Psychotherapy with families of psychosomatic patients

Paradigmatic complexes in family psychotherapy have been indicating a revolutionary change and the creation of new paradigms for the past thirty years. Starting with the application of the general systems theory and the development of those concepts that have been emerging regarding psychosomatic illnesses we discuss the epistemological confusion created, the methodological problems and the dissociation between theory and practice. We suggest a double process of investigation of the family structure using a knowledge of the basic attitudes and the development of a psychotherapy programme within the family of the psychosomatic patient.     

Decision-makers use social information to update their preferences but choose for others as they do for themselves

People's risky decisions are susceptible to the social context in which they take place. Across three experiments using different paradigms, we investigated the influence of three social factors upon participants' decisions: the recipient of the decision-making outcome (self, other, or joint), the nature of the relationship with the other agent (friend, stranger, or teammate), and the type of information that participants received about others' preferences: none at all, general information about how previous participants had decided, or information about a specific partner's preference. We found that participants' decisions about risk did not differ according to whether the outcome at stake was their own, another agent's, or a joint outcome, nor according to the type of information available. Participants did, however, adjust their preferences for risky options in light of social information.     

Neighborhood predictors of hopelessness among adolescent suicide attempters: preliminary investigation

The role of neighborhood factors in predicting hopelessness among adolescent suicide attempters was examined in this study. Forty-eight adolescents who attempted suicide were administered measures of hopelessness and depression. Family socioeconomic status (SES) was calculated based on family demographics and characteristics of neighborhood context were examined using a geocoding software package. Adolescents who lived in neighborhoods with weak social networks reported higher levels of hopelessness, even after controlling for SES and depression. These preliminary findings suggest that environmental context may play a role in the emotional status of adolescents who attempt suicide.     

Concurrent validity of the Personality Assessment Inventory Alcohol Problems (ALC) Scale in a college student sample

The concurrent validity of the Alcohol Problems scale (ALC) was investigated in a college student sample (N = 200). The relationships between the ALC and associated features of alcohol problems (e.g., consumption patterns, expectancies, maladaptive coping, and stress) were examined. The validity of the ALC for identifying clinically significant alcohol problems (assessed with the Structured Clinical Interview for the fourth edition ofthe Diagnostic and Statistical Manual of Mental Disorders) was also examined. The ALC was related to the associated features and was a valid indicator of alcohol problems. T scores of 80, 85, and 90 had superior hit rates for alcohol abuse; and scores of 80, 85, and 90 had superior hit rates for alcohol dependence.     

Recommendations for the Treatment of Hypochondriac Patients

Hypochondriasis is a debilitating condition in which patients are persistently preoccupied with the possibility of being seriously ill. Its is a costly problem for the health care system whose treatment has not received systematic attention until recently. Although based on few controlled studies, results indicated that various brief cognitive-behavioral techniques produce significant changes in illness fears and attitudes. A list of therapeutic questions that require further study is presented and some indications for both therapists and patients are given.     

Numerical stroop effect

2 male and 2 female students from an undergraduate class in experimental psychology were participants in a numerical Stroop effect experiment. Mean age for the students was 19.5 yr., with a SD of 2.4. The Stroop effect was investigated with a numerical, as opposed to a color, task. The four conditions were Symbols (-, + + +, ===, ::, :::), versus Alphabetic Characters (C, AAA, DD, BBB, DDD), versus Matched Digits and Number of Digits (1, 4444, 333, 22, 4444), versus Mismatched Digits and Number of Digits (2, 1111, 444, 33, 3333). Participants took longer to count Mismatched Digits than Symbols or Alphabetic Characters (analogous to the color Stroop effect). Participants took longer to read Mismatched Digits than Alphabetic Characters (analogous to the color reverse Stroop effect). Participants took less time to read or count Matched Digits than Alphabetic Characters (facilitation effect).     

