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Sexuality Questionnaire [1974-1977] [1]
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Sexuality Questionnaire [1974-1977] [1]
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Originally Processed With FOIA(s):
FOIA Number:
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S
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the George Bush Presidential
Library Staff.
Record Group/Collection:
Donated Historical Materials
Collection/Office of Origin: Frieden, Lex, Collection
Series:
Printed Materials
Subseries:
Reference Materials
OA/ID Number:
52160
Folder ID Number:
52160-005
Folder Title:
Sexuality Questionnaire [1974-1977] [1]
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The preceding information about oral contraceptives
is provided as required by the U.S. Food and Drug
Administr. on.
What you
should know
about the pill
MeadJohnson
LABORATORIES
P-21
-P0210
SEVERAL KINDS of oral contraceptives are now available and
SUMMARY
your physician has prescribed for you the one he or she
Oral contraceptives, when taken as directed, are drugs of
believes will best meet your individual needs. Most oral
extraordinary effectiveness. As with other medicine, side
contraceptives contain female sex hormones (estrogens and
effects are possible. The most serious effect is abnormal blood
progestogens) and are designed to prevent the release of an egg
clotting. Strokes, liver tumors, and other problems as discussed
from a woman's ovaries during the cycle in which the pills are
above have been reported in pill users. The fact is that serious
taken. They are almost completely effective in preventing
problems are relatively rare, and the majority of women who
pregnancy.
would like to use the pill can do so safely and effectively.
"The Pill" is intended for the prevention of pregnancy
See your physician regularly, ask him any questions you
only, and will not protect persons of either sex from
may have about the use of the pill, and report to him any
gonorrhea, syphilis, chancroid or any other venereal disease.
special problems that may arise.
The pill is the most effective of all contraceptives if you
follow the directions for its use and are careful not to skip
doses or take it irregularly.
Oral contraceptives, like all potent drugs, have some side
effects. Fortunately, serious side effects are relatively rare.
Periodic examinations, as recommended by your doctor, are
essential to provide the early detection which may prevent
serious complications. Report any special problems to your
doctor.
© 1976, Mead Johnson & Company, Evansville, Indiana 47721 U.S.A.
SPECIAL NEEDS
COMMON REACTIONS
If you have, or have had, a special health problem, such as
A few women experience unpleasant side effects from the pill
migraine, mental depression, fibroids of the uterus, heart or
which are not dangerous and are not likely to damage their
kidney disease, asthma, high blood pressure, diabetes, epilepsy
health. Some of these side effects are similar to symptoms
or jaundice, inform your physician. He may wish to make sure
women experience in early pregnancy and may be temporary,
that it is suitable for you to take the pill by doing special tests
Your breasts may feel tender, nausea and vomiting may occur,
if necessary. All these conditions may be made worse by the
and you may gain or lose weight. A spotty darkening of the
use of oral contraceptives.
skin, particularly of the face, is possible and may persist. You
You should report to your doctor any unusual swelling,
may notice unexpected vaginal bleeding or changes in your
skin rash, yellowing of the skin or eyes, severe and/or
menstrual period which should be reported to your physician.
persistent abdominal pain, severe depression, or other unusual
Some women experience a rise in blood pressure while
condition or problem.
taking the pill.
There are some women, in addition to those with
Your physician may find that the levels of sugar and fatty
tendencies toward blood clotting disorders, who should not use
substances in the blood are elevated. The long-term effect of
oral contraceptives. These include women who have cancer of
these changes is under study.
the breast or womb, serious liver conditions, or undiagnosed
Other reactions, although not proved to be caused by the
vaginal bleeding when cancer has not been ruled out. It is
pill, are occasionally reported: Nervousness, dizziness, a need
comforting to know that, in such cases, your doctor can
for a change in contact lens prescription or inability to use
recommend other methods of birth control.
contact lenses, some loss of scalp hair, increase in body hair, an
increase or decrease in sex drive or appetite changes.
After a woman stops using the pill, there may be a delay
before she is able to become pregnant. After childbirth there is
special need to consult your physician before resuming use of
the pill. This is especially true if you plan to nurse your baby
because the drugs in the pill are known to appear in the milk
and the long-range effect on the infant is not known at this
time. Furthermore, the pill may cause a decrease in your milk
supply.
,ABOUT BLOOD CLOTS AND STROKE
OTHER CONSIDERATIONS
Blood clots occasionally form in the blood vessels of
Occasionally women who are not taking the pill miss a period.
apparently healthy people and may result in the loss of a limb,
This is also true for women taking the pill. Missed periods have
paralysis, loss of sight, or death depending on where the blood
been reported to occur as frequently as several times each year
clot is formed or lodges if it breaks loose.
in some women, depending on various factors, such as age and
It has been estimated that about one woman in 2,000 on
prior history. The pill should not be used when you are
the pill each year suffers a blood clotting disorder severe
pregnant because of some reports of the possibility of adverse
enough to require hospitalization. The estimated death rate
effects on the developing child. Very rarely, women who are
from abnormal blood clotting in healthy women under 35 not
using the pill as directed become pregnant. The likelihood of
taking the pill has been estimated to be 1 in 500,000; whereas
becoming pregnant if you occasionally miss one or two pills is
for the same group taking the pill it probably is increased 4 to
naturally much higher.
11 times. Blood clots are about three times more likely to
Therefore, if you miss a period, you should consult your
develop in women over the age of 34. For these reasons it is
physician before continuing to take the pill because your
important that women who have had blood clots in the legs,
doctor is the best source of information about this. If you miss
lungs, brain or elsewhere not use oral contraceptives.
a period, especially if you have not taken the pill regularly, you
Strokes are caused by a loss of blood circulation to the
should also use an alternative method of contraception until
brain. When they occur, paralysis of all or part of the body is
pregnancy has been ruled out. If you have missed more than
possible; death can result. The risk of strokes due to clots or
one tablet at any time, you should immediately start using an
hemorrhages in the brain has been reported to be increased in
additional method of contraception to complete your pill
pill users when compared to nonusers.
cycle.
Anyone using the pill who has severe leg or chest pains,
There is no proof at the present time that oral
coughs up blood, has difficulty breathing, severe headache or
contraceptives can cause cancer in humans. However, the
vomiting, dizziness or fainting, disturbances of vision or
possibility that they may continues to be studied, based on
speech, weakness or numbness of an arm or leg, should call her
observations that large doses of female sex hormones have
doctor immediately and stop taking the pill.
produced cancer in some experimental animals.
Tumors of the liver, sometimes fatal, have been reported in
women taking the pill. This has been reported in both
short-term as well as long-term users. Whether such tumors are
caused by the pill has not been proved nor disproved.
It has also been reported that pill takers have a higher risk
of developing gall bladder disease than non-takers.
Min
A Disabled Partner
In A Marriage
by Linda Kanton
According to these four couples, marriages
between able-bodied and disabled persons
do not differ greatly from other marriages.
24*
Joyce Nelson ACCENT Frieder ON LIVING-Summer, 1975
rooms are small and no privacy so
DRIVE-MASTER
I have to make sure I'm honte in
HAND CONTROLS
at least 3 hours. We wanted to
make a trip and this stopped me. A
Low in cost - high in quality
nurse suggested I use an in-dwell-
One model fits all cars
ing catheter for the trip down and
A complete line of driving aids for all
back and wear slacks (for the leg
bag). My doctor said okay as long
disabilities
as I didn't leave it in too long. The
Instant availability-DRIVE-MASTER
nurse showed me, my husband and
HAND CONTROLS are available
daughters how to insert it.
with same day shipment from our
It worked. We made a wonderful
factory or from one of our dealers
trip and now when we have to go
listed below.
out for a few hours I also use it.
ALABAMA
So far no infections and no worry
Birmingham Limb & Brace, Birmingham
about accidents when we go out.
Orthopedic Appliance Co., Birmingham
CALIFORNIA
Also another idea to empty the
Environmental Equipment Corp., San Leandro
leg bag. I use a bottle at home but
DELAWARE
when we go out "zip-loc" plastic
Timmy G. Wheatley, Dover
bags are easy to carry, use and get
FLORIDA
rid of.
J.B. Hickey Co. Tampa
Name withheld
Mike Palladino, Hallandale
Donald M. Pierson Orlando
ACCENT BELONGS
MAWAII
J.E. McInerny Driving School, Honolulu
IN EVERY LIBRARY
ILLINOIS
In spite of the fact that I get
Wecolator of Chicago, Deerfield
around pretty much in spite of my
IOWA
handicapped condition, it was fif-
Rudolph Oudheusden, Sioux City
teen years from the day of my ac-
LOUISIANA
Snell's Limbs & Braces, Alexandria,
cident till I found out that there
Monroe, New Orleans & Shreveport
was such a thing as a magazine de-
MARYLAND
Keith Russell. Silver Spring
signed and published to help the
MICHIGAN
handicapped. Believe me, in those
Rutzen Resources, Pontiac
first days I would have welcomed a
MINNESOTA
magazine like yours to put me in
The Winkley Co., Minneapolis
contact with others in the same
NEVADA
Burge Lloyd Surgical. Reno
boat. But not knowing of the maga-
NEW JERSEY
zine I had to learn everything
Burlington Surgical, Burlington
through experience, the hard way.
Carlo Losco Jr., Atlantic City
And that's why I think they should
Walter Anderson, Trenton
NEW YORK
be in every library in every com-
John Bussani, Seaford, LI
munity no matter how big or
small.
OHIO
Cleveland Orthopedic Co., Cleveland
Pauline E. Penkivich
PENNSYLVANIA
Illinois
Ace High Driving School, Philadelphia
Dowd Rental Service and Sales Inc., Pittsburgh
ALL TOGETHER
Harmarville Rehab. Ctr., Pittsburgh
First I would like to say that Ac-
Abbey Rents, Bala Cynwd
cent On Living is the best thing that
H. Neil Pangrazzi, Sheppton
ever happened to handicapped peo-
SOUTH CAROLINA
Cherokee Auto Supply, Gaffney
ple! I know your staff will keep up
Columbia Brace Shop, Columbia
the mind-taxing and excellent job
TEXAS
they have done so far.
Muilenburg Artificial Limb, Houston
Lux Artifical Limb & Brace, San Antonio
Keep up the excellent work, you
UTAH
really have it all together now.
Dave's Ability Agency, Murray
Mildred A. Otterstetter
Minnesota
ACCENT ON LIVING-Summer, 1975
23
The Rogers, Lewises, Kubbs and
Barons have their problems, but
they have learned either to solve
or to live with them.
Steve and Marilyn Rogers are
students at the University of
Illinois - Champaign-Urbana. She
has been disabled since birth be-
cause of a muscle disorder that
affects her hips and shoulders.
After graduating in May, Marilyn
plans to attend graduate school
before becoming a speech thera-
"I married Marilyn for the same rea-
pist. Steve is a sophomore in ele-
son anyone marries, we were in
mentary education.
love," Steve Rogers said.
They met at their dormitory
three years ago and have been
married one-and-one-half years.
worried about the problems that
Steve said he became friends with
plague all newlyweds, such as how
many of the persons on his floor
they would support themselves
in wheelchairs because they were
while attending school and where
his neighbors in a normal setting,
they would find an apartment.
which is how he met Marilyn. He
Marilyn's father, however, had
explained that their friendship
more misgivings than Steve's par-
helped their relationship later.
ents about their marriage. Al-
Marilyn's disability was not a
though Marilyn is very inde-
major obstacle," Steve said. "Once
pendent, her father wanted to
I knew her, I never even noticed
make sure Steve knew what he
the chair anymore." He said
was getting into. Her father
friends accepted their relationship
warned Steve that he would have
"or at least they did not say any-
to do the heavier housework and
thing if they disapproved." They
that people might treat him dif-
went almost everywhere other
ferently because he married a
couples went, such as to the bars,
handicapped person. Steve and
concerts, movies, parties and for
Marilyn said that luckily the latter
walks. Marilyn said, "I'm lucky
has not happened.
because Steve isn't sports-minded."
Finding an apartment was one
She laughingly added that she is
of the most difficult problems for
more sports-minded than he is.
Steve and Marilyn. It had to be
Both sets of parents approved
wheelchair accessible or need only
of their dating and, later, of their
minor, inexpensive changes. Door-
marrying. Steve said his parents
ways were the most important
liked Marilyn immediately and
factor; if Marilyn could get
did not mind her chair. His parents
through them, the size of the bath-
ACCENT ON LIVING-Summer, 1975
25
room, and the number of stairs
around the apartment were usual-
ly satisfactory, too.
Marilyn prides herself in being
able to do much of the housework,
as their neat apartment shows.
"I can cook, wash dishes and
keep the apartment fairly neat.
Steve helps by doing the heavy
chores, such as vacuuming and
washing the floors." Marilyn uses
a pole with a hook on the end
for turning on the stove and for
Connie Lewis tells anyone who ques-
lifting utensils, such as the teapot.
tions her reason for marrying Carl,
Steve and Marilyn said they did
"I wasn't marrying the chair but the
guy in it."
not have any unusual personal
problems. "It just depends on if
you can live with another person's
because he is so outgoing. You
differences," Steve said. "I have
don't realize he is in a chair,"
handicaps that Marilyn must live
Connie said. Carl was stricken with
with; for example, I don't like to
polio when he was three-and-one-
include Marilyn when I go out
half years old. He said he was not
drinking with the guys. The only
treated any differently than were
difference is that people don't
his sisters and brothers, which
see mine when I walk down the
helped him become independent.
street; but we're really not dif-
He can easily transport himself in
ferent."
and out of his chair, and is thus
Marilyn said, "It takes a certain
able to go almost anywhere. For
type of person to marry a person
example, he can climb stairs by sit-
in a chair. He must be responsible
ting down on the lowest one and
and empathetic. If he is going
pulling himself up the next one,
to let social pressures get him
etc. He descends them in a similar
down, I don't think he will even
way.
date a disabled girl." Steve added
Carl and Connie met six years
that many do not think dating a
ago and have been married four
disabled girl is "fashionable" and
years. Connie said she did not have
explained, "I married Marilyn for
any "second thoughts" about Carl
the same reason anyone marries
because she lived with disabled
— we were in love. The fact that
persons in her dormitory. She said
she is in a chair is superficial."
she had some qualms when they
Carl and Connie Lewis, both
started dating seriously, so they
seniors at the U. of III., expressed
broke off the relationship. After
similar feelings about their mar-
a summer away from each other,
riage. "It's hard not to like Carl
however, they decided to try it
26
ACCENT ON LIVING-Summer, 1975
his legs in a land mine explosion
legs, "but to them I'm normal,"
in Vietnam. He wore artificial
Barry said.
limbs at the time.
Minor problems that Barry
From that dance they started
noted are inaccessible bathrooms
dating. Janine said she knew
and check-out lanes that are too
from the beginning about Barry's
narrow at the grocery store, plus
legs, but it did not bother her.
sometimes he is unable to get to
"Barry made the whole thing seem
his car when there is a car parked
very natural. I was never uneasy
on either side. "These are all
around him."
workable, and, in time, seem
Their friends felt the same way.
second-nature," Barry said.
They never treated Barry dif-
The only thing that really
ferently after his accident. Janine's
bothers Barry is that strangers are
parents liked Barry, too. He was
very protective. "They think that
not a stranger to them because he
because I am in a wheelchair,
knew her brothers. Barry's parents
I am incapable of doing even
had died, and he had been living
simple things, such as opening a
with an aunt and uncle. He said
door or pushing myself."
his aunt was uneasy about their
All four couples agree on one
marriage because she tried to do
thing: they hope that some day
everything for him, and she did not
strangers will understand their
think he could survive on his own.
or their spouses' handicaps. They
"I'm very independent, though,"
want people to realize that a
Barry explained. "In fact, I don't
wheelchair does not take away all
like it when people help me. I
physical and mental functions;
can do just about anything in my
they are still persons, just like
wheelchair - even drive. I could
anyone else.
not assert this independence, how-
ever, until I left home to get mar-
ried." Barry said he hopes to gain
more independence by eventually
wearing his artificial limbs again.
He has not worn them for two
years because of difficulties with
them. Even without his legs,
Лл
though, he is able to get out of his
chair.
Barry and Janine have two
daughters, Cheri, seven, and Les-
ley, three. Cheri is from Janine's
previous marriage. Janine is ex-
Paine
pecting another child in May.
"I realize that you brought your
Their daughters sometimes ask
own chair, Fred - but I've still got
their father what happened to his
to charge you full price!"
ACCENT ON LIVING-Summer, 1975
31
HAVE WHEELS
WILL CLOWN
-
again and married the next fall.
adjusted very well to every situa-
Connie had problems with her
tion, such as waiting while I
parents when she married Carl.
climbed stairs," Carl said.
They did not go to the wedding
"The one thing that really
because Carl is disabled and is
bothers me," Carl said, "is people
predominantly black. Connie said
who stare. Little kids sometimes
her mother is a practical nurse and
come up and ask me why I'm in
warned her that she would have
a chair. Usually I tell them some
to do everthing for Carl, such as
made-up story; my favorite is
feed and bathe him. However,
that I was an astronaut. This
since Carl is so independent, he
doesn't bother me. I just wish that
does not need Connie to do many
grown-ups would do the same and
things for him. "They couldn't un-
find out that I'm not different from
derstand that I wasn't marrying the
them."
chair but the guy in it," Connie
Carl also noted that when he
said.
and Connie are out in public,
The Lewises described their
people tend to overreact, especially
only problems as architectural
in restaurants. "They always make
ones. Carl needs wheelchair-ac-
me sit at a table. I think the
cessible doorways and a bathroom
hostess should ask if I have a
with at least one place large
preference. Also, if we request a
enough to turn around in. "Connie
table away from the door, they
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Distributed nationally by
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Special Products for Special Needs
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ACCENT ON LIVING-Summer, 1975
27
I'm doing it," Alan said.
He also admitted worrying
about what other people thought
of him dating a handicapped
person. "I felt that they thought
I couldn't get any able-bodied
girls, so I had to date girls in
wheelchairs. I got over this feeling
quickly."
Alan's friends did not know how
much a handicapped person was
capable of doing. Once they
realized that Sandra was still very
Sandra and Alan Kubbs with their
independent, they accepted her
daughter Andrea in their apartment.
Both sets of parents were in favor
and treated her no differently.
of their marriage.
Both sets of parents and friends
were in favor of their marriage.
act like they will have to move
Alan's parents were doting at first,
SO many things to accommodate
warning Sandra not to try to have
us," Carl said.
a child because it would be too
Alan and Sandra Kubbs have
much work and physical exertion
been married three years and have
for her.
a daughter, Andrea, 20 months.
For this reason, Sandra said,
Sandra was a polio victim, and
she has worked extra hard to prove
since she was five she has been
that she is a competent mother. "I
paralyzed from the hips down.
probably worked harder than most
She said she can walk with braces
new mothers because I had to
and crutches, but it is easier to
prove myself."
raise Andrea while she is in the
Sandra said her disability causes
chair. She can get herself easily
no problems in childrearing. "In
in and out of the chair, thereby
fact, there are advantages to being
being able to play with Andrea
in a chair. This way Andrea can
on the floor. Sandra also is able
sit in my lap while I am doing the
to crawl up and down stairs on her
laundry or the dishes."
hands and knees.
Because Sandra is so inde-
Alan and Sandra met through
pendent, Alan said he must not do
a mutual friend and found they
things that she is capable of doing.
had much in common. "The night
The only things he helps with are
we met, to drive Sandra over to
the time-consuming chores, such
her cousin's, I had to put her
as taking care of the house and
chair in my car. The thought of
Andrea, "even though Sandra is
having to put it in and haul it
capable of doing both of these
out continually bothered me at
things completely alone."
first, but now I don't even realize
Looking back on his life with
28
ACCENT ON LIVING-Summer, 1975
Sandra, Alan said he thinks no
male should discount dating a girl
in a wheelchair. He said he never
dated a handicapped girl before
Sandra because he thought dis-
abled girls must be very mature as
a result of all their suffering.
Sandra told him this was false be-
cause many handicapped persons
Barry and Janine Baron, who knew
have overbearing parents and are
each other before he became dis-
never allowed to grow and up and
abled, have two daughters, Cheri
fend for themselves.
and Lesley.
Sandra said she wished more
men would think of girls in chairs
makeup or nice clothes or to fix
as dating material and not just
my hair."
as friends. "During my adolescent
Barry and Janine Baron are the
years, I hardly ever dated. I knew
only couple of these four who
a lot of guys, but they treated
knew each other before Barry be-
me like a sister. I didn't start
came disabled. They went to high
to really date until college, but
school together but were just
until this time I felt asexual;
acquaintances. They met again
therefore, I never bothered to wear
at a dance - after Barry lost
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3Q
ACCENT ON LIVING-Summer, 1975
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Enclosed hydraulic system controls gentle positive action.
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ACCENT ON LIVING-Summer, 1975
RNC fill Read
Sue- Spinal Cord auguries
196
SEXUAL FUNCTION IN SPINAL CORD INJURY
W
Introduction
Page 1
The Concept of Sexuality
Page 1
Normal Sexual Function in the Female
Page 2
Norman Sexual Function in the Male
Page 3
Commonly Held Sexual Fallacies
Page 4
The Neurophysiology of Sexual Function in the Male
Page 6
Sexual Problems in Spinal Cord Injured Females
Page 6
Sexual Problems in Spinal Cord Injured Males
Page 7
The Etiology of Infertility in Spinal Cord Injured Males
Page a
Research in Increasing Fertility in Paraplegic Males
Page 9
Assisting the Patient to Achieve Sexual Function
Page 10
Conclusion
Page 12
Bibliography
Page 13
SEXUAL FUNCTION IN SPINAL CORD INJURY
Introduction
In the oldest surviving medical textbook, Edwin Smith described spinal
cord injured patients as follows:
"Thou shoulds't say concerning him; one having a dislocation
in the vertebrae of his neck, while he is unconscious of his
legs and his arms and his urine dribbles. An ailment not to
be treated."
Edwin Smith would certainly be surprised at the progress medical science
has made in preserving the life of the spinal cord injured patient. The mortality
of spinal cord injury has fallen steadily from 80% in the First World War to 15%
by the end of World War II. In the 1970's, while we have not found a cure for
spinal cord injury, almost every patient who lives to reach an emergency room
will survive his injury.
Lay persons often ask, "What are you saving spinal cord injured patients
for?". Our response is that our current sophistication in rehabilitation medicine
gives these patients a reasonable chance for a fruitful life. Our rehabilitation
centers provide spinal cord injured patients with therapy, counseling, and equipment.
Spinal cord injured patients often leave these centers functionally independent in
the activities of daily living, in mobility, in employment and in many other areas.
They complain, however, that in the centers they are often unable to find anyone
who is either able or willing to speak to them about sexual function. We need
to become more concerned about sexual function in these patients, especially
since most of them are males between the ages of twenty and thirty-five who
ultimately have a 50% divorce rate. Sexual function is important in the determina-
tion of a person's view of himself, his body image, and how he relates to others.
This makes sexual function a significant factor in the success of the rehabilitation
program and in the ultimate "quality" of the patient's life.
The Concept of Sexuality
Sexual function, while it has certain anatomical physiological guidelines,
must be interpreted in a cultural context. Different cultures place varying
psychological, economic and religious values on sexual function. Anyone who
hopes to help a patient with his sexual problems must learn the sub-culture from
which the patient comes and the sexual taboos, feelings and practices of that
sub-culture. The therapist must also be aware of the specific type of sexual
- 2 673
function that existed for the patient prior to his spinal cord injury. He should
also understand the dynamics of the relationship the couple had before the spinal
cord injury, and the relationship they are likely to develop after the injury.
Our society has made some healthy advances in sexuality in the last
decade. The landmark works of Masters and Johnson have give US basic
scientific data in the anatomy and physiology of sexual function. Our
social scientists have pointed out many unfortunate problems in our sexuality
concept, and by exposing them have initiated the first step in their eventual
elimination. Our society has begun realizing the importance of the enjoyment
of sex by both partners, its importance as an act of love and communication
between individuais, and the fact that sexual function has great significance
totally outside of its reproductive value.
Normal Sexual Function in the Female
Our best information concerning the normal sexual response in the human
female from an anatomical and physiological point of view comes from the studies
by Masters and Johnson. They observed in the laboratory some 382 females, both
married and unmarried, with education ranging from grade-school to post-graduate,
in ages ranging from twenty-one to seventy-eight. They observed some 7, 500
complete sexual cycles in females of various races who were single, married,
and prostitutes. They discovered four basic phases of sexual response in the
female.
I.
Excitement Phase. In the excitement stage the female, either by
tactile or psychogenic stimulation, gets in the mood for sexual
function. Anatomical correlations of this stage include such things
as nipple enlargement and a small increase in the size of the
breasts. The libia majora tend to flatten out and move up and out
to expose the opening of the vagina. The labia minora begin to
increase in size due to engorgement with venous blood. Vaginal
lubrication, a very important phenomenon in both normal and spinal
cord injured couples, occurs from 10 to 30 seconds after the onset
of the excitement phase. (This lubrication is a transudate produced
by the vaginal mucosa
it is not secreted by glands.) The
vaginal walls also begin to separate in the excitement stage and the
vaginal "barrel" begins to dilate.
-- 3 -
II. Plateau Phase. Here there is a heightening of sexual tension to
the point that orgasm is possible. During this stage the nipples
continue to enlarge, the breats often increase in size by as much
as one-fourth, and the skin of the breasts and sometimes of other
parts of the body develop a deep-red hue called the "sex flush".
The labia minora become extremely engorged with blood and
take on a dark-red-color shade. The labia minora are now two
to three times their normal size and form the proximal (nearest to
the outside) portion of the vaginal barrel. The vagina itself
continues to dilate, particularly distally, and increases in length
from its normal 7 centimeters to approximately 10 centimeters.
It also increases in width from its normal 2 centimeters to 6 centi-
meters. The engorged proximal portion of the vagina and the
engorged labia minora form a relatively tight vaginal inlet. The
distal two-thirds of the vagina has dilated to form a large pool
for collection of the semen.
III. Orgasmic Phase. In most females the orgasmic phase involves
rythmic contractions of the proximal one-third of the vagina and
labia minora (commonly called the orgasmic platform), the rectum,
and the uterus. These contractions have a rate of one-per-second
and there are usually three to fifteen contractions per orgasm.
IV. Resolution Phase. In this stage the sexual tension has been lost and
there is a psychological and anatomical return to normal. Most
authorities feel that females do not have a sexual refractory period.
This four stage sexual cycle takes on a number of different patterns in
women. The most common pattern is for the excitement stage to go slowly to
the plateau phase, where the woman then has one or more phases of orgasm
followed by a relatively rapid resolution. A less common pattern is for the
woman to go quickly through all the phases to orgasm and then to immediate
resolution. A third pattern is occasionally seen, in which the plateau phase
is followed by mild "waves of pleasure" without true orgasmic activity. This
also is followed by a slow resolution.
Normal Sexual Function in the Male
The studies by Masters and Johnson included 312 males from twenty-one
to eighty-nine years of age, of all levels of education, of different races, both
married and single. This involved the observation within the laboratory of
approximately 2,500 complete sexual cycles. The male has the same four
stages of sexual response as the female. The pattern of these four stages is
- 4 -
essentially the same in most males. Each phase occurs in succession until
the resolution phase, after which there is a relative refractory period.
During the refractory period the male is less able or unable to engage in
further sexual activity.
I. Excitement Phase. During this phase there is erection of the penis.
This is accomplished by many small compartments in the penis being
filled with venous blood. The testicles are elevated, both by
contraction of the scrotal muscle and by shortening of the spermatic
cords.
II. Plateau Phase. During the plateau phase the penis gets its final
engorgement, particularly around its distal portion (corona glandis).
The testicles also become congested and increase as much as 100%.
By this time the testicles are pulled up tight against the lower
abdomen, which apparently is necessary for ejaculation.
III. Orgasmic Phase. The male orgasm occurs in two phases. The
first phase is called seminal emission which is due to the contrac-
tion of the distal portion of the vas deferens, the seminal vesicles,
the prostate, and the internal bladder sphincter. This collects
the sperm and seminal fluid in a bolus and pushes it into the posterior
urethra. The seminal emission phase is experienced two to three
seconds prior to actual ejaculation. During the second phase of
ejaculation, which is known as true ejaculation, the large bolus
in the posterior urethra triggers a reflex that causes rhythmic
contractions of the urethra, penis, and lower pelvic muscles.
This causes expulsion of the ejaculate. This stage of ejaculation
also involves extension of the trunk and generalized muscle
contraction. The trunk extension appears to some extent to be a
reflex, while the generalized muscle contraction probably is
voluntary.
Commonly Held Sexual Fallacies
1. The problems of frigidity in the female and impotence in the male do not
usually have a physical cause. A woman's ability to have an orgasm is greatly
determined by many factors in her psychological development. Most societies
use sexual repression in the female as a means of controlling reproductive
function. Many women can outgrow this problem through psychotherapy and
proper sexual stimulation. Also, many males in our society complicate this
problem with their conception of sex as something he enjoys and his wife endures.
are 5 -
Impotence in the male is also mainly a psychological problem, although
there are physical causes such as vascular insufficiency and neuropathy.
Many impotent males are only relatively impotent, depending on the stimulus.
Many authorities feel that impotence is often a subconscious expression of
hostility towards the female.
2. There are many fallacies concerning the size of the penis and vagina.
It is important to remember that the vagina becomes greatly dilated in the
excited state and the great majority of women have a vaginal size that is more
than adequate if they are properly stimulated.
Men often have a deep-seated anxiety about the size of their penis.
Studies have shown that the size differences in penises exist mainly in the
flaccid state. In the erected state most penises are about the same size. This
occurs because a penis that is small in the flaccid state tends to gain relatively
more size during erection. Fiaccid penises vary from 7 to 12 centimeters in
length, whereas erected penises are generally 15 to 18 centimeters in length.
There is no correlation between the size of the penis and the size of the man or
any other part of his anatomy.
3. There is no evidence that circumcised males have any more sexual control
or sensitivity than non-circumcised males. While there may be medical and
hygienic indications for circumcision (a topic that is continually debated in
medicine) there is no medical proof that circumcision is of sexual benefit.
4. It is generally held in our society that women are less interested in sex
than males. Most modern investigators feel, however, that women have an
innate interest in sex that at least approximates that of the male. Large
discrepancies in the sexual interest of the male and female are probably due to
cultural influences.
5. Sexual interest is often thought of as a hormonal phenomenon. While
the hormonal factor is probably the initiator of sexual interest, adults in our
society find that many other factors influence their sexual function. Psycholo-
gical states such as anxiety and depression have great influence on sexual
function. Sex requires concentration, and anything that tends to destroy this
tends to reduce the success and enjoyment of sexual function. Interpersonal
relationships have extreme sexual importance. Couples having marital problems
generally have sexual problems as well, and sometimes their sexual problems
are mistaken for the cause rather than the result of their interpersonal problems.
- 6 -
The Neurophysiology of Sexual Function in the Male
Erection can be either psychogenic or reflex. Psychogenic erection
requires an intact spinal cord and parasympathetic nervous system. The stimulus
for psychogenic erection originates in the brain. From the brain, the pathway
is to the psychogenic erection center in the thoracic spinal cord and then to
the parasympathetics going to the penis. Any interruption of this pathway will
interfere with psychogenic erection.
The reflex type of erection is present from a very early age, and is often
seen in the male infant during diaper changes. Reflex penile erection requires
an intact sacral cord and the second, third, and fourth sacral nerve roots.
\
Any injury to the sacral cord and the sacral nerve roots will interfere with reflex
erection. (An injury in this area would probably prevent psychogenic erection
as well.)
Ejaculation has already been described as being a two-part process.
The first part, seminal emission, is a function of the sympathetic nervous
system. The second part of ejaculation, true ejaculation, requires an intact
sacral spinal cord and pudendal nerve.
Erection and ejaculation are extremely complicated anatom and
physiological events that require intact parasym pathetic, sympathetic and
somatic nervous systems. The parasympathetic supply producing both types
of erection comes from the sacral portion of the spinal cord. The sympath-
etic supply to the sexual apparatus comes from the low er portion of the inter-
mediolateral cell column at the cord levels of T-12, L-1, and L-2. The
somatic nervous system required for these events is in the pudendal nerve
that originates from the second, third, and fourth sacral roots.
Sexual Problems in Spinal Cord Injured Females
Since spinal cord injury is basically a male disease, most clinicians
have relatively few female patients in which to study sexual function. Con-
sequently, less is known about their sexual function after spinal cord injury.
The hormonal status of women with spinal cord injury is not very clear at this
time, but it is known that most are fertile. Labor and delivery in these women
is essentially normal, except for the development of "autonomic hyperreflexia"
when the lesion is above the level of T-6. (See "Mecamylamine in Control
of Hyperreflexia" by Braddom and Johnson.) We do not know how many
of them have orgasms. We also do not know how many of them have difficulty
with intercourse producing autonomic hyperreflexia, involuntary contractions
of the bladder, and other undersirable reactions.
- 7 -
It appears that the female patient has less difficulty with sexual function
than the male. There are a number of reasons for this. Women in our society
generally consider love a basic ingredient of sexual gratification. Their
sexual activity may satisfactorily communicate love despite their perineal
anesthesia and difficulty with orgasm. Another factor is that women in our
society apparently derive great sexual satisfaction simply from satisfyting their
partner. The female also does not have the male's problem with sexual role
reversal, since our society considers the male to be the natural aggressor.
Spinal cord injured females probably do not find a catheter much of a sexual
hindrance, since it can be pulled up out of the way.
Despite these factors, sexual counseling is extremely important in the
spinal cord injured woman. She should be given every opportunity to discuss
sexual function with her physician and members of the rehabilitation team.
It is important for her to know that sexual activity will not injure her further.
It is important that any sexual fallacies she might have be found and corrected.
She should certainly know that she probably is fertile, since an unwanted
pregnancy might greatly complicate her problems. It is also important
that she understand that general gynecological care is still as important as
ever.
Sexual Problems in Spinal Cord Injured Males
One of the first sexual problems to be faced by the spinal cord injured
male is achieving erection. Most studies indicate that approximately 80%
can have a complete or partial erection. The studies also show that 90% of
cervical patients are able to have erections, whereas the percentage falls to
about 50% in the lumbar group. This is an unfortunate complication for
the patient with a low spinal cord lesion, since he W ill be functionally
independent in most other areas. Erection in nearly all of the patients is of
the reflex type. It occurs when the penis and other sensitive portions of the
perineum are manipulated. Patients often complain that while direct stimula-
tion will produce an erection, it is often lost in intercourse due to the well
lubricated vagina providing less stimulation. Patients who have a partial
erection or none at all can use an erection assist device. Most of these devices
consist of a plastic splint that supports the penis, and are available from a num-
ber of companies in the United States. Erection has been produced experi-
mentally by intrathecal injections of physostigmine and other drugs, but this
is impractical for our patients. Many of our pati ents have reported that an
erection can be improved and maintained longer if the bladder is emptied
prior to intercourse.
en 8 -
Perhaps the next sexual problem the patient faces is what to do with the
indwelling catheter. The catheter can be taped down along the side of the
penis. Often our young, capable, male paraplegics are taught how to remove
and replace their catheter for sexual purposes. In quadriplegic patients, the
wife can often learn to do this. If the patient removes the catheter, spontan-
eous bladder emptying may occur during intercourse. While this may be
embarassing, it does not really pose any medical problems for either partner.
