The placebo puzzle: putting together the pieces.

This article outlines and assesses the main theories of the placebo effect and suggests how they might sit together in a larger model of placebo etiology. Among the approaches considered are expectancy theory, emotional change theory, classical conditioning, and the biological approach. Although these are sometimes assumed to be competing models, in many cases they shed light on different pans of the placebo puzzle. Expectancies are the core of most placebo effects in human beings. The effects of expectancies are sometimes unmediated but in other cases are mediated by changes in emotional state, immune system function, perception, or behavior. Although expectancies are implicated in most placebo effects, a small number of placebo effects may be solely attributable to nonconscious contingency learning.     

Construct Validity and Reliability of Hartman's Color Code Personality Profile1

The three reliability and two construct validity studies presented here represent the first psychometric research on the commercially successful and popular Hartman Color Code Personality Profile. The reliability studies found high reliability after 3 and 6 weeks. The construct validity studies substantiated that the Color Code assesses some personality traits. The magnitude of the error variance suggests caution, however, in using the Color Code classifications at the individual level.     

Religion,Type A behavior,and health

In a study of air traffic controllers, religious differences are found in the way Type A behavior is associated with several health status indicators. Associations between the Jenkins Activity Survey (JAS) and physical illness incidence, health-promotive behavior, diastolic and systolic blood pressure, subjective distress and impulse control problems, and alcohol consumption are examined by religious attendance, religious affiliation, and change in affiliation. Findings confirm that Type A does not vary significantly by religion. However, there are several significant findings between Type A and various health indicators. Type A is associated with illness incidence, overall and more strongly in several religion, subgroups. Type A and alcohol consumption are related positively in Protestants and converts, and negatively in churchgoing Catholics. Type A is related to impulse control problems in churchgoing Protestants and to subjective distress in churchgoing Catholics. Finally, in individuals with weak or no religious ties, Type A is associated with lower blood pressure. This last finding suggests that in some people (for example, the irreligious or unchurched), the coronary-prone behavior pattern may have cardiovascular effects which are salutary in at least one respect.The authors wish to thank Dr. Kyriakos S. Markides and Laura A. Ray for their assistance with this study. Address requests for reprints to Dr. Levin at the Institute of Gerontology, 300 North Ingalls, Ann Arbor, MI 48109.     

Family therapy without the family: a framework for systemic practice

This paper contrasts the basic tenets of systemic thinking with some guiding principles of the psychodynamic approach, and outlines specific techniques which family therapists can use when seeing individuals. It is argued that a useful systemic framework can be maintained if the therapist aims to keep the therapy system 'open' for relevant others to join at any time.     

Influence of sport participation upon sex role orientation of caucasian males and their attitudes toward women

Differences in psychological androgyny and attitudes toward women were examined in male Caucasian intercollegiate contact and noncontact sport athletes and male Caucasian college nonathletes. Contact athletes in the sports of football and wrestling, noncontact athletes in the sports of baseball and track and field, and nonathletes completed the Attitudes Toward Women Scale (ATWS) and the Bem Sex Role Inventory (BSRI) to assess egalitarian attitudes toward women and sex role orientation. Results of analyses of variance (ANOVAs) on the ATWS indicate that athletes as a group possessed more conservative, traditional attitudes toward women than did nonathletes, but that no differences existed between contact sport athletes and noncontact sport athletes. Results of ANOVAs and chi-square analyses on the BSRI indicated no differences between groups regarding sex role orientation based upon self-perceptions of masculinity and femininity.     

Resistance revisited

It was a coincidence that I was asked to talk about resistance at Ground Rounds at the University of Texas, Department of Psychiatry, on the tenth anniversary of mailing the first version of Death of Resistance to a journal in 1979. Although the paper was subsequently rejected 17 times and revised six times, it was eventually published inFamily Process (de Shazer, 1984). I still insist that the concept of resistance was a bad idea for therapists to have in their heads.This paper was presented April 14, 1989, at Ground Rounds, University of Texas, Southwest Medical Center, Department of Psychiatry, Dallas, Texas.     

Image Attributions and Smoking Intentions Among Seventh Grade Students

Previous research has indicated that adolescents who intend to smoke differ from those who do not intend to smoke in the imagery they associate with smoking. The present study examined relationships among self-image, ideal self-image, image of smokers in general and image of models in cigarette ads for seventh-grade students. The strongest finding was a positive correspondence of smokers image to self-image in predicting intention to smoke cigarettes. This correspondence between smokers image and self-image derived from a relative depression of self-image in combination with a relative elevation of smokers image for youth who were more likely to report intentions to smoke. There was also a trend for the ideal self-image of youth with greater intentions to smoke to be similarly depressed. It is suggested that when both self-concept and aspirations for self-improvement are diminished, smoking may seem particularly desirable as a means of enhancing identity.