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.     

The adaptive significance of destructiveness in primitive personalities

Destructiveness in primitive personalities is not restricted to a segment of the person as it is in the case of neurotics, but is global and pervasive. This destructiveness is meaningfully configured in a manner which cannot fully be accounted for by constitutional factors or be comprehended from the individual, intrapsychic, conflictual viewpoint of classical psychoanalysis. It follows an interpersonally meaningful pattern and therefore has adaptive significance in the contemporary life of the individual. The adaptive model I propose does not violate essential canons of psychoanalytic theory, for it can simultaneously be conceptualized in terms of intrapsychic structure and dynamics. This model holds out the possibility for a therapeutic approach to primitive personality organization which differs in some but by no means all respects from classical analysis.     

Attenuation of amphetamine-stereotypy by mesostriatal dopamine depletion enhances plasma corticosterone: implications for stereotypy as a coping response

The relationship between amphetamine-induced stereotyped behavior and a neuroendocrine index of arousal, plasma corticosterone (CCS), was investigated. 6-Hydroxydopamine lesions of the caudate-putamen, which produced dopamine depletions of 60%, blocked stereotypy and prolonged the elevation in corticosterone associated with d-amphetamine treatment (5 mg/kg). Similar dopamine depleting lesions of the nucleus accumbens, which attenuated the locomotor, but not the stereotypic, response to AMPH did not have this effect on CCS. This pattern of results supports the hypothesis that stereotypy has a coping function which may serve to alter arousal and further suggests important differences between the nigrostriatal and mesolimbic dopamine projections in modulating the responsiveness of the neuroendocrine system. These results have implications for understanding the function of behavioral stereotypies common to a number of psychopathological conditions, including schizophrenia and childhood autism.     

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.