Reflections on group psychotherapy with eating-disordered patients

This paper addresses some of the dynamics, resistances, and transference and countertransference considerations in group psychotherapy with eating disordered patients. Several resistances are delineated, including guilt over being helped, the recreation of early problems around control and forced feeding, and withdrawal as a defensive operation. A brief vignette is presented which highlights the demand on the part of the therapist as well as the patient to contain and manage feelings rather than acting on them. Lastly, the author argues that group participation helps the patient to identify, articulate, and accept feelings and to promote assertiveness.This paper is based on a presentation given at the Training Institute for Mental Health on May 11, 1991.     

An exploratory study of videotapes of long-term group psychotherapy of outpatients with major and chronic mental illness

This study explored patterns emerging in videotaped sessions of group psychotherapy with seven outpatients of a large mental health facility. The 22 sessions spanned the 12th to 27th months of the group's existence. Group members had long histories (25–50 years) of symptoms characteristic of schizophrenia. Each session was rated on the Group Environment Scale. One session from a group in its earlier stages was also rated on the same instrument to give some indication of baseline patterns. Analyses of changes across the 15 months were not statistically significant. However, some GES subscales, including Cohesion, Independence, and Self-Discovery, showed relatively high mean levels across the 15-month period. These elevations are discussed as suggesting the codevelopment of orientations that have sometimes been viewed as incompatible and unattainable for schizophrenics. Interpreted clinically, the GES patterns help to elaborate recent findings about the relatively good success of long-term group therapy with such populations. The study, although merely suggestive, illustrates the potential for gleaning solid and clinically useful data from group psychotherapy research.The authors would like to thank Drs. Jill Rierdan, Nina Fieldsteel, Joseph Christy, and an anonymous reviewer for their suggestions, Kendra Bryant for serving as the reliability rater, and Janet Eltinge for her skilled videotaping.     

An intergenerational analysis of expectations for women's career and family roles

This study examined the career and family role expectations and attitudes of women university students and both of their parents. Data collected from 292 families revealed that most daughters and their parents were traditional in their attitudes toward mothering, held somewhat egalitarian attitudes toward marital roles, and generally expected daughters to experience little frustration regarding future career and family roles. Differences and similarities among daughters, mothers, and fathers as well as between intact and dissolved families of various SES were examined. Implications of findings and suggestions for future research were discussed.This research was supported by grants from the University of Rhode Island Council on Research and from the College of Human Science and Services. Portions of this paper were presented at the National Council on Family Relations annual meeting, New Orleans, Lousiana, November, 1989 and at the Eastern Sociological Society annual meeting, Providence, Rhode Island, April, 1991. The authors thank Mary Ellen Reilly for her encouragement and assistance.     

立体视觉的心理物理和VEP比较研究

心理物理试验是研究立体视觉的主要方法。70年代VEP开始用于体视研究,并取得许多结果。由于VEP信号复杂,这些结果不能令人满意。本文使用心理物理试验和VEP对比方法对体视加以研究。我们的结果是:VEP波形中第一个正峰与刺激图形的亮度有关;N_2峰和P_3峰的潜伏期对判断体视存在与否有重要价值;本试验确定N_2峰潜伏期在体视存在时约为240ms—280ms,无体视存在时约为290ms—310ms;P_3峰潜伏期在体视存在时约为280ms—310ms,无体视存在时约为340ms—360ms;体视存在时的VEP与无体视存在时的VEP的互相关系数小于0.1;有体视的VEP其功率谱密度在8Hz附近有一峰;心理物理试验中使用强制选择得到的结果从VEP波形比较中可以确认是可靠的;有体视的VEP其N_2和P_3的潜伏期随视差变化呈现规律性改变。     

Gender and temporal differences in identifying sources of stress

Much of the methodology in stress research focuses on stress manifestation and organismic reactions to life’s crises. In contrast, the present study sought to identify the major sources of stress and the nature of those sources. The results revealed a consistent pattern in high and low stressors throughout the 3-year period of the study, and differences only of intensity between males and females, not type of stress. Except for individuals’ temporal variations in critical events, the highest stressors for the groups were external, primarily financial and time management. Internal sources, such as personal relationships and self-absorption, were typically the lowest concerns. Everyday problems arising from current life styles seem to be significant sources of stress.     

Recidivism of disordered offenders who were conditionally vs. unconditionally released

Postinstitutional arrests and state hospitalizations of 191 patients placed on conditional release (CONREP group) were compared to those of 44 patients released from the same California state hospital with no aftercare due to expiration of commitment terms (MAXOUT group). The two groups were not randomly determined but were comparable in demographic characteristics and rates of preprogram arrest. The CONREP group had a significantly lower community-period arrest rate than did the MAXOUT group (p <.001). Survival rate analyses, using time until arrest and time until revocation as dependent variables, suggested that revocations during the first 240 days of community re-entry reduced the potential arrest rate within the CONREP group. Results were discussed in terms of the “criminalization hypothesis” as well as the crime-preventive possibilities of the conditional release mechanism.     

Representation by counsel: Right or obligation?

Since the Supreme Court's decision in Faretta v. California (1975), courts have generally permitted defendants to represent themselves, as long as they are competent to do so. The problem lies in the definition of competency to waive counsel, which has been vaguely defined by the courts. Little is known about the frequency of, or reasons for, attempts to waive counsel, about the process of forensic evaluation of such competency, and about the success of such attempts. The authors briefly review the case law on competency to waive representation, report on a longitudinal prospective study of these issues in a population of defendants referred to an inpatient forensic facility for evaluation of all types of competency related to their criminal prosecutions, and discuss the significance of the issue for forensic clinicians. A key question for courts, lawyers, and clinicians is whether a competency evaluation can be invoked to overcome a defendant's constitutional rights to self-representation and bail.     

个人化设计在临床研究中的应用——从个体角度研究个体差异

本文从有关研究证据的基础上,介绍了个人化设计的理论基础和实验设计,并在此基础上讨论了个人化设计在临床研究领域中的应用价值,总结出一种适合临床病人使用的研究程序。个人化设计允许对个体的个人价值进行分析,并能同时研究不同刺激信息的作用,在个体水平上分析个体差异。通过简化了的实验程序,个人化设计为解决临床研究中的问题提供了一种新的思维方式。文中还对相关研究法的局限进行了讨论。