Latent inhibition disruption by MK-801 in a conditioned taste-aversion paradigm

N-Methyl-D-aspartate (NMDA) receptors appear to be involved in CS processing and memory consolidation. The present paper analyzed the effect of the non-competitive NMDA receptor antagonist Dizocilpine maleate (MK-801) on Latent Inhibition (LI)-retarded learning of a CS-US association after to-be-CS preexposures at time of testing, using Wistar rats as experimental subjects. If NMDA receptors are involved in CS processing, MK-801 administration should affect LI. In fact, previous experiments revealed that a 2.0mg/kg MK-801 dose, administered 20 h before preexposure and conditioning, abolished LI in a conditioned taste-aversion paradigm. In the present paper, MK-801 (0.2 mg/kg) was either injected after preexposure, after conditioning, or after both preexposure and conditioning stages. LI was abolished when MK-801 was injected after preexposure, but not when it was injected after conditioning. These results support the role of NMDA receptors in CS processing and memory consolidation.     

Pavlov in America: a heterodox approach to the study of his influence

This work presents a critical analysis of Pavlov's influence that goes beyond the conventional view: that which reduces his influence in American psychology to the behaviorism of Watson and Hull. In order to understand the nature of the Russian physiologist's influence in American psychology, we propose a distinction between three approaches to it: 1) the symbolic approach, on representing a model of the possibility of constructing an objective psychology; 2) the methodological approach, given the importance of the technique of conditional reflexes; and 3) the theoretical approach, which is derived from his theory of higher nervous activity. This perspective permits us to suggest that most of Pavlov's influence on behaviorism was of a symbolic and methodological nature--though the methodological influence also reached other authors that did not belong to the behaviorist traditions, as was the case of Mateer. As far as the theoretical influence is concerned, our work proposes that it is more visible in authors such as Gantt and Liddell, or even in authors such as Boldirev, Director of the Pavlovian Laboratory at the Battle Creek Sanitarium in Michigan. The case of Gantt is especially interesting because, in addition to his important contributions, he played an essential role in the foundation of the Pavlovian Society, and the journal Conditional Reflex. What our work proposes is that to understand the nature of Pavlov's influence in American psychology it is necessary to take into account the very characteristics of that psychology: its pragmatic interests, its methodological rigor, the dominant systems of neo-behavioral theory and the changes that occurred after the Second World War.     

Adolescent Substance Use: Preliminary Examinations of School and Neighborhood Context

In considering the influences of microsystems on adolescent substance use, familial and peer contexts have received the most extensive attention in the research literature. School and neighborhood settings, however, are other developmental contexts that may exert specific influences on adolescent substance use. In many instances, school settings are organized to provide educational services to students who share similar educational abilities and behavioral repertoires. The resulting segregation of students into these settings may result in different school norms for substance use. Similarly, neighborhood resources, including models for substance use and drug sales involvement, may play an important role in adolescent substance use. We briefly review literature examining contextual influences on adolescent substance use, and present results from two preliminary studies examining the contribution of school and neighborhood context to adolescent substance use. In the first investigation, we examine the impact of familial, peer, and school contexts on adolescent substance use. Respondents were 283 students (ages 13 to 18) from regular and special education classrooms in six schools. Although peer and parental contexts were important predictors of substance use, school norms for drug use accounted for variance in adolescent use beyond that explained by peer and parental norms. Data from a second study of 114 adolescents (mean age = 15) examines neighborhood contributions to adolescent substance use. In this sample, neighborhood indices did not contribute to our understanding of adolescent substance use. Implications for prevention are presented.     

Using the structural analysis of social behavior (SASB) to differentiate young adults with borderline personality disorder features.

The present experiment investigated the ability of the Structural Analysis of Social Behavior (SASB) Intrex questionnaires to differentiate nonclinical samples of young adults with features of either borderline personality disorder (BPD), schizotypal personality disorder (SPD), or no personality disorder (no PD). A number of significant differences were demonstrated on the SASB Intrex questionnaires when comparisons were made between the BPD and no PD samples. These results are consistent with those reported in an earlier investigation of BPD using SASB in a clinical sample. Few differences were found between the SPD features sample and the other two samples. These results are not consistent with previous findings that have differentiated BPD and SPD in clinical samples. The results are discussed in terms of the possible implications for SASB to differentiate BPD, the use of nonclinical samples in personality disorder research, and dimensional models for conceptualizing personality disorders.