Combining cognitive-behavioral therapy and pharmacotherapy in the treatment of pedophilic incest offenders

Treatment programs for incest offenders traditionally do not differentiate between pedophilic and nonpedophilic perpetrators. This oversight has failed to meet the specialized needs of pedophilic incest offenders, who differ from other incest as well as nonfamilial sex offenders in important ways. This paper describes a treatment intervention combining cognitive-behavioral therapy and pharmacotherapy for the specialized treatment needs of the pedophilic incest offender. A case report is presented to illustrate the use of combined treatment and to highlight indicators for this strategy.     

THE EFFECT OF INFORMATIONAL FEEDBACK ON FOOD INTAKE OF ADULT BURN PATIENTS

The effect of informational feedback on the protein and caloric consumption of burn patients was investigated using a multiple-baseline across subjects. The patients were four severely burned adult males who failed to consume sufficient foods to achieve prescribed levels of protein or kilocalories via standard burn unit procedures during recovery. Feedback consisted of informing patients of (a) their prescribed levels of protein and kilocalories, (b) the protein and kilocalorie content of hospital foods and beverages, and (c) their actual intake of protein and kilocalories. Following the provision of feedback, there was an increase in protein and kilocalorie intakes and in the number of days during which prescribed levels for protein and kilocalories were achieved. These results suggest that the informational feedback was effective for improving the oral caloric intake of burn patients.     

Pictorial encoding reduces false recognition of semantic associates

High levels of false recognition can be observed after people study lists of semantic associates that all converge on a nonpresented lure word. To test the idea that encoding distinctive perceptual information would help to reduce false recognition, we presented a line drawing representing each associated word during study list presentation and later tested recognition of studied words and lure words. Two experiments revealed marked reductions in false recognition after pictorial encoding, relative after to word encoding. Results suggest that people reject related and unrelated lures because these items lack the distinctive qualities associated with remembered pictures.     

CLUSTERS PRECEDE SHAPES IN PERCEPTUAL ORGANIZATION

Abstract —Does perceptual grouping require attention? Recent controversy on this question may be caused by a conflation of two aspects of grouping: element clustering (determining which elements belong together) and shape formation (determining cluster boundaries). In Experiment 1, observers enumerated diamonds that were drawn with either lines or dots. These two types of stimuli were subitized (enumerated rapidly and accurately in the range from one to three items) equally well, suggesting that clustering dots into countable entities did not detnand attention. In contrast, when target diamonds were enumerated among distractor squares in Experiment 2. only line-drawn items could be subitized. We propose that clustering and shape formation not only involve different perceptual processes, but play different functional roles in vision.     

Maintenance of mother-child aversive relationships: A fresh look at an old controversy

Data were obtained from 46 mother-child pairs from the Child Behavior Institute (CBI) at the University of Tennessee. These mother-child dyads were referred for psychological help because of the child’s aversive behavior. Child-parent interactions were quantified using a multi-code, observational system. Correlational and multiple regression analyses (stepwise) were conducted to find the best predictor of the child’s aversive behavior. Results showed that the child’s aversive behavior was significantly correlated with the mother’s aversive, indiscriminate, and compliance behaviors. The regression analysis showed mother’s aversive behavior to be the best predictor of the child’s aversive behavior. Moreover, our results seem to point out that the compliance hypothesis is more effective in predicting child aversive behavior than the predictability hypotheses. It appears that since the two hypotheses are dealing with similar processes, they are more complementary than oppositional. This study used data collected by the Child Behavior Institute (CBI) at the University of Tennessee, Knoxville. The authors are indebted to Robert Wahler, Michael Smith, and Sue Dunn for their helpful comments on this paper.     

Identifying emergent leaders in psychotherapy groups

This paper is the second in the series on group development and emergent leadership. It describes the design of a sociometric instrument which will be used for the identification of the four emerging leaders from the perspective of the group participants themselves. These four leaders, Task, Emotional, Scapegoat and Defiant, perform ongoing maintenance functions in the group and take up the critical function of spokesmen in the group's dialectical processing of phase-specific, group level issues. The goal here is to design an instrument which would allow both clinician and researcher to identify these critical persons early in a group's life.Ariadne P. Back is in private practice in Chicago, Illinois.     

Bibliometric Analysis and Visualization of Catholic Health Care Research: 1973–2019

Journal of Religion and Health - A multi-dimensional construct of Catholic health care is examined using a bibliometric analysis of 181 scientific studies from the Web of Science database. Medical...     

The typology of parricide and the role of mental illness: Data-driven approach

Parricide is a rare type of homicide in which mental illness is often an important factor. The aims of this study were (a) to describe the characteristics of parricide offenders with a focus on mental illness and clinical care and (b) to examine Heide's widely used typology of parricide through a data-driven approach. We analyzed all homicides in England and Wales between 1997 and 2014. Parricide offenders in our sample were most often male, unmarried, and unemployed, with a third of offenders diagnosed with schizophrenia; 28% had been in contact with mental health services before the offense. The latent class analysis resulted in three types of parricide offenders: middle-aged with affective disorder, previously abused, and seriously mentally Ill, which confirmed, to an extent, Heide's typology. Health and social care services should actively engage with carers of people with mental illness and support to those caring for older relatives and victims of abuse.