Many patients and their wives feel better if they use a condom over the
penis, whether or not they are wearing a catheter. Some patients must wear
a splint, catheter, tape, and a condom during intercourse. Their wives
often worry about the bulk created by all this apparatus. It must be kept
in mind, however, that the excited female has vaginal lubrication and dila-
tation sufficient to accept a considerable mass without injury or discomfort.
Another problem the patient faces is that of sexual self-identity, since
he is now probably infertile and has been forced into a relatively passive
sexual role. The loss of the capacity for normal erection, ejaculation, and
fertility often has crushing psychological consequences for males in our society.
Many paraplegic males no longer even see themselves as men, and talk about
themselves as if they were a woman or a child. The patient usually comes to
grips with his loss of the aggressor status and other aspects of sexual function
through a period of psychological depression. Fortunately, most paraplegic
males eventually overcome this problem and establish a personality with an
altered but intact masculine self-concept.
It should be noted that while most paraplegic males need some type of
sexual function to regain a healthy self-concept, there are occasionally patients
who develop a psychological equilibrium in which sexual function is seen as
an unnecessary burden. These patients are often anxious to be rid of their
wives through divorce. They apparently have great anxiety about being under
marital pressure to perform sexually, and look upon sex in general as an area
in which they may anticipate or have already experienced defeat and failure.
The Etiology of Infertility in Spinal Cord In jured Males
Testicular biopsies of spinal cord injured patients show testicular atrophy.
This atrophy apparently occurs early in the course of spinal cord injury, and
there is some tendency for it to be worse in higher cord lesions. Testicular
atrophy can be secondary to urinary and prostatic infections, epididymitis,
urinary calculosis, and hormonal changes. However, the two most significant
factors in the production of testicular atrophy are loss of the sympathetic
nerve supply to the testicles and the loss of intrascrotal temperature regulation.
- 9 -
The testicles are hung outside the body in the male because spermatogenesis
requires a cooler environment than that of the abdominal cavity. The muscle) how?
of the scrotal sac is regulated thermostatically to maintain scrotal temperature)
at the proper level for spermatogenesis. (For example, it is well known
that fertility rates are higher in colder climates than they are in warmer
climates.) Some investigators have been able to increase sperm counts in
some instances by intermittently packing the scrotal sac in ice.
Another reason for infertility in spinal cord injured males is their
inability to ejaculate. Ejaculation occurs in only 5% of spinal cord injured
patients, and these are generally patients with incomplete cord lesions.
Even when it occurs, the ejaculation tends to retrograde into the bladder
rather than out the urethra. This is due to the neurological disharmony in the
total ejaculatory cycle Orgasm itself is often experienced by the cord
patient as a feeling of generalized spasticity. Patients often suspect retro-
grade ejaculation when they have cloudy urinefollowing intercourse.
Research in Increasing Fertility in Paraplegic Males
Perhaps future research will increase fertility in cord injured males.
Ejaculation produced by an electrical probe in the rectum has been done
at Ohio State, but to date no pregnancy has been produced with ejaculates
obtained in this way. Electro-ejaculation is usually retrograde in nature
and the ejaculate must be retrieved from the bladder. Getting the ejaculate
from the bladder before the sperm are destroyed by the low bladder pH is
often difficult, but it is possible with bladder irrigation techniques.
Increasing the sperm count and motility of the sperm in these patients
is a major research problem. It takes at least 60 million sperm per CC. to
enzymatically unlock an egg for fertilization. These sperm must show a 50%
motility rate. Perhaps some means of controlling the scrotal temperature in
the future will prevent the testicular atrophy and subsequent drop in sperm
count that now occurs in spinal cord injured patients. Hopefully, the prin-
ciples learned in the artificial insemination of normals can be applied to spinal
cord injured patients. Normal animal and human offspring have been produced
by sperm collected and frozen on a number of occasions and then concentrated
for a single insemination.
- 10 -
Assisting the Patient to Achieve Sexual Function
The therapist must understand the general psychological reaction to spinal
cord injury before he can help his patient in the area of sexual function. He
must also be perceptive in discovering the psychological and cultural influences
affecting the concept of sexuality in each of his patients. There are couples
who achieve a lifelong stable and gratifying marital state in the absence of
sexual function. Consequently, you must be willing to let the couple fail
sexually if they desire. Approaching the couple with the zeal of a sexual
evangelist should be particularly avoided, since you may create so much
anxiety that you and your therapy are rejected. The old medical maxim
must always be remembered
"First do no harm".
Patients are often most willing to talk about sexual function when the
conversation has also dealt with functional concerns in the activities of
daily living, bowel training, etc. To approach them from an isolated sexual
standpoint may be highly threatening to the patient and his wife.
Suggested Plan:
1. Have a conference with the patient in which you mention sexual function
along with other areas of functional significance. Ask the patient leading
questions about what his sexual function was before his injury, what he thinks
his wife feels about sexual function, whether or not he feels sexual function
is important to him or his wife at the present time, and whether he is interested
in talking about sexual function.
2. Then have a conference with the patient's wife. In the context of a
discussion about her husband's functional problems in other areas, sexual
function should be mentioned. Try to learn her feelings about sex, what
she feels are her husband's views on sex, what their sexual function was
like before the injury, and what her expectations and fears are for the future.
3. After the two initial sessions, it is good to talk to the patient and his wife
together. In these discussions, try to bring up such areas of concern as the
loss of masculine identity in the male, the fact that the female will now have
to be the aggressive partner and that infertility is a highly likely phenomenon.
Be careful about making statements that are devoid of hope. Never tell a
paraplegic that he will never father a child, or that he will never walk again,
etc. Always give the patient some hope by saying that while it is highly unlikely
he will be able to father a child, it is not impossible. Keep in mind that the
patient's own physical improvement or future research may prove you wrong.
It must also be kept in mind that statements that are devoid of hope are often
subconsciously rejected by the patient and simply not heard These discussions
should include practical tips like emptying the bladder before intercourse, encour-
aging the wife to be aggressive, how the catheter should be managed, etc.
- 11 a
4. By this time in the patient's course, he is usually ready for weekend
visits at home. Sexual function should be tried out at home like the other
things he has learned. After a home visit the couple should be interviewed
to discover the functional areas in which the patient encountered difficulty.
The order in which the patient brings up the various functional areas is often
indicative of their relative importance to him. If a patient talks about his
sexual functioning first, this is probably of extreme importance to him. Often,
however, the patient will talk about all the other areas of function before
mentioning sexual function. This does not mean that sexual function is
unimportant to him, but probably indicates that at the present time other fun-
ctional areas must be mastered before he can concentrate on sexual function.
5. The final step in sexual counseling is to leave the door open for con-
tinued discussion. Patients often go through many stages in the redevelopment
of sexual function. Just as they need continual follow-up in renal function
and skin status, they should be continually encouraged in the area of sexual
function. Even if patients reject your initial efforts at sexual counseling,
leave the door open. It is surprising how many patients initially appear unin-
terested in discussing sexual function, who six months or a year later will
return and start talking about it.
The above plan may have to be altered in some instances. It has a
number of areas in which there is considerable failure potential. If the
members of a rehabilitation team are internally inconsistent in their remarks
about sexual function in spinal cord injury, the patient may successfully play
one opinion against another and destroy the whole program. You should
remember to take into account the reaction of the couple's parents and
other relatives in regard to the problem of infertility. Sometimes you find
a wife who greatly desires to get out of her marriage who chooses the sexual
problem as the lever. She is particularly likely to use this as a grounds if
she feels guilty about leaving her injured husband. Even the Catholic church
accepts the inability to function sexually as grounds for marital dissolution.
You should also be forewamed that a spinal cord injured male is often threatened
by suggestions concerning the use of artificial insemination in his wife. While
this seems like a practical solution to the infertility problem (particularly if
the wife has not had a maternity experience), this can be a potentially deva-
stating suggestion to a paraplegic male who is in the process of attempting to
regain his masculine identity.
- i2 -
Conclusion
Spinal cord injury is a condition that is now survived by the great
majority of its victims. We should certainly not be satisfied merely with
preserving their life. It is important that we provide for them a maximum
opportunity for the "pursuit of happiness". One of the roles that contributes
to a meaningful life is sexual function. We should give our spinal cord
injured patients every opportunity to learn satisfactory sexual function.
Randall L. Braddom, M.D.
- 13 -
BIBLIOGRAPHY
1.
Masters, William H., and Johnson, Virginia E.: Human Sexual Response.
Little, Brown and Company, 1966.
2.
Masters, William H., and Johnson, Virginia E.: Human Sexual
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Randall L. Braddom: The Crisis Reaction to Spinal Cord Injury.
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6 Bors, Ernest, Engle, Earl T., Rosenquist, Robert C., and Holliger,
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Diabetic Neuropathy. Ann. Intern. Med. 65: 1237-1245, Dec. 1966.
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Arch. Phys. Med. and Rehab. July, 1966, PP 436-443.
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Munro, Donald, Horne, Herbert Jr., and Paull, Captain David P.:
The Effect of Injury to the Spinal Cord in Cauda Equina on the Sexual
Potency of Men. New Eng. J. Med. 239: 903-911, Dec. 1948.
14. Robinson, Derek, Roch, John, and Menkin, Miriam F: Control of
Human Spermatogenesis by Induced Changes of Intrascrotal Temperature.
J.A.M.A. 204: 290-297, Apr. 1969.
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Electro-Ejaculation. J. of Urology, P7: 725-729, May 1962.
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Friedman, Murray: A study of the Germinal Epithelium in Male Para-
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19. Tyler, Edward, and Singher, Heron O.: Male Infertility- Status of
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KEY WORDS: Goal setting; rehabilitation
Goal Setting: A Joint Patient-Staff Method
Marjorie C. Becker, Ph.D., Kathleen S. Abrams, M.A., Janice Onder, M.S.W.
Too often the silent member of the rehabilitation team is
The use of the goal sheet is based upon the phi-
the patient himself. Rehabilitation treatment plans are
losophy that patients and families who have a central
formed by professional team members without information
role in determining treatment goals are less likely to
from the patient or his family regarding his or their specific
undermine therapy and more likely to see skills
rehabilitation goals. Treatment time is wasted if the pa-
learned as relevant enough to carry over into the
tient either does not participate fully in residential treat-
ment or does not utilize his new skills after discharge. To
home environment. The table enumerates the spec-
establish the patient and his family as working members of
trum of physical, educational, vocational and psycho-
the rehabilitation team, a goal sheet and an interview
social skills which can be developed during an in-
procedure were instituted in one University of Michigan
patient stay at the University of Michigan Medical
rehabilitation unit.
Center.
The goal sheet lists 30 specific items of possible im-
The individual goals are phrased in functional,
provement covering all rehabilitation areas. At intake, the
nontechnical language with an open category in-
interviewer discusses these items with the patient and his
cluded to make sure that all of the patient or family
family separately. Discrepancies between family and pa-
goals have been specified. Whenever possible, goal
tient goals are noted by staff and compared with their own
goals for the patient and family. Treatment contracts are
information is obtained by face-to-face interview so
based on agreed-upon goals. Team conferences, often in-
that terms which the respondent does not understand
cluding patient and family, serve as a monitoring function
may be explained. The in- or out-patient interview
for goal-directed therapy.
is one of the first contacts the patient and family may
Conflicts between any combination of staff-patient-
have with the rehabilitation unit. They are inter-
family goals are readily identifiable; the need for nego-
viewed separately, then the goal sheets compared.
tiation is evident; compromise goals can be agreed upon.
This interview gives staff members a chance to orient
Sabotage of treatment goals by the patient or family does
the patient and family toward a rehabilitation plan
not occur as frequently when they are involved in goal-
which is constructed around a core of desired skills
setting. Each patient's individual circumstances are thus
identified by the family, staff and patient. The inter-
the focal point of rehabilitation programing.
view may be conducted by any team member. Items
are read to the respondent, with clarification when
There are many more opportunities for communi-
necessary. Responses are noted on different colored
cation among rehabilitation personnel than for com-
sheets for family and patient and go unmodified to
munication between the staff and the patient-family
the medical record.
group. To increase the interaction of the staff with
the patient-family group and to include the patient
and his family in the designing of the treatment pro-
From the University of Michigan Medical School and Parkview
gram, a goal sheet and plans for its systematic use
Medical Center, Ann Arbor, MI.
Presented at the 49th Annual Session of the American Congress
were developed.
of Rehabilitation Medicine, Denver, CO, August 23, 1972.
Submitted for publication in revised form July 25, 1973.
Arch Phys Med Rehabil Vol 55, Feb 1974
88
THERAPEUTIC GOAL SETTING, Becker
Utilization
Desired Goals
Complete goal sheets are used by physicians and
Moving around better in a
Learning to follow special diet
therapists in planning treatment. Goal discrepancies
wheelchair
Learning to follow medication
Getting into and out of a car
plan
can interfere with treatment, resulting in the patient
Driving a car
Learning skin inspection and
either refusing to work on prescribed tasks or work-
Loading and unloading
care
wheelchair in car
Bowel and bladder care
ing on the tasks while under direct care and treatment
Getting into and out of bed
Strengthening legs
Getting into and out of tub or
Strengthening arms
but not transferring learned skills to his home en-
shower
Exercises to keep arms or legs
Getting into and out of chair
loose
vironment.
Getting up and down from floor
Getting through doors
New sexual information
The following case summary is an example of a
Walking
Getting out of the house more
Standing
Dating
goal discrepancy between the patient and his family
Learning how to meet people
Dressing and/or undressing
Having a hobby
versus staff:
Washing self-sink and bath
Leisure time activity
Twelve months after a cerebrovascular accident, a right
Brushing teeth
Shaving
Reading
hemiplegic woman and her husband indicated upon admis-
Feeding self
Going to school
sion that they wanted her to regain the use of her right hand.
Combing, brushing or washing
hair
Job training
The staff saw as a more realistic goal learning effective use
New living plans needed after
of the left hand. To avoid potential sabotage to the pre-
Talking
discharge
Writing or typing
Finding out what kind of jobs
scribed treatment program of minimal emphasis on the
can be done
motor return, a compromise goal was negotiated. The pa-
Cooking more easily
Cleaning more easily
Family education
tient would work on a program of exercises for the right
Shopping at the store
Purchase of equipment
hand so as to maintain muscle tone should she get more
Using the telephone
Making decisions for self
return, and also learn better left-handed dexterity which
Using toilet without help
would be of use to her for as long as she was unable to use
Riding a cab or bus
Practice living alone or with
her right hand. The family accepted this goal. If the hus-
roommate
band participates by encouraging the patient to use her left
hand as well as to exercise her right hand, she is likely to
continue attempting both sorts of activities and positively
affect the rehabilitation outcome.
difficult if not impossible for staff members to facili-
Other goal discrepancies that may occur are those
tate attainment of these goals through therapy.
between staff and patient versus relatives, patient
Not every goal discrepancy is dealt with by direct
versus staff and relatives, staff versus staff, or staff
intervention. Some are expected to be treated en-
versus patient with no relatives. If one or more dis-
vironmentally with the hope that patients with un-
crepancies can be identified early in the patient's stay,
realistic or absent goals will modify their own goals
meetings are scheduled between involved parties to
by exposure to other patients with similar disabilities.
try to negotiate compromise goals.
For example, a quadriplegic person who does not se-
lect cooking as a goal at admission may later request
Discussion
instruction after being exposed to other quadriplegic
patients who are using the kitchen facilities. Some
In addition to helping to design treatment pro-
goal discrepancies are dealt with by subtle treatment.
grams, the goal sheets have proved useful in moni-
A patient who refuses to work on increasing his am-
toring the progress of treatment during weekly team
bulation endurance within the rehabilitation center
meetings, as well as in the evaluation of results or
might, out of boredom, agree to be included in a trip
goal achievement at the end of treatment. Goal sheets
to a coffee shop or local store which necessitates that
can also be used as a basis for follow-up evaluation of
he walk a greater distance than treatment would
whether or not the patient continues to use the skills
require.
learned once he returns home.
As noted, most patients and their families do not
expect to be involved in treatment planning. The
Results
goal sheets serve to orient the patient and families at
admission to the fact that they are expected to par-
Establishment of written goal sheets and goal-set-
ticipate actively in this treatment.
ting as a basis for treatment of severely physically
Encouraging patients and families to participate in
disabled patients has supported the following obser-
the treatment plan at all, with or without the use of
vations: (1) very early identification of conflicts be-
goal sheets, creates difficulties for staff members. In-
tween any combination of patient-staff-family goals,
stead of operating autonomously and relying on their
(2) truly individualizing treatment programs, (3)
own professional skills and judgments, the staff mem-
enhancing family-patient-staff interaction through
bers are asked not only to consider the patient and
negotiation and the setting of treatment priorities,
family's point of view, but also to allow these goals to
(4) including the patient and his family as active and
supersede their own. When the goals of the patient
responsible team members, (5) teaching staff how to
and family are at drastic variance with those of the
achieve longer lasting rehabilitation goals through
staff-for personal or professional reasons-it is very
intermediate or compromise goals and (6) reducing
Arch Phys Med Rehabil Vol 55, Feb 1974
THERAPEUTIC GOAL SETTING, Becker
89
sabotage to rehabilitation programs by patient, staff
disabled. Presented at the 48th Annual Session of the
or families.
American Congress of Rehabilitation Medicine, San
Juan, Puerto Rico, November 10, 1971.
ADDRESS REPRINT REQUESTS TO:
2. Slater SB, Sussman MB, Stroud BW III: Participation
Marjorie C. Becker, Ph.D.
University Hospital
in household activities as prognostic factor for rehabili-
University of Michigan Medical Center
tation. Arch Phys Med Rehabil 51:605-610, 613, Oct
Ann Arbor, MI 48104
1970
References
3. Weed L: Medical Records, Medical Education, and
Patient Care; Problem-Oriented Record as Basic Tool.
1. Wolf BA, Abrams HA: Organizational structure for
Cleveland, Ohio, The Press of Case Western Reserve
social-vocational rehabilitation of severely physically
University, 1970
CLINICAL NOTES
Endoskeletal Prostheses: Use in Patient Having Ipsilateral
Fore- and Hind-Quarter Amputations
Henri V. Pelosof, M.D., Alvin L. Muilenburg, C.P.O., Lewis A. Leavitt, M.D.
Endoskeletal prostheses have been used for many
years in Europe. Among the forerunners were the ST
prostheses developed by the French Ministry of
Veteran Affairs in the late 1950s and those developed
by the German firm, Otto Bock. The main advantages
of endoskeletal prostheses are their light weight, ad-
justability and improved cosmesis. Recently, the Otto
Bock adjustable endoskeletal prostheses have begun
to appear in this country. The purpose of this article
is to document the successful use of light-weight en-
doskeletal units with cosmetic cover in a patient who
most probably would not have been successfully fitted
with a conventional prosthesis.
Case Report
A 35-year-old electric lineman fell across two 7,000-volt
live electrical lines on February 15, 1972. He struck a line
with his left upper arm and left lower leg. Instantly there was
necrosis extending into the shoulder and halfway above the
knee. The patient was taken to the hospital where resusci-
tation was accomplished without difficulty. After stabiliza-
tion of vital signs, the patient underwent a left forequarter
and left above-knee amputation. The postoperative course
was complicated by drainage in the perineum.
On April 17, 1972, the patient was transferred to the
Texas Institute for Rehabilitation and Research. Examina-
Fig. -Upper extremity endoskeletal prosthesis.
tion revealed an emaciated man, who was 208.2 cm (6 ft
+ in) tall and weighed 43.6 kg (96 lb). The site of the fore-
quarter amputation was well-healed but there was an ex-
On May 3, 1972, left hip disarticulation was performed.
tensive surgical absence of the back musculature involving
This procedure was combined with dissection of the sinus
particularly the serratus anterior and latissimus dorsi. The
tract down to the ischial bone. A sequestrum was found at
above-knee stump was in fixed abduction and flexion and
the apex of the sinus and was curetted clean. Postoperatively,
there was an infected ulcerated lesion draining in the peri-
the drainage recurred and a Penrose drain was inserted
neum extending deeply into the ischial region.
Two days after the patient's admission, he was seen at our
From the Department of Physical Medicine and Rehabilitation,
regularly scheduled amputee clinic and it was decided to
Baylor College of Medicine, Houston.
remove the useless left above-the-knee denervated stump and
This work was supported in part by the Regional Research and
Training Center Grant RT-4 from the Social and Rehabilitation
carry out exploration of the pelvis in order to eradicate the
Service, Department of Health, Education and Welfare, Washing-
local infection.
ton, D.C.
Submitted for publication August 25, 1972.
Arch Phys Med Rehabil Vol 55, Feb 1974
14-P- 55487/6-01
THIS QUESTIONNAIRE IS PART OF A STUDY DESIGNED TO DETERMINE THE
CORRELATION BETWEEN INTIMATE BEHAVIOR AND SELF CONCEPT. YOUR
RESPONSES WILL NOT BE SINGLED OUT IN THE FINAL REPORT. PLEASE
RESPOND TO ALL ITEMS. YOU ARE NOT ASKED TO IDENTIFY YOURSELF,
ONLY TO GIVE HONEST RESPONSES TO EACH QUESTION OR STATEMENT.
Read each statement and decide how you feel about it. A space is
provided for your answer. Answer "T" if you AGREE with a state-
ment or feel that it is TRUE about you. If you disagree with a
statement, or feel that it is not true about you, answer FALSE by
marking "F". Mark "T" for TRUE and "F" for FALSE.
1. There are a lot of things about myself that I like.
2. I feel comfortable with who I am.
3. I sometimes pretend to know more than I really do.
4. Sometimes I feel like smashing things.
5. I get very anxious and upset when I think people are disa
proving of me.
6. I am content with the way I look.
7. I like to boast about my achievements every now and then.
8. I must admit I often try to get my own way regardless of
what others may want.
9. I get pretty discouraged sometimes.
10. I feel like everyone is staring at me.
11. I feel as good now as I ever have.
12. Criticism or scolding makes me very uncomfortable.
13. I feel nervous if I have to meet a lot people.
14. I sometimes wish that I had not been born.
15. Life is a strain for me much of the time.
16. If I could change the world, the first thing I'd change
is me.
17. I usually expect to succeed in things I do.
18. I am apt to show off in some way if 1 get the chance.
19. 1 usually expect to succeed in things I do.
20. I'd be the last person you would be interested in.
21. Every now and then I get into a bad mood, and no one can
do anything to please me.
22. I don't seem to care what happens to me.
23. I cannot do anything well.
24. I could be perfectly happy without a single friend.
25. Living means a lot to me.
Please answer the following questions by circling the answer that
best expresses your feelings and/or experiences. Circle one from
each question.
26. How closely do you think love and sex are linked?
1. Sex and love are independent and sex should be enjoyed for
its own sake.
-2-
2. Love greatly enriches sexual relations, but is not necessary
for enjoyment.
3. Sexual intercourse without love is not enjoyable.
4. Sexual intercourse is sacred and should be reserved for the
expression of serious love.
27. In choosing a sex partner, which would you prefer
1. Someone sexually naive.
2. Someone with at least a little sexual experience.
3. Someone sexually sophisticated.
28. What is your opinion about premarital sexual intercourse?
1. It is all right for both young people and adults.
2. It is all right for consenting adults.
3. It is all right for couples who share affection.
4. It is all right for couples who are in love.
5. It is all right for couples who are engaged.
6. It is wrong; couples should wait until they are married.
29. If you have engaged in premarital sexual intercourse, how do
you feel about it now?
1. Very regretful.
2. Somewhat regretful.
3. No feelings.
4. Somewhat glad.
5. Very glad.
6. Not applicable.
30. In your experience, what influences your choice of a sex
partner? (Rank the following in order of importance by
numbering from 1 to 4.)
1. Physical attractiveness.
2. Intelligence.
3. Attitudes similar to yours.
4. Warmth and affection for you.
31. What is your attitude toward nudity in your home?
1. Very casual, much nudity.
2. Casual, some nudity.
3. Neither concern nor unconcern.
4. Concern that people were properly attired.
5. Much concern, no nudity.
32. What do you think is the best source of sex instruction for
children?
1. Books
2. Friends
-3-
3. School.
4. Parents.
5. Church.
33. In the past six months how often, on the average, did you
engage in sexual intercourse?
1. Not at all.
5. A few times.
2. Once or twice a month.
6. Once or twice a week.
3. Three or four times a week.
7. Daily or more often.
4. Five or more times a week.
34. Which of the following describes your attitude toward
experiencing sexual intercourse?
1. Very enjoyable.
5. Mostly pleasantly.
2. Occasionally pleasant.
6. Neutral.
3. Mostly unpleasant.
7. Very unpleasant.
4. Not applicable.
35. How would you rate your sex life?
1. Very unsatisfactory.
4. Unsatisfactory.
2. Somewhat unsatisfactory.
5. Somewhat satisfactory.
3. Satisfactory.
6. Very satisfactory.
36. (FEMALES) How often do you reach orgasm in sexual intercourse?
1. Several times on most occassions.
2. Almost every time.
3. About three-quarters of the time or more.
4. About half the time.
5. About one-fourth of the time.
6. Almost never or never.
7. Not applicable.
37. (MALES) Do you have difficulty achieving an erection?
1. Frequently.
4. Not applicable.
2. Occasionally.
5. No.
3. Seldom.
38. Where did you get most of your information about sex when you
were a child?
1. Same age friends.
5. Older friends.
2. Parents.
6. Sex education books.
3. Pornographic material.
7. School.
4. Church.
-4-
04-
39. How would you rate your own sexual attitude as compared to th
those of the average person?
39. How would you rate your own sexual attitude as compared to th
1. Very fliberalerage person?
2. Somewhat liberal.
3. Moderate.eral
4. Somewhat conservative.
5. Veryrconservative.
40 Somewhat conservative.
The following questions deal specificly with you and your sexuality.
Please answer all questions. Information given will be confidential.
The following questions deal specificly with you and your sexuality.
400asSenswer all questions. InformatioRaceven will be confidential.
42. Age
42. Place of Birth
44. Marital Status:
42. Place of Birth
Single
Married
Widowed
Divorced
Other
44. Marital Status:
45. Education level (circle number Worgrade comp leted):-
Other
45. Grammar School 12345678 cHigh School of 1234 College Graduate or Professional
1234
1234
12345
12345678 1.234
12345
46. Occupation (Indicatesyour occupation, and if you are marrieassional
indicate your spouse's occupation. Be specific as possible,
46. ecgupahigh school teacher, otruck driver, student
and file clerk, computer programmer, Betch) ific as possible,
e.g., high school teacher, truck driver, undergraduate student
and 1118 clerk, computer programmer, etc.):
47. Yearly Income (circle one):
1. under $4000
4. $13,000-$16,000
47. 202$4000-$7000 (circle one) :
5. $16,000-$18,000
3. $7000-$13,000
6. more than $18,000
2. $4000-$7000
5. $16,000-$18,000
48. Religion:$13,000
6. more than $18,000
1. Catholic
4. Protestant
48. 2.1Jewish
5. Other
3. Noneolic
4. Protestant
2. Jewish
5. Other
49. Describe your disability (including the parts of the body it
49. Describe effects). your disability (including the parts or the body It
effects).
50. Have you been disabled since birth?
50. Ifenot, yes how 16ngahave you been disabled?
no
yes
no
51. Rate Tif living been to disnownow improtant they are
to you. Write in the number "1" for the most important, and
51. soton t6sa 117 the least important concern!tant they are
to satisf yingeinterpersonal relationships most important, and
so money matters⁰ the least appearance
jobisfying interpersonal relat sexual abi lity
ability matters
general medical condition
job
sexual ability
ability
general medical condition
-5-
52. Have you desired to talk with someone about sexual matters in
relation to your disability?
yes
no
53. Who do you think would be able to give you the most information
about both physical body function and mental and social matters.
Check all that apply.
your doctor
a family member
social worker
Minister, Rabbi, Priest
your spouse
Psychiatrist/Psychologist
a friend
Rehabilitation Counselor
A book, magazine
No one
54. Have you talked with anyone about sexual matters?
yes
no
55. Do you feel you are physically able to have sex?
yes
no
I don't know
56. Have you tried to have intercourse since your disability?
yes
no
57. Try to judge your feelings about sexual behavior with your
partner. Mark () for your answer.
very
very
weak weak moderate strong strong N/A
your feelings
of affection
your feelings
of adequacy
your feelings
of satisfaction
your feelings
of guilt
58. What is your attitude toward sex (circle at least one) ?
1. accepting of it
4. indifferent
2. demanding it
5. not applicable
3. complaining
59. Do you have problems concerning sex?
yes
no
60. If yes, are problems
few
moderate
many?
-6-
61. Everyone has some level of sexual desire. Rate the strength
of your sexual desire or usual wish for sexual satisfaction.
very weak
weak
moderate
strong
very strong
62. Do you feel you are more or less interested in sex than most
men (women) your age?
less
the same
more
63. The following are common feelings and reasons for sex
activity. Choose three that are most important for you
rank them by putting a 1, 2, or 3 by your 1st, 2nd, and
3rd choices.
to reduce physical tension
to give affection
to receive attention
to satisfy my partner
to do my duty
to produce a baby
to have an orgasm or climax
to feel manly or womanly
64. How often does your partner wish to have intercourse with you
compared to your desires?
not at all
about as often as me
more often than me
anytime I wish
less often than me
65. Do you use some form of contraceptive?
yes
no
N/A
66. If yes, where did you get the idea:
your own idea
from a book or article
from your doctor
from another professional person
from a friend
other
67. Do you find it necessary to use some different techniques
in order to satisfy yourself?
yes
no
68. Do you find this necessary in order to satisfy your partner?
yes
no
69. If yes, did it create a moral conflict or did you feel it was
wrong?
yes
no
70. Did you think it was abnormal?
yes
no
-7-
71.
How often do you reach orgasm in sex play?
never
rarely
not often
sometimes
often
almost always
not applicable,
72. The feeling of orgasm is mental and physical. These two
feeling are hard to separate but try to rate the strength
of each:
feeling of MENTAL
feeling of PHYSICAL
satisfaction
satisfaction
very weak
weak
moderate
strong
very strong
73. By what one or two sexual activities have you become sexually
excited most easily? Check 1 or 2 answers.
mouth kissing with tongue contact
handling the breast
kissing the breast
sucking the breast
mouth contact with your partner's genitals
partner's mouth contact with your genitals
handling your partner's genitals
your partner handling your genitals
sexual intercourse
74.
Who or what did you consult about how proper (healthy, normal,
correct) it was to use certain kinds of sexual behavior with
your partner? Check all that apply.
your doctor
a family member
social worker
Minister, Rabbi, Priest
your spouse
Psychiatrist/Psychologist
a friend
Rehabilitation counselor
a book, magazine
No one
75.
How often do you engage in the following things each month?
(Indicate number of times.)
handle your sex organs for pleasure
handle your partner's sex organs for pleasure
let your partner handle your sex organs
have intercourse with your spouse (omit if single)
have intercourse with a non-spouse
-8-
MALES ONLY
76. Erection can be achieved in many ways. Check all the ways it
can be achieved by you:
physical stimulation or touching at or near the sex organs
full bladder
seeing or hearing something sexual
thinking or daydreaming about something sexual
dreaming at night about something sexual
when having sex play with a partner before your sex organs
are touched
77. How strongly can you feel an erection when you have it?
not at all
very weak
weak
moderate
strong
very strong
N/A
78. If you are able to have an erection, is it as full or strong
as the one you had before becoming disabled?
yes
no
N/A
79. Are you able to.
have
yes
no
not tried
a. Ejaculate by hand stimula-
tion?
b. ejaculate during intercourse?
c. ejaculate without an erection?
d. have intercourse and feel
orgasm?
e. have intercourse until my
partner has an orgasm?
FEMALES ONLY
80. Arousal can be achieved in many ways. Check all the ways it
can be achieved by you:
physical stimulation or touching at or near the sex organs
seeing or hearing something sexual
thinking or daydreaming about something sexual
dreaming at night about something sexual
when having sex play with a partner before your sex organs
are touched
81.
How strongly can you feel aroused when stimulated?
not at all
very weak
weak
moderate
strong
very strong
N/A
82. If you are able to be aroused, is it as strong as before
becoming disabled?
yes
no
N/A
-9-
83. Are you able to
have
yes
no
not tried
a. achieve orgasm by hand
stimulation?
b. achieve orgasm during
intercourse?
c. have intercourse and feel
orgasm?
d. have intercourse until my
partner has an orgasm?
ANSWER ONLY IF YOU HAVE BECOME DISABLED SINCE BIRTH.
84. How soon after you were injured did you become concerned
about possible changes in your sexual abilities?
within 1st week
first month
first 2 months
after 6 months
85. Did you find it necessary to use some different sex
techniques after you were injured in order to satisfy
yourself?
yes
no
Many people who have become injured have had to change some ways
of engaging in sexual relationships.
86. Amount of changes made
none
some
many
87.
Changes made because
I wanted to
your partner wanted you to
you both wanted to
other reason
88. Amount of guild feelings over changes
many
some
none
89. Amount of embarrassed feelings
many
some
none
90. Amount of religious conflicts
many
some
none
91. If you have decreased the frequency of your sexual activity
(petting, masturbation, intercourse) since your injury,
then check all the following reasons that apply.
loss of interest
not enough personal
painful
satisfaction
less chance for it
partner has lost interest
fear of infection
fear of hurting yourself
fear of hurting your partner
-10-
doctor's advice
more concern about pregnancy
don't like the way have to get
fear that you won't satisfy
satisfaction
yourself or your partner
physically cannot do it
morally cannot do it
don't know how to go about it
divorced, widowed, separated
too much trouble to remove and
fear that the erection won't
replace catheter
be strong enough or last long
enough
92. If you have INCREASED your sexual activity since your injury
check all the reasons that apply:
increased desire
more offers or propositions
less fear of sex
less fear of pregnancy
less painful
doctor's advice
more demands from partner
engaged or married now
more understanding of sex
greater desire to please
more personal satisfaction
partner
University of Minnesota
Department of Physical
Medicine & Rehabilitation
SPINAL CORD INJURY STUDY
Life Situation Questionnaire
Name:
Address:
Sex:
Date of Birth:
Date of Onset of Disability:
Spinal Level of Injury:
(Please make any corrections or additions needed above.)
Date of Mailing:
What is your present living arrangement? (check one)
alone
with hired attendant
with spouse or friends
with parents or other relatives
nursing home
dormitory or boarding home
other (explain)
What is your present marital status?
single
married
widowed
separated
divorced
If you are married: date of marriage
Number and ages of children: number
ages
If you are single, do you date?
no
yes, rarely
yes, once or twice a month
yes, more frequently than twice a month
- 2 -
Are you working now?
yes
no
If yes:
volunteer work
for pay
homemaker
If no, why not?
don't want or need to
can't find a job
physical limitations
repeated medical problems
other (explain)
If you are working: average number of hours per week
Place of work:
at home
outside home
Name and location of employer
Your occupation
Annual income from earnings:
less than $3,000
$3,000 to $6,000
$6,000 to $10,000
over $10,000
How long have you been employed in this job?
years
What is your main source of support?
own earnings
earnings of spouse
parents or other relatives
Social Security or veterans benefits
other public assistance (e.g., relief, welfare, etc.)
insurance benefits
other (explain)
- 5 -
What is your sitting tolerance per day?
