How to deal with your most difficult client—You

Conclusion Therapists are human-and, believe it or not, fallible humans. Ideally, they are supremely well infored, highly confident, minimally disturbed, extremely ethical and rarely under- or overinvolved with their clients/Actually, they are hardly ideal. If you, as a therapist, find yourself seriously blocked in your work, look for the same kind of irrational beliefs, inappropriate feelings, and dysfunctional behaviors that you would investigate in your underachieving clints. When you ferret out the absolutistic philosophies and perfectionist demads that seem to underlie your difficulties, ask yoursell—yes,strongly ask yourself—these trenchant questions: (a) Why do Ihave to be an indubitably great and unconditionally lowed therapist?; (b) Where is it written that my clientsmust follow my teachings and absolutelyshould do what I advise?; (c) Where is the evidence that therapymust be easy and that Ihave to enjoy every minute of it?If you persist in asking important questions like these and insist on thinking them through to what are scientific and logical answers, you may still never become the most accomplished and sanest therapist in the world. But I wager that you will tend to be happier and more effective than many other therapists I could—but charitably will not—name. Try it and see!This article is adapted from an invited address presented at the 91 st Annual Convention of the American Psychological Association at Anaheim, Calif., August 1983.     

Recognition and treatment of incestuous families

Incest is a major mental health problem, in terms of both prevalence and morbidity. Father-daughter incest constitutes the majority of reported cases. The possibility of incest should be considered in a family which includes a violent father, a disabled mother, a child in an adult maternal role, or an acting out adolescent girl. Intervention requires recognition of the criminal and addictive aspects of the father's behavior. Active cooperation between mental health professionals and mandated child protective and law enforcement agencies is necessary for effective treatment. Group therapy and affiliated self-help programs appear to be the treatment modality of choice. Rehabilitation of the family is based upon restoration of the mother-daughter bond as a guarantee of safety for the child.     

Depth separation and the Ponzo illusion

The Ponzo illusion refers to an apparent change in length of objectively equal parallel lines induced by enclosure within an acute angle. The present study investigated this illusory change in stimulus extent as a function of the relative depth positions of the parallel lines and the inducing angle. To permit facile and unconfounded manipulation of apparent depth, the stimuli comprising the Ponzo configuration were stereoscopic contours formed from dynamic random-element stereograms. The main results were: (1) apparent depth separation exerted a strong influence on illusion magnitude; (2) this influence was asymmetrical in that illusion magnitude decreased when the inducing angle appeared in depth behind the parallel lines and increased when the inducing angle appeared in depth in front of the lines. These data are consistent with a general theory of space perception that assumes that information about depth position is processed prior to information about stimulus characteristics.     

Transfer of training of a new linguistic contrast in voicing

The present study examined the plasticity of the human perceptual system by means of laboratory training procedures designed to modify the perception of the voicing dimension in synthetic speech stimuli. Although the results of earlier laboratory training studies have been ambiguous, recently Pisoni, Aslin, Perey, and Hennessy (1982) have succeeded in altering the perception of labial stop consonants from a two-way contrast in voicing to a three-way contrast. The present study extended these initial results by demonstrating that experience gained from discrimination training on one place of articulation (e.g., labial) can be transferred to another place of articulation (e.g., alveolar) without any additional training on the specific test stimuli. Quantitative analyses of the identification functions showed that the new perceptual categories were stable and displayed well-defined labeling boundaries between categories. Taken together with the earlier findings, these results imply a greater degree of plasticity in the adult speech processing system than has generally been acknowledged in past studies.     

Perceptual objects and the cost of filtering

The latency of reading a single word is increased by 20 to 40 msec if another object is present in the display. The delay is affected by the spatial organization of the display: a colored frame causes less delay when it surrounds the word than when it is shown on the opposite side of fixation. A small gap in the frame is also more efficiently detected as a secondary task when the frame is around the word than when the two are spatially separate. The advantage of integrated over separate presentation suggests that a “filtering cost” is incurred when two distinct perceptual objects compete for attention. Attention in filtering tasks operates on perceptually distinct objects rather than on nodes in a semantic network.     

Clinical, electroencephalographic and computer tomographic studies of children with West and Lennox-Gastaut syndrome

The results of clinical, electroencephalographic and repeated computed tomographic examination of 14 children suffering from epileptic seizures in connection with the West and Lennox-Gastaud syndrome are analyzed and compared. Computed tomography yields little information regarding the etiology of such forms of epilepsy. Distinct clinical and electroencephalographic findings were accompanied by normal computed tomographic results in a large proportion of the cases. To avoid misinterpretation of computed tomographic findings and consequent prognostic errors in these epileptic cases it is necessary to take possible side effects of ACTH and corticosteroid treatment into account. At the climax of hormone treatment computed tomography revealed imposing changes in the form of generalized atrophy in 10 of the 14 children examined. These receded completely upon termination of hormone treatment.     

A more powerful method for testing for agreement between a judge and a known standard

We assume that a judge's task is to categorize each ofN subjects into one ofr known classes. The design of primary interest is employed if the judge is presented withs groups, each containingr subjects, such that each group of sizer consists of exactly one subject of each of ther types. The probability distribution for the total number of correct choices is developed and used to test the null hypothesis that the judge is guessing in favor of the alternative that he or she is operating at a better than chance level. The power of the procedure is shown to be superior to two other procedures which appear in the literature.The authors are grateful for the suggestions of the referees and for computer funding provided by the Northeast Regional Data Center at the University of Florida.     

Disentangling Type A behavior: The roles of ambition,insensitivity, and anxiety

This study identified stable components of Type A behavior as usually defined, and examined their relationships with more traditional psychological constructs. Overall scores on the most popular Type A measure (a version of the Jenkins Activity Survey) were moderately associated with ambition but largely unrelated to measures of adjustment. An item analysis yielded subcomponents of Drivenness and Involvement. Drivenness was unrelated to ambition, but was positively related to anxiety and negatively related to interpersonal perceptiveness. Involvement was positively related to ambition and to interpersonal competence. It is suggested that the Jenkins Activity Survey measures a heterogeneous mixture of constructive commitment and self-defeating responses that clouds its psychological interpretation.     

Task-specific strategies of mental “rotation” of facial representations

The effects of task demands on the visual comparison of facial patterns and of comparable nonfacial patterns were explored in two studies. The studies yielded two primary findings. First, faces, despite their holistic properties, are not rotated faster than comparable non-face-like patterns, although subjects’ judgments of them were uniformly more rapid than judgments for nonfaces. Second, the nature of the same-different judgment task required of subjects had a large effect on the pattern of results obtained: When stimuli were compared to their mirror images, results indicative of mental “rotation” were obtained. When stimuli were compared on the basis of similarity of individual features, the pattern of results was very different. This one manipulation produced effects that exceeded those of all of the other manipulations, including that of rotation.