The escape-to-Israel syndrome: Variations on the geographic cure

The author conceptualizes a pattern of thought and behavior that can be called the escape-to-Israel syndrome. This pattern is a contemporary variety, appearing primarily in the Jewish population, of the geographic cure: that is, one can solve one's personal dilemmas by moving from one place to another. The syndrome is characterized by a tendency to idealize life in Israel. This idealization, and the viewers' fantasy of their own future in Israel, deflect solid confrontation with genuine personal problems. If, in fact, they do move to Israel, they may experience shock and trauma at the gap between expected reality and the discovered one. This may only compound their emotional difficulties.The author wishes to express his gratitude to Professor Shamai Davidson, Clinical Director of the Shalvata Mental Health Center, Hod HaSharon, Israel, for his critical comments during the preparation of this article.     

Adjustment to hemodialysis treatment through behavioral controls

The present study was conducted to examine the hypothesis that compliant chronically ill patients, typically described as adjusted, reinforce more positive social environments using behavioral controls than noncompliant patients, typically described as maladjusted. Specifically, it is hypothesized that diet-compliant chronic hemodialysis patients emit significnatly more active involvement-in-treatment behaviors and more social behaviors than diet-noncompliant chronic hemodialysis patients. Subjects, who ranged in age from 30 to 77 years, were outpatients at a kidney center. Behavioral observations were conducted to assess the occurrence or frequency of (1) four involvement-in-treatment behaviors that are routinely taught to all patients and (2) two social behaviors, which were patient verbalizations and smiles. The results showed that compliant patients emitted significantly more involvement-in-treatment behaviors and smiles than noncompliant patients. Results support the proposed control framework that compliant, in contrast to non-compliant, chronically ill patients have recourse through positive behavioral controls when adjusting to the stresses of illness. It was proposed that through these controls, compliant patients reinforce positive environments rather than simply respond to life circumstances as given.     

The development of socialization skills in an electively mute child

In a booth designed especially for work with both autistic and electively mute children, a 4-yr-old girl named Dolly, who had no communicative speech or imitative skills, was given a preliminary session in which her verbal output was assessed. To elicit sounds from Dolly, an instrument called a “color organ” was used as a positive reinforcer. After this baseline assessment, in 40 half-hour sessions, Dolly was taught to make eye contact with E, and to obey instructions—although it was first necessary to extinguish her disruptive behavior, particularly her opérant crying. In addition, she learned non-verbal imitative behavior, such as hand clapping; and verbal imitative behavior, such as saying “Hi!” Social (play) sessions were begun after session 21, and continued for the remaining time. These were helpful in generalizing Dolly's learned skills to an environment other than the booth; and to other tasks, such as singing “Ee-eye-ee-eye-oh” in the refrain of the song, “Old McDonald”; and pointing to E's eyes, saying “ice”.     

Promoting the Culturally Sensitive Diagnosis of Mexican Americans: Some Personal Insights

This article presents a series of personal guidelines for promoting the culturally sensitive psychiatric diagnosis of Mexican American/Chicano clients. These guidelines are primarily based on the authors' collective experiences in diagnosing and treating this population.     

Wisdom as Parental Teaching in Proverbs 1–9

It is the contention of this article that Proverbs chs. 1–9 is a literary unity in which wisdom has the denotation of the parental household teaching. Teachings which have other contexts in other parts of the Old Testament have in Pr. 1–9 a parental teaching context. Besides denoting the parental teaching, personified speaking Wisdom has the personal features of a teacher. Both Wisdom's features and her message serve to reinforce the parental teaching. Personified Wisdom also denotes the teaching of the entire Book of Proverbs. Through the device of personified Wisdom, the wisdom of Solomon enshrined in the Book of Proverbs is re-located from the royal court to the individual Israelite household. This is evident in the literary design of the book. It also reflects the situation of the book's redaction in post-exilic Judaism.     

Aggressivity,inattention, hyperactivity,and impulsivity in boys at high and low risk for substance abuse

Aggressivity, inattention, hyperactivity, and impulsivity are cardinal dimensions of externalizing behavior problems of childhood. They are diagnostic and clinical features of childhood disorders, and are thought to be linked to the subsequent development of adult disorders such as substance abuse (SA). Little is known, however, about the convergent and discriminant validity of these four constructs. We used multiple measures to develop indices of aggressivity, inattention, hyperactivity, and impulsivity in a sample of 10- to 12-year-old boys (N=183) with and without a family history of SA. Data were taken from mother reports, child reports, teacher reports, and laboratory tasks. The study aims were (1) to test the convergent and discriminant validity of aggressivity, inattention, hyperactivity, and impulsivity; (2) to examine whether the data were consistent with a model specifying the four constructs as indicators of one superordinate factor; and (3) to differentiate boys with and without a family history of SA in construct scores. The results supported the convergent and discriminant validity of the four constructs. Although discriminable, the constructs covaried strongly and were consistent with a model specifying them as indicators of a single superordinate factor. Boys with a family history of substance abuse scored higher than control boys on aggressivity, inattention, and impulsivity scores, but the groups did not differ on hyperactivity scores. The results are discussed in terms of the role of childhood behavior problems in vulnerability to SA.This work was supported by the National Institute on Drug Abuse grant No. DA 05605.     

Suffering and sanctification: The religious context of Battered Women's Syndrome

Women who are physically and mentally abused by their partners have been described as suffering from Battered Women's Syndrome. An element of Battered Women's Syndrome is repeatedly returning to the abusive relationship, putting oneself at risk for further harm. Clinical case studies suggest that women who are strongly religious may believe it their duty to remain in abusive relationships to honor their marriage vows or to demonstrate their faith. This paper explores the basis of those beliefs and advocates a counseling perspective that frees abuse sufferers from a sense of obligation to their victimizers.