0-3 hours
8-12 hours
4-7 hours
more than 12 hours
Within the last two years, have you gone to a doctor for treatment
of a medical problem of any kind (do not include routine checkups)?
yes
no
If yes, how many times?
1-3 times
4-10 times
more than 10 times
Within the last two years, have you been hospitalized for any
reason other than routine checkup?
yes
no
If yes, how many times?
For how many total days?
1-3 times
less than one week
4-10 times
one to four weeks
more than 10 times
more than four weeks
Within the last two years, have you gone to a professional person,
such as a clergyman, family doctor, or mental health worker for
help with a personal or emotional problem?
yes
no
If yes, how many times?
1-3 times
4-10 times
more than 10 times
How satisfied are you with the following aspects of your present
life? (circle the number that describes your feeling)
l = Very Satisfied
3 = Neutral
2 = Somewhat Satisfied
4
=
Somewhat Dissatisfied
5
= Very Dissatisfied
Very
Very
Satisfied
Neutral
Dissatisfied
Living Arrangements
l
2
3
4
5
Employment
l
2
3
4
5
Financial Means
l
2
3
4
5
Social Life
1
2
3
4
5
Sex Life
1
2
3
4
5
General Health
1
2
3
4
5
- 4 -
How often do people come to see you?
rarely
1-2 times per week
1-3 times per month
3 or more times per week
How often do you get away from home for social or entertainment
purposes (for example, to go shopping, visiting, or on an "outing")?
rarely
1-2 times per week
1-3 times per month
3 or more times per week
Are you an active member (that is, do you usually attend the mee-
tings) of any organizations, such as a church, a hobby or interest
group, a social group, or business or professional organization?
yes
no
If yes, please name the organizations below:
For the following activities, please check whether you are:
I
=
Independent (you need no help from another person)
PD =
Partly Dependent (you need some help)
D
11
Dependent (someone else must do it for you)
DA =
Doesn't Apply
I
PD
D
DA
Eating
Dressing
Personal Hygiene
Catheter Care
Bowel Program
Transfers
Wheelchair Use
Walking
Writing
Typing
Telephone Use
Cooking
Housekeeping
Driving
- 3 -
Regardless of any other income, are you also receiving some form
of public support, such as Social Security, Aid to the Disabled,
or general relief?
yes
no
What kind of support?
Annual amount: $
per year
Are you in school now?
no
yes, full-time program
yes, part-time program
Type of school:
high school
junior college or college
vocational-technical, business or
trade school
graduate or professional school
correspondence program
What program or field of study are you in?
Name and location of school
How many years of education have you completed?
About how many hours per week do you usually spend in the follow-
ing activities?
TV or radio
attending sports events
reading
group activities
hobbies
cards
visiting in home
talking books
visiting away from home
other (explain)
other (explain)
- 6 -
Have you ever had any contact with the state Division of Vocational
Rehabilitation (DVR)?
yes
no
If yes, what services did you receive?
Month and year of your last contact with DVR
Have you ever requested or received services from any other com-
munity agencies?
yes
no
If yes, which ones and when?
Date or Year
Suppose that a person's overall adjustment to spinal cord injury
could be shown on a ladder having ten rungs, with the tenth rung
representing the best possible adjustment and the first rung rep-
resenting the worst possible. At what rung on that ladder would
you place yourself to indicate your overall adjustment? (circle
the number that describes your adjustment)
l
2
3
4
5
6
7
8
9
10
Where on the ladder do you expect to be in five years?
l
2
3
4
5
6
7
8
9
10
Check here if you would like to receive a report on the
findings of this study.
Check here if you would like to be paid for completing the
questionnaire. (If yes, please fill out and return the
Application for Payment form. You can expect to receive
payment by check in about six weeks.)
FOR OFFICE USE ONLY
Sample #
VR (2) or CMRC (4)
1
WE APPRECIATE YOUR COOPERATION -- THANK YOU!
CMCR
INT
2-5
IN FILLING OUT THIS QUESTIONNAIRE PLEASE CHECK OR WRITE IN AN ANSWER TO EACH
QUESTION THAT APPLIES TO YOU. YOU SHOULD ENTER THE CHECK INSIDE THE BOX
NEXT TO YOUR ANSWER. DO NOT WRITE YOUR NAME ON THIS QUESTIONNAIRE.
6-9
1. Date of birth?
(Month)
(Year)
2. Sex?
Male
1
10
Female
2
2a. Marital Status?
(CHECK ONE)
Single
1
Married
2
Separated or
11
3
Divorced
Widowed
4
3. Are you:
(CHECK ONE)
White
1
Black
2
Hispanic (Spanish-speaking &
includes Puerto Rican, Cuban,
3
Spanish, Mexican, etc.)
12
American Indian
4
Oriental
Other (SPECIFY)
5
4. Do you live in a:
Large City (population greater than 100,000)
1
CHECK
Suburb of Large City
2
ONE
Small City (population of 25,000 - 100,000)
3
13
ANSWER
Suburb of Small City -
4
ONLY
Small Town (population of 5,000 25,000)
5
Rural (farm, ranch, town with population
6
less than 5,000)
- 1 -
5. What type of home do you live in? (CHECK ONE ONLY)
House - owned by self or family
1
House ---- rented
2
CONTINUE
Apartment, condominium, or trailer - owned
3
14
Apartment, condominium, or trailer - rented
4
Rooming house, rented room, or hotel
5
GO TO Q. 8
I
Nursing home, sheltered care home,
or hospital
6
6. Do you live:
GO TO Q. 6b
Alone
1
With family
2 15
CONTINUE
With unrelated people
(friends, etc. --
3
no relatives)
-
- 2 -
DO NOT FILL IN THIS PAGE IF YOU LIVE ALONE
ENTER FIRST NAME BELOW FOR EACH PERSON
ENTER
ENTER SEX OF
WHO LIVES WITH YOU OPPOSITE THE PROPER
AGES
EACH PERSON
CATEGORY
BELOW
MALE
FEMALE
Your Spouse
-16
25-26
1
2 -16
Your Parent (s)
27-28
1
2 -17
-17
29-30
1
2 -18
Your Children
31-32
1
2 -19
33-34
1
2 -20
35-36
1
2 -21
37-38
1
2 -22
39-40
1
2 -23
41-42
1
2 -24
43-44
1
2 -25
45-46
1
2 -26
47-48
1
2 -27
-18-19
49-50
1
2 -28
Other relative (s)
51-52
1
2 -29
of yours (grand-
53-54
1
2 -30
parent, aunt, uncle,
55-56
1
2 -31
sister, brother,
57-58
1
2 -32
cousin)
59-60
1
2 -33
61-62
1
2 -34
63-64
1
2 -35
65-66
1
2 -36
67-68
1
2 -37
-20-21
69-70
1
2 -38
Friend or other
71-72
1
2 -39
unrelated person (s)
73-74
1
2 -40
(e/g. roommate,
75-76
1
2 -41
lodger)
77-78
1
2 -42
6-7
1
2 -43
8-9
1
2 -44
10-11
1
2 -45
12-13
1
2 -46
-22
14-15
1
2 -47
Total # of Persons
in Household
-23-24
1
80
END CARD 1
1 5
- 3 -
6b. How many of your brothers, sisters, parents, children or other
relatives who do not live with you, live within 10 miles?
#
48-49
6c. How many people in your household need to be supervised or taken
care of due to youth, old age or disability? (DO NOT INCLUDE
YOURSELF)
None
Children
#
50
Parents or
grandparents #
51
Other
#
52
Total
#
53
-
- 4 -
SOCIAL ACTIVITIES
THE FOLLOWING QUESTIONS ARE ABOUT YOUR TYPICAL DAY-TO-DAY ACTIVITIES AND
RELATIONSHIPS WITH YOUR FAMILY, FRIENDS AND ORGANIZED GROUPS.
7. In the past month, approximately how many times did you do the following
things? (PLEASE ENTER NUMBER FOR EACH ITEM. IF "NONE" ENTER "0")
No. of Times
1. Had friends of family (who do not live with you)
54-55
come to visit with you in your residence.
2. Visited with friends or family in their place of
56-57
residence.
3. Went to church, synagogue, or other religious
58-59
center.
4. Went to group meetings, such as PTA groups,
lodges, fraternal organizations, political groups,
60-61
social groups, etc. (DO NOT INCLUDE GROUPS FOR
THE DISABLED)
5. Public entertainment (went to movies, restaurants,
62-63
museums, etc.)
6. Went to school or to vocational training activities.
64-65
7. Went shopping or to other business establishments
66-67
(NOT WHERE YOU WORK).
8. Other (volunteer work, etc., SPECIFY).
68-69
8. In a typical day, about how many hours do you spend in the
No. of Hours
following places?
1. In bed sleeping
70-71
2. In bed awake
72-73
74-75
3. In residence, not in bed
4. Outside of residence, within two blocks of residence
76-77
5. Outside of residence, more than 2 blocks from residence
78-79
2
80
END CARD 2
1-5
- 5 -
9. Do you know of any groups or organizations for the disabled?
CONTINUE
Yes
1
6
GO TO Q. 12
No
2
10. (IF "YES" TO Q. 9) Are you a member of any groups or organizations
for the disabled?
CONTINUE
Yes
1
7
GO TO Q. 12
No
2
11. (IF "YES" TO Q. 10) How often do you attend meetings of groups
for the disabled?
More than once a month
1
Once a month to once
2
every 3 months
More than twice a year
8
but less than once
3
every 3 months
Once or twice a year
4
Never
5
- 6 -
MEDICAL & HEALTH SERVICES
THE QUESTIONS BELOW ARE ABOUT ANY MEDICAL CARE OR HEALTH SERVICES THAT YOU
MAY HAVE RECEIVED IN THE PAST 12 MONTHS.
12. Have you had any health problems in the past 12 months (for example,
skin breakdown, infections, arthritic joints, etc.) ?
Yes
1
9
No
2
13. Did you receive any medical care for these problems or for any other
reason (for example, check-ups) in the past 12 months?
CONTINUE
Yes
1
10
GO TO Q. 41
No
2
14. Where did you go for medical care?
COMPLETE QUESTIONS 15 THRU 20
Hospital
1 -11
Clinic
1 -12
COMPLETE
Doctor's office
1 -13
QUESTIONS 21 THRU 31
At home
1 -14
Other
Other (SPECIFY)
-15
- 7 -
1ST HOSPITALIZATION
PLEASE COMPLETE Q.'s 15-20 FOR EACH TIME YOU WERE HOSPITALIZED IN PAST
12 MONTHS. USE A SEPARATE PAGE FOR EACH TIME YOU WERE IN A HOSPITAL. IF
YOU WERE NOT HOSPITALIZED IN THE PAST 12 MONTHS, SKIP TO Q. 21, PAGE 13.
15. What is the name of the place you were in?
16. How long did you stay? (NUMBER OF DAYS)
16-18
17. What was the reason for your hospitalization?
Disability related (old problem)
1
Disability related (new problem)
2
19
Not related to disability
3
18. About how much were your hospital bills for this stay, including
hospital costs, doctor costs, lab tests, X-rays, etc.?
$
20-24
19. About how much of this did you, or your family, have to pay?
$
25-29
20. Who paid the rest? (CHECK MAIN SOURCE OF PAYMENT ONLY)
VR
1
Medicaid
2
Medicare
3
Welfare
4
30
Other agency
(SPECIFY)
5
No one paid the rest
6
Private insurance
7
-
Friend or related person
8
- 8 -
2ND HOSPITALIZATION
PLEASE COMPLETE Q.'s 15a-20a FOR THE SECOND TIME YOU WERE HOSPITALIZED IN
PAST 12 MONTHS. USE A SEPARATE PAGE FOR EACH TIME YOU WERE IN A HOSPITAL.
15a. What is the name of the place you were in?
16a. How long did you stay? (NUMBER OF DAYS)
31-33
17a. What was the reason for your hospitalization?
Disability related (old problem)
1
Disability related (new problem)
2
34
Not related to disability
3
18a. About how much were your hospital bills for this stay, including
hospital costs, doctor costs, lab tests, X-rays, etc.?
$
35-39
19a. About how much of this did you, or your family, have to pay?
$
40-44
20a. Who paid the rest? (CHECK MAIN SOURCE OF PAYMENT ONLY)
VR
1
Medicaid
2
Medicare
3
Welfare
4
45
Other agency
(SPECIFY)
5
No one paid the rest
6
Private insurance
7
Friend or related person
8
- 9 -
3RD HOSPITALIZATION
PLEASE COMPLETE Q.'s 15b-20b FOR THE THIRD TIME YOU WERE HOSPITALIZED IN
PAST 12 MONTHS. USE A SEPARATE PAGE FOR EACH TIME YOU WERE IN A HOSPITAL.
15b. What is the name of the place you were in?
16b. How long did you stay? (NUMBER OF DAY)
46-48
17b. What was the reason for your hospitalization?
Disability related (old problem)
1
Disability related (new problem)
2
45
Not related to disability
3
18b. About how much were your hospital bills for this stay, including
hospital costs, doctor costs, lab tests, X-rays, etc.?
$
50-54
19b. About how much of this did you, or your family, have to pay?
$
55-59
20b. Who paid the rest? (CHECK MAIN SOURCE OF PAYMENT ONLY)
VR
1
Medicaid
2
Medicare
3
Welfare
4
60
Other agency
(SPECIFY)
5
No one paid the rest
6
Private insurance
7
Friend or related person
8
- 10 -
4TH HOSPITALIZATION
PLEASE COMPLETE Q.'s 15c-20c FOR THE FOURTH TIME YOU WERE HOSPITALIZED IN
PAST 12 MONTHS. USE A SEPARATE PAGE FOR EACH TIME YOU WERE IN A HOSPITAL.
15c. What is the name of the place you were in?
16c. How long did you stay? (NUMBER OF DAYS)
61-63
17c. What was the reason for your hospitalization?
Disability related (old problem)
1
Disability related (new problem)
2
64
Not related to disability
3
18c. About how much were your hospital bills for this stay, including
hospital costs, doctor costs, lab tests, X-rays, etc.?
$
65-69
19c. About how much of this did you, or your family, have to pay?
$
70-74
20c. Who paid the rest? (CHECK MAIN SOURCE OF PAYMENT ONLY)
VR
1
Medicaid
2
Medicare
3
Welfare
4
75
Other agency
(SPECIFY)
5
No one paid the rest
6
Private insurance
7
Friend or related person
8
3
80
END CARD 3
1-5
- 11 -
5TH HOSPITALIZATION
PLEASE COMPLETE Q.'s 15d-20d FOR THE FIFTH TIME YOU WERE HOSPITALIZED IN
PAST 12 MONTHS. USE A SEPARATE PAGE FOR EACH TIME YOU WERE IN A HOSPITAL.
15d. What is the name of the place you were in?
16d. How long did you stay? (NUMBER OF DAYS)
6-8
17d. What was the reason for your hospitalization?
Disability related (old problem)
1
Disability related (new problem)
2
9
Not related to disability
3
18d. About how much were your hospital bills for this stay, including
hospital costs, doctor costs, lab tests, X-rays, etc.?
$
10-14
19d. About how much of this did you, or your family, have to pay?
$
15-19
20d. Who paid the rest? (CHECK MAIN SOURCE OF PAYMENT ONLY)
VR
1
Medicaid
2
Medicare
3
Welfare
4
20
Other agency
(SPECIFY)
5
No one paid the rest
6
Private insurance
7
-
- Friend or related person
8
- 12 -
INDICATE COSTS FOR OUTPATIENT SERVICES, DRUGS, EQUIPMENT, THERAPY FOR THE PAST
TWELVE MONTHS --
Please check your records for doctor and other medical bills (not hospital
bills) in filling out this section. If you do now know particular types of
expenses, indicate total medical expenses (other than for hospital stays) in
the last 12 months at the bottom of page 10.
21. What was the total cost for
21a. About how much
22. Who paid the
treatment as an outpatient,
of this did you
rest? (1=VR,
in the doctor's office, or
or your family
2=Medicaid,
at home? Include bills for
have to pay?
3=Medicare,
treatments, hospital or
4=Welfare,
office visits (not overnight
5=0ther agency
stays), check-ups, shots,
(SPECIFY)
X-rays, lab tests and exam-
6=No one
inations. (TOTAL BILL FOR
7=Insurance,
THESE ITEMS)
8=Friend or un-
related person
$
(21-25)
$
(41-45)
(61)
23. What was the total cost for
24. About how much
25. Who paid the
other outpatient medical
of this did you
rest? (ENTER
services, such as physical
or your family
CODE FROM ABOVE)
therapy, rehabilitation
have to pay?
nursing, OT, podiatrist,
etc.? (TOTAL BILL FOR
THESE SERVICES) (PLEASE
SPECIFY TYPE)
$
(26-30)
$
(46-50)
(62)
26. What was the total cost of
27. About how much
28.
Who paid the
dialysis, radiation therapy,
of this did you
rest? (ENTER
or chemotherapy? (AGAIN,
or your family
CODE FROM ABOVE)
TOTAL BILL FOR THESE ITEMS)
have to pay?
$
(31-35)
$
(51-55)
(63)
29. What was the total cost for
30. About how much
31.
Who paid the
replacing or repairing pros-
of this did you
rest? (ENTER
thetic devices or special
or your family
CODE FROM ABOVE)
equipment such as wheel-
have to pay?
chairs? (TOTAL BILL FOR
THESE ITEMS)
$
(36-40)
$
(56-60)
(64)
4
80
END CARD 4
- 13 -
1-5
32. What was the total cost for
33. About how much
34. Who paid the rest?
dentist bills?
of this did you
1=VR,
or your family
2=Medicaid,
have to pay?
3=Medicare,
4=Welfare,
5=0ther agency
(SPECIFY)
6=No one
7=Insurance
8=Friend or un-
related person
$
(6-10)
$
(25-29)
(44)
35. What was the total cost for
36. About how much
37. Who paid the rest?
other medical supplies, such
of this did you
(ENTER CODE FROM
as eyeglasses, hearing aids,
or your family
ABOVE)
braces, wheelchairs, crutches,
have to pay?
or other equipment? (PLEASE
SPECIFY TYPE)
$
(11-15)
$
(30-34)
(45)
38. What was the total cost for
39. About how much
40. Who paid the rest?
drug prescriptions?
of this did you
ENTER CODE FROM
or your family
ABOVE)
have to pay?
$
(16-19)
$
(35-38)
(46)
COMPLETE THIS SECTION ONLY IF YOU CAN"T COMPLETE Q. 21 - - 38. DO NOT INCLUDE
EXPENSES FOR HOSPITAL STAYS.
HOW MUCH OF TOTAL
TOTAL MEDICAL EXPENSES
EXPENSES DID YOU OR
WHO PAID THE REST?
IN THE LAST 12 MONTHS
YOUR FAMILY PAY?
ENTER CODE FROM ABOVE
$
(20-24)
$
(39-43)
(47)
- 14 -
HEALTH INSURANCE
The following questions are about the type of health insurance coverage that you
have. Please check your records and complete as much of this section as possible.
If you are called on by an interviewer, the interviewer will help you with any
questions you have difficulty with.
41. Are you covered by any private hospital or medical insurance that pays any
part of your hospital or doctor bills? (INCLUDE MEMBERSHIP IN GROUP HEALTH
CARE PLANS, BUT DO NOT INCLUDE MEDICAID, MEDICARE, ACCIDENT INSURANCE OR
SICKNESS INCOME.)
CONTINUE
Yes
1
48
GO TO Q. 49
No
2
42. What is the name of the plan?
43. Is it high option or a general plan?
High option or full coverage
1
(extra or high premium paid)
General plan
2
49
Don't Know
9
44. Does your insurance pay for any of the costs of:
Don't
Yes
No
Know
1. Hospital care?
1
2
9
-50
2. Surgeon's or doctor's care in hospital?.
1
2
9
-51
3: Doctor's office visits or home calls?.
1
2
9
-52
4. Physical therapy?
1
2
9
-53
5. Occupational therapy?
1
2
9
-54
6. Speech therapy?
1
2
9
-55
7. Prescription drugs?
1
2
9
-56
8. Convalescent home care?
1
2
9
-57
9. Psychiatric care?
1
2
9
-58
10. Dental services?
1
2
9
-59
- 15 -
45. What medical conditions, if any, are not covered by this insurance?
-60
46. About how much did you or your family pay for your health insurance last
year - that is, how much were your health insurance premiums for all of
last year?
$
61-64
(IF "NONE", ENTER "0")
47. Did someone else, other than you or your family pay part or all of the
insurance costs?
CONTINUE
Yes
1
65
GO TO Q. 51
No
2
48. (IF "YES" TO Q. 47 ) Who?
(CHECK MAJOR SOURCE)
Employer
1
Former employer
2
Union
3
66
Friend or unrelated
person
4
Other (PLEASE SPECIFY)
5
(GO TO Q. 51)
/
- 16 -
(COMPLETE QUESTIONS 49 AND 50 ONLY IF YOU DO NOT HAVE HEALTH INSURANCE NOW.)
("NO" TO Q. 41)
49. Have you had any health insurance in the past?
Yes
1
67
No
2
50. Why don't you have any health insurance now?
(CHECK MAJOR REASON)
I am enrolled in Medicaid, Medicare,
or other public health insurance
1
coverage
Not eligible to be insured (rejected)
:
2
Can't afford it
3
Don't think I can get it
4
68
Don't know how to get it
5
Didn't get around to it
6
Other (PLEASE SPECIFY)
7
5 80
END CARD 5
1 5
- 17 -
INCOME AND EXPENSES
51. Approximately how much was the total income for your household last year,
counting all sources?
$
6-10
52. About what percent of the total income was yours?
% 11-13
53. Does your house-
54. (FOR EACH "YES")
hold receive in-
What was the ap-
come from any of
proximate amount
these sources?
of income? (ENTER
BEST ESTIMATE IF
Sources of Income
NOT SURE OF EXACT
(for household)
Yes
No
AMOUNT)
a. Money wages or salary
1
2 -14
$
23-27
b. Net income from non-farm
self-employment
1
2 -15
$
28-32
C. Net income from farm
self-employment
1
2 -16
$
33-37
d. Social Security
1
2 -17
$
38-42
e. Dividends, interest (on savings
or bonds), income from estates
or trusts, net rental income
1
2 -18
$
43-47
or royalties
f. Public assistance or welfare
payments
1
2 -19
$
48-52
g. Unemployment compensation,
government employee pensions,
$
veterans' payments, or work--
]
2 -20
$
53-57
men's compensation
h. Private pensions, annuities,
alimony, regular contributions from
persons not living in the household
1
2 -21
$
58-62
and other periodic income
i. Receipts not counted as income (e.g.
money received from sale of property,
withdrawals of bank deposits, money
1
2 -22
$
63-67
borrowed, tax refunds, gifts, lump
sum inheritances or insurance
payments)
- 18 - -
55. Sometimes people take second jobs, work extra hours, or people in the family who
were not working take jobs to help out. Did you, or anyone in your family do
any of these things during the last 12 months because of added expenses due to
your disability?
CONTINUE
Yes
1
68
GO TO Q. 58
No
2
56. (IF "YES" TO Q. 55) Who has done this?
Yourself
1 -69
PLEASE CHECK
Your mother or father
1 -70
AS MANY
Spouse (husband or wife)
1 -71
AS APPLY
Son or daughter
1 -72
Other relative
:
1 -73
57. What were the expenses from?
Medical or rehabilitation costs
1 -74
Other expenses resulting from disability
1 -75
(housekeeping, modifications in home, etc.)
Other (SPECIFY)
1 -76
6
80
58. In the last year have
you had any unusual
END CARD 6
non-medical expenses
1 5
because of your dis-
ability (expenses
59. (FOR EACH "YES")
which would not have
What was the total
been as high if you
expense for these
had not been disabled?
items in the last
Yes
No
year? (ENTER BEST
ESTIMATE)
1. Housing (e.g. more expensive resi-
dence because of disability,
1
2 -6
$
13-17
architectural modifications)
2. Transportation
1
2 -7
$
18-21
3. Food (e.g. special diet)
1
2 -8
$
22-25
4. Housekeeper
1
2 -9
$
26-29
5. Child care
1
2 -10
$
30-33
6. Attendant
1
2 -11
$
34-38
7. Other (SPECIFY)
1
2 -12
$
39-43
ANNUAL TOTAL $
44-48
7
80
- 19 -
END CARD 7
MANY THANKS FOR YOUR HELP. PLEASE KEEP
THIS QUESTIONNAIRE UNTIL YOU ARE CONTACTED.
YOU WILL RECEIVE A LETTER OR TELEPHONE
CALL IN THE NEXT WEEK OR SO.
STUDY OF CRITICAL INCIDENTS
Background information
research number
disability
age
sex
marital status
living arrangement
activities
level of education
sources of financial support
Status at onset of disability
age
marital status
living arrangement
activities
level of education
employment experience
financial status (independent, dependent on
parents, etc.)
ACTIVITY
TIME ELAPSED
IMPORTANCE
SINCE ONSET
OF ACTIVITY
OF DISABILITY
1. admission to rehabilitation hospital
2. first awareness of others whose injuries
are long-term or permanent and their
reactions
3. first discussion acknowledging
possibility of less-than-complete
return of function
4. prognosis conference
5. acceptance of prognosis
6. first attempt to communicate
emotional reaction to injury
7. first time to sit up in wheelchair
8. first attempts at ADL activities
9. first assessment of appropriateness
of old goals and establishment of
first new goal
10. first pass to go into the community
with friends or family
11. first time to feed self
12. first time got dressed up
ACTIVITY
TIME ELAPSED
IMPORTANCE
SINCE ONSET
OF ACTIVITY
OF DISABILITY
13. first return home after discharge
14. first social acknowledgment of per-
manent handicap
15. first meal in public
16. first encounter with old friends and
associates
17. first rejection by an old friend or
significant other person
18. first rejection by peer group
19. first withdrawal from close relation-
ship (breaking engagement, decision to
divorce, etc.)
20. first new social relationship after
discharge
21. first time family has responsibility
for personal care (catheter and bowel
program)
22. rearranging room to accomodate new
equipment (hospital bed, wheelchair,
etc.)
23. ramping own home or making other modifications
24. first clinic appointment after discharge
25. first architectural barrier
ACTIVITY
TIME ELAPSED
IMPORTANCE
SINCE ONSET
OF ACTIVITY
OF DISABILITY
26. first ballgame
27. first dance
28. first time to attend church
29. first shopping trip
30. first movie
31. first visit to club
32. first party
33. first physical participation in
sports activity (swimming, fishing,
etc.)
34. first card game or other activity
involving fine finger activity
35. first trip
36. first use of public restroom
37. first return to school or job
38. first job interview or first application
to attend school
39. first accident (bowel, urinary) outside
of living situation
40. educating old and new acquaintances about
bladder and bowel incontinence
ACTIVITY
TIME ELAPSED
IMPORTANCE
SINCE ONSET
OF ACTIVITY
OF DISABILITY
41. first response to child's question
regarding disability or wheelchair
42. first explanation of needs, either to
ask for help or to keep from receiving
unneeded help
43. first time asked stranger for help
push
up curb
door
pick up something
emptying leg hag
up steps
eating
44. first time asked friend for help
male
female
45. first discussion of sexuality
46. first flirtations outside of hospital
47. first date
48. first sexual experience
ACTIVITY
TIME ELAPSED
IMPORTANCE
SINCE ONSET
OF ACTIVITY
OF DISABILITY
49. first planning to move out of parents'
home
50. first independent living situation
51. hiring first attendant
52. losing first attendant
53. first admission to nursing home
54. first time to stay alone
55. first time to stay with attendant
56. first time out overnight with friends
57. first time drove car
58. first "set back"
59. first pressure sore
60. first infection
61. first episode of dvsreflexia
62. first emergency
63. first time upset chair
ACTIVITY
TIME ELAPSED
IMPORTANCE
SINCE ONSET
OF ACTIVITY
OF DISABILITY
64. first mechanical problem with wheelchair
65. first time to get dirty hands from
wheelchair
66. first difficulty with personal grooming
67. first handshake
68. first attembts to maneuver on carpet
or other new surfaces (grass, etc.)
69. first attempt to switch on TV, radio, any
appliance
70. first use of telephone
71. first attemnt to prepare food
72. first look into full length mirror
73. first photograph
74. first time associated socially with
other disabled persons
75. first joking about disability-related
situations (wheelchair out of control,
"crip jokes", etc.)
76. first realization that shoes do not wear
out; first purchase of new shoes
ACTIVITY
TIME ELAPSED
IMPORTANCE
SINCE ONSET
OF ACTIVITY
OF DISABILITY
77. first responsibility for personal
finances
78. first negotiations with agency for
financial support (TRC, DPW, etc.)
79. first paycheck
30. first attempt at new activity not learned
at hospital (transferring
into bed,
etc.)
81. first time skipped suppository
82. first time skipped corset
83. first time skipped medications
84. first time requested a different
orthotic device or piece of new
equipment
85. first time excluded from activity by
family or friends because of physical
limitations
86. first decision to marry
87. first decision to have a child
City of Houston Health Department
West End Health Center
190 Heights Boulevard
Houston, Texas
869-5951 Ext. 305
Hours: Mon. thru Fri. 8:00 AM - - 4:00 PM
Fee: No charge
Harris County Hospital District
Baytown Clinic
Words
807 W. Sterling
Baytown, Texas
427-0541 or 422-9622
Hours: Mon., Wed., Fri. 8:00 AM - 4:30 PM
About
Fee: Sliding scale
St. Vincent's House
2817 Post Office
Galveston, Texas
Venereal
783-8521
Hours: Mon. thru Fri. 9:00 AM - 5:00 PM
Sat. 10:00 AM - 1:00 PM
Fee: No charge
Disease
4C's Clinic
1208 Oak Street
La Marque, Texas
938-7221
Hours: Mon. thru Fri. 8:00 AM - 5:00 PM
Fee: No charge
CITY OF HOUSTON HEALTH
DEPARTMENT
VD is the commonly used abbreviation for the
Symptoms of syphilis in men and women appear in
At the current rate of infection, nearly one out of every
venereal diseases, those diseases spread from
three stages.
four people in the United States could contract VD
person to person by intimate sexual contact.
First stage:
sometime during their life. A person can have both
VD is not spread by water, food, air, toilet seats,
The first sign of primary syphilis is a painless sore called
gonorrhea and syphilis at the same time. It is possible to
contract VD more than once, since there is no immunity
door handles, drinking fountains or eating
a chancre (pronounced shanker). It is most often found
utensils. The two most prevalent venereal dis-
on or around the sex organs and usually appears from 14
against the disease. A major research program is now
underway to find an effective vaccine against syphilis,
eases are gonorrhea and syphilis.
to 21 days after contact with an infected person. A
but the vaccine is still years away.
chancre will go away by itself without treatment, but
this does not mean the disease is cured.
Tests for VD do not take much time and do not cause a
great deal of discomfort. In most instances, VD is easily
GONORRHEA
Second stage:
cured. However, "do it yourself" cures or drugstore
Gonorrhea (commonly called "clap") is caused by a
Secondary syphilis may appear from 6 weeks to 6
remedies do not work. Syphilis and gonorrhea can be
germ called gonococcus. Symptoms of gonorrhea usu-
months after contact with an infected person. A rash
completely cured if treated early by a doctor. People
ally appear 2 to 6 days after contact with an infected
may appear on parts or all over the body. Sores in the
who think they have been exposed to VD or have ques-
person.
mouth, sore throat, falling hair and fever may also
tionable symptoms should discuss it with their personal
appear.
In a man:
physician or visit their local health department.
Third stage:
The first symptom is usually a burning pain when urinat-
ing and a discharge of whitish pus from the penis.
Once the early symptoms of syphilis go away, the dis-
ease may become dormant for many years. During this
In the Houston-Galveston area there are sev-
In a woman:
latent or hidden stage, an infected person is usually
eral clinics where you can get confidential VD
Females may have no signs of gonorrhea or they may be
unaware of the disease.
examination and treatment services at no cost
so slight that they go unnoticed.
How transmitted:
or for a sliding scale fee. These clinics are:
How transmitted:
Syphilis is transmitted through intimate bodily contact
Gonorrhea is almost always transmitted by sexual con-
with an infected person.
tact with an infected person.
How detected:
City of Houston Health Department
How detected:
Central Clinic
A blood test called a VDRL is used to detect the exis-
1115 North MacGregor
There is no blood test for gonorrhea, although one may
tence of syphilis. Pre-marital laws require that a person
Houston, Texas
be developed soon. At present, culture testing is used to
has a negative blood test before a marriage license can
222-4201
detect gonorrhea.
be issued. Many states require expectant mothers to
Hours: Mon. & Wed. 8:00 AM - 8:00 PM
How cured:
have at least one blood test during pregnancy.
Tues., Thur. & Fri. 8:00 AM - 4:00 PM
Under proper medical supervision, gonorrhea can be
How cured:
Fee: No charge
cured with antibiotics.
Syphilis can be cured with penicillin or other antibiotics
If untreated:
even in the later or advanced stages.
City of Houston Health Department
Untreated gonorrhea can cause sterility, arthritis and
If untreated:
Lyons Avenue Clinic
heart disease. A mother with gonorrhea can infect her
Untreated syphilis can cause insanity, paralysis, blind-
5602 Lyons Avenue
child at the time of birth. If untreated, the child may be
ness, deafness, heart disease and death. An expectant
Houston, Texas
blinded.
mother can pass syphilis to her baby even before the
675-7584
child is born. Syphilis can cause the baby to be stillborn
Hours: Mon. thru Fri. 8:00 AM - 4:00 PM
or physically defected. Pregnant women who think they
Fee: No charge
SYPHILIS
may be infected should consult a physician very early in
Syphilis is caused by an organism called a spirochete.
pregnancy.
Location and Hours
of City VD Services
Lyons Ave. Clinic
5602 Lyons Ave.
675-7584
Mon. thru Fri. 8 a.m.-4 p.m.
West End Health Center
190 Heights Blvd.
Give This To
869-5951 x305
Mon. thru Fri. 8 a.m.-4 p.m.
Someone
City Health Dept.
Central Clinic
You Love
1115 N. MacGregor
222-4201
Mon. thru Fri. 8 a.m.-4 p.m.
Night Clinics Mon. and Wed.
4 p.m. to 8 p.m.
VD
City of Houston Health Department
Communicable Disease Control
1115 N. MacGregor
Information
Houston, Texas 77030
Three Steps to End the VD
infections may appear as a mild
Step III Control the Epidemic!
Epidemic
persistent sore throat.
Controlling gonorrhea: If you are
Syphilis and gonorrhea can be caught
Persons with anal, oral, or vaginal
treated, it is your responsibility to advise
infections of either diseases often have
and passed by any type of sexual contact;
all sex partners within the past 30 days to
oral, anal, or vaginal. Caring for those
no noticeable symptoms. Gay men and
seek proper medical attention.
you love requires you be informed about
females should rely on regular testing.
