization content has changed sufficiently to make concerns about competence and self-determination equally salient for females and males.     

Variables related to reported learning in brief experiential groups held at professional meetings

Reports of learning from 119 participants of 18 general psychodynamic groups from the 1981 and 1982 annual meetings of the Canadian Group Psychotherapy Association were investigated. Two main learning factors emerged from a factor analysis of participant ratings, learning about oneself in a small group (factor one) and learning how to be an effective leader with professional skills (factor two). Participants reported moderate to considerable learning for both factors even though the stated task of the groups did not emphasize the learning of professional skills. Relationships between several classes of variables (group, leader, demographic) and reported learning were studied. Results that were consistent with several previous investigations were found. The discovery of a participant, sex-difference finding, i.e., greater reported learning by the women, generated a number of questions that may be addressed in future investigations.This article was derived from a paper presented at the Fourth Annual Meeting of the Canadian Group Psychotherapy Association, October 27, 1983, Banff, Canada.     

Process and content in an outpatient schizophrenic group

Process and content issues were evaluated during the first six months of an outpatient schizophrenic group. Compared with groups composed of neurotic and characterological patients, the schizophrenic group scored higher in the Avoiding dimension of the Group Climate Questionnaire (GCQ-S). There was more cohesion and less interpersonal conflict as time went on. Although topics related to engagement and differentiation were discussed, there was no obvious GCQ-S evidence of these first two stages of group development. However, the data supported the presence of stage 3 (individuation) during sessions 20–26. Interpersonal topics dominated the group discussions, followed by issues involving reality-testing, expression of emotions, and advice-giving.The authors wish to thank Dr. K. Roy MacKenzie for his helpful comments on a draft of this paper.     

Presidential threats and the secret service in a free society

In September 1981, a symposium of distinguished mental health practitioners from various clinical, administrative, research, and legal disciplines was conducted on the topic of “Behavioral Science and the Secret Service,” under the sponsorship of the National Academy of Sciences, Institute of Medicine. The article combines a study of the symposium's written conference summary, the author's experience as legal counsel to a state security hospital, and research into federal cases that have interpreted the so-called “Presidential Threat Statute” (18 USC 871) in order to discuss the role of the Secret Service in protecting elected federal officials from physical harm. The potential for increasing practical cooperation between the Service and state mental health systems is also discussed.     

PROCESS PHILOSOPHY, SOCIAL THOUGHT, AND LIBERATION THEOLOGY

Abstract. This essay sets forth the decisive notions and postulates of process philosophy in Process Philosophy and Social Thought , edited by John B. Cobb, Jr. and W. Widick Schroeder. After commenting on the circumstances in which process philosophy came to be a major option among philosophical theologians, I provide some amplification of those notions and postulates. Then, selecting material from the eighteen articles in the volume, I offer several critical assessments of the process viewpoint and its relation to science and to the contemporary call for liberation.     

Smoking and academic performance

Smokers and nonsmokers were compared on three aspects of academic achievement. Although exactly the same percentage of smokers and nonsmokers passed the first-year university examination, smokers obtained significantly higher marks. Similarly, smokers achieved significantly higher marks in their final year examinations in comparison with nonsmokers. Finally, a comparison of the tutorial essay marks of the smokers and nonsmokers again showed that smokers obtained significantly higher marks than nonsmokers. These data are consistent with the idea that ambitious students adopt smoking in the belief that it will help them study and sustain concentration.     

A process recording for evaluating group psychotherapy training methods

This paper discusses an exploratory investigation concerned with the long range questions: How does group psychotherapy help patients? and How can psychiatry residency programs best train residents to treat patients in therapeutic groups? Group psychotherapy has come to be accepted in its own right as a decisive contribution to the study of and relief of emotional disorders. As a component of comprehensive psychiatric services it is indispensable. However, while its clinical value has been demonstrated, its scientific validity has not. A Group Process Inventory has been developed by the author and has been utilized for the past two years by psychiatric residents in recording the process of their therapeutic groups in a teaching hospital mental hygiene clinic. The preliminary use of this recording as a clinical-teaching instrument has proven effective. This inventory is being revised to serve as a research instrument.     

Suicide and rurality in urban society

Recent findings suggest that suicide increases with rurality, but research on rural suicide leaves many questions unanswered. This study specifies problems of community organization as a reason for expecting a positive effect of rurality on the suicide rate. A multiple regression analysis of county data shows that rurality has a substantial positive effect and is, in fact, the best predictor of the suicide rate among several variables selected from the previous literature. Additional research is needed to test the interpretation that rurality contributes to an incomplete, fragmented form of community organization which influences the suicide rate by disrupting primary relationships.