Political families in therapy: The impact of media coverage and therapeutic issues

Many political families are ultra cautious about seeking therapy because of the stigma it carries in the political arena. Various cases on record show where an aspiring political candidate's chances to run for high elected office were destroyed because of publicity over her or his involvement in therapy. Nonetheless, members of families in politics do seek treatment and bring with them their idiosyncratic circumstances. This article attempts to provide an interior view of the politician's family life as seen in the therapist's sanctuary and a consideration of how media coverage may impact politician and family. Clinical data and information from interviews with six acquaintances whose main occupation is politics are presented. It is hoped that the data will enable therapists to understand and treat political families more effectively.Florence Kaslow, PhD, is director of Florida Couples and Family Institute in West Palm Beach. She is a visiting professor of medical psychology in psychiatry at Duke University Medical Center in Durham, NC, and a visiting professor of psychology at Florida Institute of Technology, Melbourne, FL.     

Indiscriminate mothering as a contextual factor in aggressive-oppositional child behavior: “Damned if you do and damned if you don’t”

Fifty-two mother-child dyads took part in a parent training program to modify coercive, antisocial child behavior. Prior to intervention, scores on 14 measures of mother-child interaction and on an index of maternal community contacts (known as insularity) were obtained for each dyad. This index was used to divide the sample into two groups (noninsular) n=21; insular n=31). The interactional measures were then compared between the groups. Insular mothers were more aversive and indiscriminate than noninsular mothers in their use of aversive behavior toward their children, while their children were more aversive than noninsular children, especially in response to aversive maternal behavior. It was concluded that research and therapeutic work with deviant families should focus not only on immediate family interactions but also on the extrafamily environment in which these interactions take place.The research data reported in this paper were generated with support of Grant No. R01-1068-58 from the National Institute of Mental Health, Crime and Delinquency Section. The first author conducted the research while supported by a grant from the University of Lausanne, Switzerland, and the Swiss National Fund for Scientific Research.     

Le role de la convention dans l'espace d'un observateur isolé

Sommaire L'édification spatio-temporelle dont se sert un observateur isolé pour représenter ses résultats de mesures comporte la construction d'un espace physique qui, quoique non catégorique, est applicable sur l'espace euclidien à trois dimensions. Aucun argument ne permet de décider si l'espace est euclidien ou non euclidien. Les expériences permettent seulement à l'observateur d'affirmer que l'espace est pratiquement euclidien en son voisinage.     

One-session cognitive treatment of dental phobia: preparing dental phobics for treatment by restructuring negative cognitions

The purpose of this study was to investigate the effectiveness of a single session of cognitive restructuring in a sample of phobic dental patients. Fifty-two patients were randomly assigned to one of three conditions: cognitive restructuring (modification of negative cognitions), provision of information (about oral health and dental treatment), and a waiting list control condition. Both interventions maximally lasted one hour. In comparison with the waiting list control condition and the information intervention condition, the cognitive intervention condition not only showed a large decrease in frequency and believability of negative cognitions, but also exhibited a clear decline in dental trait anxiety. Analysis at a follow-up of one year demonstrated a further, drastic reduction in dental anxiety in both intervention conditions, wherein the difference among these conditions was not maintained. It is concluded that it is possible to obtain substantial reductions of dental trait anxiety through a single session of cognitive restructuring. Nevertheless, repeated exposure to the dental situation seems necessary for a further reduction of anxiety.     

Dissociation of implicit and explicit memory tests: Effect of age and divided attention on category exemplar generation and cued recall

In this article, we report an experiment that provides further evidence concerning the differences between explicit and implicit measures of memory. The effects of age and divided attention on the implicit conceptual test of category exemplar generation (CEG) were compared with their effects on the explicit test of cued recall, where the category names served as cues in both tasks. Four age groups (20–35, 40–55, 60–75, and 76–90) were compared. Half of the subjects were also required to carry out a secondary letter-detection task during the learning phase. Cued recall performance was significantly impaired by increased age and imposition of the secondary task. In contrast, the CEG task was unaffected by these two factors. These results suggest that implicit conceptual tasks and explicit memory tasks are mediated by different processes. This conclusion opposes those of previous studies that showed that experimental manipulations (level of processing, generation, organization) influenced these two kinds of memory tests in a similar way.     

Long term marriages in Sweden: And some comparisons with similar couples in the United States

This international, five-country long term marriages study of couples who have been married, or unmarried and cohabiting, for 20 years or longer is designed to study, among other things, marital satisfaction. This first report of the Swedish part of the study reports on a Swedish version of the self-rating Dyadic Adjustment Scale (DAS) used to investigate self-rated marital satisfaction. The couples describe high marital satisfaction and a high sense of coherence (SOC) compared to other groups. Contrary to other studies, no differences were found between men and women regarding SOC. The differences between them, that describe high relative to low marital satisfaction, pertain to matters of recreation, sex, life philosophy, time spent together, and frequency of quarrels. The men reported greater marital satisfaction than the women.     

Measuring How We Preach What We Practice: Psychoeducational Change in Depressed Inpatients

This study investigated the relationship between acquisition of psychoeducational principles and symptomatic improvement in depressed in-patients. One hundred and twenty-three inpatients hospitalized on a Cognitive Therapy Unit were administered the Test of Cognitive Behavioral Principles (TCBP) and the Beck Depression Inventory at admission and discharge. It was predicted that the TCBP scores would be higher at discharge than at pre-testing at admission. Further, it was hypothesized that the higher TCBP scores at post-test would be significantly correlated with lower Beck Depression Inventory scores at post-test. The results revealed that inpatients' TCBP scores improved over the course of treatment supporting the first hypothesis. However, the data did not support the second hypothesis as there was not a significant relationship between the TCBP scores and the BDI scores at discharge. The results are discussed in terms of clinical, theoretical, and methodological implications.     

Toward an integrated approach to early childhood stuttering

This article proposes a model that integrates various factors influencing early childhood stuttering. The factors interact in a synergistic manner and can be subsumed under three macrofactors: physiological, psycholinguistic, and psychosocial. Such a model can be clinically applied toward an integrated approach to the assessment and treatment of the young stutterer.     

Cognitive styles in the development of medical careers

Recent research has shown that academic choice and achievement may be partly a function of the student's standing on the field-dependence-independence cognitive-style dimension. The results of two longitudinal studies suggest that information about field dependence-independence may be of value for student guidance in the medical setting. The first, a study of college undergraduates who early expressed an interest in medicine, showed that these cognitive styles play a discernible role in determining who will eventually enter medical school. The second, a study of medical students, showed that field-dependent and field-independent students subsequently tend to choose different medical specialties. These results are consistent with cognitive-style theory, which proposes that field-independent people will choose vocations that require cognitive restructuring skills, whereas field-dependent people will choose vocations that require greater social-interpersonal involvement.