Controlling syphilis: Syphilis is a
sexually transmitted diseases and take
Step II Seek Regular Testing!
complex disease, some individuals are
the appropriate steps should the problem
Living a varied sex life includes a certain
infectious for only a few days while
arise.
higher risk of venereal disease infection
others may be infectious for months.
and carries a greater responsibility to
Each case requires special attention to
Step I Be Informed!
protect your body through regular
insure that all sex partners at risk seek
All the venereal diseases are completely
testing for both diseases every 90 days.
prompt blood tests and preventive
curable. Know the symptoms and seek
Regular check-ups insure early
medication when necessary. The City
prompt treatment should symptoms
diagnosis and treatment, shortening the
Health Department offers the free
length of time you may unknowingly be
confidential services of a trained
appear; never seek treatment for a
venereal disease alone.
infectious to those you love. Oral and
professional VD epidemiologist to assist
Syphilis:
anal cultures for gonorrhea are not
you in advising those you love, insuring
Any small painless sore or sores with
routinely offered. If you need these
that they receive proper attention and are
raised usually hardened edges occurring
tests, please request them from the
handled with confidentiality, tact, and
on the penis, mouth, rectum, or vagina;
doctor.
discretion.
and any unusual body rash should be
Reduce the probability of infection by
suspect of syphilis and merits a test.
using a condom (rubber), washing
For Information and Assistance
Gonorrhea:
thoroughly before and after sex,
Call the City Health Department Health
Thick yellow to white discharge from
urinating immediately after sex, and
Advisory Staff 222-4201, or stop in at
the penis, rectum, or vagina with or
most importantly, insist that your partner
one of the clinics. All services are
without burning on urination; oral
practice the above.
strictly confidential and free of charge.
Facts About Preventing VD
Even though condoms (rubbers) have been ridiculed for
interfering with the spontaneity and sensation of sexual
activity, they can prevent the spread of venereal dis-
eases.
To be effective, a condom must be present on the
penis during the entire time that the sex organ is in
contact with the genital area, the anus or mouth. Care
must be taken that it does not slip off and that its
application is prior to foreplay and the first anal or oral
penetration. Since it covers only the head and shaft of
the penis, it does not provide protection for the pubic or
thigh areas which may come in contact with secretions
during sex.
If used properly the condom can provide complete
protection against gonorrhea and NSU and good protec-
tion against syphilis, herpes and venereal warts. The
condom provides no protection against pubic lice or
scabies. Urinating and washing the genitalia and adja-
cent areas with soap and water immediately following
intercourse affords some protection against VD.
For more information concerning the control of venereal
diseases in the gay community, please call the City
Health Department's Central Health Center at 222-4201
and ask for a health advisor.
Examinations, treatment and VD control services may
be confidentially obtained without charge at the follow-
ing locations:
Central Health Center
1115 North MacGregor
222-4201
Monday and Wednesday - 8:00 A.M. to 8:00 P.M.
Tuesday, Thursday and Friday 8:00 A.M. to 4:00 P.M.
Lyons Avenue Center
5602 Lyons Avenue
675-7584
Monday thru Friday 8:00 A.M. to 4:00 P.M.
West End Health Center
190 Heights Blvd.
869-5951 ext. 305
Monday thru Friday 8:00 A.M. to 4:00 P.M.
For Sexually
Riverside Health Center
3315 Delano
526-4277
Monday thru Friday 12:30 P.M. to 4:00 P.M.
Active People
It's a Fact
City of Houston Health Department
For sexually active people it's a fact of life venereal
be so slight that they go unnoticed. Occasionally, a
diseases (VD) are communicable diseases almost al-
vaginal discharge and a burning sensation during urina-
ways spread by sexual contact. Because of the stigma
tion may occur.
attached to VD and other sexually transmitted diseases,
myths and misinformation about them have flourished.
Diagnosis and Treatment of Gonorrhea
When VD is transmitted through gay sex the stigma is
Gonorrhea can be diagnosed by microscopic analysis of
compounded. The result is that myths and taboos are
specimens taken from the urethra of the penis. A culture
magnified, misinformation abounds and often moralis-
test is the best method for detecting anal, pharyngeal and
tic literature exaggerates the consequences of infection
vaginal gonorrhea. When visiting a physician or VD
to the point of frustrating enjoyment of a full, sexual life.
clinic for a check-up you should ask for a rectal and
Sexually active people do face an increased risk of
throat culture if you think you need them. They are not
infection. But, caring for those we love includes the
usually performed routinely. An accurate blood test has
responsibility of knowing about sexually transmitted
not been developed to detect gonorrhea.
diseases and preventing their spread. By dealing with
Gonorrhea may be completely and quickly cured
VD openly, we can soon eliminate the stigma associated
without lasting damage to the body if diagnosed and
with getting and passing VD and eventually eradicate
treated soon after infection. Self treatment is dangerous
the diseases and the risk of having sex.
and often ineffective. Inadequate treatment may cause
symptoms to disappear even though the disease can still
Facts About Gonorrhea (CLAP)
be spread to others as well as cause severe bodily dam-
Gonorrhea is the most common venereal disease and can
age. Treatment with leftover antibiotics may contribute
be spread by oral, anal and vaginal sex. Initially it is a
to the development of a resistant strain of gonorrhea.
localized infection caused by the bacteria Neisseria
Controlling the Spread of Gonorrhea
gonorrhoeae which can affect the penis, rectum, mouth
or vagina.
The gonorrhea epidemic could be ended if all sexually
active people will do two things: 1) get an examination
Penile Gonorrhea
every 90 days, or whenever symptoms are noticed, and
2) if you are treated be responsible for insuring that all
Within 3 to 7 days after contact a thick whitish-yellow
your sex partners within the past 30 days receive an
discharge (pus) will occur from the penis accompanied by
examination. Sex could be a whole lot better if the worry
mild to intense burning during urination. However, some-
of gonorrhea was removed.
times a drip without burning or burning without a drip will
occur. Any unusual or intense penile discharge or burning
sensation merits a visit to a physician or local VD clinic.
Facts About Non-Specific Urethritis
Untreated penile gonorrhea can cause a form of prostatitis
(NSU)
(painful inflammation of the prostate gland), penile stric-
ture (scared tissue inside the penis) and gonococcal
Not everything that drips is gonorrhea. Non-specific
epididymitis (intense irritation and swelling of the balls).
urethritis or non-gonococcal urethritis as it is sometimes
called, can be caused by a variety of sexually transmitted
Anal Gonorrhea
microorganisms or by chemical or physical irritation of
Many people with anal gonorrhea have no symptoms.
the urethral lining of the penis. Usually the precise cause
When symptoms are noted, they include a mucous anal
is not determined, therefore, the name "non-specific."
discharge, intense rectal irritation, tenesmus (a feeling of
Symptoms are very similar to gonorrhea with the
incomplete evacuation after defecation) and burning dur-
presence of whitish discharge from the penis and usually
ing defecation or intercourse. Anal contacts of persons
an itching rather than a burning sensation during urina-
with penile gonorrhea should receive treatment since
tion. As with gonorrhea, all sexual partners should be
advised to have an examination.
medical examination may not detect rectal gonorrhea and
cultures are not dependable from this site.
Facts About Syphilis
Pharyngeal Gonorrhea (Gonorrhea of the
Syphilis is caused by a microscopic bacteria called the
Treponema pallidum which enters the blood stream and
Throat)
infects the entire body. It is transmitted by contact bet-
Symptoms of oral gonorrhea usually are not noticed. If
ween the infectious sores and rashes caused by the
symptoms are noted, they include a mild to severe sore
disease and the mucous membranes of the body such as
throat, fever and chills.
mouth, rectum, vagina and penis. Syphilis occurs in
several stages. As it advances, it can cause blindness,
Vaginal Gonorrhea
insanity, crippling and death. It can be effectively
As with anal and pharyngeal gonorrhea, those with
treated at any stage, but the body develops no immunity
vaginal gonorrhea may not have symptoms or they may
and the disease can be contracted again and again.
Incubating Stage of Syphilis
infection until secondary symptoms appear 2 to 6
During the first 10 to 90 days after sex with an infected
months after infection.
person, the disease incubates within the body and no
Body rashes ranging in appearance from chicken-pox
symptoms are visible. A blood test will not detect the
or measles-like rashes to darkened spots and bumps
existence of the disease during this period. This is a
under the skin are the most prominent symptoms of
major cause of the syphilis epidemic because incubating
secondary syphilis. The frequent involvement of the
syphilis cannot be detected until it reaches the infectious
palms and soles is an important diagnostic feature of
stage.
syphilitic eruptions. Mucous patches in the mouth and
Even if an infected person informs recent sexual part-
the tongue as well as infectious rashes in the anal-genital
ners of their exposure, the contacts often consider them-
region may occur.
selves not infected when their blood test is negative and
Constitutional symptoms such as headache, loss of
no symptoms are noted. Some of these contacts will
appetite, fever, sore throat and joint pains may precede
develop the disease and unknowingly transmit it to
or accompany the rash. Untreated rashes of secondary
others months later.
syphilis heal spontaneously after varying intervals, but
The solution to this problem is preventative treat-
occasionally relapse may occur and new eruptions may
ment. All sexual contacts to early syphilis should be
appear over a period of about a year. Any unusual body
treated to prevent the disease from developing. This will
rash merits an evaluation for syphilis.
insure that they will not transmit the disease to others,
thus breaking the chain of infection responsible for the
Latent Asymptomatic Syphilis
syphilis epidemic.
Latent syphilis is the stage during which no symptoms
Primary Syphilis
are are visible. This may occur as a symptomless period
between the appearance of primary and secondary le-
From 10 to 90 days (average 3 weeks) after contact with
sions, or after secondary symptoms have disappeared
an infected person, a sore or "chancre" develops at the
and before damage occurs to vital body systems. Per-
site where the syphilis germ enters the body. The
sons with latent syphilis are not infectious to others
chancre usually begins as a painless red swelling, which
except for pregnant women who may sometimes pass
becomes eroded to form a small ulcer varying in size
the infection to their unborn children.
from one quarter to three quarters inches.
The course of untreated latent syphilis is variable. It
A chancre has firm hardened edges and often in-
may remain latent for a lifetime with no ill effects, or it
creases from one to several sores. The surface of
may be followed in a few years or as long as 40 years by
chancres exudes serum that contains large numbers of
the damaging effects of late syphilis lesions. If the
spirochetes. Sex contact that exposes others to this type
disease is discovered during the primary, secondary or
of sore should be avoided. Lymph nodes closest to the
latent stages, or before 3 to 5 years after infection,
chancre are often enlarged and firm but usually painless.
syphilis can be easily and completely cured.
When a chancre develops on the penis, it is more
likely noticed than if it appears in the mouth, throat or
Diagnosis and Treatment of Syphilis
rectum. Rectal syphilis lesions produce few or no symp-
Incubating syphilis cannot be detected by symptoms or a
toms unless secondarily infected with bacteria. When
blood test. During this stage, all sexual contacts to an
this occurs, symptoms are similar to gonorrhea with
infected person should receive preventive treatment to
whitish or bloody discharge, burning on sexual inter-
keep the disease from developing and being transmitted
course and defecation, and intense irritation of the anal
to others.
opening.
Primary, secondary and latent syphilis can be diag-
Should a chancre occur on the lips or inside the
nosed by a VDRL blood test or any of several other tests.
mouth, it often resembles a gum boil or cold sore. Throat
A darkfield examination (microscopic examination of
lesions are often not visible and cause little or no dis-
samples from either primary or secondary lesions) of
comfort. A vaginal chancre often goes unnoticed unless
suspicious skin eruptions can identify the disease in its
it occurs on the outer lips of the vagina, in which case it
earliest stages.
is recognizable as an open, reddened sore with slightly
Syphilis can be quickly and completely cured by
hardened edges. Since a chancre of primary syphilis can
specially prepared penicillin. If a person is allergic to
resemble several common ailments and soon disap-
penicillin, other antibiotics prescribed by a physician are
pears, some infected people ignore the symptoms and do
effective. Syphilis is comparatively easy to treat, gener-
not seek treatment.
ally requiring only a few shots and follow-up blood
Secondary Syphilis
tests.
Many gay people infected with syphilis never notice the
The Control of Syphilis
primary symptoms, especially when they occur in the
Syphilis can be controlled if all persons exposed to the
anal passage. Therefore, they may not discover their
disease are alerted to the possibility of infection and
advised as to what medical care is needed. To assist in this
Facts About Hepatitis
effort, the City of Houston Health Department provides
the services of professional VD epidemiologists (experts
Infectious hepatitis (type A) and serum hepatitis (type B)
in determining the source and spread of diseases) who are
can be acquired by close intimate contact, such as during
trained in all the medical and social aspects of syphilis.
sexual relations. There is a greater risk of acquiring type
You and a trustworthy VD epidemiologist can work
A hepatitis from close contact. In most instances a person
together to make sure that your sex partners receive an
may not know they have been exposed since an infected
examination in a confidential manner. You can be certain
sexual partner may not appear ill at the time of contact.
that those you care about will be tactfully and discretely
Initial symptoms of hepatitis are vague and non-
informed of the danger to their health, while at the same
specific but may include loss of appetite, fever, muscle
time insuring your anonymity and reducing the possibility
aches and pains and fatigue. If jaundice (yellow discol-
of reinfection.
oration of the skin and whites of the eyes) occurs, the
In the gay life-style where partners may remain virtu-
diagnosis is usually readily apparent.
ally anonymous, some sex contacts to infectious syphilis
There are no drugs which cure hepatitis but gamma
cannot be identified. Therefore, sexually active people
globulin injections can prevent or reduce the severity of
should have their blood checked for syphilis every 90
type A. There is no effective preventative for type B. Your
days. This will insure early diagnosis and treatment and
physician can advise you on whether you should consider
will reduce the time the disease may be unknowingly
receiving gamma globulin routinely every 4 to 6 months.
transmitted to others.
Facts About Venereal Warts
Facts About Crabs
Both men and women can develop warts in the anal or
genital region. There is evidence that these warts are
Crabs (pubic lice) are pin head sized insect parasites that
caused by a virus similar to that which causes warts on
live in the hairy parts of the body, usually around the
other areas of the body and that the virus is transmitted by
genitals. Some people have no symptoms while others
sexual activity.
experience intolerable itching. Crabs are passed by physi-
In moist areas such as in or around the vagina and anal
cal contact during sex or by coming in contact with
canal, the warts are generally small, cauliflower-shaped
infested bedding, clothing or towels.
pink or reddish growths. One or more may appear
Kwell lotion, prescribed by a physician, is effective but
instructions should be followed to eliminate both the
together. On the outer vaginal lips and the shaft of the
penis, they are harder and look more like ordinary warts.
crabs and thier eggs. Sex partners and roommates should
It is very important to get treatment early, because
be treated at the same time to avoid reinfesting each other.
venereal warts can spread and become more difficult to
treat, especially in the anal canal or vagina.
Facts About Scabies
Facts About Herpes (Genitalis Type 2)
Scabies are tiny mites which burrow under the skin and
Herpes is another skin condition caused by a virus which
cause sporadic itching, which usually gets worse at
is closely related to the one which causes cold sores. The
night. They're passed by skin contact with an infested
exact nature of the transmission of this virus is not known,
person. The main symptoms are raised areas or red
but it is thought to be spread by direct contact with an
bumps that resemble mosquito bites that do not go away.
Kwell is effective medication, but as with crabs, sex
infected person.
From 2 to 12 days after infection, one or several vesi-
partners and roommates should be checked and treated at
the same time to avoid reinfesting each other.
cles (blisters) may appear on or around the genitalia. In
persons infected for the first time, fever, headache, en-
larged lymph nodes (swollen glands) and general sick
feeling may occur. These symptoms may last from 1 to 3
Dangers of Using Foreign Objects in
weeks but may be extended by secondary infection.
Recurrent infections are due to the virus' ability to lie
Sexual Activity
dormant in the skin and multiply as a reaction to certain
Some people are not aware of the hazards of introducing
stimuli both known and unknown. Herpes genitalis is a
foreign objects or sex novelty items into any of the body
self limiting disease, the primary infections clearing in
openings, particularly the rectum, vagina or uretha during
about 3 weeks and recurrent infections in 1 to 2 weeks.
sexual activity. Tissue structure in these areas can be
Locally applied compresses and antibiotic creams are
easily damaged resulting in great pain and reduction in
often prescribed to lessen the severity of symptoms.
sexual enjoyment, not to mention permanent tissue dam-
However, no really effective cure has been discovered for
age. In some situations surgical removal of glass, metal,
herpes virus. Prevention consists of avoiding sexual con-
plastic, etc. has been necessary. The key word is caution
tact with individuals who have the disease.
if you use any type of foreign objects in sexual activity.
14282
®
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psychology today ®
JANUARY 1977/VOL. 10, NO. 8
THE MAGAZINE OF HUMAN EXPERIENCE
34
66
19
Men and Women Report Their Views
The Artificial Boundary
Psychology and the Arts
on Masculinity
between Self and Family
by Silvia Feldman
by Carol Tavris
Family therapist Salvador Minuchin
Two new foreign movies show us
28,000 Psychology Today readers
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different sides of childhood.
report that the macho frontiersman
need to treat troubled individuals in
is fast fading as the model of the
the context of their families.
20
perfect American man.
68
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The Benefits of an
by Jack C. Horn
44
Incomplete Education
The life-sustaining benefits of
The Fascinating King Named Kong
A sketch of Salvador Minuchin.
marriage; how children view the
by Mark Rubinstein
elderly; and other items.
The great ape's story moves us by
76
retelling some fundamental myths of
Women Executives in the
84
human history.
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Books
by Margaret Hennig and Anne Jardim
Reviews by Thomas Tutko, Niles
50
A female corporate star must learn
Newton and William A. Nolen
The Image-Freezing Machine
the informal rules of business
The seamier side of professional
by Stanley Milgram
behavior that men take for granted.
sports; an ambivalent view of
Photography, now as much a part of
80
motherhood; and the poetry in the
human nature as man's opposable
How to Make Room at the Top
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by Margaret Hennig and Anne Jardim
memory.
109
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Cover photography by
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4
Letters
14
Up Front:
When Should You Trust a
Politician?
by Amitai Etzioni
PAGE 76
PAGE 44
PAGE 94
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PSYCHOLOGY TODAY. JANUARY 1977
3
letters
'Maybe We Could Have Joined
Today that chooses to blame it all on environ-
It is hard to blame one single person for what
Together to Find an Answer"
mental plus societal plus physical factors, ig-
happened in Steven Karagianis' case but I'm
After reading Patricia Sullivan's "Suicide by
noring and deriding the powerful and evidently
sure if there had been someone who could
Mistake" (October) I come away feeling the
present intrapsychic factors.
have made a positive decision, instead of pas-
same rage again. All the psychologists, well-
Mary Pearlman, M.D., Madison, Wisc.
sing the problem from one indecisive mind to
intended teachers, and persons in authority
the next, Steven would be with us today. Sul-
over this boy were unable to help him. If only
When I finished "Suicide by Mistake," tears
livan's article makes one aware of the loss of
once one of the people I sought for help for my
rolling down my face, I felt I knew Steven Ka-
dignity and the complete demeaning of a
son had said, "I don't know the answer," in-
ragianis as a personal friend.
strong young man, who was forced to take his
stead of playing God, maybe we could have
Jon Addis, Wichita, Kansas
most precious gift, his life.
joined together to find an answer among us.
Richard Denton, Yonkers, N.Y.
Carol Betts, Bothell, Wisc.
hether the failure be at the school, the court,
the local police station, or in the home is irrele-
Our 22-year old son took his life recently and
ehumanizing institutions, i.e., prisons and
vant. Rather than nurturing our young so they
there are many parallels between his and
psychiatric hospitals, can be the most detri-
may find their own individual niches as adults,
Steve Karagianis' lives. Our son appeared to
mental environments in which to place a suici-
we leave them to expend their energies bat-
be a normal, healthy, active tot. In kinder-
dal individual (from David Reynold's book,
tling the legacy of a hopelessly outdated social
garten, however, the labeling started: "imma-
Suicide: Inside and Out). Perhaps if therapists
system.
ture," "slow learner," "behavior problem,"
and crisis counselors were actively employed
Brian D. Wener, Concord, N.H.
"nonconformist." We were concerned and,
by all prisons and county jails, tragedies, such
over the years, we tried many things: exercise
as the Steven Karagianis case, could be pre-
I
feel that the justice system treats individuals
programs with an eye specialist, private tutor-
vented.
as nonexisting. With a little more compassion,
ing with a reading specialist, short-lived Ritalin
Joan Blumenberg, M.A. Candidate
the Karagianis tragedy might not have hap-
therapy, private schooling. Eventually he drop-
in Art Therapy, Immaculate Heart College,
pened.
ped out. He held a variety of odd jobs and
Encino, Calif.
Richard Drake Jr., St. Paul, Minn.
there were beer drinking, marijuana, reckless
driving, an unsatisfactory relationship with his
I would like to know how "sharing a six pack of
uicide by Mistake" should be "Suicide by
girl friend. Then, after a weekend of marijuana
beer and a pint of brandy" while engaged in
Label."
and drinking [and after watching an episode
driving constitute good judgment and "going
Alexander G. Bartlett, San Francisco
on Baretta in which the "hero" jammed a gun
straight"? Without doubt Steven Karagianis
under the chin of an adversary and said, "I'll
was tangled by unneedfully stringent laws,
of Steven's major problems was his in-
blow your brains out'], he killed himself and
human error and lassitude, and bureaucratic
ability to read. It would be much more effective
was found with a 410 between his knees with
bungles. And without doubt there are neither
in some cases if caring individuals could tutor
the barrel under his chin.
sufficient moneys, nor personnel, nor govern-
persons with learning disabilities. They could
We ask ourselves day after day, what more
ment wish to provide American citizens with
give needed attention and encouragement
could we have done to make life rthwhile for
proper prophylactic education, medical and
and genuine affection as well.
our beloved son? All of us have failed miser-
psychiatric care. These facts are heart-rend-
Cindy Drew, Burbank, III.
ably to meet the special needs of a special
ing to most of those who work in the field. But
human being. Somehow we are missing the
there is no excuse for an article in Psychology
Psychology Today
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4
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"Let's do something effective to enable released convicts to earn a living honestly."
true cause of these failure-prone individuals.
offender be taught a marketable skill and then
and Peep and Pragmatic Materialism
[Name Withheld]
turned loose?
Robert W. Balch and David Taylor did a com-
Nonviolent criminals who commit victimless
mendable and honest job of portraying the
Prisons, Rehabilitation, and Recidivism
crimes should probably not be incarcerated,
Two. ("Salvation in a UFO," October) However,
I am currently incarcerated in one of Ohio's
but it is high time we wake up to the fact that not
having met Herff and Bonnie in Southern
newest maximum-security prisons ("Prisoners
all criminals, nor even most, are rehabilitable.
Oregon in around 1972, I would disagree with
Can Be Rehabilitated-Now," by Sol
A "second offense" should rarely exist in an in-
the statement, "Bo was articulate, witty, and
Chaneles, October). The structure is new, but
telligent society for armed robbery, man-
charismatic." would substitute the word "gar-
rehabilitation is something that somehow was
slaughter, murder, or any other violent crime.
rulous." And, since charisma is not an acquira-
forgotten. There are three college-level pro-
Paul A. Jones, Teacher-Counselor, Bushy
ble trait, I would have to disagree totally with
grams that offer much for the prisoner desiring
Mountain State Penitentiary, Knoxville
the authors on this point; my own conclusion is
higher education, but what's one to do if he
that the Followers were in a mood to follow any-
would like to learn some vocational trade?
Society needs to be safeguarded against
one who had the audacity to try and lead them.
Does the prospect of becoming a short-order
dangers to it. The public safety is the grounds
The bottom line of the article, in which Peep
cook sound inviting, or a shoe repairman?
for defense spending, for departments of sani-
wins money from a slot machine, and says,
There are a few more menial vocations that we
tation and public health, for traffic laws, for li-
"Look, see how the Father is letting us win,"
are offered and, in my eyes, these programs
censing of physicians, etc. This one purpose is
convinced me that the authors had seen past
defeat the purpose of rehabilitation.
the most important single principle for govern-
the façade of the religiosity to their real core of
M. Ray Wylie, Lucasville, Ohio
ment. Then, let's give up punishment and re-
pragmatic materialism.
form and rehabilitation except for special,
The yet unanswered question as to whether
The research on insight-oriented psycho-
restricted, minor situations. Instead, let's pro-
the Two were a hoax appears to baffle the au-
therapeutic programs in prisons has not sup-
ceed on the basis of safeguarding society
thors as it did me. If they are a hoax, their mo-
ported their effectiveness in reducing
from those preying upon the innocent by sim-
tives will become understandable; if they are
recidivism. Indeed, there is much cogent the-
ply sequestering or segregating them apart
not a hoax, we'd have to say that they are just
oretical support that would lead us to expect
from society, permanently or semiperma-
about as "normal" as the rest of us-just
that such programs cannot work in prisons as
nently. Absolute life sentences would be per-
slightly more uninhibited in showing the con-
we know them today. The practice ought not to
manent; absolute 30-year sentences would be
tradictoriness of human nature.
be continued, and rehabilitation efforts should
semipermanent. Instead of prisons, let's more
Howard Hutchison, Brookings, Oregon
be concentrated on vocational training and
humanely put them in prison camps or some
education.
isolated place to live in their own ways, regard-
The activities of the group are strongly remi-
Stephen E. Schlesinger,
less. And let's do this after perhaps the third
niscent of Arthur C. Clarke's story, "Child-
Department of Psychology, SUNY, Buffalo
serious offense.
hood's End."
But let's also do a couple of other things. (1)
John Gold, R.N., Springfield, Mass.
Chaneles ignores several important factors,
Instead of sending first offenders off to prison,
such as:
which serves as an undergraduate school for
If Joan Culpepper really learned that, "Until
1. While it may be true that society is respon-
crime, for periods of even a year to five years,
man, the human, acknowledges his Christ
sible to a large extent for producing criminals,
let's give them a deeply frightening experience
within, he will be bound by a cocoon of his
and an intelligent and humane society should
of prison for no more than three months. (2)
human nature. Only when he overcomes all the
attempt to eliminate these conditions, it also
Let's do something effective on a national
paths and all the teachers will he be able to fly
remains highly unlikely that crime will ever be
scale to enable released convicts to earn a liv-
free as the beautiful butterfly envisioned by Bo
eliminated entirely.
ing honestly-perhaps a government work
and Peep in their philosophy." Then Bo and
2. The word rehabilitation means "to restore
corps as employment of last resort.
Peep accomplished more than most clergy do
to a former state," and if used in this sense it
S. Lee Hubbell, All Souls First
in a lifetime.
may be a realistic approach with former law-
Universalist Society of Chicago
George C. Anderheggen,
abiding citizens who have made a "mistake."
M. Div., Newtown, Conn.
However, there are many criminals who, be-
cause of environmental or other reasons, have
SOCIAL ISSUES AWARD
Yes, the UFO people certainly are for real.
never learned to respect the rights and feel-
Psychology Today is pleased to announce the
They illustrate that very real experience of all of
ings of others nor the need to comply with the
winner and runner-up in the 1976 Social
us, the wait. Beckett's play, Waiting for Godot,
expectations of society. To turn these people
Issues Award competition for the best social
is a classic because it recognizes that every-
loose in great numbers SO that they can con-
science doctoral dissertation concerning an
body is always waiting for something. The fol-
tinue to commit crimes as is presently being
important social problem. The winner is Reid J.
lowers of Bo and Peep are different only
done is sheer stupidity.
Daitzman of the University of Virginia Hospital
because they chose to wait without reserva-
3. It is pointless to state categorically that
for his dissertation entitled, "Personality Cor-
tion, abandoning their earthly attachments in
punishment either is or is not a deterrent to
relates of Androgens and Estrogens." He will
full view of the public, taking the full risk while
crime. One thing is certain-while imprisoning
receive $1,200. The runner-up is Michael J.
the rest of us realistically prepare for failure.
someone may not prevent his first offense,
Saks of Boston College for his dissertation en-
Linda Mickle-Marks, Atlanta
keeping him there will certainly tend to prevent
titled, "Jury Decision-Making as a Function of
the second, third, and fourth.
Group Size and Social Decision Rule." He will
Maybe Bo and Peep are, in fact, doctoral can-
4. The idea that prisoners should have a
receive $500. The Social Issues Award is CO-
didates investigating the limits of human-
legal right to rehabilitation is interesting. And
sponsored by the Society for the Psychologi-
group gullibility.
what about victims? I am curious as to whether
cal Study of Social Issues and Psychology
Dale J. Hyland, St. Petersburg, Fla.
Sol Chaneles would be SO kindly disposed to-
Today.
ward all criminals if he had experienced hav-
"Absolute Solutions" Substituted for
ing a five-year-old daughter raped and
"Possible Implications"
tortured to death. Would he just wish that the
"Newborn Babies See Better than You Think"
10
PSYCHOLOGY TODAY JANUARY 1977
"The opponents of the death penalty do not trust the democratic process."
by Daphne M. Maurer and Charles E. Maurer
the use of general anesthesia in infants. It also
"questionable." Many ophthalmologists ques-
(October), took a very difficult subject and, in
neglects all the current research on maintain-
tion operating so soon-and many others
general, presented it quite well. There were
ing the integrity of binocular cortical cells
question delaying. Stereoscopic vision aside,
some statements, however, in the box entitled:
through functional rather than surgical means.
they think infants take the surgery better.
"Diagnosing Strabismus: How Soon Should a
Unfortunately, the authors made the mistake
Baby's Eyes Converge?" that cause concern.
of confusing and finally substituting "absolute
The Death Penalty
First, the authors should never have written
solutions" for "possible implications."
Justice Thurgood Marshall ["The Death
that "After a few years of disuse
(an)
eye
Elliott B. Forrest, O.D., Co-Director,
Penalty and Public Knowledge," News Line,
usually goes blind." I'm sure the authors real-
Infants' Vision Clinic, University Optometric
September], says that the death penalty is
ize that what occurs is a decrease in central
Center, State College of Optometry, SUNY,
constitutionally invalid because it is excessive
vision only. The term "blind" is not only inaccur-
New York City
and the American people are not fully informed
ate in this case, but can be unnecessarily
as to its purposes and its liabilities.
alarming to a lay person who may associate it
Daphne M. Maurer and
A law may be unwise and undesirable and
with no vision at all.
Charles E. Maurer Reply:
still be well within the constitutional power of
Second, the authors state that if "surgery is
First, we were talking about congenital
the government. The one thing that seems per-
done before school age it prevents loss of
strabismus, or strabismus that develops dur-
fectly clear to me is that those who have strong
sight." If it were only that simple. Muscle surg-
ing infancy. Either can cause more damage
emotional opposition to the death penalty are
ery is performed purely in an attempt to align
than strabismus that develops later. In the
unwilling to submit the issue to the elected rep-
the deviating eye (or eyes) to some degree. It
case of congenital strabismus, often an un-
resentatives of the people. In a democracy
cannot insure that the eyes will be perfectly
used eye can detect no more than light from
these are the people to legitimately decide the
straight or that the brain will automatically
dark, or gross movement. If strabismus de-
issue. The opponents of the death penalty do
begin to use both eyes together as a team.
velops after birth but during the first 18 months,
not trust the democratic process.
Third, the authors state that "to save ste-
then an unused eye usually retains no more
Robert H. Gibbs, Lake City, Tenn.
reoscopic vision the surgeon must operate
than 10 percent of normal vision. Spectacles
while a child is only a year old." This ignores
will not help. For practical purposes, and le-
Willing Victims
the questionable percentage of surgical suc-
gally, the eye is blind.
Jack Horn's apparent inability to decide why
cess in this age group, the possible need for
Second, of course surgery doesn't always
there were different findings in Texas and New
more than one operative procedure, the inher-
work. No surgery always works. We thought
ent risks involved in the surgery itself as well as
that too obvious to need spelling out.
Finally, eye surgery on infants is indeed
Introducing the B-I-C Electronic Drive 1000.
With two motors. Electronic controls.
"Pause cueing." Remote control. And a waiting
list a mile long.
Sorry about the waiting list, but when you see it you'll understand. Here you have a purist's tone arm
and superb playback in a "bee eye cee" belt drive unit which we believe promises better long-run
performance than a direct drive unit. At about $279, we think it's irresistible. See what you think at your
high-fidelity dealer's. You'll find our 5 turntables folder there. Or write to British Industries Co.,
Dept. IM, Westbury, N.Y. 11590.
5 Turntables
©1976 British Industries Co., A Division of Avnet Inc.
PSYCHOLOGY TODAY JANUARY 1977
11
"New Yorkers learn at an early age what can happen if one refuses a stranger's request."
York is understandable [News Line, Septem-
Pietie, 1588. Perhaps we have one more exam-
would lessen the burden of people trying to
ple of the artist discovering something of prac-
fulfill all the needs of one person.
ber]. However, he ignored the fact that the ear-
lier New York experiment was conducted with
tical value before the advent of modern
Pat Kunkler, Augsburg, West Germany
a mere 20 subjects as opposed to 274 in the
science.
Texas experiment. Isn't it possible that the use
John Mitcheltree, Salt Lake City, Utah
Benefits of Beauty
of such a small number of subjects skewed the
Have you ever seen a beautiful corpse? In their
results?
Carrying School Books
article about the benefits of being beautiful
Penny R. Millson-Martula, Chicago
The authors went to amazing lengths to instill a
["Beauty Can't Be Beat," September], Glenn
bit of profundity to their observations ["Girls,
Wilson and David Nias failed to adequately de-
It is obvious why those New Yorkers were
Boys and Books," August]. The explanation is
fine beauty and erred in their contention: "Per-
eager to empty their pockets [ "Wide Open
clearly that girls carry home more books!
sonality hardly counts at all." Life and
Spaces Breed Unwilling Victims," News Line,
Bonnie Reagan, Springfield, III.
personality define beauty, not physical at-
tributes. Researchers in the field of nonverbal
September]-they learn at an early age what
can happen if one refuses a stranger's
I
have found in my 16-plus years of carrying
communication are finding the beauty or ugli-
request.
books that if I am carrying a purse, it is much
ness within us, our personality, is reflected un-
Rose Motyczka, Roselle Park, N.J.
more comfortable to place the purse on top of
consciously in our gestures, postures, and
my books and cradle the whole kit and caboo-
facial expressions. A body no matter how well
Words and Music
dle than it is to use one arm to carry books and
proportioned, a face no matter how finely
Melodic Intonation Therapy ["Putting Words to
one to carry my purse. The compact stack is
sculptured cannot hide a troubled personality.
Music Can Help Stroke Victims.' News Line.
much less hassle to handle.
The ugliness within us can easily erode what
September] is not SO new. William Byrd knew
Sharyn S. Belk, San Antonio, Texas
physical attractiveness we might possess.
about it 400 years ago. From his "reasons
Whenever I look for beauty in a person I look
briefly
set
downe to perswade everyone to
Choosing Your Baby's Sex
at the eyes first, for the eyes more than any
learne to sing
4. It is a singular good
So what's wrong with more males being born
other feature reveal a person's inner beauty.
remedie for a stutting & stammering in the
["What Happens When We Get the Manchild
Have you ever seen eyes that smile more than
speech. 5. It is the best meanes to procure a
Pill?" August]? The answer to the most obvious
parted lips? If you haven't, then you have miss-
perfect pronunciation & to make a good Ora-
problem is polyandry. The results would in-
ed something beautiful.
tor. The "Reasons" are printed in Byrd's
clude a much smaller population and I think it
Don Oakland, Clintonville, Wisconsin
Psalmes. Sonets & Songs of Sadnes and
The Name Game
Mary Marcus comes down too hard on us
bearers of uncommon given names ["The
Power of a Name," October]. She seems to
The Minox® 110S,
perpetuate the common confusion between a
name's frequency and its popularity. The two
sophisticated but uncomplicated.
are related but not the same. Current literature
implies that a name is unpopular because it is
uncommon. A name probably becomes un-
The Minox 110S has a unique
exposure. And the f/2.8 lens is
popular because of prejudiced associations
combination of features found on no
superbly sharp.
built up by adverse media exposure. The
other pocket camera.
