The individual interview in couples treatment

This paper describes the use of concurrent individual and conjoint sessions in couples psychotherapy. The introduction of these individual interviews is seen as supporting the individual changes which must be made to effect change in the structure of the relationship. The benefits of this interventive scheme in dynamically oriented couples' treatment will be illustrated through the presentation of case examples.     

Chest pain without coronary artery disease: An exploratory comparison with panic disorder

Recent reports have indicated similarities between patients with persistent chest pain of nonorganic origin and patients with panic disorder. In order to explore this association further, we administered a structured interview and three self-report measures (State-Trait Inventory, Beck Depression Inventory, and SCL90-R) to three subject groups: (1) a sample with persistent chest pain (CP; n=14) who had been screened and found to have normal coronary arteries, (2) a sample of patients with panic disorder (PD; n=14), and (3) a sample of matched normals (n=14). CP patients were considered to be free of coronary artery disease (CAD) following normal cardiac catheterization and/or normal thallium stress tests and were not diagnosed initially with panic disorder. PD patients were diagnosed with a standardized psychiatric interview and were free of organic causes of panic. Using an exploratory data analytic approach, the results indicated that both CP and PD samples reported increased levels of state and trait anxiety (p <.0001), depression (p <.01), and somatization (p <.0001) compared with normals. CP patients differed from PD patients in their less frequent use of anxiolytic medication (p <.01) and lower levels of reported panic anxiety and phobic avoidance (p <.0001). These data suggest that persistent chest pain in the absence of CAD shares some features with panic disorder, yet differs from panic in key ways as well. The results are discussed in light of the role of anxiety in contributing to symptom labeling.This research was supported by Grant 86G-491 from the American Heart Association, Texas Affiliate, to J.G.B. H.T. is the recipient of USPHS Research Career Development Award K04-HL-0122246.     

The written summary in group psychotherapy revisited

This paper addresses the use of the weekly written summary with patients in group psychotherapy. In an effort to stimulate group process and effect cotherapist communication, the authors instituted this group recording in an ongoing psychodynamically oriented mixed adult group. While the utilization of this device did, in fact, stimulate the group process and became an important part of the group's life, the therapists additionally saw significant effects upon their working alliance. These included increased focused dialogue upon group dynamics, more purposeful planning for group interventions, and heightened awareness of the significance of interventions in the group.Ms. Bosman-Clark is formerly Clinical Instructor, Department of Psychiatry, Baylor College of Medicine.     

Sex differences on the revised Beck Depression Inventory for outpatients with affective disorders

The revised Beck Depression Inventory (BDI) was administered to 174 male and 276 female psychiatric outpatients diagnosed with affective disorders. The mean BDI scores, mean number of symptoms claimed, and corrected item-total correlations were comparable for both sexes, and the coefficient alpha for each sex was .88. Principal components analyses found four dimensions of depression underlying both sexes' BDI item-intercorrelation matrices. Although men and women had comparable dimensions with respect to weight loss, self-blame, and somatic-performance symptoms, men had affective and performance symptoms loading on the same factor, whereas women had affective and cognitive symptoms loading on the same dimension.     

Identifying the psychopath: The relation of Cleckley's criteria to the interpersonal domain

The relationship between interpersonal behaviour variables has been shown to be defined by a circular ordering, or circumplex, within the framework of a two-dimensional space. It is proposed that Cleckley's criteria of psychopathy represent one axis of this system, hostility vs warmth. It is also proposed that these criteria alone are not sufficient to identify a homogeneous group of deviant persons. Observer ratings of the behaviour of institutionalized mentally-disordered offenders were obtained for Cleckley's criteria and for behavioural dimensions of impulsive aggression and sociability. Cleckley's criteria were found to describe a unitary dimension whose relationship to other variables was consistent with the circumplex model. Cluster analysis of the ratings identified two distinct groups of high scorers on Cleckey's criteria, who were also significantly differentiated by self-report personality variables. Only one of these groups showed the combination of lack of warmth or affection and lack of behavioural control which several investigators consider necessary to define psychopathy. Relationships among individual rating items and some of the personality variables closely approximated the expected circular ordering. Reference to this interpersonal circumplex appears to reconcile some of the differences in current conceptualizations of psychopathic personality.     

Neuroticism,life stress and concern about eating,body weight and apperance in a non-clinical population

Studies with clinical populations have shown a high level of neuroticism amongst those with an eating disorder. It is unclear however whether the elevated neuroticism is a function of the disorder, or if it is an aetiological factor in the disorder's development. The present survey of a non-clinical female population revealed that those high in neuroticism gave higher—but not abnormally high—scores on a measure of concern about eating. The high-N group also reported a significantly greater number of undesirable life events; a greater familiarity with ‘diet literature’; increased dieting; but no difference in body weight from those in the middle and lower ranges on the N scale. On the basis of these findings it is suggested that neuroticism is an aetiological factor in disordered eating, at least with secondary if not primary disorders. It is propesed that neuroticism is one mediating psychological factor in a triadic relationship between personal environment contingencies, socio-cultural pressures for thinness and psychological variables. Suggestions are made for future investigation of the role of neuroticism in eating disturbance, with note of potential therapeutic application of such knowledge.     

Lay knowledge of eyewitness behaviour: A British survey

One of the recent concerns in the study of eyewitness memory is how well lay knowledge, i.e. ‘common sense’, matches the findings of empirical research. A number of American and Canadian studies, some using questionnaire methodology, have found limitations in lay knowledge of eyewitness behaviour. Further studies have extended this general finding beyond the lay public–who are prospective jurors–to legal professionals such as lawyers and policemen. The present study utilized the Knowledge of Eyewitness Behaviour Questionnaire (KEBQ), an inventory used in previous studies, to replicate the North American studies with a British sample of students, including law students, and the general public. The results showed a great similarity between the North American and British samples' knowledge of eyewitness behaviour. A significant number of correct responses were made to eight of the 14 KEBQ items, with a significant number of incorrect responses to the remainder. It was also found that law students were no more knowledgeable than other subjects; that knowledge did not vary with age; and that previous experience as an eyewitness was not related to knowledge of eyewitness behaviour. In responding to some of the criticisms of questionnaire studies it is argued that the evidence is mounting in favour of the need for a recognized system to make jurors aware of the factors known to influence eyewitness testimony.     

Initial environment influences amphetamine-induced stereotypy: subsequently environment change has little effect

Saline-treated and amphetamine-treated (7 mg/kg, ip, immediate) male rats from a Sprague-Dawley substrain were observed in two test environments designed to elicit different investigative responses in normal rats. Snout contact with the substrate was generated by placing the rat in a small enclosed cage. Absence of snout contact was induced by placement of the rat on a square elevated platform. Detailed ethological records were kept of locomotion, rearing, sitting, grooming, gnawing, and sleeping throughout the 90-min session. Amphetamine-treated rats incorporated environmentally contingent bodily postures into their forms of stereotyped behavior. The postures were characteristic of those evinced initially by the saline-treated rats in the same test environment. The control rats showed appropriate changes in their investigative behavior when the apparatus was changed at 10 and at 30 min postinjection. The amphetamine-treated rats, however, were completely unresponsive to such changes at 30 min and only partially so at 10 min postinjection. It was concluded that there is a temporal gradient of decreasing readiness to modify repetitive behavior after a single, large dose of amphetamine.