When More is Better than Less; Three Theories of Psychosis—Projection, Double Bind, and Possession

Three psychological theories of psychosis are described, each of which has standing in psychiatry. Defined by the terms projection, double bind, and possession, they initially appear to have little or nothing in common to explain psychosis, but converge at four points: (1) A high degree of anxiety precipitated by a dilemma or conflict perceived to be unsolvable by the person; (2) the anxiety triggers a shift from one thought or motive in the direction of its opposite, because the original was believed too antagonistic to the wishes of significant others; (3) the opposite, in order to remain opposite, requires that the original thought or motive be forgotten, (4) a singular means to produce and reinforce forgetting is the interposition of psychiatric symptoms. In psychiatry today treatment would fit more consistently with the three theories taken as a whole rather than any one, and a rationale for this viewpoint is elaborated.     

Sexual responding of “nonrapists” to aggressive sexual themes: Normative data

The present study presents data relevant to the sexual responding to aggressive cues of a large sample of nonrapist males recruited from the community. Two hundred three subjects received physiological assessment of sexual arousal to heterosexual and rape stimuli. Results indicated that under instructions not to interfere with sexual responding, approximately 80% of the nonrapists would be correctly classified, which was significantly different from chance. However, under instructions to suppress arousal, classification was no better than chance. The rape index was not related to age, socioeconomic status, sexual experience, or amount of arousal shown in the laboratory. However, there was a small but significant relationship to IQ. Overall, the data suggest that for instructions not to interfere with responding, the error rate seen in this larger-scale sample was equivalent to that in previous studies using smaller normative samples and that classification in general is not biased by the subject characteristics measured in this study.Portions of this project were supported by USPHS Grant MH-34030-02 from the Center for the Studies of Crime and Delinquency and by Tennessee Department of Mental Health and Mental Retardation Research Contract ID-0783 to the Department of Psychiatry.     

Behavioral coaching in the development of skills in football, gymnastics, and tennis

A review of the literature indicates that methods of skill acquisition based on the operant paradigm have been scientifically validated with many motor behaviors. However, these procedures have been limited to the use of positive reinforcement for correct performance when applied to the acquisition of complex sports skills in natural settings. To find complementary procedures to enhance skill acquisition, a coaching method involving several behavioral techniques was developed that focused on remediation of errors. This coaching method combined the following components: (1) systematic use of verbal instructions and feedback, (2) positive and negative reinforcement, (3) positive practice, and (4) time out. Three sports, football, gymnastics, and tennis, were selected to determine the effectiveness and generality of this behavioral coaching method. A total of 23 male and female subjects, ranging in age from 11 to 35, was included in this study. Baseline data were first collected for each sport under standard coaching conditions. Next, the behavioral coaching method was evaluated depending on the sport in either a multiple baseline or a reversal design. The behavioral dimensions selected were blocking in football; backward walkovers, front hand springs, and reverse kips in gymnastics; and the forehand, backhand, and serve in tennis. Behavioral coaching was immediately effective in increasing the correct execution of complex skills in all three sports. Gains of up to 10 times the baseline performance were achieved in each sport. In football, behavioral coaching resulted in an increase in correct blocking performance from a baseline average of 5% to 51.3%. Gymnasts' performances increased from baseline averages of 2.7% to 52.6% across the three skills. In tennis, standard coaching produced an average of 6% correct performance which increased dramatically under behavioral coaching to 57% across the three strokes. The success of the behavioral coaching package used here suggests that a technology of behavior may offer additional and complementary strategies to the acquisition of motor skills in the natural environment.     

Essential independence and likelihood-based ability estimation for polytomous items

A definition ofessential independence is proposed for sequences of polytomous items. For items satisfying the reasonable assumption that the expected amount of credit awarded increases with examinee ability, we develop a theory ofessential unidimensionality which closely parallels that of Stout. Essentially unidimensional item sequences can be shown to have a unique (up to change-of-scale) dominant underlying trait, which can be consistently estimated by a monotone transformation of the sum of the item scores. In more general polytomous-response latent trait models (with or without ordered responses), anM-estimator based upon maximum likelihood may be shown to be consistent for under essentially unidimensional violations of local independence and a variety of monotonicity/identifiability conditions. A rigorous proof of this fact is given, and the standard error of the estimator is explored. These results suggest that ability estimation methods that rely on the summation form of the log likelihood under local independence should generally be robust under essential independence, but standard errors may vary greatly from what is usually expected, depending on the degree of departure from local independence. An index of departure from local independence is also proposed.This work was supported in part by Office of Naval Research Grant N00014-87-K-0277 and National Science Foundation Grant NSF-DMS-88-02556. The author is grateful to William F. Stout for many helpful comments, and to an anonymous reviewer for raising the questions addressed in section 2. A preliminary version of section 6 appeared in the author's Ph.D. thesis.     

