The Peter Pan Syndrome: Inpatient treatment of adolescent anorexia nervosa

Specific strategies designed for intervening in family, hospital, community, and school systems are discussed as crucial components in the treatment of adolescent anorexia nervosa. It is suggested that all these systems inadvertently collude in the “Peter Pan Syndrome”: maintaining the adolescent-identified patient in a latency age role in order to protect mother from depression and the family in its entirety from an “empty nest” developmental crisis. When strategic and structural alterations occurred within the above mentioned systems while the child was hospitalized and after discharge, the anorectic symptom was alleviated.     

Telephone analysis: compromised treatment or an interesting opportunity?

Under the pressure of societal changes, today many analysts agree to conduct parts of an analysis over the telephone. However, little has been written about particular ways in which use of the phone affects the psychoanalytic process. The author focuses on the impact of the phone on psychoanalytic treatment and particularly on one of its potential advantages, i.e., the combination of a continuity that intensifies the treatment and physical distance between analyst and patient, making this intensity less threatening. Two detailed case reports illustrate how this combination facilitated the growth of affective tolerance and enabled these two patients to bring their emotional experiences from phone sessions into the consulting room.     

Category-level contributions to the alphanumeric category effect in visual search

Do letter and digit recognition depend on the same or different cognitive mechanisms? Letters are detected more quickly among digits than among letters; likewise, digit search is facilitated when distractors are letters, as opposed to digits. This effect suggests that different mechanisms underlie recognition of these two categories. There are, however, systematic physical differences between letters and digits that might account for the effect. We used target and distractor stimuli that facilitated within-category search when inverted, and category identity was, thereby, attenuated. However, in conditions of upright search, in which category identity was more salient, between-category search was more efficient for the same stimuli. These findings suggest that letter and digit recognition are, at least to a degree, functionally independent.     

The Peter Pan Syndrome: Inpatient treatment of adolescent anorexia nervosa

Specific strategies designed for intervening in family, hospital, community, and school systems are discussed as crucial components in the treatment of adolescent anorexia nervosa. It is suggested that all these systems inadvertently collude in the “Peter Pan Syndrome”: maintaining the adolescent-identified patient in a latency age role in order to protect mother from depression and the family in its entirety from an “empty nest” developmental crisis. When strategic and structural alterations occurred within the above mentioned systems while the child was hospitalized and after discharge, the anorectic symptom was alleviated.     

Frequency of measurement and data utilization as factors in standardized behavioral assessment of academic skill

A study was conducted to investigate the effects on students' spelling achievement of variations in teacher assessment procedures. Teachers measured student spelling performance at a constant level of task difficulty using different measurement frequencies and different rules to interpret the data. Each teacher wrote two consecutive 3-week goals for improved spelling performance for two sets of 100 spelling words and then measured student performance either daily or weekly by dictating randomly selected words from each 100-word list. Teachers were trained to apply either a predetermined set of decision rules or their own judgment to the data to decide if the spelling program they had implemented for the student was effective. Ineffective programs were changed or modified. Results indicated that daily measurement was significantly more effective than weekly measurement in increasing spelling achievement and that, under certain conditions, decision rules were more effective than teacher judgment in determining when to make program changes or modifications.This research was conducted pursuant to Contract 300-77-0491 between the Bureau of Education for the Handicapped (now called Special Education Programs) and the University of Minnesota Institute for Research on Learning Disabilities.