But for all its advanced
media avoid insulting the majority with com-
It has an automatic electronic
engineering, The Minox 110S is still
mon names. And parents avoid giving their
shutter that makes it a cinch to take
a true pocket camera. It's only
children names for which negative associa-
properly exposed photos, with speeds
5 X 2 X 1", and weighs five ounces
tions have been established. On the other
from 1/1000 to 4 seconds. You
- less than any rangefinder pocket
hand, an uncommon name receives favorable
control the aperture. Rangefinder
camera.
media exposure and immediately becomes
focusing from 2 feet to infinity. And for
For the name and address of
very common as parents rush to bestow the
correct flash exposures, the aperture
your nearest Minox dealer, contact
unusual, beautiful name upon their offspring.
is coupled to the rangefinder.
Minox U.S.A., division of E. Leitz, Inc.,
Some developments in Ann Arbor over the
The brightline viewfinder has
Rockleigh, N.J. 07647. Dept. 01.
past three years may show some new fads and
automatic parallax compensation.
It displays the aperture setting and
Minox U.S.A.
antifads. Tanya, a moderately popular name
for girls three years ago, has almost dropped
warning lights for long or over-
out and Patricia disappeared completely.
Meanwhile Jamie and Lindsay have increased
dramatically over the past year. Patty Hearst
and the Bionic Woman are both having their
effects.
Cleveland Kent Evans, Ann Arbor
Psychology Today welcomes letters from read-
ers. All letters are necessarily subject to edit-
ing for length, style, and grammar. Except in
extremely unusual circumstances, unsigned
letters will not be published. The Letters de-
partment constitutes the readers' forum, and
all shades of opinion are most welcome.
4726R
12
PSYCHOLOGY TODAY JANUARY 1977
Chevy
Chevette
43 MPG 31 MPG
EPA HIGHWAY EPA CITY ESTIMATE
Smile: You've just read the
And keep on smiling, there's
And over 6,000 Chevy
highest EPA estimates for any
more.
dealers everywhere.
car built in America. Ever.
Chevette has more head
If 43 and 31 are your kind
Chevy Chevette with
room than many mid-size cars.
of figures, stop by a Chevy
available 1.6-litre engine and
More horsepower this year.
dealer soon.
standard manual transmission.
A hatchback that opens up
He has some more numbers
EPA figures are estimates. The mile-
over 26 cu. ft. of carrying space.
you'll like too: Chevette's
age you get will vary depending on
One of the tightest turning
price.
your type of driving, driving habits,
circles of any car in the world.
car's condition and available equip-
A diagnostic connector for
ment. In California, EPA figures are
quick electronic service checks.
lower.
A service manual written for
do-it-yourselfers.
GSKY
A unitized body that's
corrosion-protected.
BIGSKY
RALLY
16
1
lt'll drive you
GM
happy.
EXCELLENCE
PSYCHOLOGY TODAY JANUARY 1977
13
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tudies show that the majority of Amer-
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PLANNING TO
red-handed abusing their authority for
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MOVE?
interest groups, and to violate citizens'
Another political device is to launch a
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program but provide it with inadequate
ords, conversations, homes. No wonder
funding, manpower, or administrative
the question of integrity was a major
competence. We must therefore learn to
Let us know 8 weeks in advance so that you
won't miss a single issue of PSYCHOLOGY
theme of the 1976 elections, with two out
fix our eyes on actual results. Was vandal-
TODAY.
of every three Americans expressing dis-
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Attach old label where indicated and print
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Write to: P.O. Box 2772, Boulder, CO 80323,
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Name
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please print
layer of hyperoptimism. Treating the pub-
Only when promises and "initiatives"
Address
lic like simpletons, they promise to "eradi-
yield little political mileage will politicians
City
cate poverty," "eliminate crime," "clean
find it rewarding to invest more of their
State
Zip
up the environment," "get jobs for all who
efforts in the hard work of thinking
Additional postage per year: For Canada add $3 For countries outside
U.S. and Canada, add cash in U.S. currency only
seek them.' Politicians solemnly
through, working out, testing and contin-
pledge to keep America strong milit-
uously redesigning programs aimed at
AFFIX OLD LABEL
arily, pay for new programs, and bal-
overcoming our real problems and meet-
If you have no label handy, print OLD address here.
ance the budget.
ing our deeper needs.
Name
please print
Citizens who become entranced by
Address
these melodies encourage politicians to
Amitai Etzioni is professor of sociology at Co-
lumbia University and Director of the Center for
City
keep striking resonant chords falsely. If
Policy Research. His main work is The Active
Zip
more Americans would meet such music
Society.
State
14 PSYCHOLOGY TODAY, JANUARY 1977
"I figured any company
that could outfox IBM was
my kind of company."
"If you want to move up, you'd
the Action Line™ for work groups
better work for a company that's
to big central systems. They've
on the move. Which is why I
even recently entered the auto-
stopped selling life insurance and
matic typewriter field to provide
started selling Lanier dictating
complete input/output word
equipment.
processing capabilities.
"The life insurance market was
pretty well saturated. There
"I had an income goal and a
wasn't much room for growth. It
supervisory goal, and I've
took years to really get ahead.
surpassed them both."
"I was ready for a change, but
"I found out right away that
it had to be a place with a future,
Lanier is a company where you're
where you could make your mark
judged on your results. And one
quickly.
Clyde Marshall,
where you can get results-fast.
Lanier Business Products,
"Lanier didn't tiptoe into the
Los Angeles
"I wanted to be a supervisor
within two years. I made it in one.
market-they took it over."
"A career counselor recommended
recession. Very conservative
I wanted to double my income
Lanier. He said it was a fast-
times. A lot of people were cutting
this year. I tripled it. I worked for
growing, dynamic company in a
back, including Lanier's competi-
these things 10 hours a day, five
tors. Not Lanier. They were too
even six days a week. But the
real growth industry. I didn't just
busy expanding their sales force,
point is, the opportunity was
take his word for it, though. I did
a little homework.
hiring new management, tripling
there."
their promotional budget.
And it's still there. Now more
"I found out some interesting
things about Lanier. Like how
"And I was impressed by the
than ever, Lanier needs good
big investment Lanier makes in
people. People who know what
they had tripled their sales in the
last five years. And how there's a
their people. Their training pro-
they want and how to get it.
huge, untapped market for dictat-
gram is the most comprehensive
People who can handle respon-
I've ever seen.
sibility.
ing equipment-12,000,000 busi-
Maybe you're one of those
ness and professional people are
"When your company brings
people. If you think so, call our
nonusers simply because they
out seven products in just
personnel director, John Hegarty,
don't know how it can help them.
"It all added up to the kind of
four years, you've really got
toll-free at (1-800) 241-1706, and
situation I'd been looking for.
something to sell."
talk it over.
"Having a full line of high-quality
"I said to myself, here's
products makes a big difference.
a company with guts."
People recognize Lanier's tech-
LANIER®
"When I went to work for Lanier,
nological leadership. From the
LANIER BUSINESS PRODUCTS, AN OXFORD INDUSTRY
it was the height of the 1974-75
Pocket Secretary™ portable to
An equal opportunity employer.
PSYCHOLOGY TODAY JANUARY 1977
17
THE ITALIANS
ST OR T.
EROUX
EROUX
Regal
Family of
EROUX
Regat
Emily
of
Liqueurs
CIMPORTED
LEROUX
IMPORTED
AMARETTO
LEROUX
DITORINO
LEROUX
SAMBVCA
IMPORTED
ITALIAN
LIQUEUR
CHOCOLATE
1
AMARETTO
Liqueur
Ah those Italians. They love their after-the-meal delights. Like Leroux Sambuca.
Imported from Italy, Leroux Sambuca tastes like anisette. But just a trifle more flavorful.
Drink it like the Italians do. With a coffee bean floating on top. You simply chew the bean and
sip the Sambuca to revel in the bittersweet taste of Italy.
Leroux also brings you something spectacular: Chocolate Amaretto. The luscious
subtlety of Amaretto plus a touch of chocolate.
And finally imported Amaretto di Torino, the traditional Amaretto. The pride of the
Italian table.
For three other treats from Leroux, all imported from Europe, try Fraise de Bois,
Cognac with Orange, and Cherry Karise.
For a free Leroux Cocktail and Cooking Recipe Folder, write to:
Leroux Recipe Offer, P.O. Box 956, Madison Square Station, N.Y., N.Y. 10010.
EROU
Leroux Liqueurs, 49 to 84 Proof. General Wine & Spirits Co., N.Y., N.Y. 10022.
Royal
Family of
International
L ROUX
From France, Italy, U.S., Austria, and Denmark.
psychology and the arts
BY SILVIA FELDMAN
SMALL CHANGE
end, it easily passed the censor's eye.
a peasant draws an elegant watch from
Directed and produced by
After years of fascism, stories about de-
his shabby pocket. Sometimes an image
Francois Truffaut
pression and morbidity must have be-
stands alone, in a kind of shorthand. A
(New World Pictures)
come the norm. And what can a crazy lit-
burst of lights in the darkness is only ex-
tle girl's fantasies have to do with politics?
plained in the next scene: it was a
THE SPIRIT OF THE BEEHIVE
Yet this is a highly political film. It uses
shootout, because you see the victim's
Directed by Victor Erice
allegory to illuminate the poisonous con-
body. Then there are long moments when
Produced by Elias Querejeta S.A.
sequences of repression and terror on
the camera focuses in silent witness: for
(Janus Films-Kino International)
the quality of Spanish life: on the coun-
10 minutes we watch a woman's face on a
tryside, which has remained barren and
pillow, pretending to be asleep. Through
C
hildren are endlessly willing: that's
ruined: on the economy, which continues
shadows and sounds we know her hus-
why they're SO lovable. Recently Hol-
to operate on a survival level; on litera-
band is undressing and getting into bed
lywood has been exploiting this mal-
ture, which is morbid and confused: on
beside her. When all is quiet her eyes
leability in new and imaginative ways,
art, which is nonexistent except as re-
open and stare into the darkness. Every-
and with great commercial success. Au-
storation of the dead past: and on educa-
thing necessary has been said about
diences of The Omen are deliciously
tion, which is shockingly old-fashioned,
their estrangement and feelings of
shocked to discover that a beautiful baby
out of touch with the rest of the world.
isolation.
boy really is the devil. In Bugsy Malone
Peoples' lives are seen as humdrum,
On the simplest level. this is a story
prepubescent youngsters cavort in adult
exhausted, unthinking, unquestioning,
about a little girl's growing conscious-
drag through every childish cliché of the
and circumscribed ("like drones in a
ness of danger and death. Her aware-
romance-glamor-gangster movies of the
beehive"). Family members are de-
ness opens up in a series of small shocks.
1930s. Their fresh beauty, naiveté and
tached, uncommunicative, and little chil-
First she sees the movie Frankenstein. in
sincerity shine through the tired old
dren grow up like plants that are stunted
which a man inexplicably kills a little girl
script. almost making sated audiences
in the dark, distorted by terrors no one will
much like herself and then is killed him-
feel young and innocent again.
talk about.
self. Her father takes her for a walk. warn-
Meanwhile some new foreign movies
The film is highly symbolic, and experi-
ing about the dangers of poison
show the real life. even the real inner life,
encing it is like working an interesting jig-
mushrooms, and she hardly can dis-
of children. François Truffaut's Small
saw puzzle: slowly the whole picture
tinguish them from the others. Finally she
Change is outstanding among them. He
emerges. Artifacts are juxtaposed to de-
asks her emotionally distant mother for
has always been especially sensitive to
scribe a character's past and present life;
some reassurance. She is told there
childrens position of powerlessness (the
never is any danger for a good little girl."
semiautobiographical 400 Blows) and
But who can be good all the time?
their need for sensitive support from
The parents are preoccupied and es-
adults (The Wild Child). In this movie
tranged, like displaced persons in their
about normal. everyday home and
own country. A disturbed older sister
school life. he responds to the child that
teases her, encourages her to flirt with
lives in all of us. at every age. We are all
danger and death and pretends to talk to
the same emotionally, he observes. We
spirits. She has no friends, no meaningful
always need intimacy, acceptance, and
education. Hers is a joyless world. barren
love. We need the freedom to express
of natural beauty, friendship or culture.
ourselves and to explore the world from
She has no one, nothing to relate to.
infancy right through old age. Whether
In this isolated atmosphere her ap-
we are mean. generous, spiteful, sexy,
prehensions grow. She finds a stranger.
loving, or foolhardy seems to depend
makes him her own Frankenstein monster
most on one factor-our luck in family life.
and tries to placate fate by bringing him
Anecdotes about children that convey
gifts of food and clothes. When he is killed
this message must be extraordinarily dif-
for stealing these things she gives up the
ficult to direct successfully. Truffaut has
struggle to make sense of the real world
managed to transform the triviality of or-
and retreats into fantasy. "It is as if we
dinary life into high adventure, romance,
don't exist," says her mother. A child's
and fun.
sanity, says the director, is the ultimate
In dramatic contrast, the darkly beauti-
victim in a despairing society.
ful. moody. slow-moving Spirit of the
Beehive explores the pathology of child-
Silvia Feldman is a psychotherapist with a pri-
hood. Made four years ago in Spain, as
vate practice on Long Island She wrote Peak
Franco's regime. was nearing its weary
Sex (Fawcett) with Eli Feldman.
PSYCHOLOGY TODAY JANUARY 1977 19
NEWSLINE
Jack C. Horn, Editor
NO,
IT JUST
IS IT TRUE
SEEMS
THAT MARRIED
LONGER,
MEN LIVE LONGER
THAN BACHELORS?
Neal Adams
Mortality
desirable, those who don't marry are con-
constricted and frustrating." Women
The Life-Giving Properties
sidered odd. This puts them under vari-
therefore derive fewer of the benefits con-
of Marriage
ous kinds of social pressure and stress
ferred by marriage, and are exposed to
Virtually every writer about humor from
that gradually wears them down
less harm outside it.
Sigmund Freud to Woody Allen has
physically.
Kobrin and Hendershot tested Gove's
agreed on one point. Most good jokes are
The third explanation ties long life to
ideas by comparing how nonmarried
funny, in part, because they express a
marriage through the concept of "social
people fare under living arrangements
basic truth. That's one reason the ancient
solidarity," an idea that has been ex-
that approach or depart sharply from
two-liner quoted above isn't very funny.
plored recently by sociologist Walter
those of married life: living with a family as
Married men, and women too, do live
Gove. Married people live longer, he
its head; living just as a member of a fam-
longer.
wrote, because "the unmarried live a rela-
ily; or living alone.
Sociologists and others have ad-
tively isolated existence that lacks the
If Gove is right about the importance of
vanced various explanations for this fact,
close interpersonal ties that are a key
social ties to long life, unmarried people
but most are variations on three basic
factor in maintaining a sense of well-
who live with relatives should live longer
ideas. Frances Kobrin and Gerry Hen-
being."
than those who live alone. And if marriage
dershot of Brown University summarize
Women live eight years longer than
does more for men than for women be-
them this way:
men, on the average, but the difference is
cause of the men's higher status in the re-
Marriage doesn't really protect, it se-
much less between married men and
lationship, unmarried men who head
lects. Married people live longer, they
married women. Gove has an answer for
families should live longer than those who
say, "because people who are unlikely to
this, too. Single women "are apt to have
are simply part of a family. Kobrin and
live long are also unlikely to marry or stay
stronger ties to family and friends" than
Hendershot put it this way: "Ties
may
married."
unmarried men, while "married women,
be good, but how good depends on
Since most people consider marriage
compared to married men, find their roles
which end of the rope one is on."
20
PSYCHOLOGY TODAY, JANUARY 1977
Accutrac.
The turntable with eyes.
What's more, it can do this by cordless
remote control, even from across the room.
The arm your fingers never have to touch.
Since Accutrac's tonearm is electroni-
cally directed to the record, you never risk
dropping the tonearm accidently and scratch-
ing a record, or damaging a stylus.
And, since it cues electronically, too,
you can interrupt your listening and then
pick it up again in the same groove, within a
fraction of a revolution. Even the best damped
cue lever can't provide such accuracy. Or
safety.
THE E 1
What you hear is as incredible as what
you see.
Because the Accutrac servo-motor
which drives the tonearm is decoupled the
Introducing Accutrac.
instant the stylus goes into play, both hori-
The only turntable in the world
zontal and vertical friction are virtually elimi-
that lets you tell an LP which selections
nated. That means you get the most accurate
you want to hear, the order you want to hear
tracking possible and the most faithful
them in, even how many times you want to
reproduction.
hear each one.
You also get WOW and flutter at a com-
Sounds like something out of the 21st
pletely inaudible 0.03% WRMS. Rumble at
century, doesn't it? Well, as a result of
-70 dB (DIN B). A tracking force of a mere
Accutrac's electro-optics, computer program-
3/4 gram. And tonearm resonance at the
ming and direct drive capabilities, you
ideal 8-10 Hz.
/
can have it today.
The Accutrac 4000 system. When you
Just imagine you want to
see and hear what it can do, you'll never be
hear cuts 5, 3 and 7 in that order.
satisified owning anything else.
Maybe you even want to hear cut
3 twice, because it's an old favorite.
Its father was a turntable.
Simply press buttons 5, 3, 3 again,
Its mother was a computer.
the
then 7. Accutrac's unique infra-red
beam, located in the tonearm head, scans
the record surface. Over the recorded
The Accutrac:4000
portion the beam scatters but over the smooth
surface between selections the infra-red light
is reflected back to the tonearm, directing it
ADC
A
to follow your instructions.
ADC Professional Products Group. A division of BSR (USA) Ltd. Route 303. Blauvelt, N.Y. 10913
NEWSLINE
The sociologists examined a national
"sad because I'll be dying soon."
cross-section of 20,000 individuals who
Part of the study involved showing the
died between the ages of 35 and 74. They
children four photos of men representing
separated this sample by age, sex, mari-
various ages. Youngsters at every age
tal status, and living arrangement, and
level were able to point out the oldest
compared their mortality rates.
man. Nearly half the kindergartners and
Among nonmarried men, those who
all the older children could arrange the
are the heads of families live longest, fol-
pictures in order of age, but those youn-
lowed by men who live in a family without
ger than nine had trouble assigning real-
being its head. Living alone is far and
istic ages to the men. Fifty-eight percent
away the worst situation. Solitary men
of the students said they liked the young-
have a mortality rate 94 percent higher
est man best.
than that of married men, compared to a
As a result of the study, the researchers
rate of 40 percent higher for nonmarried
have developed a curriculum that will
family heads.
help young children deal with old people
The pattern for nonmarried women
realistically.
-Jody Gaylin
starts out the same-it's best to be head
Mandy Crosby
Age Five
Jantz and Seefeldt are associate pro-
of a family-but then it changes. The sec-
fessors, Department of Early Child-
ond-best mortality rate is found among
hood/Elementary Education, University
women who live alone, and the worst sit-
Maryland's Center on Aging asked 180
of Maryland College of Education, Col-
uation for a nonmarried woman is living
children questions about old people.
lege Park, Md. 20742.
as part of a family she doesn't head. The
There were 20 children at each age level
mortality rate among these dependent
from three to 11 years old. They were stu-
Safety
women is 100 percent higher than that of
dents at schools near Washington, D.C.,
Sermons and Hassles:
married women, compared to just 19 per-
but came from urban, rural, and farm
the Seat-Belt Fiasco
cent higher for nonmarried women who
backgrounds.
Attempts to encourage drivers to use
head a family and 27 percent for those
Richard K. Jantz and Carol Seefeldt,
seat belts through television, radio, and
who live alone.
who directed the study, found that gener-
print ads-as in the "Buckle Up for
Kobrin and Hendershot agree with
ally the only elderly people the children
Safety" campaigns of a few years ago-
Gove that social ties and social status
could name were family members. Asked
have been a flop, says researcher Leon
combine to protect married people. Mar-
about the elderly, the children typically
Robertson. He cites one study that used
riage provides social ties for both sexes,
replied with physical descriptions: "They
a split-cable television system to show
they say, but "married men are more
are wrinkled up," "they have gray hair,"
public-service messages urging seat-
favored than married women because of
"they are short," "they talk funny," "they
belt use to half of its audience, while the
their status. Among the nonmarried, men
have heart attacks at 90 and die,' or "they
other half saw no such messages. The
are likely to have social status, even if
have sprained backs and arthritis."
messages were shown 943 times, in
they are not family heads, but they may
The youngsters seemed somewhat
prime time, over nine months, the equiv-
lack social ties. Women are likely to have
ambivalent about old people, describing
alent, says Robertson, of a $7 million
social ties, even if they live alone, but they
them as rich, good, and friendly while
campaign if shown nationally. During this
may lack social status. So it is the men
also saying they were sick, ugly, sad, and
period, as well as before and after, daily
living alone and the doubly dependent
mean. The kids had difficulty thinking of
observations were made throughout the
women who are most disadvantaged in
specific activities they might do with or for
city to see how many people were using
mortality relative to others of their sex."
old people and usually gave general re-
seat belts. The drivers were not aware of
-Jack Horn
sponses. The children often mentioned
the study; those in the cable TV groups
Kobrin and Hendershot presented
helping the elderly: "I help them cross the
were identified through their license
their paper at the 1976 meeting of the
street, stay with them in case anything
plates. Comparison of the groups
American Sociological Association. They
goes wrong."
showed that the television campaign had
are both at the Department of Sociology,
Rural, farm, and younger (kindergarten
no effect at all on seat-belt use.
Brown University, Providence, R.I. 02912.
to third grade) children had more active
Stronger techniques have been used
contacts with old people, such as going
to prod the recalcitrant driver, such as the
Attitudes
to the store, fishing or swimming, than did
buzzer-light reminder system installed in
A Child's Eye View
older children.
most of the cars manufactured for sale in
of the Elderly
Only 11 percent of the youngsters had
1972 and 1973. But, according to another
Most children have little contact with old
anything good to say about the prospect
study, this system did not increase seat-
people. Their grandparents may be thou-
of growing old themselves. The older chil-
belt use either. Finally, new-car buyers
sands of miles away or in nursing homes
dren were the most positive about aging;
found that after August 1974, their cars
seldom visited. As a result, young chil-
black and rural children were more nega-
would not start unless front-seat pas-
dren's feelings about the elderly and
tive than white or town children. Most of
sengers were belted in. This "interlock"
about getting old tend to be negative and
the kids said that when old, they would
system was required by law. At first, belt
stereotyped.
feel "depressed," "awful," my face will
use with interlock systems was estimated
Four researchers at the University of
feel crinkled, my eyes will feel blurry,"
at about 60 percent. But in the spring of
22
PSYCHOLOGY TODAY, JANUARY 1977
KAREN
KYRE
LEAH
MOELLER
GIBBONS
JONES
switched from
switched from
switched from
Right Guard
Sure to Ban Basic
Arrid Extra Dry
to Ban Basic®
because:
to Ban Basic
because:
regular
It was a spray
Gillette
ARRID
because:
It does keep
scent
and it was
It's easy
me drier
non-aerosol
"
to use
RIGHT®
EXTRA DRY,
it works better
GUARD
SURE dry
anti-perspirant spray
ToBeSure
anti-perspirant
SUPER
DRY
long lasting
anti-perspirant & deodorant
JEAN
STAFFORD
DEBBIE
COONEY
PARKER
MORSE
switched from
switched from
switched from
Secret to
Dial
Soft & Dri
Ban Basic
to Ban Basic
to Ban Basic
because:
because:
because:
I like the fact
I really like
It went a lot
DRY
that it wasn't
the smell of it
further.
an aerosol
"
'round the clock protection
FORMULA
It satisfies me
"
SCENTED
It's worth
it"
Secret
dial
ANTI-PERSPIRANT
Soft
ANTI-PERSPIRANT
Non-sting Anti-Perspirant
Let someone
who switched to Ban Basic
from your aerosol
NEUTRAL
SCENT
REGULAR
SCENT
tell you why.
ban
basic
Ban Basic
NON-AEROSOL
ANTI-PERSPIRANT
SPRAY
NON-AEROSOL
ANTI-PERSPIRANT
SPRAY
Effective. Very Economical.
1976 Bristol-Myers Co.
And Non-Aerosol.
The spirit of Marlboro
in a low tar cigarette.
Marlboro
Warning: The Surgeon General Has Determined
That Cigarette Smoking Is Dangerous to Your Health.
13 mg"tar" 0 8 mg nicotine av. ner cinarette ETC Benort Anr'76
AND
Marlbor
FINE
TOBACCOS
FILTER
ights
CIGARETTES
PM
INC
Marlboro
LIGHTS
Lighter in taste. Lower in tar.
LOWERED TAR & NICOTINE
And still offers up the same quality
that has made Marlboro famous.
NEWSLINE
1975, a survey of drivers in four metro-
forcing changes in behavior.
blacks. Fewer than five percent of the five
politan areas showed that seat-belt use
-Sherida Bush
million American Weight Watchers are
with these systems was down to 33 per-
Robertson is in the Research Depart-
men. Rockwell says that men's reluc-
cent. And enough car buyers were irri-
ment of the Insurance Institute for High-
tance to join may have something to do
tated by these built-in reminders to get
way Safety.
with male body image, because "of 10 fat
Congress to pass a federal law banning
women, nine will admit that they are fat
interlock and continuous buzzer-light
Health
and see themselves as fat, whereas this
systems.
Watching Weight Watchers
is only true of three out of 10 fat men." She
Robertson believes media campaigns
around the World
adds that men may hesitate to join Weight
and reminder systems cannot succeed in
Weight Watchers is a highly organized
Watchers because "they often cannot
getting the driver to change his habits by
program, founded in the United States in
control their diet, since buying and cook-
adding another inconvenience to his list
1963 to help fat people lose weight
ing food is done by their wives. The
of everyday hassles. He says safety mea-
through weekly group meetings, weigh-
Weight Watchers group in Finland has 12
sures have taken the wrong tack: con-
ins, lectures, and lists of forbidden and
men out of 66 members-and 11 of the
sumers have been needlessly badgered
required foods. The program has helped
men do their own cooking.
by slogans, buzzers, lights, and inter-
many people, but although obesity cuts
Weight Watchers classes are most
locks while alternative passive ap-
across class, sex, nationality and color,
common in rich industrial countries such
proaches were left on the shelf." One
Weight Watchers doesn't.
as Canada, Brazil, Britain, Scandinavia,
approach he recommends is installing air
When sociologist Joan Rockwell exam-
the United States, Israel, Australia, and
cushions in cars. They inflate automat-
ined the Weight Watchers program in
New Zealand. Weight Watchers around
ically and have been shown to prevent
England, the United States and Denmark,
the world have small variations in their
injury in severe crashes. He also recom-
she discovered that while members
ways of doing things. Apparently Swed-
mends removing trees, poles, and other
ranged in age from children to grand-
ish and German members rarely speak
solid roadside structures, or modifying
mothers, they were overwhelmingly mid-
out at meetings, while Danes chatter
man-made structures to collapse when
dle class, white, and female. In a British
freely. British members can miss two
hit by a car. Changes such as these, says
class, Rockwell saw no Pakistanis or Af-
meetings out of 26 without paying, but
Robertson, may be a lot more effective in
ricans; in a Danish class no Greenlan-
Americans and Danes may not, except in
reducing injury than strategies aimed at
ders, and in an American class, no
the case of illness.
Rockwell was given three different
The Potion of Love.
weight goals in three different countries
that varied as much as eight pounds. An-
other difference, Rockwell noted, was in
It began in Saronno 450 years ago.
that all-important procedure of reporting
Did the beautiful, young widow create
weight losses or gains. Part of the Weight
the original Amaretto di Saronno as
Watchers ritual involves cards on which a
a thank-you for her portrait? Or as a
person's weight each week is noted, with
gift to express affection for the artist,
the gain or loss from the previous week. In
Bernardino Luini?
England, cards showing a gain-plus
Something to ponder tonight, as
cards-are not read out loud. In the
you discover
United States they are, along with offers
its intriguing
of help and questions about what went
flavor and
wrong during the week. In Denmark, loss
provocative
and total loss from the beginning are an-
bouquet.
nounced each week. So if only a person's
total loss is mentioned, everyone knows
that person gained weight. One aspect of
Weight Watchers is universal, however.
Everyone at the meeting applauds when
someone loses weight, no matter how
minuscule the amount.
-Jody Gaylin
The article appeared in New Society,
Vol. 37, No. 720, 1976.
AMARETIO
The Brain
The Way You Write Is
SARONNO®
All in Your Brain
Amaretto di Saronno.
ORIGINALE
The first thing most of us noticed about
LIQUEUR PRODUCED BY
ILLVA SARONNO ITALY
left-handed children in school was that
The Original Amaretto.
SEPROOF
they wrote funny. Many held their pencil
From the Village of Love.
or crayon in a strange, hooked way that
put their hand above the line as they
56 Proof Imported by Foreign Vintages. Inc Great Neck Y © 1975
26
PSYCHOLOGY TODAY. JANUARY 1977
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PSYCHOLOGY TODAY, JANUARY 1977 29
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30
PSYCHOLOGY TODAY. JANUARY 1977
NEWSLINE
wrote. If we were observant, we also
need to write from left to right, a cramped,
tools, crafts, arts, and writing.
noticed that other left-handers wrote the
into-the-body movement for a left-hander.
Four researchers from the Bernard W.
"right" way, with their hand under the line.
Levy and Reid call attention to two facts
Schlesinger Foundation in New York City
Brain researchers uncovered a similar
which make this explanation unlikely. In
have completed a study that suggests
split when they investigated which brain
the first place, a few right-handers use
that a thumb-opposition test will help psy-
functions are handled by the right and left
the hooked style. Second, writing in
chiatrists with a troublesome diagnostic
cerebral hemispheres. They found that
Hebrew goes from right to left, yet in Is-
problem-distinguishing between per-
the relationship was quite simple as long
rael nearly all right-handers position their
sons suffering from unipolar recurrent de-
as they stuck to right-handers. The left
hands in the American style and many
pression and bipolar manic-depression
side of the brain handles language inte-
left-handers use the hooked posture. This
(a condition which may have the manic
gration, while the right specializes in
suggests that brain dominance rather
phase only, or both manic and depres-
mental imagery and spatial relationships.
than learning or convenience is responsi-
sive symptoms).
Fewer than one right-hander in a hundred
ble for the writing style.
-Jack
Horn
The researchers used the thumb-op-
has the opposite specialization.
The article appeared in Science, Vol.
position test with groups of normal
When the researchers turned their at-
194, No. 4262.
individuals, manic-depressives and re-
tention to left-handers, this neat general-
ization crumpled. About 60 percent
followed the right-handed pattern; the
rest went their own way, showing reverse
specialization. They controlled language
through the right hemisphere and visu-
ospatial functions with the left.
University of Pennsylvania psychol-
ogists Jerre Levy and Marylou Reid
believe that the combination of writing
style and hand preference offers a simple
way to tell which hemisphere controls
which functions among southpaws and
the occasional right-hander who writes
upside down. They tested 73 students for
cerebral specialization, using standard
tachistoscopic tests that enable an ex-
perimenter to present verbal or spatial
messages to one brain hemisphere at a
time. By comparing how well each side
The Brain
current depressives. About half the nor-
does on each test, the experimenter can
The Favorite Thumb
mal group was pure-dominant (right-
tell which hemisphere is dominant for
Human beings are not only right-handed
handed and right-thumbed, or left-
language and which for spatial
or left-handed, but also right-thumbed or
handed and left-thumbed) and half was
relationships.
left-thumbed. Surprisingly, the two prefer-
cross-dominant (right-handed and left-
The 73 students included 24 right-
ences aren't the same. About the same
thumbed, or vice versa). More than four-
handers who wrote in the usual way, one
number of right-handers are left-
fifths of the manic depressives were pure
who wrote the hooked way, 24 left-hand-
thumbed and right-thumbed.
dominant, while two-thirds of recurrent
ers who wrote the usual way, and 24 left-
To determine thumb preference, you
depressives were cross-dominant.
handers who wrote upside down. Levy
measure how directly a person can touch
This pure-dominance/cross-domi-
and Reid found that among the 24 left-
the pad of his little finger with the pad of
nance difference among people with dif-
handers who wrote normally and the one
his thumb. Ideally your thumbnail would
ferent mental disorders corresponds to
right-hander who had a hooked writing
be 180 degrees from the nail of your little
what happens in otherwise normal peo-
posture, the right hemisphere was spe-
finger, but few people can achieve this.
ple when only one hemisphere of the
cialized for language, and the left for spa-
Most people's thumbs are different, one
brain is functioning. For a long time brain
tial relationships. For the 24 normal-
rotating perhaps 160 degrees, the other
researchers could study one hemisphere
writing right-handers, and 21 of the
145 degrees. The difference in rotation
in isolation only when a patient had suf-
hooked-hand left-handers, the special-
between one person's thumbs may be as
fered severe damage to one hemisphere
ization was reversed. Among the three
much as 45 degrees. The preferred
through accident or disease. Recently,
hooked-hand left-handers who didn't fol-
thumb is that which makes the most di-
researchers have produced the same
low the rule, the researchers said, the dif-
rect contact with the little finger.
effect, temporarily, by injecting an anes-
ferences in scores for the two abilities
The rotating thumb was a big evolution-
thetic into an artery carrying blood to one
were SO small that they could be ex-
ary advance. Only the human animal is
side of the brain. Anesthetizing the left
plained by minor testing errors.
able to move the thumb SO far in opposi-
hemisphere, which controls language in
One popular explanation for the
tion to the other fingers, a physiological
most people, produces depression and
hooked writing posture among left-hand-
quirk which produced the grasping hand
immobility on the right side of the body.
ers is that it develops in response to the
and made possible the development of
Blocking out the right hemisphere pro-
PSYCHOLOGY TODAY JANUARY 1977 31
NEWSLINE
duces a manic-elated state together with
more hesitant and uncertain as he grows.
substance-later called the H-Y anti-
immobility of the body's left side.
By becoming the same size as his
gen-in the males that stimulated an anti-
The similarity of physical and emotional
friends, he has lost his uniqueness and
body in the females. Wachtel and his
factors uncovered in the hand prefer-
must struggle to find a new identity.
associates subsequently. showed that
ence/thumb preference tests of psychot-
Only half the supply of hormones
without this antigen, which was made or
ics to the result of anesthetizing the right
needed is available in the United States
controlled by a gene on the Y chromo-
or left hemispheres in normal people sug-
today. It is extracted from the pituitary
some, masculine traits did not develop.
gests to the Schlesinger researchers that
gland of cadavers, and about 50 pitui-
The germ cells in a man's testes each
"bipolar manic depression and unipolar
taries are needed to treat one child for
contain an X and a Y chromosome. The
recurrent depression may be linked, the
one year. The treatment lasts five to 10
cells split to form two sperm cells, one
former to the right hemisphere and the
years on the average.
bearing an X, the other a Y. The scientists
latter to the left As a result, the thumb-
In countries where regulations about
speculate that sometimes the gene re-
opposition test can help doctors dis-
donors are less strict, the supply of pitui-
sponsible for masculinization may de-
tinguish between the two disorders.
taries is greater and growth hormones
tach itself and link up with an X
-Jack Horn
are available on a prescription basis. In
chromosome or even a nonsex chromo-
Erica Metzig, Steven Rosenberg and
the United States, the hormone is avail-
some. The result would be sperm bearing
Mark Ast are at the Bernard W.
able only from the National Pituitary
an X and the hidden male gene, and
Schlesinger Foundation, 217 Haven Ave.,
Agency. Because of its scarcity, it is given
sperm bearing a useless Y chromosome.