Adolescents' perceptions of friends' and parents' attitudes to sex and sexual risk-taking

This study investigated the association between adolescents' perceptions of parental and peer attitudes towards sexuality and AIDS precautions, and the risky sexual behaviours of 1008 sexually active, heterosexual undergraduate students aged 17-20 years. Students were asked to rate the extent to which their mothers, fathers and friends would agree or disagree with 16 statements reflecting support of the adolescent engaging in sexual behaviour and using sexual precautions, including precautions against AIDS. The adolescents also indicated whether they were sexually active and their level of condom use in both ‘regular’ (or steady) and ‘casual’ relationships. Results indicated that adolescents perceived their parents as non-liberal in their sexual attitudes and relatively unlikely to discuss sex or precautions with them. Parents were viewed as more accepting of their sons' sexual behaviours than of their daughters'. Adolescents believed that peers were more likely to discuss sexuality and precautions than parents, and were more liberal in their sexual attitudes. Adolescent sexual risk-taking was related to the perceived attitudes of significant others in ways which varied across gender and type of relationship. Implications for interventions are discussed.     

Cognitive and physiological indices of sexual arousal in homosexual,bisexual, and heterosexual males

Cognitive and physiological indices of sexual arousal were investigated utilizing groups of homosexual, bisexual, and heterosexual subjects (ten subjects per group) who were presented both homosexual and heterosexual films and slides. The results indicated that both homosexual and heterosexual subjects were able to estimate accurately their degree of erection to the erotic stimuli. Bisexual subjects, however, showed a large discrepancy between the magnitude of actual erection and verbally reported estimates of penile tumescence. In terms of physiological arousal, the erectile responses of the homosexual and bisexual groups were indistinguishable, a finding which questions the existence of male bisexuality as distinct from homosexuality or as a different sexual orientation in males.     

A look,by simulation,at the validity of some asymptotic distribution results for rotated loadings

In the last few years, a number of asymptotic results for the distribution of unrotated and rotated factor loadings have been given. This paper investigates the validity of some of these results based on simulation techniques. In particular, it looks at principal component extraction and quartimax rotation on a problem with 13 variables. The indication is that the asymptotic results are quite good.     

Latinx LGBQ Young Adults’ Coming-Out Experiences

Abstract

Marriage and family therapists (MFTs) must be culturally competent and sensitive to serve the growing Latinx population in the United States (US). To understand the sexual orientation disclosure experiences of Latinx LGBQ individuals, we interviewed 10 individuals. Using Moustakas’ (1994) phenomenology, we identified six themes: disclosure impacts family closeness, family members experience disbelief, control over the disclosure influences young adults’ perception of their coming-out experience, the coming-out experience is influenced by religion, the coming-out experience is influenced by traditional gender roles, and disclosure of sexual identity is a continuous process. We discuss clinical implications and areas for future research.     

Catholic Feminist Ethics Reconsidered

Taking Catholic sexual ethics and liberal feminist ethics as points of departure, this essay argues that both frameworks are ill‐prepared to deal with the moral problems raised by sex trafficking: while Catholic sexual ethics is grounded in a normative understanding of sexuality, liberal feminist ethics argues for women's sexual autonomy, resting upon freedom of action and consent. From a perspective that attends both to the phenomenological interpretation of embodied selves and the Kantian normative interpretation of dignity, it becomes possible to critique both the Catholic and the liberal feminist frameworks of ethics. I argue that Catholic sexual ethics requires a reconceptualization as social ethics in order to meet the challenges of our present time, but that the shift is possible without giving up the moral imperatives of both Catholic and feminist ethics to protect human dignity and women's rights.     

A note on computing Louis’ observed information matrix identity for IRT and cognitive diagnostic models

Using Louis’ formula, it is possible to obtain the observed information matrix and the corresponding large-sample standard error estimates after the expectation–maximization (EM) algorithm has converged. However, Louis’ formula is commonly de-emphasized due to its relatively complex integration representation, particularly when studying latent variable models. This paper provides a holistic overview that demonstrates how Louis’ formula can be applied efficiently to item response theory (IRT) models and other popular latent variable models, such as cognitive diagnostic models (CDMs). After presenting the algebraic components required for Louis’ formula, two real data analyses, with accompanying numerical illustrations, are presented. Next, a Monte Carlo simulation is presented to compare the computational efficiency of Louis’ formula with previously existing methods. Results from these presentations suggest that Louis’ formula should be adopted as a standard method when computing the observed information matrix for IRT models and CDMs fitted with the EM algorithm due to its computational efficiency and flexibility.