Involving the family in the evaluation and treatment of the child patient: A psychodynamic approach

The purpose of this article is to provide psychotherapists with a tool for family evaluation using the basic principles of psychodynamic work; and to introduce a transitional format for therapists who have practiced family evaluations in their training institutions and now need to adapt this model to the private practitioner's office. A case example illustrates: (1) Use of the therapist's unconscious for diagnosis of the child and its family, (2) joining the family's intersubjective space, and (3) use of play and therapist's neutrality as ways that the psychodynamically oriented clinician involves the family in the evaluation and treatment of the child.     

Gender,psychological well-being and somatic cardiovascular risk factors

The purpose of this study is to determine associations between cardiovascular risk factors and subjective experience of psychological general well-being with special reference to gender-related differences. One hundred fifty white-collar workers in a car manufacturing plant in Sweden participated in a health care screening program. Subjective experience of psychological well-being was significantly correlated with cardiovascular risk factors among both men and women. There were, however, marked differences between the genders. For men, the following specific psychological variables were significantly correlated with cardiovascular risk factors: estimation of general health, anxiety, self-control and vitality. For women, more complex significant relationships between the two sets of variables were found. Moreover, the direction of the correlations differed between the genders. For example, men with cardiovascular risk factors, such as increased blood pressure, blood lipids and body mass index, reported significantly morepositive estimation of their general health. For women the relation was the opposite with a significantly positive correlation (p-0.004) between experience of good health and a low risk factor profile indicating the concordance between physiological and psychological parameters. Possible reasons for these sex differences are discussed.     

Requiem for “schizophrenia”

In this article a brief overview of the treatment of chronic psychosis for the last two centuries is covered, with particular emphasis on many scientifically demonstrated causes of chronic organic psychosis and their medically successful treatment, including recent neurotransmitter manipulations. With respect for the important contributions of Bleuler, the term “schizophrenic” is considered as an unscientific and unprovable nosological construct, which has hampered the successful resolution of chronic psychosis and has outlived its usefulness in the lexicon of modern psychiatry.     

Sensation seeking, augmenting-reducing, and absolute auditory threshold: a strength-of-the-nervous-system perspective

The following measures were obtained from 42 student volunteers: the General and the Disinhibition subscales of the Sensation Seeking Scale (Form IV), the Reducer-Augmenter Scale, and the Absolute Auditory Threshold. General sensation seeking correlated significantly with the Reducer-Augmenter Scale, r(40) = .59, p less than .001, and the Absolute Auditory Threshold, r(40) = .45, p less than .005. Both results proved general across sex. These findings, that high-sensation seekers tend to be reducers and to lack sensitivity to weak stimulation, were interpreted as supporting strength-of-the-nervous-system theory more than the formulation of Zuckerman and his associates.     

Factor analysis of the interpersonal trust scale with a noncollege population

This study tested the invariance of the factorial structure of Rotter's Interpersonal Trust Scale (ITS) in a noncollege population. Exploratory factor analysis of the responses of 214 volunteers yielded three factors interpreted as Exploitation, Sincerity, and Institutional Trust. This factor solution was cross-validated in a confirmation sample of 196 volunteers. Cosines between corresponding factors were high across samples and across sex. The similarity was pointed out between the present factor structure and the results of earlier studies with college students. Implications for possible refinement of the ITS were discussed.     

The importance of inhalation volume when measuring smoking behavior

Theoretical and technical considerations of measuring puff and inhalation volumes during cigarette smoking are reviewed. Measures of smoking behavior using a flowmeter and inductance plethysmography are described and demonstrated with seven subjects smoking over a 3-to 4-h period. Puff volume and duration, inhaled volume and duration, interpuff and intercigarette interval, and number of puffs varied for each individual over the session. The ratio of puff volume to inhaled volume changed with successive cigarettes. Smokers adjust the concentration of smoke by blending air with the smoke. Thus, to completely characterize smoking behavior, the volume of smoke and air inhaled into the lungs must be measured directly.