New York, N.Y. 10033. Stephen Krashen is
only until the patient reaches a height of
That would explain the presence of male
now at the Department of Linguistics,
five feet.
traits in XX hermaphrodites.
University of Southern California, Los An-
Hintz and others hope their work with a
Wachtel tested seven individuals,
geles, Calif. 90007.
substance called somatomedin will make
aged two to 46, who had XX chromo-
growth therapy more effective and more
somes. Three of them were true her-
Medicine
available. Somatomedin is a middleman
maphrodites with partially developed
Hormones and
in the therapy; it is stimulated by the
male and female genitals; the other four
Normal Height
growth hormone and in turn it influences
had masculine genitalia but some female
A child who is abnormally short is often
bone and cartilege to grow. By studying
sex traits, such as high-pitched voices,
the butt of his playmates' jokes. If his
how somatomedin interacts with tissues
no facial hair, or enlarged breasts. All
small stature is inherited, there is not
and cells, the researchers hope to learn
seven showed the H-Y antigen.
much he can do. Very occasionally,
why they grow. And since somatomedin
The presence of the H-Y antigen in
though, people are unusually small be-
is a smaller molecule than the growth hor-
these individuals suggests that Y chro-
cause they lack growth hormone. Doc-
mone, it should be easier to synthesize
mosome material exists in their cells. In-
tors can supply that hormone to children
once they learn its structure. -Jack Horn
deed, the cells of two of the people did
to help them grow to more nearly normal
Hintz is an assistant professor of pedi-
show a Y chromosome, or at least a piece
heights.
atrics at Stanford University Medical Cen-
of it, transposed onto an X chromosome.
Only one abnormally small child in a
ter, Stanford, California 94305.
The scientists believe that testing for
hundred can be helped by hormone
the H-Y antigen is the best clue to the
therapy. Ten percent have some illness
Sexual Traits
presence of a Y chromosome or its sex-
that causes their shortness and the other
The Mystery
determining gene, because even with the
89 percent are short due to heredity. "At
of Hermaphroditism
latest and most refined techniques,
our present state of knowledge," Stan-
For years scientists have wondered what
pieces of the Y chromosome are difficult
ford endocrinologist Raymond Hintz
causes hermaphroditism, the condition in
or impossible to detect.
says, "there is no hormone that is going to
which people possess a mixture of male
Scientists still are not sure why some
make someone bigger than their own
and female sex traits or even anatomical
XX people appear to be male, while oth-
genes dictate."
structures belonging to both sexes. Tests
ers have ambiguous genitals. And no one
It's important that those who can be
have revealed that hermaphrodites carry
knows conclusively whether the Y sex-
helped start treatment early, since
two X chromosomes, like women, rather
determining gene is always the basis of
chances of a good response diminish
than one X and one Y as men do. Why,
hermaphroditism. More studies are nec-
after the age of 10. Even when treatment
then, do hermaphrodites show male as
essary to determine whether a Y-linked
is started before then, some children de-
well as female sexual characteristics?
genetic factor or perhaps even an occa-
velop antibodies that work against the
Stephen Wachtel and a team of re-
sional environmental factor might cause
effect of the hormone. According to Hintz,
searchers at Memorial-Sloan Kettering
hermaphroditic sex differentiation in
about eight children out of 10 who start
Cancer Center believe that a single gene,
some people.
-Jody Gaylin
treatment respond to it.
normally found on the Y chromosome,
The report appeared in the New Eng-
When children do respond, their par-
may hold the answer.
land Journal of Medicine, Volume 295,
ents and playmates have two reactions to
In experiments during the 1950s scien-
Number 14.
watch out for-King Kong and Sweet Lit-
tists noticed that female mice rejected
tle Me. Sometimes the child becomes
skin grafts from genetically identical male
Note to professionals: to submit news items on
very aggressive and picks fights with
mice. Grafts from female to male or
research or applied behavioral science, write
everyone in sight. Or he may find it hard
among mice of the same sex were not re-
Patrice Horn, News Editor, psychology today,
to change his body image, and become
jected. This suggested the presense of a
One Park Avenue, New York, N.Y. 10016.
32 PSYCHOLOGY TODAY. JANUARY 1977
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Men and Women
Report Their Views on
MASCULINITY
According to 28,000
Psychology Today readers,
the macho frontiersman
is well on his way out
as the model of the
ESE
perfect American man.
But he isn't gone yet,
and men have more
trouble defining the new
male than women have.
by Carol Tavris
psychology today
JANUARY 1977
he Hemingway hero is on
T
cause they are younger, more affluent,
useful it was to fill out the survey to-
the way out. Today, the ideal
less religious, better educated, and more
gether, but some learned more than
man combines self - confidence,
liberal (see box), but for just these rea-
they expected. "His responses aren't
success, and the willingness to
sons we thought that if anyone were
just a surprise to me-they're a shock.
fight for his family and beliefs with
wondering about the state of American
He thinks sexual fidelity is not at all im-
warmth, gentleness, and the willing-
masculinity these days, they would be.
portant for either sex, while I think it is
ness to lose.
Volunteer surveys are rarely represen-
essential for both! What's worse is that I
The macho male who is tough, strong,
tative of the American public, because
doubt that we'll be able to talk about
aggressive, and has many sexual con-
only the people who are especially inter-
these discrepancies. Oh dear." But this
quests is not admired by either sex.
ested in the subject take the time and
wife wrote later to amend her predic-
Men and women are reaching for the
effort to respond. In the case of a
tion. "We did talk about the discrepan-
androgynous ideal, but they haven't
masculinity survey, this bias may have
cies, and it was not only interesting, but
quite caught it. Both sexes support the
operated to draw more nontraditional
fun."
idea of "men's liberation," the efforts to
respondents. "So why do I spend an
The meanings of masculinity. The criteria
liberate men from their emotional strait
hour and 13 cents to fill out and mail the
for manhood in this society are in a
jackets. Men want to be more warm and
questionnaire back?" wrote a young
muddied state, which explains the diffi-
loving than they feel they are, and
minister from Georgia. "Because I feel I
culty many respondents had in trying to
women want their men to be more gen-
must, to say very loudly, I'm tired of
decide whether men are, or should be,
tle, romantic, and expressive than the
American male stereotypes! I have a
different from women in personality
men themselves do.
beard, two biceps, a penis AND I'm ca-
and ability. Many hew to the humanist
Generally speaking, women are much
pable of showing warmth, sharing
line that there is no such thing as mas-
more admiring of their men than the
housework, and shedding a tear. Why
culinity or femininity, just humanity. "I
men are of themselves.
are SO many men threatened by that
feel that being either masculine or femi-
Masculinity is harder for men to de-
combination of characteristics?"
nine is having the guts to be yourself,"
fine than for women. Women know it
Several women wrote to say they had
one man wrote. But others, in transition
when they see it, and they consider
tried to get their threatened husbands to
from one set of standards to another,
their men more masculine than the
fill out the survey, but couldn't budge
were uncertain and ambivalent. One
men themselves do.
them. "My husband said that answering
fellow couldn't decide whether it was
Masculinity today is a set of admirable
surveys wasn't masculine," wrote one.
OK or chauvinistic to be turned on by a
qualities, appropriate for women too,
Another added, "my husband, who
good-looking woman: "I tend to think
rather than a set of merit badges that
views himself as liberal and is pro-
of myself as a liberated humanist, but
must be earned and rewon. Most people
women's lib, didn't think it would be
my gut reactions when I'm with a beau-
don't think men have to prove their
very important for him to see my re-
tiful woman often tend to be distract-
manhood any more in daring feats of
sponse sheet or take the survey since, he
ing. I am not talking about simple
faucet-fixing or hand-to-hand combat.
said, he is a man and a man knows more
sexual attraction, although that is cer-
These findings, and others, emerged
about masculinity. In the words of Ms.
tainly a part of it. I feel that the rest is
from a survey David Pope and I designed
magazine, CLICK."
culturally induced, and I'd like to get rid
for the readers of Psychology Today.
This preliminary report compares the
of it. I have not yet reconciled this con-
Much attention has been devoted to
answers of men and women to a number
flict within myself."
women's rights and roles in the last de-
of key topics: personality traits; experi-
For others the conflict involved role-
cade, and we felt it was time to give men
ences with love, sex, work and family;
related behavior rather than feelings.
a chance to express their side. The sur-
and the range of ingredients that could
One man bravely began a letter assert-
vey was addressed to readers of both
be considered part of masculinity or the
ing that "When I open the door for a
sexes, so we could see whether men and
male role. Naturally we couldn't in-
woman, or help her with her coat, or
women agree on what makes a "real
clude all of the nuances that people con-
manage her chair, or open a tightly
man," and what traits, if any, dis-
sider masculine or feminine, and
closed container, I feel that I am defi-
tinguish such a creature from a real
readers reminded us of the omissions. "I
nitely masculine. I am the man, domi-
woman.
look at the way a man uses his hands,"
nant and superior." But by the end of the
An equal number of men and women
said one reader. "Nervous indecisive
letter he was saying, "Actually I feel it is
filled out the questionnaire, a total of
movements are unmasculine to me."
important that women begin doing
28,000 in all. People with a wide range
"A man's voice and mannerisms influ-
these types of things in the presence of
of opinions gave us their views on mas-
Jan Cobb
ence me," wrote another. "I hate prissy
men. After all, they'd do it anyway if a
culinity. Psychology Today readers are
gestures."
man wasn't around."
not typical of the average American be-
Many couples wrote to tell us how
To begin with, we gave readers a list of
PSYCHOLOGY TODAY JANUARY 1977 35
traits and asked how important each
as a sign of masculinity. But the women
many letters. The ideal men are strong
one was to their concept of the ideal
are greedy. They don't just want a man
but gentle, tough on the outside and soft
man, and then again for the ideal
who is merely sweet, thoughtful, lov-
on the inside, able to express emotions
woman, on a scale from "not at all im-
ing, gentle, and faithful; they also rate
but not a slave to them. "My husband
portant" to "essential." The traits in-
being successful at work more heavily
treats me like a lady to the world he is
cluded some that were traditionally
than men do (66 percent to 54 percent).
assertive, self-confident, but he is very
male, such as competitive and strong,
"The more successful a man is at his
able to show his fears and uncertainties
some traditionally female, such as soft
chosen profession, the more masculine
to me in private." "Although my hus-
and loving to children, and some desira-
I find that man," one woman said, but
band feels least masculine when he is
ble but sexually neutral, such as self-
amended her remarks to say that the
home with the family, I feel the op-
confident and intelligent. Readers re-
profession could be anything from chess
posite. He is strong and powerful in the
garded only a few of these traits as es-
or gardening to medicine and big busi-
business world all day, but when he
sential for men-and essential for
ness. To be fair, more women thought
comes home and sometimes stays up all
women, too. Almost everyone felt that
job success was important for their sex,
night nursing our sick children-the
a real man and a real woman stand up
too (60 percent to 41 percent of the men).
concern, gentleness, and love he shows
for their beliefs, are willing to fight and
The androgynous combination of
are no less masculine."
defend their families, and are able to
traits that women like turned up in
It may seem that women are putting
love. About 40 percent thought that
an impossible load of requirements on
self-confidence was essential for both.
men, but I think it is more likely that
PROFILE OF RESPONDENTS
Half of the women thought intelligence
%
women define masculinity in terms of
was essential for both sexes, but for
Age
Men Women
whom they love, not an ideal they seek.
some reason only a third of the men did.
Under 20
12
21
They do not fall in love because a man is
There was no single trait that readers
21-25
29
31
masculine; they decide a man is mas-
overwhelmingly applied to men but not
26-30
23
20
culine once they are in love. Possibly for
to women, or vice versa. Men were
31-35
14
11
this reason, the women seem more cer-
more likely than women to think the
36-45
11
tain of their men's masculinity than the
12
ideal man is competitive (38 percent to
men themselves are. Women were more
Over 45
10
6
27 percent) and take risks (34 percent to
likely to say their husbands or partners
25 percent). But neither sex thought
Marital status
were "more masculine" than average
men should be especially aggressive;
Never married
52
49
(44 percent to 29 percent), while the
only some 30 percent thought this trait
Married, first time
30
27
men were more likely to feel they were
was essential or very important.
Remarried
6
7
just average in masculinity (58 percent
Some traditional images linger,
Divorced, widowed
12
17
to 48 percent).
though. Men thought physical attrac-
Next, we asked men to evaluate
Education
tiveness was more important to their
themselves on each of the characteris-
ideal woman than to the ideal man.
Professional degree
25
16
tics in the "ideal man" list, and for
More men than women, though not a
Some grad school
12
10
women to evaluate their husbands or
majority of either sex, felt that "real"
College degree
20
19
current partners. More women describe
men should be more competitive, ag-
Some college
32
39
their lovers as aggressive, physically
gressive, strong, and successful at work
High school or less
11
16
strong, competitive, self-confident, and
than women. But the large proportion of
successful at work than the men de-
Political views
men who believe that masculinity re-
scribe themselves. Women also gave
quires warmth, gentleness, and ability
Very liberal
25
27
men more credit for being soft, warm,
to love suggests that they are not your
Liberal
31
37
gentle, good-looking, and good lovers.
traditional machos, at least in theory.
Moderate
26
25
However, there is a considerable gap be-
If men are rejecting the John Wayne
Conservative
14
10
tween everyone's ideal man and the re-
model of masculinity, however, they
Very conservative
4
1
ality, especially in the qualities of
seem less sure than women about what
warmth, gentleness, and romanticism.
Religion
should replace it. More women than
For example, 86 percent of the women
men said they know the essential or
Atheist, agnostic
31
25
want a gentle man, but only 55 percent
very important ingredients of mas-
Protestant
30
36
say they have one; 68 percent of the
culinity. They admire men who are ro-
Catholic
22
21
men say their ideal man is gentle, but
mantic (66 percent said this trait was
Jewish
6
6
only 42 percent describe themselves
essential or very important, compared
Other
11
12
that way.
to 48 percent of the men), warm (89 per-
Men may have rated "being a skilled
Income (personal)
cent to 68 percent), gentle (86 percent to
lover" as less essential to masculinity
64 percent), able to cry (51 percent to 40
None
6
16
than women did out of insecurity, but
percent), and even soft (48 percent to 28
Less than $5,000
22
29
they need not worry. Almost half of the
percent). They are also more likely than
$5,000 to $9,999
19
25
women said that being a good lover was
men to think that a real man is a skilled
$10,000 to $14,999
19
19
highly characteristic of their men, but
lover (48 percent to 38 percent) and to
$15,000 to $19,999
16
7
only a fourth of the men felt this was
believe that sexual fidelity is very im-
$20,000 to $29,000
12
3
true of themselves. One young woman
portant (67 percent to 42 percent). Nei-
More than $30,000
6
1
said that her first two lovers had been
ther sex regards many sexual conquests
young, inexperienced, and impetuous.
36
PSYCHOLOGY TODAY JANUARY 1977
How important or unimportant
IDEAL MAN
IDEAL WOMAN
SELF
MATE
is each of the following traits to
Men
Women
Men
Women
Men
Women
your concept of the ideal man
Percent saying trait is "very important"
Percent of men
Percent of women
and the ideal woman?
or "essential" to ideal:
saying trait is
saying trait is
"highly characteristic"
"highly characteristic"
of themselves:
of their spouse
or lover:
Intelligent
71
84
70
83
-
-
Self-confident
86
86
76
87
32
43
Physically strong
19
21
4
7
15
37
Tall
7
11
4
2
39
40
Physically attractive
26
29
47
32
21
50
Successful at work
54
66
41
60
40
53
Competitive
38
27
18
22
26
33
Aggressive
30
28
16
21
16
23
Takes risks
34
25
21
26
21
25
Stands up for beliefs
87
92
82
90
57
58
Fights to protect family
77
72
72
70
59
52
Able to love
88
96
92
97
54
60
Warm
68
89
83
88
40
54
Gentle
64
86
79
86
42
55
Soft
28
48
63
62
16
25
Romantic
48
66
64
67
33
34
Able to cry
40
51
50
58
-
-
Skilled lover
38
48
41
44
25
46
Many sexual conquests
5
4
4
5
—
-
Sexually faithful
42
67
56
66
45
57
If she had stayed with them, she wrote,
more important to a woman's sexual
different ways. I would not exchange
"I would truly have a low opinion of sex
satisfaction than the women said it was
my husband's gentleness and concern
and men." But then she got an "older"
for them. (This finding does not come
for my lover's aggressiveness or
lover, who had reached the ripe age of
from different experiences, by the way.
egoism."
30, and her life changed. "He went to
Both men and women had had about the
Beneath the egalitarian surface, some
great lengths to see that I was happy,"
same average number of sexual part-
traditional rumblings can be heard. A
she reported. "What a difference! Thank
ners, so the women's evaluations are
minority of respondents of both sexes
God for masculinity. Maybe it comes
not a matter of "they don't know bet-
thought physical strength was more im-
with age?"
ter.") Men can relax. The controversy
portant for men than women, and we
Male insecurity, and female admira-
depends more on the eye of the beholder
got some personal accounts that would
tion, reappeared in several sexual ques-
than the size of the organ.
have pleased Sam Peckinpah. A young
tions. The men modestly said their
Liberated ideals, unliberated desires. One
man wrote about saving his girl friend
penis size was merely average, but the
respondent explained that the question-
from two wild dogs when the two had
women said their husbands were larger
naire had made her aware of conflicts
gotten lost in a forest. "My girl friend
than average (average: 66 percent of the
about masculinity. "I had tended to ide-
was very frightened that they would at-
men, 56 percent of the women; larger
alize traits such as gentleness and
tack us, and tried to run but couldn't. I
than average: 19 percent of the men, 38
warmth, indicating that they were vital
had to push her toward the woods. I
percent of the women). The men, worry-
to masculinity. But when I reflected on
stood there as she ran, drew my knife,
ing, tended to think that penis size was
one intense relationship, it was the
and knew that I would try to kill those
traits I had minimized on paper that had
dogs if they attacked. At that moment, I
aroused me in fact: pride in physical
felt totally masculine, instinctive, and
Percent saying trait is highly characteristic of
strength, competition in sports, and his
unafraid. I was in the paratroopers and
themselves (men) or their husbands/current
partner (women):
constant awareness of being masculine.
have been in combat, but for some rea-
I think what I've found is that my feel-
son this experience was extremely ex-
Men
Women
ings still lie in the deepest of traditions.
hilarating." Similarly, a young woman
While I will continue to assert myself as
wrote how her boy friend's strength and
Physically attractive
21
50
powerful in my own right, I'll always
calm saved them when they got lost on
Aggressive
16
23
revel in my dreams of someone tall,
a hiking trip:
Physically strong
15
37
dark, and handsome, to open doors and
"I was petrified. It was pitch black,
Competitive
26
33
protect me forever." Another woman
and we had wandered off the trail
Gentle
42
55
solved her ambivalence by marrying a
Somehow he got us out of there alive;
Soft
16
25
gentle, yielding, affectionate man and
I'll never know how. During the whole
Warm
40
54
taking a dominant, aggressive, muscu-
ordeal, he appeared calm and totally in
Romantic
33
34
lar man as a lover. "I need both of these
command of the situation. His reas-
men," she wrote, "each fulfilling me in
surances kept me calm, even when I fell
PSYCHOLOGY TODAY JANUARY 1977
37
over a slight drop into a hole. Alone, I
"the times I have felt really masculine
would have probably curled up into a
have been in Vietnam during a fierce
ball and spent the night there, too ter-
A male nurse said that
firefight, where we were vastly out-
rified to move." Another woman who
numbered and won; the other was my
admired the "in command" male, de-
many people assume he is
first parachute jump." Another said his
scribed her husband's struggle to save
homosexual, or at best
most masculine experience occurred
his fishing boat in the face of a thun-
unmasculine. A male
when he rescued a woman from being
derous storm. "His masculinity was ap-
elementary-school teacher
mugged.
parent because of his physical strength
Fewer than 10 percent said they felt a
and daring, self-confidence and com-
said it took several
man would lose his masculinity if he
mand of the situation," she wrote.
years before female
were in a traditionally female occupa-
The manly show. Possibly because so few
teachers accepted him
tion, such as nurse, model, nursery-
couples get lost in the woods or need to
school teacher, dress designer, or inte-
as "a real man.
fight dogs and things that go bump in
rior decorator. Respondents were even
the night, many men have few be-
reluctant to say that men lose their
havioral criteria by which to judge their
masculinity if they don't work at all,
masculinity. We asked male readers
that is, if they live on welfare, drop out
when they feel most masculine. It
fair was that this woman, who led a very
of the system, or stay home as house-
turned out to be a tough question. One
full and varied sex life, was able to give
husbands. The only occupations that
young man, struggling with definitions,
me a tremendous sense of masculinity
would make a substantial number of
said "masculinity is an illusive quality.
because she made me feel very special,
men (under 20 percent) doubt a man's
Sometimes I mistake showing off for
very masculine, very 'sexy' when I slept
masculinity were prostitution and go-
it." Other men feel that masculinity is
with her and those were new feelings to
go dancing, and the only occupation a
the show: spending money on women,
me. The affair was short-lived but in
large group thought should be restricted
saying something witty or important to
that time she taught me to be confident
to men was armed combat (30 percent of
impress others, playing the role of
about myself and I think I can honestly
the men and 37 percent of the women).
teacher, accomplishing a task others
say that since that time I have never
However, men who worked in non-
said was impossible. Some said they feel
doubted my masculinity or felt inferior.
traditional jobs had another perception
masculine only in public, when the con-
Nor do I feel I have to seduce every
of the matter. A male nurse said that
cern about behaving "like a man," and
woman I meet. I am confident of my
many people assume he is homosexual
not behaving "like a homosexual,"
own sexuality and therefore, my
or at best unmasculine. A male elemen-
takes over. "I usually don't become
masculinity."
tary-school teacher said it took several
aware of my masculinity," wrote one
Another group of men (23 percent)
years before he was accepted by the
man, "except perhaps in the art of
felt most masculine when they were in-
female teachers as "a real man." And a
drinking lots of liquor. I feel that be-
volved in work, defeating an opponent,
minister observed that "my profession
cause I don't drink as much as the other
achieving a major goal, or in competi-
has never been traditionally seen as a
guys, that there might be some doubt if I
tion. For these men, masculinity was
manly occupation. Therefore I have al-
am a 'real' man."
earned, a struggle to overcome barriers
tered my concept of masculinity rather
For such men, masculinity is a matter
and to prove something to oneself or
than question the masculinity of the
to be established against other males.
others. "I became certain of my mas-
ministry."
But for others, masculinity emerges in
culinity," wrote one, "by becoming an
Of arms and the man. If work doesn't de-
relations with women. About one-
accomplished football player after re-
fine masculinity, maybe aggressiveness
fourth of the men felt most masculine
peatedly being told by both coaches and
does. I noted already that most respon-
in sexual contexts, wooing a potential
friends that I was too small." "Learning
dents did not consider aggressiveness to
partner or making love. For example,
to box (prize fight) as a youngster and
be a desirable or essential masculine
one married man wrote about meeting a
winning a lot of medals helped me feel
trait, but they were ambivalent about
woman who was very attractive to him
masculine," an older man said, "but
its use. We asked readers what a man
and desirable to other men, and who ex-
making hard decisions in life made me
should do if a stranger 1) accosted or in-
pressed an interest in having sex with
convinced of my masculinity."
sulted his wife, and 2) provoked him to
him. Nothing happened, "but this made
Being and doing. Many writers, includ-
anger. Men and women disagreed in
me feel really masculine, and led to the
ing Margaret Mead and Norman Mailer,
their replies. In the first situation, more
realization that I could be attractive to
have observed that women acquire a
women than men thought the woman
women in a truly masculine sense-
feminine identity simply by being, but
should handle the matter (26 percent to
giving me a confidence I have had ever
men must earn masculinity by doing.
nine percent), but almost twice as many
since." A similar experience happened
Masculinity, in this view, is precarious
men as women were ready to hit the guy
to a traveling salesman, who wrote:
because it has depended on a man be-
(19 percent to 10 percent). In the second
"I had never been particularly accom-
having in certain "male" ways and not
situation, the men wanted to argue with
plished with women and although my
behaving in "female" ways.
the insulting stranger, but the women
wife was not a demanding person, I
Most of the respondents disagreed
wanted them to ignore the pest.
thought of myself as a poor bed partner
with this standard. Only a few men, for
One woman specified a whole set of
to her and wanted to know if it was be-
example, felt most masculine in the
circumstances that would determine
cause of me or her. I met and had a brief
context of fighting or war, the tradi-
what her man should do. "If a man ver-
relationship with a divorced| woman]
tional means of earning male merit
bally attacked me, say in a restaurant, I
What was SO memorable about this af-
badges. A young married man said that
would want my husband to ignore him.
38
PSYCHOLOGY TODAY. JANUARY 1977
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PSYCHOLOGY TODAY. JANUARY 1977 41
But if he said something that was totally
can't wait. I believe in love, absolutely.
inexcusable, and quite loud, I would
But in the meantime, rather than go
hope my husband would punch him. If
The respondents do not
crazy with loneliness, I will succumb
he physically attacked me, I would be so
for sex."
like the idea of
embarrassed if my husband didn't
We found no differences among these
punch him! But I definitely do not think
violence much, but they
groups in demographic factors-age, ed-
fighting is an expression of manliness. I
aren't strangers to the
ucation, occupation, income, birth
hate fist fights, but in the above situa-
order, or religion-or in the importance
tion I feel that it would be right."
experience. Sixty percent
they place on such life dimensions as
Respondents do not like the idea of
of the men have at least
work, money, love, and sex. In some
personal violence much, but they aren't
occasionally hit another
matters, the interesting differences
strangers to the experience. Sixty per-
were not between exclusive heterosex-
man in anger, and 40
cent of the men have at least occa-
uals and exclusive homosexuals, but be-
sionally hit another man in anger, and
percent have hit a woman.
tween men who had hadno homosexual
40 percent have hit a woman on occa-
experience and those who had, e.g., the
sion, though few men say they punch ei-
exclusive heterosexuals were less likely
ther sex regularly. Women were more
than men in any category of homosex-
likely to have hit men than the other
conquests, they were divided on
ual background to value the ability to
way around-65 percent of them have
whether it requires heterosexuality.
cry, and more likely to value com-
struck a man in anger-and, moreover,
Seventy percent of the heterosexual res-
petitiveness, as masculine traits.
they are more likely than men to feel
pondents think that homosexual men
Homosexual men regard themselves
just fine about hitting a member of the
are not fully masculine, although on
as less masculine than average (40 per-
opposite sex (32 percent to 17 percent;
most issues in the survey heterosexuals
cent, compared to seven percent of the
half said the experience was "under-
and homosexuals did not differ.
heterosexuals), and more feminine than
standable under the circumstances, but
Heterosexuality and homosexuality
average (36 percent to 19 percent). In
I would not do it now," and the rest are
are not either-or categories; as Kinsey
terms of the stereotyped image of mas-
sorry they did it).
found out, "the world is not to be di-
culinity, their evaluation is true: homo-
Homosexuality and masculinity. While
vided into sheep and goats." In describ-
sexual men were much less likely to use
most of the respondents did not believe
ing their sexual preference, 68 percent
violence, in their own experience or in
that masculinity requires many sexual
of the men said they were exclusively
the hypothetical stories; much less
heterosexual; 18 percent said heterosex-
likely to own guns (40 percent of the ex-
ual, but had had homosexual experi-
clusively heterosexual men own a gun,
ences; six percent said they were
compared to only seven percent of the
bisexual; five percent said they were ho-
Men: When a man provokes you and makes
exclusively homosexual); much less
mosexual but had had heterosexual ex-
you very angry what are you most likely to do?
likely to follow sports or participate in
Woman: When another man provokes your
periences; and three percent were
them. By self-report, the homosexuals'
spouse or lover, what would you like him to do?
exclusively homosexual. We compared
antimacho inclinations began in child-
the attitudes and experiences of these
hood. The greater a man's commitment
Hit him.
8
4
five groups, to see whether and how
to homosexuality, the more likely he
Threaten to hit
their concepts of masculinity differed.
was to report being ridiculed as a child
him.
8
4
Generally the groups agreed on the
for being a sissy: 27 percent of the ex-
Argue with him.
45
28
traits of the ideal man, with several ex-
clusively heterosexual reported such
Make a joke of it.
5
10
ceptions. The more homosexual experi-
ridicule, 44 percent of the heterosexuals
Ignore him.
24
40
ence a man had, the more likely he was
with some homosexual encounters, 62
Leave the scene.
10
14
to think physical attractiveness,
percent of the bisexuals, 56 percent of
warmth, and intelligence are essential
the homosexuals with heterosexual ex-
to a "real man." Homosexual men were
periences, and 71 percent of the ex-
Men:If a strange man deliberately accosted or
also far more likely to say the ability to
clusively homosexual. We found,
insulted your wife or lover, what whould you be
love was essential to masculinity (78 to
significantly, that the men most wor-
most likely to do?
59 percent of the heterosexuals) and
ried about being thought homosexual
Women: If a strange man deliberately ac-
they placed greater importance on sex-
were not the exclusive heterosexuals,
costed or insulted you, what should your
ual fidelity (55 to 44 percent).
but the heterosexual men who had
spouse or lover do?
%
But homosexual men were more
had an occasional homosexual en-
Men Women
likely than heterosexual men to say
counter.
Hit him
19
10
they had never been in love (22 percent
Homosexuals are as diverse in their
Threaten to hit
to three percent) and to have had many
attitudes about masculinity as hetero-
him.
18
14
more sexual partners (33 percent of the
sexuals are, though by virtue of their
Argue with him.
31
28
homosexuals had had more than 100
minority status they tend to be more po-
Make a joke of it.
5
5
lovers, compared to two percent of the
litically liberal and more in favor of
Ignore him.
13
12
heterosexuals). As one homosexual
men's-and women's-liberation We
Let the woman
wrote, "I've found homosexuals to be
got letters from some who felt un-
handle the matter.
9
26
relatively notorious sexually, with the
masculine and wanted to be heterosex-
Leave the scene.
5
5
heteros coming up fast. We all want the
ual; others who were strong and certain
same thing: sex with love. But too often
(Continued on page 82.)
42
PSYCHOLOGY TODAY JANUARY 1977
The for
TREASURES OF TUTANKHAMUN
The elegant solid gold funerary mask of the boy-king Tutankhamun. One of
fifty-five treasures on display from King Tut's fabled hoard.
National Gallery of Art
New Orleans Museum of Art
Seattle Art Museum
Washington, D.C.
New Orleans, Louisiana
Seattle, Washington
November 17, 1976-March 15, 1977
September 15, 1977-January 15, 1978
July 15, 1978-November 15, 1978
Field Museum
Los Angeles County Museum of Art
Metropolitan Museum of Art
Chicago, Illinois
Los Angeles, California
New York, New York
April 15, 1977-August 15, 1977
February 15, 1978-June 15, 1978
December 15, 1978-April 15, 1979
This exhibition, organized by the Metropolitan Museum of Art,
is made possible through the assistance of
the National Endowment for the Humanities and Exxon Corporation.
EXXON
un
and
THE
FASCINATING
KING
NAMED
KONG
BY MARK RUBINSTEIN
NEARLY 43 YEARS AFTER ITS RELEASE in
myth that Sigmund Freud helped eluci-
women or makes them his brides, no
1933, Hollywood is remaking the film
date as long ago as 1913.
one seems to know.
classic King Kong. It may seem odd that
The film opens as Carl Denham, an
The natives worship and fear Kong.
such a blatant fantasy should succeed SO
entrepreneur and filmmaker, is search-
They dress themselves in ape costumes,
admirably where others of the same
ing for a woman willing to join him on a
mime him, and chant and dance ritu-
genre have failed. But King Kong
voyage to a remote corner of the world
alistically. Evidently Kong does some-
touches us as few films can, for its
where they will make a mysterious
thing for them in return: he refrains
dreams are deeply embedded in the indi-
film. He happens upon Ann Darrow,
from breaking down the massive wall
vidual and collective human psyche.
whom he rescues from an angry fruit-
the natives have erected between him
The ease with which the film draws
vendor whose wares she has just tried to
and their village. The film also implies
the viewer into its surreal world is
steal.
that Kong protects the village from
partly due to its technical wizardry.
Denham feeds her and promises star-
other large predators (dinosaurs, ptero-
King Kong was the first good film to ani-
dom, and she becomes a ready partner in
dactyls) that inhabit the island.
mate miniature models by means of
his scheme. Denham's ship and its ad-
The natives clearly regard Kong as a
stop-motion photography, and to use
venturous crew set off for a desolate and
totem animal, and it is here that the
rear-process and superimposed images.
forbidding part of the world, where
heart of the mythology of King Kong
The film's use of Arnold Bocklin's maca-
everything familiar is lost behind roll-
resides. Freud, in his book Totem and
bre painting, "The Isle of the Dead," to
ing banks of mist and fog.
Taboo, speculated that aboriginal man
represent Skull Island, the home of
The beast-god. They drop anchor off
lived in small hordes or clans within
Kong, accentuates the dreamlike
Skull Island, which looms out of the sea
which the oldest and strongest male
quality. So does Max Steiner's lush mu-
to the accompaniment of throbbing na-
took as many wives as he could, and
sical score.
tive drums. The explorers discover that
jealously guarded them against other
But the key to the film's immense
the natives are engaged in a primitive
men. By driving out or killing the oth-
Eraldo Carugati
popularity is that its various elements
and frightening ritual-the sacrifice of a
ers, this jealous father established him-
combine to form a colossal, universal
young woman to the great ape Kong.
self as head of the horde. The younger
myth about human history, religion, so-
These sacrifices seem to propitiate the
males then wandered off, and, by find-
ciety, the family, and sexuality. It is a
beast-god, but whether he devours the
ing partners from other clans, were able
PSYCHOLOGY TODAY. JANUARY 1977 45
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46 PSYCHOLOGY TODAY JANUARY 1977
Copyright RKO Radio Pictures
to prevent inbreeding. Freud borrowed
sense of guilt for having slain the father
father) and on subsequent prohibitions
this idea, by the way, from Charles Dar-
and to insure that his spirit would not
against incest and aggression. Similarly,
win, who emphasized its biological
seek retribution. They therefore created
religion developed from the need to ex-
aspects.
a totemic system by which some ani-
piate the common sense of guilt. The
At some point, Freud suggested, the
mal was chosen to be a substitute for
whole process, tragic and violent as it
expelled sons banded together to
the slain leader. The animal's life would
may have been, served to promote the
murder and eat the primal father,
be protected and treated as sacred. Even-
survival and increasing civilization of
thereby ending the father-dominated
tually, the totem animal and father
the society.
horde. Devouring the father also al-
would become a tribal god.
