Case manager: A clinical tool for training residential treatment staff

Various behavioral approaches to institution staff training have appeared in the literature, with some showing that traditional didactic-type instruction or tangible extrinsic reinforcement is not always necessary for effective training. The system described here used principles of modeling and feedback to teach institution staff behavior management skills. In addition, staff were assigned special titles, i.e., “case manager.” Results indicate that this individualized system was associated with improvements in the target behaviors in question, and also increased the amount of time staff properly interacted with assigned residents. Implications are with regard to using this efficient approach as a clinical tool for training staff to be effective behavioral technicians.     

Convex models of uncertainty: Applications and implications

Modern engineering has included the basic sciences and their accompanying mathematical theories among its primary tools. The theory of probability is one of the more recent entries into standard engineering practice in various technological disciplines. Probability and statistics serve useful functions in the solution of many engineering problems. However, not all technological manifestations of uncertainty are amenable to probabilistic representation. In this paper we identify the conceptual limitations of probabilistic and related theories as they occur in a wide range of engineering tasks. We discuss the structure and properties of an alternative, non-probabilistic, method — convex modelling — for quantitatively representing uncertain phenomena.     

An Assessment of the Effectiveness of Two Tactics to Reduce Arousal in Crowded Mass Transit Settings1

Studies of crowding in various settings have shown that individuals are aroused and frequently suffer from ill health. Several studies have shown that it is possible to successfully intervene in residential, shopping, and classroom settings to reduce the negative effects of crowding. The present laboratory experiment assessed the effectiveness of two tactics commonly used by passengers in crowded mass transit settings. Results indicated that the two tactics, reading a newspaper or talking to others, failed to reduce arousal. An explanation for the failure of these tactics is offered.     

When emotion does and does not impair performance: A Garner theory of the emotional Stroop effect

It takes people longer to name the ink colour of emotion or threat words than that of neutral words, the emotional Stroop effect (ESE). In three experiments with normal and patient populations, we show that the ESE is a special case of a generic attention model and effect entailed in Garner's speeded classification paradigm. Guided by the Garner model we demonstrate that task-irrelevant dimensions that differ in salience can produce the ESE and mimic it with neutral stimuli. When each word appears in a constant colour, as mandated in the correlation condition of the Garner design, the ESE is eliminated. This important result is consistent with the attention account of the ESE. We conclude that when emotion stimuli appear in a random fashion they interfere with task performance. However, when emotion stimuli are correlated with features of the ongoing task they help task performance not least due to their extreme salience.     

Classification and validation of family climate subtypes in Kibbutz fathers of disabled and nondisabled children

The aim of the study was to investigate the impact of disabled children on their fathers. Perceptions of family climate, sense of coherence, and satisfaction from family life were measured among 66 fathers of disabled children and among 74 fathers with nondisabled children in an Israeli kibbutz. The fathers of disabled children showed lower sense of coherence, derived less satisfaction from family life, and viewed their families as less encouraging of personal growth among family members. Four subtypes of family climate patterns, perceived by fathers of disabled children, were identified by cluster analysis and validated by the sense of coherence and global family satisfaction measures. Cluster analysis for the fathers of nondisabled children replicated the subtypes identified. The four subtypes were conceptualized as families with a (a) personal growth orientation, (b) conflict orientation, (c) conflict avoidance orientation, and (d) recreation avoidance orientation. Significant differences were found between the subtypes with regard to the family climate variables and satisfaction and coherence measures. Results demonstrated that different patterns of family climate characterized the two groups of fathers: In almost every cluster the measures of personal growth were lower for the fathers of disabled children.The authors would like to acknowledge the editorial assistance of Dee M. Bargteil.Special Education, Kibbutzim Movement, Tel Aviv, Israel 61400.     

Economic Stress: Notes on the Psychology of Inflation

This research examines economic inflation as a "psychological stressor." Economic behavior in response to inflation is hypothesized to be a function of subjective cognitive appraisal of threat as well as objective economic indices such as actual income. A survey of 504 American college alumni compared the contribution of perceived threat and family income to self-reported changes in buying practices and leisure activities. These changes, as well as the reported degree of stress experienced, were better accounted for by perceived threat than by actual income. Further, threat and income did not interact in affecting economic behavior. Finally, none of the demographic and economic variables differentiated between groups of more versus less threatened individuals. A replication study was conducted on a sample of 112 Israeli college alumni. The rate of inflation in Israel is 10 times higher than the American rate, but income is protected by continuous indexing. The findings for the Israeli sample replicated with a high degree of accuracy the American findings, thereby providing unique cross-cultural validity to the conception of economic inflation as a psychological stressor.     

Reaction to a Campus Confrontation1

Students' reactions to the occupation of a university building were surveyed on the first and last day of the occupation as well as several weeks following the end of the occupation. Respondents were either day or evening school students at two different campuses of the same university. Results of the survey indicate that: (1) The majority of students, both day and evening, believe that the university should negotiate with the occupiers. The only exception to this trend is a group of political conservatives who advocate punishment. (2) The conflict tends to polarize attitudes about radicals, but mostly against them rather than in their favor. (3) A striking net increase is found in attitudes favorable to conventional political groups. (4) The closer the physical proximity of the respondent to the scene of the conflict, the more negative are his attitudes toward those who are seen as responsible for the disruption. (5) Evening school students are more negative toward the occupiers than are day school students. (6) The attitudes of young evening students are more similar to those of their older classmates than to those of their day school agemates.     

Psychodynamic Formulation in the Age of Neuroscience: A Dynamical Systems Model

The dichotomy between biological and psychosocial psychiatry has stood as a deep divide in psychiatric treatment and training since the advent of psychoanalysis. It is now complicated by the proliferation of diverse theoretical perspectives, both psychotherapeutic and neurochemical. Our deepening understanding of neural network dynamics can provide empirical constraints in validating psychotherapeutic approaches, while the appreciation of the patient–therapist intersubjective matrix can inform biological treatment. The Cartesian mind–body fallacy can now be analyzed as a unified complex dynamical system in the same light as Einstein’s integration of the seemingly divergent concepts of space and time into a unified fabric of spacetime.

Dynamical systems approach to neural network functioning offers the most comprehensive foundation for psychotherapy available to us today. Recurrent patterns of thinking, feeling, and relating can be analyzed by modeling the dynamical landscape of cortical and subcortical network processes. Dynamical Systems Therapy (DST) stands as a trans-theoretical model with the explanatory power to integrate systems of synaptic networks with systems of meaning. It powerfully argues for shifting the clinical emphasis from our patient’s symptomatic presentation as the focus of clinical attention to conceptualizing psychopathology as fixed patterns of adaptive attractors in response to the dysfunctional developmental environment. Patients come to be seen as active agents who create the meaning of their experiences based on their unique implicit templates. In this view, DST-informed psychodynamic formulation helps us chart the patient’s dysfunctional attractor basins, and therapeutic relationship becomes our tool in reshaping the dynamical landscape topology to reestablish self-organizing process.