Who uses community mental health centres? A study of one health district

A caseload analysis was undertaken to investigate those clients seen by five community mental health centre teams within one healthcare district. The 985 clients are described in terms of demographic and clinical features and questions relating to service provision are discussed.     

Recognition and recall of invisible objects

Three experiments examined recognition and recall of items that people imagined as being invisible. When one item hid another, the hidden item suffered in recognition, but so did the one that remained visible; the demand to imagine items invisibly made both items less recognizable than in control conditions. Cued recall did not depend on whether the visible item or the invisible item was the cue, but it did depend on whether the initial task required relational processing of the items. When both items were invisible in a dark imaginary scene, there was a general loss in all measures of memory, including memory for the scene. None of the results requires recourse to the “out of sight, out of mind” principle that memory depends on the visual characteristics of images. The results attest, instead, to the importance of the informational characteristics of memorial records.     

Stress,Coping and Adjustment in Victims of Sexual Assault: The role of psychological defense mechanisms

The paper considers sexual abuse within a stress and coping framework with particular emphasis on victim-initiated psychological defense mechanisms in the recovery process. Analysis of case history data from 40 adolescent victims of sexual abuse indicated that 90% used psychological defense mechanisms, particularly repression, emotional insulation and rationalisation. The paper explores the usefulness of such mechanisms from a theoretical and applied perspective and compares these Singaporean findings with earlier research conducted in the United States.     

Assessing the relationship of Type A beliefs to cardiovascular disease risk and psychosocial distress

Investigators have begun to take a multimodal approach to the assessment and treatment of psychosocial risk factors for cardiovascular disease (CVD). For instance, cognitive responses have become the focus of contemporary research along with continued examination of overt Type A behaviors. Price (1982) has outlined a set of beliefs purportedly associated with Type A behavior and subsequent CVD risk. The current study examines the validity of this belief set as represented by a newly developed measure, the Type A Cognitive Questionnaire (TACQ). Subjects were 221 employed adults participating in a worksite CVD risk reduction program. They completed the TACQ as part of a pretreatment CVD risk screening protocol. As hypothesized, TACQ scores were significantly associated with Type A behavior, hostility, physiological mediators of CVD, and psychosocial distress. Discussion addresses continued refinement of the Type A belief construct.     

Salkovskis on obsessional-compulsive neurosis: a rejoinder

Salkovskis (Behav Res. Ther. 27, 677–682, 1989) presents a development of his 1985 account, together with empirical findings. A number of criticisms of this work are presented.