One further element in this theory is
lowed each son and brother to identify
Totemic religions and their deriva-
essential. Freud held that each indi-
with the father, to share a portion of his
tives attempt to assuage guilt and ap-
vidual repeats part of the collective ex-
strength.
pease the primal father through obei-
perience in relation to his or her own
But the murder of the patriarch posed
sance. As Freud pointed out, however,
parents. Just as in the ancient horde, the
a new problem. Once the brothers iden-
religions are ambivalent. The sons'
child wants to possess the parent of the
tified with the father, they were all
sense of guilt at their defiance was nev-
opposite sex to the exclusion of the rival
rivals for the women. This impractical
er obliterated and, according to the
parent of the same sex. Later, by re-
and dangerous situation could have de-
deeply rooted law of retaliation, the
nouncing such Oedipal strivings and
stroyed their new social organization.
murder could be atoned for only by the
coming to terms with the imprac-
And so, to insure group harmony and
sacrifice of another human life. In
ticality of such incest, the child comes
survival, they prohibited marriage to
Christianity, for instance, man's origi-
to identify with the same-sex parent
women within the clan. Marriage could
nal sin was an offense against God the
and seeks marital fulfillment with a
only take place outside the extended
Father, and man could redeem himself
spouse who may resemble the orig-
family. Sexual relations with women of
only by the sacrifice of Christ, God the
inally desired parent.
the same clan were now considered in-
Son.
Thus each person's development re-
cestuous and forbidden.
Freud maintained, then, that human
flects or copies part of the social de-
Religions are ambivalent. The members
society was founded on a common
velopment of the human family, and
of the clan also needed to assuage their
criminal deed (the murder of the primal
each one of us must deal with some of
PSYCHOLOGY TODAY JANUARY 1977 47
the same issues in the nuclear family as
did the members of the primal horde.
It should be clearer now, at least to
those who have seen the movie of 1933,
why the story of King Kong has the
power to move us the way it does. It not
only retells certain basic myths of
human society and religion, but it also
recounts stories of our own childhood
passions and development.
As the story unfolds, the high priest of
the Kong totem clan offers to make a
trade with the explorer Denham in
order to possess the "golden woman,"
Ann Darrow. Denham refuses, and SO
the natives steal aboard the ship and
seize her. They offer her in sacrifice to
the totem beast-god, trussing her to two
large stakes within the confines of the
wall. Then they summon Kong by beat-
Copyright RKO Radio Pictures
ing a large gong.
We hear a thunderous roar and Kong
appears. He leers at Ann Darrow and
makes off with her to the remote re-
ing that the photographers with their
zoned with the message, "King Kong
gions of the island.
flashbulbs are hurting Ann Darrow,
Died For Our Sins."
Protective and possessive. The music
Kong strains against his bonds and tears
Collective sin. This film distills cen-
races as Denham, Ann's lover Jack Dris-
himself free. He smashes his way
turies of developing religious myth. On
coll, and other crew members give
through the building and emerges in the
Skull Island we are in a primitive
chase beyond the wall, and as the action
streets of Manhattan. Once again the
totemic world of sacrifices to the primal
progresses it becomes apparent that we
natives scatter as Kong bursts through
father. On Manhattan Island, although
are somehow moving backward in the
the wall.
Kong is still the totem animal and again
stream of time-that Skull Island is a
But Manhattan is not an island where
represents the slain father, he is also
dreamlike land where time stands still.
time has stopped, and his battles,
something more. He becomes the sacri-
Kong battles a Tyrannosaurus rex, a
though similar to the ones on Skull Is-
ficial object itself-the God-Son whose
giant snake, and a pterodactyl. The ape's
land, are with machines instead of with
martyrdom is meant to atone for the
Cyclopean size and power, and his abso-
Mesozoic creatures. He pummels an el-
original collective sin against the father.
lute determination, make him a godlike
evated train as he once did the snake. He
This progression from Skull Island to
and indomitable figure in his primeval
finds Ann Darrow, abducts her, and
Manhattan Island reveals mankind's re-
world.
takes her to the highest peak on the is-
lationship to the primal father and the
During this part of the narrative,
land-the Empire State Building. (In the
evolution of his religion.
Kong saves Ann from the snake and the
remake of the film, he will straddle the
It should not perplex anyone that this
pterodactyl. He is protective and pos-
twin towers of the World Trade Center,
creature represents at different times
sessive. But while Kong is battling the
the newest temple of technological
the primal father, the substitute totem
ptetodactyl at the entrance of his cave,
achievement.) But steel birds that spew
animal, and finally the son. Multi-
Jack rescues her, and they make their
fire and bullets mortally wound the
faceted symbolism of this sort is typical
way back to the native village. Wild
giant ape. He manages to tear one of the
of mythology, fable, dream, and re-
with rage, Kong thunders after them
planes apart, as he did the pterodactyl.
ligious allegory. King Kong is all of
and shatters the door of the wall that
But with his strength ebbing, Kong
these. The issues of sacrifice and obe-
has separated him from the village for SO
looks longingly at Ann Darrow and
dience, power and possession, sin and
long. He destroys everything in his path
carefully places her aside. It is the most
atonement all converge in the same
before Denham finally overcomes him
touching scene of the film. Surrounded
timeless dreamscape. In a hallucinatory
with a gas bomb.
by the buzzing planes, he flails at them
condensation of time and place, the film
Modern technology has conquered
until he plummets to his death.
portrays man in both primitive and con-
god and beast.
As in Freud's version of this universal
temporary form, in the primal jungle
Denham removes Kong from the pre-
myth, the savage primal father becomes
and in the modern city, endlessly strug-
history of Skull Island to modern-day
deified. The tyrant of Skull Island, bent
gling with the massive archetype, King
Manhattan Island, a move that spans
on the abduction and possession of the
Kong.
millions of years. Once safely back in
woman, is martyred before our eyes at
As with all myths and fables, King
civilization, he decides to display his
the top of the modern world. He emer-
Kong has other layers of meaning than
prize for all to see. Kong is chained to a
ges as a godlike and unbegotten giant
the one I have described. Some critics
great chromium cross, and the crowd
whose fate is that of crucifixion, en-
see it as a tragedy of human beings un-
gasps at his sinewy, helpless form. This
circlement, and slaughter. Our sympa-
leashing environmental forces they do
crucifixion is clearly reminiscent of the
thy is real. So is our contrition, which
not understand. Both men and nature
crucifixion of Christ. Suddenly, think-
may account for the T-shirts embla-
(Continued on page 111.)
48
PSYCHOLOGY TODAY. JANUARY 1977
GM
Beloved Skinflint.
BUICK SKYLARK. Time was, any car you called
windows and trunk. In short, Skylark constantly rewards
skinflint' was about as loveable as an attic fan. On the
your emotions: elegant fabrics here, cut-pile carpeting
other hand, any car you loved usually asked frequent
there - everything from shiny lacquer paint to squarish
demonstrations of your affection in gas stops and the
European lines.
cost of ownership
Yet for all its ability to charm the heart, Skylark is a
But now there is Buick Skylark. It's one automobile
pillar of practicality to own
that appeals to both your car-loving and budget-
Consider mileage. According to EPA estimates, a
watching instincts at the same time.
Skylark with standard V-6 engine, available automatic
Step inside. If you've specified the custom trim
transmission, and standard 2.56 axle ratio, achieves
that's available, you'll find the seats clothed in rich velour
27 miles per gallon on the highway, and an equally
with thick foam bolsters for backs and shoulders.
impressive 17 in the city. Naturally your mileage may
Take the controls. Notice how the switches and
vary, depending on how and where you drive, the
gauges come readily to hand and eye. As an added
condition of your car, and its equipment (California
touch, the speedometer is graduated in km/h as well
EPA figures are lower). But anytime you can combine
as mph.
mileage of that sort with the magic we just described,
Bring it to life. Underhood there's an innovative
and get it all for a purchase price that's within reach of
little gem of a V-6-Buick-made, of course.
all but the most austere budgets, well, it makes Skylark
Set it in motion. The ride is firm but supple, and the
well worth considering,
whole car is solid and agile on its feet. Notice how quiet
doesn't it? You know
it is, too-there's an abundance of sound-deadening
it does.
insulation because, after all, Skylark is a Buick.
Skylark is at your
From here, nothing much left to do but enjoy the
BUICK
Buick dealer. In Coupe,
options that are available. Like a Delco AM-FM stereo
Hatchback and Sedan
and tape. Or factory-installed CB, Or electric door locks,
body styles.
The
IMAGE-FREEZING
MACHINE
Photography has become as much a part of human nature
as man's opposable thumb. It overcomes the limits
of memory. A distinguished social psychologist examines
how picture-taking affects human behavior.
by Stanley Milgram
PHOTOGRAPHY DESERVES MORE attention
is the "individuating" device par excel-
able to public scrutiny than the brain.
from the psychologist than, say, the act
lence, always recording a particular
Painting and drawing were the first so-
of tying our shoelaces. Photography is a
person or thing. By permanently docu-
lutions to the problem. But depicting
technology that extends two psycholog-
menting the action, the photograph im-
images on the wall of a cave, or papyrus,
ical functions: perception and memory.
plies the polar opposite of anonymity
silk, or canvas required a special talent,
It can thus teach us a good deal about
and accordingly enhances social
which only a few possessed.
how we see, and how we remember. But
control.
Photography allowed anyone to
it can also teach us a good deal more.
Evolutionary developments. The habit of
freeze a moment of visual experience,
The challenge is to identify psychologi-
taking pictures is now so widespread,
and thus to augment his memory, to
cally interesting components of pho-
we forget how recent it is. Two hundred
preserve it beyond his own lifetime, and
tography, and to deepen our
years ago, only a talent for drawing and
to show others what he saw. To a psy-
understanding through analysis and
painting would allow a person to make a
chologist, this new capacity to fix and
experimentation.
visual record of what he saw. By the end
externalize visual experience imme-
One may inquire, for instance, into
of the 19th century, anyone could do it
diately raises the question of what peo-
the effects of a camera's presence on so-
with the aid of a simple rectangular box.
ple choose to render into permanent
cial behavior. To study this, one of my
He looked into a small ground-glass
photographic images.
students, Maya Heczey, recently com-
window, framed the picture he wanted,
In principle, the camera could be used
pared the size of contributions to a med-
and pushed the shutter. Kodak did the
to record any visual event: stars, lakes,
ical charity made by individuals who
rest.
garbage, loaves of bread. But over-
are photographed as they donate and
The best way to grasp the human sig-
whelmingly, what people wanted to re-
those who are not. She found that in the
nificance of photography is to think of
cord were images of themselves and
presence of the camera, people give sub-
camera, film, and tripod as evolutionary
their loved ones. The growth of portrait
stantially more money. In another ex-
developments that are as much a part of
photography in the 19th century is as-
periment, she also found that antisocial
human nature as man's opposable
tonishing, even by today's standards of
behavior was inhibited; substantially
thumb. Human sensory and informa-
rapid technological exploitation. The
more automobiles come to a halt at a
tion-storing capacities have limits, for
19th century absorbed photography
stop sign when a person is taking pic-
visual images are incompletely stored
with a voracious thirst that revealed the
tures at the intersection, than when a
in memory, often in a highly sche-
extraordinary need for an image-freez-
person is present but has no camera.
matized form, and subject to decay and
ing machine. The process was scarcely
Both experiments touch on the degree
distortion. Photography is one way to
known before 1839; in 1849 a hundred
to which people feel accountable for
overcome these limits.
thousand daguerreotype portraits were
their actions, and how this affects their
Moreover, memory is private. It re-
made in Paris. By 1860 New York City
behavior. At one extreme, a person may
sides in the neural structure of the indi-
claimed more than 50 photo-portrait
perform an act unobserved by others.
vidual, and does not directly take the
studios. Although some photographers
But even behavior performed in the pre-
form of an external object that others
made a living by taking and selling pic-
sence of others has a transitory quality.
can see. When each person dies, all the
tures of faraway places, the business
It happens, then disappears. The camera
images stored in his brain vanish, along
end of the enterprise rested on portrait
David Octavius Hill and Robert Adamson The Museum of Modern Art
carries the documentation of the act
with all the other information he pos-
photography. That is what people
beyond the situation in which it was
sesses. The perishability of our visual
wanted most of all.
carried out. It thus alters levels of ano-
experience led men to place it on some-
To understand how special this fact is,
nymity and responsibility. The camera
thing more permanent and more avail-
consider that when the technical means
50
PSYCHOLOGY TODAY. JANUARY 1977
(n)
X,
OF
for recording auditory events became
buy outside a famous landmark are no
about its nature. A photographer takes a
possible later in the century, there was
substitute for the pictures one has
picture. He does not create it or borrow
no such rush to record one's voice. In-
taken, even if the quality of the com-
it. A tourist travels to a foreign country,
stead, people wanted recordings of im-
mercial product is superior to one's
sees a peasant in the field, and takes his
personal cultural objects, mainly
own. It is seizing the image through
picture. I find it hard to understand
music.
one's own act that seems uniquely
wherein the photographer derives the
While the recording of sound depends
satisfying.
right to keep for his own purposes the
on performance, visual recording does
The act of taking a picture, like the
image of the peasant's face. "Give it
not. A person may remain passive and
act of seeing, occurs in a broad range of
back, give it back," the peasant might
still be recorded by the camera. This
human situations. No matter what the
cry, "it's my face, not yours."
contrast between the passivity of pho-
subject, it always involves some sort of
It is convenient for photographers to
tography and activity of sound record-
exchange. First, there is the trade-off be-
carry on their activities with the as-
ing reaches down to the very origin of
tween the passive enjoyment of a
sumption that individuals give their
the physical energies underlying the
unique moment, and the active process
tacit assent to being photographed. (I
two processes. The energy for a voice
of photographing it. The man who sees a
am referring not to the use of the photo-
recording originates in the activity of
graph, which is bound by legal con-
the speaker, but the energy for a photo-
straints, but to the act of photographing
graph of him is external in origin, mere-
others, which is considerably less con-
ly light that bounced off him. You can
trolled by law.) In order to study how
photograph a corpse but cannot record it
on cassette. The potentially passive na-
The English language
people feel about giving away their im-
age, my students and I recently went
ture of photography colors the entire
into the streets of midtown Manhattan
is blunt about the
process. It means the camera captures
and, camera in hand, asked more than a
what one is, a state of being.
nature of photography.
hundred strangers: "May I take your
Mechanical truth. The viewer is part of
A photographer
picture?" If asked to explain his mo-
the process of photography. As we look
takes a picture. He does
tives, each student answered simply,
at photographs, psychologist Rudolph
not create it or
"I'm interested in photography." Of the
Arnheim has pointed out, we see them
people we approached on 40th and 42nd
through a special attitude that colors
borrow it. How do people
Streets, 35 percent allowed us to take
our response to them. Unlike painting,
feel about giving away
their picture, while 65 refused. Hands
in which we know that every detail is
their image?
went up over faces, people scowled, or
created by the painter, the photograph is
walked hurriedly, reminding us that the
interpreted as the product of a mechan-
act of photographing has given rise to a
ical process. As soon as the camera
set of gestures that never existed before
clicks, images within its view are en-
the camera. Presumably, before the
coded onto the film without further
press photographer came on the scene,
human effort. Details may be recorded
beautiful scene and has his camera,
criminals rarely held their hands over
without any necessary intention on the
stops to take a picture; but the pho-
their faces or wrenched their faces into
part of the photographer. Indeed, he may
tographic act may interfere with his
contorted positions when arraigned.
discover things in his picture he was not
fully savoring the experience. He must
Photography has created an entirely
aware of at the time he took it. For the
interrupt a spontaneous set of activities
new choreography of human body
camera provides a mechanical and ex-
and divide his attention between enjoy-
movement.
haustive rendering of visual surfaces,
ment of the scene and the mental set
In Bryant Park, the population divided
within the range of its technical capaci-
needed to photograph it. The moment is
evenly into those who assented and
ties. This directness and infinite in-
devalued as he trades the full value of
those who refused. Females seemed less
clusiveness confer on photographs a
the present experience for a future rec-
willing than males to have their pic-
high degree of credibility. We are more
ord of it.
tures taken. The willingness of people
likely to believe that an object depicted
Human activities, such as travel,
to have their pictures taken interacts
in a photograph really existed than, say,
come to be transformed by pho-
subtly with mood, temperament, and
an object depicted in a painting. The
tographic possibilities. We seek out
the exact pose and circumstance of the
truthfulness of the camera is not, of
places not only for their beauty, but be-
potential subject. Of the six people
course, guaranteed by this fact. Photo-
cause they are suitable backgrounds for
lounging on the grass whom we ap-
graphs can be faked, or they may be un-
our pictures. A group of tourists, cam-
proached, five agreed to have their pic-
representative of what they purport to
eras hanging about their necks, sees
tures taken, an impressively high
depict. But even here, if we examine the
their arrival at the Eiffel Tower as the
proportion.
photographs carefully enough, some de-
consummation of a photographic quest.
One thing is clear. The culture of pho-
tail in the photograph itself may belie
The place comes to be subordinate to its
tography is so widespread, and the nor-
the photographer's claim.
photographic potential. The value of a
mality of taking pictures so deeply
Urges and exchanges. People possess a
vacation depends not only on our expe-
rooted, that everyone understood what
photographic urge, an enormous desire
riences, but on how it all comes out on
it meant to be photographed, and all
to fix the image of things in a form they
film.
took the request in stride.
can later consult. And it is, for many
The photographing act is best seen as
The importance of this fact can be un-
people, an urge to fix the image through
an exchange when we photograph other
derstood only in comparison with other
their own efforts. The pictures one can
people. The English language is blunt
requests one might make. For example,
52
PSYCHOLOGY TODAY. JANUARY 1977
Alice Hampton couldn't
put this book down for
four weeks.
Can the Mayflower Moving Kit be
that fascinating? Alice and thousands of
other readers can be wrong. It is helpful. From
thirty days before you move, right up until you
arrive in your new home. The Kit goes through
the whole moving process, day by day.
Labels, cards, charts, and other thrill-
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you need all those things. You need to notify
the post office, inform utilities, cancel services.
You need to pack and label "don't load" and
"load last" cartons. You need to evaluate and
inventory everything you're moving.
When you're working from the Mayflower
Moving Kit, you can't forget anything. All the
forms and checklists are right there.
Does it matter who moves you? Sure.
The better the mover, the better the move.
We've been moving people safely for 48 years.
And, of course, we hope you'll be prompted
to call us. But we give the Kit to anyone who
needs it, without obligation.
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NAME
ADDRESS
CITY
STATE
ZIP
APPROXIMATE MOVING DATE
a few years ago our class went into the
for five minutes, and observers counted
another study, our two experimenters
New York subway. Each student stood
the people who interrupted the line of
abandoned their camera and started
in front of a seated passenger, and asked:
sight between camera and subject, and
playing ball from one-half, three-quar-
"May I have your seat?" However triv-
the people who changed course to walk
ter, and four-quarter positions on the
ial the request may seem, it is ex-
around it. Next, the photographer
42nd Street sidewalk, lobbing and roll-
tremely difficult for us to utter, and
moved back until pedestrians could just
ing the ball to each other. This time
impossible for some.
squeeze through by using the remaining
there was far less respect for the rela-
But the act of asking to photograph
quarter of the sidewalk and again held
tionship, and, when three-quarters of
another flows naturally and is self-justi-
the camera to her eye for five minutes.
the sidewalk was blocked, 91 percent of
fying. It is part of a shared culture. Per-
Finally, she moved all the way to the
the pedestrians walked through, com-
haps in our culture we are profligate
curb so that there was no way a pedes-
pared to 31 percent when a photograph
with our images because we feel the
trian could pass without breaking the
was being taken.
photographer does not really take them
line of sight, except by ducking, wait-
Passersby also muttered that the pair
from us but simply reproduces them, a
ing, or walking into the street.
had no right to play ball on midtown
form of visual cloning in which the orig-
The results speak well for the respect
sidewalks. But such a remark was never
inal is not diminished even while mul-
made when the pair was using a camera.
tiples of itself are created.
This suggests that many activities, such
Every culture varies in the degree to
as playing ball, are only deemed proper
which it is camera-shy. In Peru, the In-
when confined to a particular place: a
dian women run away when you aim
the camera at them, and they look at
There is a "privileged
school yard, a park, etc. But there is no
such definition for the act of taking a
you suspiciously if you even finger your
space" between a
picture. Indeed, we work the other way.
camera. Maybe they are right, and the
photographer and his
Any place is considered appropriate for
custom of letting strangers take our pic-
subject. The
taking a picture, unless the photographs
tures bespeaks an inexcusable indif-
violate sanctity or privacy, as in a fu-
ference to our own image. No one
reluctance of others
neral parlor or brothel.
knows what the tourist with the camera
to violate the
Research needs. An important set of psy-
will do with one's image. Maybe when
line of sight measures
chological questions concerns the way
he gets back home, he will laugh at it,
the legitimacy
in which a person learns to take photo-
use it for darts, or as a stimulus for
graphs. Although children, for example,
they ascribe to the
bizarre sexual experiments.
are reported to have a clear, naive vision
Social rules. Even the most mundane oc-
photographic act.
of things, imbued with wonder and
casion for taking a snapshot involves us
freshness, the fact is that there are no
in a relationship, and moreover, it is a
great photographers who are children.
relationship that others perceive and in
Perhaps we have simply not placed the
some degree respect. For we don't just
camera in a child's hands at a suffi-
take photographs. The activity is cir-
shown the photographic relationship.
ciently early age, but I am skeptical of
cumscribed by certain social rules that
Ninety percent of the pedestrians re-
this argument, having seen large num-
are widely shared, even if they are im-
spected the line of sight in the first con-
bers of photographs taken by my own
plicit. People will exert some effort, for
dition, 69 percent in the second, and 37
children. On the whole the freshness,
example, to avoid interfering with the
percent did so even when the entire
and even artistry, we often find in chil-
relationship, and their efforts can be
sidewalk was blocked. It should give
dren's drawings do not translate into
measured.
photographers heart to note that to
their photographic view. Psychologists
We know, for example, there is a
avoid breaking the line of sight, a third
have studied children's drawings for
"privileged space" between the pho-
of the New Yorkers detoured into the
many years now, and find that the draw-
tographer and his subject, a line of sight,
street, waited, or ducked very low.
ings change systematically with age,
and it possesses a certain degree of in-
We did not know whether pedestrians
and can often tell us a good deal about
violability. The reluctance of bystan-
were respecting the relationship be-
the mental processes of the child. If we
ders to violate the line of sight measures
tween the subject and the photographer,
gave every two-year-old a camera, and
the strength and legitimacy that they
or whether their respect was for the act
studied the pictures he took over the
ascribe to the photographic act.
of taking a picture. To find out, we sub-
span of a lifetime, we might learn a great
Our initial experiments on this topic
stituted an inanimate object for the
deal about the child, and about the
were carried out on a major New York
human subject, and performed the same
growth of his photographic skill as he
City thoroughfare (42nd Street between
line-of-sight variations. A far greater
matures. Perhaps there are Piagetian
Fifth and Sixth Avenues). The street is
number of pedestrians violated the line
stages of development that would be re-
characterized by heavy pedestrian flow,
of sight when the photographer was tak-
vealed through a study of children's
and the sidewalk is conveniently
ing a picture of a rubber ball instead of
photographs. There might be a systema-
marked off into four lanes.
another person. So the social relation-
tic shift in what he photographs, and
The person to be photographed posed
ship definitely played a part in strength-
how he photographs it, comparable to
along the inner wall of the street, the
ening the inviolability of the line of
systematic stages in the use of language
Bryant Park gate. Another student
sight.
and thought.
stepped back, half way across the side-
We wondered whether any activity
There is another side to the relation-
walk, and held a camera to her eye as if
involving two people, not just photogra-
ship of photography and human de-
to take a picture. She held the camera
phy, generated a similar deference. In
(Continued on page 108.)
54
PSYCHOLOGY TODAY, JANUARY 1977
WAIT'TIL I FINISH
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55
Old Faithful.
Good Old Faithful. Always got you
where you were going. Always did it eco-
nomically. A whole generation of Ameri-
cans grew up with Old Faithful. And now,
27 years and 33 million cars later, it's still
a symbol of dependability and economy.
Now there's a car that's just as reliable
and economical as Old Faithful ever was.
It's New Faithful. The 1977 VW Rabbit.
With engineering SO advanced that auto-
motive experts have hailed it as the kind
©VOLKSWAGEN OF AMERICA, INC.
New Faithful.
of car Detroit will be building in the 1980's.
unsprung weight, for better road holding.
tion and optional equipment.)
The Rabbit has a new fuel injection sys-
New Faithful lives up to Old Faithful's
Dependability and economy. That's
tem, so it starts up quick as a bunny.
reputation for economy, too. Because it
what Old Faithful gave a whole genera-
Springs like one, too. 0 to 50 in just 7.7 sec-
has fuel injection, you can use the most
tion of Americans. And that's what New
onds. The Rabbit also has advanced engi-
economical grade of gas.* But you won't
Faithful is giving a whole new generation
neering features like negative steering roll
have to use it very often. Rabbit gets 37
of Americans.
radius to help maintain directional stabil-
mpg on the highway, 24 in the city. (That's
New Faithful. The 1977 VW Rabbit.
ity in the event of a front-tire blowout;
EPA's estimate for manual trans-
rack-and-pinion steering for more direct
mission. Your actual mileage
maneuvering and better road feel; and an
may vary, depending upon your
independent stabilizer rear axle, low in
Rabbit
driving habits, your car's condi-
More Volkswagen from Volkswagen
*California excluded.
To most people my diamond says I'm engaged.
To me it says I'm in love.
People look at my ring and automatically think of the
ceremonies-the parties, the showers, the announcements. But Gary
and I well, we're private people.
Our idea of a celebration is driving up to the lake and having a
picnic with the squirrels.
My diamond has a very personal meaning, too. It symbolizes all
the private feelings we share together; all that goes into making our
relationship special, different from everyone else's.
I know to the world it says we're getting married.
But to me, it says why.
A diamond is forever.
To give you some idea of diamond values, the half-carat ring shown here (enlarged for detail) is worth about $900. Diamond values will vary
according to color, clarity, cut and weight. Ask your jeweler for the free booklet, "A Diamond Is Forever." De Beers Consolidated Mines, Ltd.
CITY
FAMILIES
Britons and Americans talk about their own images, frozen forever on film.
TEXT BY STANLEY MILGRAM/PHOTOGRAPHS BY ROSLYN BANISH
In 1973, Roslyn Banish, a Chicago-born
ground, and pose. Upon returning to the
me focus on the psychological issues
photographer, received a grant from the
United States, Banish photographed a
they raise, touching on the photogra-
Arts Council of Great Britain to photo-
cross-section of Chicago families to
pher, the subject, and the viewer.
graph London families. She concen-
serve as a comparison to her London
Photographic portraits are best seen
trated her work in a small but hetero-
study. Later, the families were inter-
as the product of a social relationship.
geneous neighborhood of central
viewed, and encouraged to comment on
How a portrait comes out will depend
London, recruiting families through
their family portraits.
not only on the person photographed,
notices placed on bulletin boards. The
Photography is rich in its psychologi-
but on the photographer. When we ex-
families, photographed in their homes,
cal overtones. Rather than discuss the
amine Banish's portraits and contrast
were free to select their clothing, back-
esthetics of Banish's photographs, let
them with, say, the portraits by Diane
Fiona and David Sturdy, archaeologists, London. Chil-
dren: William, Torrold.
Fiona Sturdy: I think we look slightly goofy. It's obvious
we're archaeologists or something, isn't it? From the bro-
ken pot. We collect things, but a bit of a mixture. Nothing
particularly good.
David Sturdy: Nothing particularly good, my foot. There's
nothing desperately grand, but it's all quite interesting.
Fiona Sturdy: None of those things are museum pieces.
David Sturdy: The Greek altar is, vaguely.
Fiona Sturdy: I suppose my idea of museum piece is what
one would find in a national museum like the British
Museum.
David Sturdy: You should have grown up in the provinces.
Fiona Sturdy: My standard of museum pieces is so high,
knowing what's in the cupboards of the British Museum.
From CITY FAMILIES CHICAGO AND LONDON by Roslyn Banish. Copyright 1974. 1975, 1976 by Roslyn Banish, Reprinted by permission of Pantheon Books. a division of Random House. Inc
Arbus, we see that the psychological
certain quirkiness, while in Banish's
tor permeates the pictures and gives
consistency in the faces of many diverse
portraits, a genial dignity informs the
them cordiality and warmth.
individuals must be due to the pho-
pictures as if she allowed her subjects to
But even people trying to look their
tographer's capacity to induce a certain
present themselves with all their illu-
best must work with the materials at
attitude or expression in the subject. A
sions intact.
their disposal and under conscious con-
subtle psychological relationship exists
A strong self-presentational energy
trol. Close scrutiny of the inadvertent
between photographer and subject, in
flows from Banish's subjects. Her cam-
gesture, the unintended clue, or the bio-
which the photographer plays a part in
era is in no sense an intruder; the sub-
logically ineradicable detail adds
creating the faces he or she photo-
jects greet it as they would an invited
another level of meaning to the photo-
graphs. Diane Arbus' subjects display a
guest. This response to a welcomed visi-
graphs. In this sense, photographs often
Mary Smith, London. Children: Sara, Rosemary, Christo-
pher, Michael, Susan, Joan, John.
Mary Smith: I don't know. They all look like they're going
to be shot. I had an operation then, didn't I? Everybody
says I look much better now. And I put on weight since
then as well. For five years I was in and out of hospital, for
thrombosis. Sometimes I wasn't even out for three months
and I was back in again. Oh, I've done very well now.
Annette and Bill Campbell, Chicago. Annette Campbell is
a planner for a government commission: Bill Campbell is
a public-relations worker for a government agency.
Annette Campbell: I'm really pleased with the photo-
graph. It has so many of the things that are a part of us in it.
It looks like something we would have had commissioned.
Teresa Ostimer, clerk, Chicago. Child: Bridget. Margaret
Bill Campbell: The room is kind of an extension of us.
Peterson, her mother, volunteer worker.
That's why I dig it. Like these things are things that are
Teresa Ostimer: Well, it looks like we're close. You know,
really part of our lives. And they really tell kind of a story
three generations right there.
about us. Like the picture in the background on the left is
Margaret Peterson: It's a homey picture.
one my mother painted from a picture she saw in National
Teresa Ostimer: It looks like we're not too made up. Well,
Geographic.
we got prepared for the picture, but it wasn't like we over-
Annettè Campbell: And the other picture, on the right, is
did it. It's just like us. Right here.
something that I contributed to the household after we got
Margaret Peterson: I didn't expect to get in the picture at
together, as well as the pottery with the dry leaves. That
all. Remember? I was sitting in the kitchen and you asked
was always one of my favorite pieces, and to have it in-
me to come in for the last picture.
cluded in the picture is kind of special.
capture more than the subject, or even
her uniformed husband, who in turn
father is the tragic meaning of the
the photographer, intends.
clutches the baby; the trio forms a com-
picture.
This is especially true when groups of
pact family knot. In contrast, Mrs.
Photographs project many meanings
people are shown in a photograph, for
Smith and her seven children stand,
beyond the intentions of the subjects.
relationships are often expressed
hands to their sides, in isolation, as if
Mrs. Peterson comments that the por-
through gesture and body orientation. A
bereavement and her illness have splin-
trait is homey, but the viewer is most
good first step in interpreting group
tered the coherence of family life. This
impressed by the biological connection
photographs is to look at the hands.
photograph also reminds us that what is
among the three family members, and
Where are they? Whom do they touch?
absent from a photograph may be as sig-
the inevitability that Bridget, the child,
Mrs. Trotter's fingers affectionately jab
nificant as what is present. The missing
will one day grow to be like her grand-
Lily and Thomas Walton, Chicago. Thomas Walton is a re-
tired bus driver.
Thomas Walton: Oh, yes. I think it's a very good picture of
both of us. Yeah, I think strangers would get the right idea
about us. Don't you? That's the way I usually dress. The
bobby? Well, that's a London bobby. I bought that in
London on me way back last time I was there, which is
three years ago now.
Doris and Jim Armour, London. Jim Armour is an
accountant.
Jim Armour: I didn't realize I looked so damned old. That's
what beats me. My wife looks all right, but I look like a
bloomin' old man. Strangers would think I'm a retired old
so-and-so and I had a very charming young wife or some-
thing I've never even looked in the glass and thought I
Ann and Mick Mundy, London. Mick Mundy is a transport
looked as bad as that. The dog comes out well.
driver. Children: Angela, James, Simon.
Doris Armour: I'm pleased with the way it turned out. You
Ann Mundy: I don't think that really shows us. I mean it
can see who the painting is, I think. It's the Queen Mother.
looks as though I'm sort of standing there posed, all nice
Well, she has a certain way of sitting, doesn't she, and
for the photograph, not interested in the kids at all. And
dressing that's typically her I've managed to do one
Mick's down there with his arm around Angela, sort of
painting a year for the past three years but there's been
much more natural than I.
so much else to do that I haven't done any since that.
Mick Mundy: No, I disagree. No, I think in fact it portrays
us pretty well. I think it's OK.
Ann Mundy: The twins look so good there, don't they! So
angelic and that. And they're not a bit like that, really.
mother. Mr. Trotter has taken charge of
but in their linkage to the objects that
plicit about his surroundings: "The
the baby, as perhaps befits a constable
surround them. The Sturdy family
room is a kind of an extension of us
who prefers to be photographed cloaked
chooses to pose before an oil painting,
these things are really part of our lives.
in the authority of his uniform. Mr. Ar-
which gives a hint about social class,
And they really tell kind of a story about
mour clutches his dog, but expresses
and archeological objects appropriate to
us." The articles may also be seen as
great reserve toward his wife. It is hard
their profession. We are reminded of
props, supporting the desire to project a
to know if such interpretations are
Holbein's portrait of George Gisze, a
particular self-image.
valid.
15th-century merchant who surround-
Photographs also contain many la-
The meaning of a photograph
ed himself with the objects of his trade.
tent meanings known only to the fam-
emerges not only from the people in it,
Mr. Campbell, of Chicago, is quite ex-
ilies depicted in them. Perhaps a little
Dorothy and Hiroshi Kaneko, Chicago. Masano and Motot-
sugu Morita, Dorothy's parents. Dorothy Kaneko is a group
worker; Hiroshi Kaneko is a carpenter. Child: Kevin.
Dorothy Kaneko: The photograph looks like Japan rather
than Chicago.
Hiroshi Kaneko: I guess it's a good description of our
family. But a couple of the girls are missing. And of course
these are my wife's parents rather than my own.
Dorothy Kaneko: What he means is in Japan usually the
eldest son would be looking after his parents.
Hiroshi Kaneko: According to Japanese custom, the oldest
son had to take care of the parents. I mean, that was his
responsibility. And, well, that kind of creates a little at-
mosphere that I would say is for the betterment of everyone.
Mary and William Harrington, Chicago. Mary Harrington
is a cashier: William Harrington is a policeman.
William Harrington: I don't like the way my feet are.
Whether strangers could tell anything about our person-
ality just from looking at the picture, I don't know.
Question: Is the photograph at all misleading?
William Harrington: The only thing is that I had my uni-
form on. You wanted me in uniform. I usually work in civil-
ian clothes. We do that so when we go into homes, we don't
attract as much attention.
Elizabeth and Andrew Trotter, London. Andrew Trotter is a
policeman. Child: Sarah.
Andrew Trotter: I like the photograph of myself in uniform.
I think it isn't stilted. It is rather jolly, as we normally are.
experiment will clarify this point. Each
small. (Perhaps an ash tray in one corner
cedure conscientiously, you will see
reader should take a photograph from
of the photograph was a gift from your
that your photograph generates a dense
his personal family album, one taken in
uncle; perhaps the cigarette in the ash-
web of connections, replete with emo-
his home, and one that includes an ex-
tray is only half smoked because you
tional and biographical significance.
panse of background detail similar to
were trying to give up smoking when
Next, ask an office worker to analyze
that in Banish's photographs.
the picture was taken; or perhaps a
the same photograph; inevitably, he
Next, using pencil and paper, begin to
clock in the photograph indicates it is
will view it through vastly impover-
catalogue all the things you know about
late afternoon, and you recall how you
ished eyes. Finally, examine a photo-
each object shown in your photograph;
awaited the return of your daughter
graph of yourself taken away from
do not overlook any detail, however
from school, etc.) If you follow this pro-
home, in a motel room, or while visiting
Patricia and Thomas James, Chicago. Thomas James is a
Mary Pittman, nursery-school assistant and part-time col-
federal judge. Children: Sarah, Susan.
lege student, Chicago. Children: Carl, Janie, Jeanie.
Thomas James: From the photograph, all that we could
Mary Pittman: It's all together. The flowers are showing
expect strangers to say about us is that we look happy. I
and it just looks like a beautiful home. It looks like a per-
don't think they could tell what we do for work or anything
son who is trying to better herself. That's the way I look.
like that.
Well, trying to reach my goal in life. A working mother and
Patricia James: The first time you photographed us, we
going to school part-time trying to be a sole support. I love
were wondering what was just going to happen. The sec-
it. I really do. This is a family photo of just completely us.
ond time we decided let's get dressed for it and have a nice
This is art.
family picture, all together, all dressed up.
Thomas James: And if the girls are going to be in long
dresses, I should be dressed too. And we enjoyed it!
PSYCHOLOGY TODAY. JANUARY 1977
63
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64
PSYCHOLOGY TODAY. JANUARY 1977
Th
most typical
strategy for posing was
to use a socially
conventional face, and
to express as much
civic virtue as possible
in the exposed moment.
a tourist site. Count up the associations
the photograph suggests. In the absence
One experience, common to all
elicited by each detail of the photo-
of further evidence, we can merely ac-
human beings in the 19th-century, led
graph. In contrast to the garden of mean-
knowledge conflicting testimony be-
them to underestimate the truthfulness
ings that bloom from the snapshot
tween Mrs. Mundy and the photograph.
of the camera. Not the artist's portrait,
taken at home, you will find this one a
Yet, if we are honest, we must admit
which was limited to the well-to-do,
desert.
that the photograph exerts a compelling
but the looking-glass. If you had never
Through this procedure we begin to
effect on our judgment. The power of
had a photograph taken of yourself, the
understand what it means to be home,
photographs lies precisely in the diffi-
best clue to what it would look like was
not in a strange place, what photographs
culty of repudiating them, even if they
the reflection you had seen in the mir-
capture, and how limited our com-
have captured unrepresentative
ror. And that is where the surprise came
prehension of the photographs is com-
moments.
in. For individuals almost never reject
pared to the understanding of the
Shelley Duval of the University of
what they see in the mirror, but hun-
families depicted in them.
Southern California and Robert Wick-
dreds of daguerreotypes were angrily de-
Roger Welch, examining some 19th-
lund of the University of Texas have a
nounced by men and women who knew
century photographs, wrote that when
"theory of objective self-awareness." It
they were more comely than the image
the people shown in the photograph
argues that people become aware of
in the photograph. They did not realize
died, the memory of the occasion on
their negative characteristics when
that, before looking into a mirror, we
which the photo was taken perished
they are forced to focus on themselves.
make psychological preparations that
with them; only a few posed figures re-
And a photograph forces one to confront
keep us from affronting our own self-
main, drained of all the feelings, memo-
an objective view of self. But the prob-
image.
ries, and meanings that the deceased
lem goes deeper, for if life forces upon us
Even today, individuals constantly re-
people perceived in the photographs.
the need to choose, then photography
ject unflattering snapshots, firmly be-
The Sturdy family, the Campbells,
forces on us the need to pose.
lieving that they could never look as bad
and the Waltons are shown in settings
Exactly how to present oneself to the
as shown. But such reactions rarely
that contain a dense web of meanings
camera has been a problem ever since
come when one looks into a mirror. Per-
for each family. Each object possesses an
photography came into being. We all
haps the old saying, "a mirror offers us a
aura of biographical fact that only they
make some adjustment as we take ac-
thousand faces; we accept only one,"
fully understand. As outsiders, we see
count of the person we are dealing with.
contains the relevant wisdom. The
only visual surfaces, and make a few
Our facial muscles, hands, and posture
camera, by freezing our faces at a par-
connections based on the knowledge of
are subtly altered as we speak to a child,
ticular moment and from a, particular
a shared culture. We must look at their
a lover, or a judge. Even half-con-
viewpoint, often gives us a face we
photographs as we look on the face of a
sciously we are able to adjust ourselves
would prefer not to accept. But, faced
person who is dreaming; we can exam-
to act in a manner appropriate to the
with a camera, we cannot make those
ine the face as much as we like, but we
specific situation. But the problem of
instantaneous adjustments we use with
cannot know the rich psychological
the photograph is that, although it is
the mirror: turning our heads, lowering
content playing beneath the surface.
taken in one situation, it may be seen by
our eyelids, searching for the exact
Banish went a step further than most
many people and in many situations.
angle that defuses an offending image.
photographers by asking those pho-
Our problem is to create a facial expres-
Rather, we count on the photographer
tographed to comment on their own
sion that is of generic usefulness, and
to function as an ego supporter and pho-
pictures. In doing so, she entered dan-
not useful merely for a narrowly defined
tograph us as we would like to be pre-
gerous waters. In confronting a photo-
occasion.
sented to the world.
n
graph, an individual is exposed to an
The most typical strategy, par-
objective view that is often strikingly at
ticularly when photography was first
For more information, read:
variance with his or her own self-image.
coming into general use, was to use a so-
Akeret, Robert U. Photoanalysis: How to Interpret the Hid-
Some pictures are objectively unflatter-
cially conventional face, and to express
den Psychological Meaning of Personal and Public Photo-
graphs; Wyden, 1973, $9.95.
ing. But what are we to make of Mrs.
as much civic virtue as possible in the
Banish, Roslyn. City Families: Chicago and London;
Mundy's protest that the photograph is
exposed moment. This attitude, plus
Pantheon, 1976, paper, $7.95.
not a bit like reality? She asserts that
the technical necessity of holding a sta-
Duval, Shelley and Robert A. Wicklund. A Theory of Objec-
tive Self-Awareness; Academic, 1972, $14.00.
the twins are not angelic as the photo-
tionary position for many minutes, led
Szarkowski, John. Looking at Photographs; New York: The
graph shows, and that her husband is
to the bland, stilted photographs which
Museum of Modern Art, 1973, $17.50, paper, $9.50.
not closer to the children than she, as
were typical of 19th-century studios.
Welch, Roger. "On Recorded History" in Tracks: A Journal of
Artists' Writings; Vol. 1, No. 2. Spring, 1975.
PSYCHOLOGY TODAY. JANUARY 1977
65
The
Artificial Boundary
between
SELF AND
FAMILY
Family therapist Salvador Minuchin talks with PT's
Mary Marcus about the need to see troubled individuals
in the context of their families. He finds an
end to anguish in the play of forces between
people too close to the forest to see the trees.
Mary Marcus: In the past few years there
emphasis on the psychodynamics of the
tern governs events within a family?
has been a great concern with the en-
individual, the family setting was not
Minuchin: For instance, in a family
vironment. This interest extends from a
completely disregarded. Traditional
with an adolescent daughter who comes
desire to preserve natural resources to a
therapists stressed the importance of
home late, experiments with drugs, is
recognition that the environment,
the parents in early childhood.
promiscuous, and doesn't obey rules at
whether natural, architectural, or so-
However, once the child had adopted
home, the father wants to impose a
cial, influences our life. As a psychia-
the parents' moral standards, the influ-
curfew. The daughter complains about
trist, do you see this concern reflected
ence of the parents was minimized. The
his control, and the wife criticizes his
in the practice of therapy?
idea that after a certain point the family
rigid methods of discipline. The father
Salvador Minuchin: Very definitely.
no longer has direct impact, could be
withdraws. The mother implores the
Therapy always reflects the culture in
maintained only in a culture that re-
girl to behave, the daughter complains
which the mental-health professional
garded man as hero. If he's not, then it's
about her intrusiveness, and the father
lives. At last we understand that people
clear that family members influence
criticizes the mother's ineffectiveness.
cannot survive by themselves, paying
each other. This notion is the basis of
The mother withdraws. The daughter
no heed to their surroundings. The idea
my approach to therapy.
continues to misbehave. And the cycle
of man alone, of man the hero, is a 19th-
Marcus: In your new book, Families
continues.
century concept. The mythical cowboy
and Family Therapy, you describe your
Marcus: They probably can't see them-
is a perfect example. He went out to the
technique as structural family therapy.
selves behaving in any other way.
frontier and succeeded by his own
Will you explain what it is?
Minuchin: They cannot. Family pat-
efforts. If the cowboy represents our
Minuchin: The structural approach to
terns put blinders on people. On all of
concept of man, the important thing is
families assumes that a family is more
us. You are who you are in your context.
to look at his personal characteristics,
than the individual psychodynamics of
That means that your relationship to
not at his environment. But our percep-
its members. A family runs by unstated
your brother, your husband, your par-
tions have changed. Today we worry
rules that all the members understand.
ents, your sister, and your children,
about the purity of our air and our water,
These implicit rules determine how,
causes you and them to focus sharply on
that we will run out of oil, and that our
when, and to whom each of the family
certain aspects of your life and let your
tuna is full of mercury. And we must
members relates. The sum of the rules
other skills and possibilities lie idle, and
also look at people in context. Family
or patterns of interaction is what I call
perhaps atrophy. Sometimes after peo-
therapy is part of this new social
the structure of the family. The struc-
ple divorce, one of them meets someone
ture organizes each person's behavior
new, and that new person activates un-
movement.
Marcus: How does family therapy fit
and his or her experience of reality.
developed skills that the man or woman
After a while, we are harnessed by our
didn't even know he or she possessed.
into this environmental approach?
Minuchin: The relationship between
patterns of interaction. They prevent
The skills had been buried by the quirks
other types of encounter with life and
of his or her development. A therapist
man and his environment begins at
home. Everyone accepts the idea that
with people. We have other possible
can sometimes facilitate the activation
parents influence their children, and, as
ways of responding but we don't use
of such unused skills.
all parents know, children have tremen-
them.
Marcus: Family therapists obviously
dous influence with parents. Even in in-
Marcus: Can you give us an example
see more than just one family member.
Heather Cooper
of the way in which an implicit pat-
Does structural family therapy differ
dividual psychotherapy, with its strong
66
PSYCHOLOGY TODAY, JANUARY 1977
PER
COO
R
THE
D
HGA
A sketch of Salvador Minuchin
THE
BENEFITS
OFAN
INCOMPLETE
EDUCATION
If Salvador Minuchin were not a psy-
chiatrist and family therapist, he would
be a playwright in the tradition of Pir-
andello and Pinter. The Philadelphia
Child Guidance Clinic is Minuchin's
theater. Families, like Pirandello's six
characters in search of an author,
come to the clinic to enact their dra-
mas of daily life. Minuchin's goal, like
Pinter's, is to make people aware of
their rigid and destructive patterns of
interaction. Then he goes beyond Pin-
ter's efforts by helping people change.
Like a playwright, Minuchin devises
scenarios for family members that
open up new possibilities of
communicating.
Minuchin is a pioneer of family
therapy and he has made major con-
tributions both to its theory and its
technique. Unlike many therapists, he
does not oversell his techniques, and
any description of his accomplish-
ments must be coaxed from him. His
book, Families and Family Therapy,
published in 1974, is already a classic
in the field, and has been translated
into several languages.
Minuchin became known in the
1960s for his work with children of
poor families, a group dismissed by
the psychiatric establishment as un-
Richard Alcorn
suitable for tréatment. A recent
breakthrough has been Minuchin's
view of psychosomatic illness as a
imperfect education to the Japanese
were in Argentina. Being pushed
symptom brought on and maintained
practice of adding an imperfection to
around makes people very aware of
by the family. He has had tremendous
an otherwise perfect piece of pottery,
being constrained by society."
success in treating illnesses such as
thereby making the pottery even more
After the war, Minuchin came to the
uncontrolled diabetes, asthma, and
prized.
United States as a fellow in child psy-
anorexia nervosa, which have resisted
Shortly after completing his resi-
chiatry with the Jewish Board of
treatment by other therapies.
dency in child psychiatry, Minuchin
Guardians. He became interested in
Minuchin, who was born in 1921, got
went to Israel to fight in the 1948 war
working with juvenile delinquents, and
traditional psychiatric training in his
of independence.
pursued this interest when he returned
native Argentina. He believes that his
Zionism has strongly influenced his
to Israel to spend three years working
originality as a therapist is due to the
philosophy and set the stage for his
with children who had recently immi-
deficiencies in his training. If one's
rejection of traditional psychotherapy
grated from Africa and Asia.
training is too good, he says, one sim-
and its concentration on the individual.
He returned to the United States to
ply adopts the ideas of one's teachers.
"Being a Jew, a socialist Jew and a
be trained as an analyst, and became
Imperfect education leaves room for
member of the Zionist movement," he
director of family research at the Wilt-
the flexibility of thought that is essen-
says, "gave me a look at people con-
wyck School for Boys in New York.
tial to innovation. Minuchin likens an
strained by their social niche as they
Wiltwyck's students were mostly delin-
68
PSYCHOLOGY TODAY. JANUARY 1977
quent boys from slum families who
from individual psychotherapy in any
therapist can see how the unsatisfac-
had to stay at the school until their
other way?
tory pattern is maintained and in what
behavior improved. Traditional psy-
Minuchin: The most significant
way he can help change the pattern.
chotherapy was ineffective with these
change from the theory of individual
Marcus: How does the intervention of
children; as soon as they returned
psychotherapy is the idea of systems.
the therapist change a bad pattern?
home, they resumed their delinquent
Individual psychotherapy focuses ex-
Minuchin: Many families come to our
ways. Minuchin noticed that some
clusively on the individual and creates
clinic because one or more of the chil-
families had two and three delinquent
an artificial boundary between the per-
dren are uncontrollable. We have found
children and supposed that the fam-
son and his context. Family therapy, on
that if the child is uncontrolláble, his
ilies must be contributing to the
the other hand, emphasizes that people
behavior is somehow being maintained
delinquency. This led him to develop
are members of a family social system
by the family system. In one case, I
his approach of working with families.
and that they are influenced by and in-
worked with a four-year-old son and his
The children at Wiltwyck came from
fluence the behavior of family mem-
parents, and the boy continually got his
poor families that were not ac-
bers. A traditional therapist is like a
mother's attention by misbehaving.
customed to sophisticated verbal
technician who uses a magnifying glass;
The mother would tell her son to stop
messages, so Minuchin developed
the details of the field are clear, but he
his objectionable behavior, but her di-
many of the nonverbal communication
sees only a tiny part of it. A structural
rections were weak. The boy paid no at-
techniques now standard in family
family therapist, however, is like a tech-
tention to her, and refused to obey until
therapy. Out of his experience at Wilt-
nician who uses a zoom lens. He can
the father stepped in to control the
wyck came Minuchin's first book,
zoom in for a close-up of any member of
child. It became clear that the ineffec-
Families of the Slums.
the family but he will see that member
tiveness of the mother and the father's
In 1965, Minuchin became director
as part of a larger system.
rigidity were part of a cycle and main-
of the Philadelphia Child Guidance
Marcus: How do the techniques used
tained each other. The goal was to inter-
Clinic, where he now trains family
in therapy by individual and family
rupt the cycle.
therapists. He still sees several fam-
therapists differ?
To do this, I kept the father from
ilies each week in therapy and
Minuchin: Individual therapists see III-
intervening too soon. I set a task for the
devotes one day a week to writing his
dividuals as the site of pathology and
family: the mother and son were to play
new book on using family therapy with
label people as passive-aggressive per-
together and the father was merely to
psychosomatic illness. Despite a hec-
sonalities, schizophrenics or inade-
watch. The purpose was to make the fa-
tic schedule, he still finds time to talk
quate personalities. This practice
ther see that the mother could control
to a young boy in the elevator, to stu-
implies that the individual is sick. Fam-
the boy by herself. After about 15 min-
dents in the corridors of the clinic's
ily therapists believe that it is destruc-
utes, the mother showed she could con-
elementary school, and to the clinic
tive to label the individual and more
trol him if left alone.
staff. Minuchin is curious about every-
helpful to examine the family's ways of
The next step was to deal with the
one and everything, stopping people
interacting. A family comes for therapy
parent subsystem. I asked the child to
in hallways, introducing himself and
because of the ways that don't work.
leave the room SO I could concentrate on
asking what they are working on.
Some of the transactions among the
the parents' interaction. In their rela-
Training family therapists is an es-
family members have become rigid;
tionship, the husband helped his wife
sential part of Minuchin's efforts to
they can focus on a problem only in a
control their son. His control kept her
carry his message to mental-health
particular way. For example, suppose an
down, however, just as her ineptitude
practitioners. His enthusiasm is infec-
adolescent boy is referred to therapy be-
kept him dominant. That structure
tious as he talks about the circuit
cause he is shy and daydreams in class.
needed to be changed if the child was to
riders he sends into communities to
An individual therapist would explore
behave. Basically, I helped the husband
spend six months introducing the the-
the boy's thoughts and feelings about
support the wife's competence by not al-
ory and technique of family therapy.
his present life, the history of his con-
lowing him to take over her functions of
Minuchjn himself spreads the gospel
flict with his parents and brothers and
child control, and I helped the wife sup-
of family therapy by presenting papers
sisters, and the intrusion of this conflict
port the flexible and nurturant aspects
at professional conventions, lecturing
into the school setting. He would estab-
of her husband's behavior and exercise
at seminars, and traveling to foreign
lish contact with the family and the
more effective control of the child. To
countries. He feels that he spends
school, but he would rely mainly on the
help the child, it was imperative to
much of his time, like Don Quixote,
boy's own statements. The family
change three people.
tilting at the dogmas of traditional psy-
therapist, in contrast, would not rely on
Marcus: How does your technique dif-
chotherapy. While the practice of
the boy's descriptions of his family; he'd
fer from other types of family therapy?
family therapy has grown tremen-
watch the boy's interactions with them.
Minuchin: Some family therapists
dously in the last 10 years, it is still
In family interviews, the therapist
who were trained in the psychoanalytic
practiced by only a small proportion of
would observe the relationship of the
tradition emphasize the individual dy-
therapists. Minuchin is firmly con-
boy and his mother, and note the
namics in family therapy. For example,
vinced, however, that family therapy
mingled closeness and hostility. He
such therapists as Donald Bloch, Nor-
will become the dominant mode of
might see that the boy rarely addresses
man Paul, and Charles Kramer, see the
therapy in the next decade. With the
his father, or that when he talks to his
family as a field, but are concerned with
enthusiasm and effort that Minuchin
father, he tends to do SO through his
the problems and exploration of each of
brings to his work, five years may be a
mother, who translates and explains her
the family members. They would say
better bet.
-Mary Marcus
son to her husband. By looking at the
that if the people within the family
way in which the family interacts, the
change, the family system will change.
PSYCHOLOGY TODAY, JANUARY 1977
69
"Señor, there's only one way to order tequila."
Ask Two Fingers what was
found out what that "way" was.
the best tequila.
Heck, only a handful of folks
He was known not to say a
ever knew he had any other
word. He'd just hold up two
name but Two Fingers.
IMPORTED
IMPORTED
fingers.
An old lady in Carson City,
Two
That was mighty strange
Nev., told us his last name was
Fingers
.Two
behavior for a tequila man who
Ortega. Claims she heard Honey,
Fingers
only had the first two fingers on
the woman who always traveled
TEQUILA
TEQUILA
his right hand.
with Two Fingers, call him that
during a tiff they had.
GOLD
However, once you got to
know him and his Two Fingers
The old lady's story is prob-
Tequila better you understood
ably not too reliable though. Her
PRODUCTO
what he was meaning.
nurse said she babbles a lot.
PRODUCTO
"Stick those two fingers up.
Two Fingers seems to have
You're not going to get some of
stopped making his tequila trips
QUART
that dime a dozen stuff!" Two
without warning in the late 30's.
Fingers once hollered at a non-
He was the last of a breed
believer in Albuquerque.
and we'll probably never know
The man soon became a
his name for sure. His legend
believer. A lot of folks in the late
is fading pretty fast.
30's did because Two Fingers
Luckily his tequila lives on.
1976. Imported and Bottled by Hiram Walker
Tequila had a flavor you could
All you have to do is hold up
& Sons, Inc., Peoria, III., San Francisco, Calif.
Tequila. 80 Proof. Product of Mexico.
taste — even when you mixed it.
two fingers when you order.
"The way I make it," he'd
You'll get your money's worth.
grin. "That's the difference."
At that point Two Fingers
would clam up. No one ever
MEXICO
TEQUILA
On the other hand, therapists like Jay
times work with a family for two, three,
Haley, Murray Bowen, and I deal with
or four days, working all day. Usually
families as sytems of individuals. We
though, it is therapy once a week for a
would say that if we can change the pat-
"A family is made
period of perhaps six months.
terns of interaction among people, then
up of the members of
Marcus: Suppose the members of a
the people will change. Setting up ex-
the household. So, if
family disagree about a single issue.
tremes is unfair, but it helps in grasping
Could a family therapist help them find
the idea. In between these two major
you have three aunts, and
a quick solution to their problems?
groups are probably the existential-ge-
a grandmother under one
Minuchin: Yes, a family therapist
stalt people like Virginia Satir and Carl
roof, then that is the
would consult with the family in such a
Whitaker. Family therapy is now a field
family; that is the sig-
situation. I had such a case the other
in which people with different assump-
nificant unit. If your
day. A brother and sister were working
tions try to make sense out of a very
in the same business. They came to me
complex field.
family is one adult and
because their relationship as brother
Marcus: When a family comes into
his parents, that is
and sister was interfering with decision-
your clinic, is there usually one particu-
the significant system."
making in the business. I will see them
lar problem or is there a general feeling
two or three times and clarify with
that things don't seem to be going right
them the difference between family and
within the family?
business contexts. The supportive and
Minuchin: When families come, for
balanced relationship that they have
the most part, they come with one iden-
work with social units. So, the question
as brother and sister must change in
tified patient. They will say, we are con-
could be expanded to ask, do you treat
the business situation to take account
cerned about Johnny's not doing well in
only families that have two parents, and
of the hierarchical needs of the
school or Karen's staying out late with
the answer is, certainly not. A family is
organization.
her friends. Sometimes we get a more
made up of the members of the house-
Marcus: What kinds of people come for
sophisticated family. They might say,
hold. So, if you have three aunts, a
family therapy? Are they the same peo-
our family wants to come because we
grandmother, and eight children under
ple who go to traditional therapists-
are unhappy or we don't communicate.
one roof, then that is the family; that is
the affluent, highly educated, and
But, you move very, very fast from this
the significant unit. If your family is
highly verbal?
rather vague feeling to the specifics.
composed of one adult and his parents,
Minuchin: Family therapy is good for
Once you get the whole family together,
that is the significant system.
such people, but at the clinic we see
the view of the problem expands. For ex-
Marcus: Can you give me any idea of
everyone. Probably 60 percent of our cli-
ample, I treated a couple who had been
how long family therapy generally
ents are poor or working-class families
married for a year. They had three chil-
takes?
and 30 or 40 percent are middle class.
dren by previous marriages. The family
Minuchin: In general, family therapy
We use the same orientation and tech-
came for treatment because the wife's
lasts about six months. I usually work
niques we have talked about with all of
son was failing in school and was in-
intensely with a family group for five or
them.
volved in petty delinquency. It became
six months. But I also have patients
Marcus: You have the reputation of
clear that the mother and her son were
whom I have been seeing for three years.
being extremely successful with chil-
resisting the intrusion of her husband in
When some goal has been reached, I say,
dren suffering from psychosomatic ill-
the business of rearing the boy. During
let's postpone our meeting for a month,
nesses. What makes family therapy
weekend visits, the boy's natural father
and you can experiment with these
more successful than other therapies in
would encourage the boy's reluctance to
changes. Or, I say, call me up in a month
such cases?
accept his stepfather's interest and au-
and tell me if you really want to come
Minuchin: I think we have been suc-
thority. These problems are typical in
in. I say to my patients, I'm your general
cessful because we have looked beyond
the formation of a new family.
practitioner and you can always call me.
the individual with the psychosomatic
Marcus: Do you treat the nuclear fam-
So, what about stopping now and call
problem and have seen the involvement
ily or do you bring in the grandparents,
me if you need me. I have no contact
of the whole family in the maintenance
aunts, and uncles?
with some families for five or six years.
of such illnesses as uncontrolled di-
Minuchin: A lot of family therapists
Then, I may get a telephone call. The
abetes, asthma, or anorexia nervosa. We
work with three generations; it's be-
child has left for college, and he's having
have followed our psychosomatic pa-
come a trend. I prefer to stick to the nu-
a problem with his, girl friend or he's
tients for five and six years after treat-
clear family and to use the extended
selling marijuana. The family regards
ment, and in over 80 percent of our
family only if they are involved with the
me as a resource person. Since I've had
patients the symptoms have not re-
family daily, if they live nearby, or if
all this very close contact with them, it
turned. One of the nice things about
they visit frequently. Work with ex-
makes short interventions effective.
working with such patients is that your
tended families is very interesting;
Marcus: What do you mean by seeing
successes and failures are very clear-cut.
when I've worked with them, I've been
clients intensely?
You can measure the behavior. Did the
fascinated by how much people repeat
Minuchin: Once a week for an hour or
child lose six months of school over the
the patterns of their parents and
so. That is, for the most part, what fam-
last year as he had been doing? Is he still
grandparents.
ily therapists do. Every once in a while,
on steroids? Has she been hospitalized
Marcus: Do you treat people without
I'll have a family that comes from out of
recently? When you work with general
children?
town for the weekend, and I'll spend
problems of life, your successes and
Minuchin: Certainly. Family therapists
two days with them. Therapists some-
failures are measured in much vaguer
PSYCHOLOGY TODAY, JANUARY 1977
71
HE HAS INNER VISION
terms, such as do they feel happier or do
made up of a mother, father, and their
they have a sense of well-being?
diabetic daughter, we saw that the par-
Marcus: When you work with patients
ents' free fatty acid levels increased
who have psychosomatic illness, do
when they were alone together. After
your techniques differ more from those
the child came into the room, and the
that you use with general family
adults switched from their role as
problems?
spouses to their function as parents,
Minuchin: No, not really, but the
their free fatty acid levels decreased,
therapist has more guidelines; we have
while the psychosomatically ill child's
found that families whose members
level increased. In this family, the psy-
have psychosomatic symptoms tend to
chosomatically ill child played a vital
be alike in certain ways. No matter how
part in keeping the parents from open
different the symptoms, the develop-
conflict by presenting a focus for
ment of psychosomatic illness is related
concern.
to three factors. The first is the child's
Marcus: We have been discussing how
physiological vulnerability; that is, he
family therapy treats a person in the
or she has a metabolic disorder such as
context of his environment. Have we
diabetes or an allergy, as in asthma.
been emphasizing the significance of
Whether physiological vulnerability ex-
the family and neglecting the role of
The Ancients called it
ists in anorexia is not clear. Second,
society?
family functioning in families whose
COSMIC CONSCIOUSNESS
Minuchin: I don't think so. It would be
members have psychosomatic symp-
a mistake to see the family in isolation.
There are no physical limita-
toms is characterized by the overin-
In the I Ching there is a saying that im-
tions to inner vision
the
volvement of family members in each
plies that the family has the power to
psychic faculties of man know
other's lives, overprotectiveness, rigid
reach out and control the social context.
no barriers of space or time. A
ways of relating to each other, and an in-
It says, "When the father is in truth a
world of marvelous phenomena
ability to resolve family conflicts. A
father, and the son a son, when the elder
awaits your command. Within
third characteristic of these families is
brother is an elder brother, and the
the natural - but unused -
that the child is usually involved in the
younger brother a younger brother, the
functions of your mind are dor-
parents' conflict. The child may be used
husband a husband, and the wife a wife,
mant powers which can bring
as an ally by one parent against the
then the house is on the right way.
about a transformation of your
other or as a target for concern or blame
When the house is set in order, the
life.
by both parents together.
world is set in order, the world is estab-
Know the mysterious world
Marcus: How do you determine
within you and learn the secrets
lished on a firm course." But, families
of a full and peaceful life!
whether these characteristics are pres-
do not create culture; they cannot es-
The Rosicrucians (not a reli-
ent in a family?
cape the rules of the larger society. More
gion) are an age-old brother-
Minuchin: In the therapy situation, we
accurately, the family provides the val-
hood of learning. For centuries
use our usual techniques and experi-
ues and interpersonal rules out of which
they have shown men and
ence to assess family patterns. We also
the family members weave the dramas
women how to utilize the full-
conducted a research project for several
of daily living and interpret the world.
ness of their being. This is an
years in which we measured each factor
As therapists, we need to accept the re-
age of daring adventure
but
separately. We assessed physiological
ality of the world around the family and
the greatest of all is the ex-
vulnerability by a pediatric evaluation.
help families to find a viable way of
ploration of self. Determine
To find out how the family typically
functioning in this social context.
your purpose, function and
functioned, we gave them a task to do,
powers as a human being.
such as planning a menu for the family
Write for your FREE copy
Mary Marcus joined the staff of psychology to-
dinner. We told them to try to include
of "The Mastery of Life" —
day as Manuscripts Editor in July 1975. She
each family member's favorite food and
majored in psychology as an undergraduate
Today! No obligation. No sales-
that everyone must agree on the final
at Connecticut College,
men. A nonprofit organization.
Address: Scribe L.C.D.
choice of foods. We left the family alone
then went on to the Uni-
to work on this task and we videotaped
versity of Connecticut
where she earned a Ph.D.
The ROSICRUCIANS
them, with their permission, of course.
(AMORC)
in social psychology and
The videotape allowed us to view the
did her doctoral research
San Jose, California 95191 U.S.A.
family without interrupting their usual
on attitude formation and
SEND THIS COUPON
behavior. To see if the child was in-
change. Her other areas
of interest are environ-
Scribe L.C.D.
volved in the parents' conflict, we
The ROSICRUCIANS (AMORC)
mental psychology, the
San Jose, California 95191 U.S.A.
monitored the free fatty acid levels in
psychology of women, and psychology and
Please send me the free book, The Mas-
the bloodstream of family members
the law.
tery of Life, which explains how I may
during a family interview. Free fatty
For more information, read:
learn to use my faculties and powers of
acids are biochemical indicators of
Minuchin. Salvador. Families and Family Therapy: Harvard.
mind.
1974. $10.00.
emotional arousal and the concentra-
Minuchin. Salvador. Families of the Slums: Basic Books.
Name
tion of these acids rises within five to 15
1967. $13.50.
Address
minutes of emotional stress. For in-
For reprints of this article, see Classified
City
State
Zip
stance, while monitoring one family
Advertising.
72
PSYCHOLOGY TODAY, JANUARY 1977
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PT-17
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the informal rules of business behavior
that men take for granted.
by Margaret Hennig
and
Anne Jardim
WOMEN ARE STILL HAVING TROUBLE find-
ecutives grow out of a distinctly male
In contrast, women focus on short-term
ing room at the top levels of corporate
culture. Women who try to succeed in
planning, with little concern for the
management. The reasons for their dif-
corporate management become aliens
long-term implications.
ficulties lie not only in their own femi-
in this male environment.
Take the case of a woman we'll call
nine background, but also in the
To study the problems of women in
Helen, a $28,000-a-year executive in a
masculine nature of the relationships
management and to learn what impedes
large New York company. Still in her
among corporate executives.
their progress, we interviewed more
early 30s, Helen was bright, competent
The women's liberation movement
than 100 women working as senior ex-
and aggressive. She had recently been
has brought a sharp increase in public
ecutives in business and industry. Based
assigned to develop career advancement
awareness of the ways in which women,
on the results of our interviews, we de-
programs for women. Helen's new job
like blacks, have traditionally been op-
veloped a questionnaire that we have
gave her visibility at the senior levels
pressed in our society. But despite the
since used in our career-planning semi-
of management, and her performance
new awareness, and the passage of
nars for men and women in manage-
would obviously influence her future
equal-employment opportunity laws,
ment. More than 3,000 women and
career. After six months on the job, dur-
women are beginning to discover what
1,000 men have completed the ques-
ing which she achieved considerable
discouraged civil-rights leaders learned
tionnaire by now, and the difference in
success, Helen met with her boss, the
in the 1960s: you can legislate against
their responses provides a revealing per-
executive vice president, to discuss her
segregation, but you cannot legislate in-
spective on the separate worlds of men
progress. We sat in on the meeting.
tegration. In other words, saying the
and women in management.
The executive vice president was an
members of a minority can't be kept out
Even for a question as simple as
informal and perceptive man. He fol-
does not mean they'll get in.
"What is a job?" the differences in the
lowed the discussion closely, raised a
One of the clearest and most signifi-
answers are striking. Women tend to
number of important questions, and
cant illustrations of the degree to which
reply in terms of what they do from day
was clearly committed to making the
women are still excluded can be seen in
to day. For them, a job is just something
programs succeed. Finally, he said to
the upper ranks of U.S. corporate man-
to be done, a means of earning a living.
Helen, "I think we now have enough be-
agement. While women make up nearly
Men tend to think of a job as a respon-
hind us to justify a presidential policy
40 percent of the total labor force, they
sibility to be met, a task to be completed
statement to the organization. If you
account for only 2.3 percent of those
before going on to something else.
give me a draft by Friday, I can discuss it
earning more than $25,000.
Women's responses lack this sense of
with the president when I see him over
The reasons for the striking absence
the temporary, and this affects their
the weekend."
of women in senior management posi-
ability to see themselves as ready to
It was then late Monday afternoon.
tions are far more complex than simple
move on.
Helen looked staggered and said, "I
bias among male executives, or "fear of
Jobs vs. careers. While men look upon a
can't. I'm going to an out-of-state con-
success" among women. While equal-
particular job as part of a career, women
ference on Friday."
employment laws can regulate formal
separate the two completely. For them,
Her boss looked at her and then said,
personnel policies, making those laws
a job involves the here and now, while a
very carefully, "Well, I wouldn't object
work requires a knowledge of the in-
career is somewhere in the future. As a
to having it on Thursday."
formal relationships that exist in cor-
result, they develop different personal
Helen said, "But the problem is, I'm
porations. For the most part, these
strategies from their male counterparts.
making a presentation at the con-
organizations were built by men and for
Men tend to concentrate on achieving
ference, and I'm going down on Thurs-
men, and are now controlled by men.
long-range goals. They recognize that
day to rehearse the whole thing."
The forms, rules, and styles of behavior
what's in it for them now may conflict
"Then make it Wednesday," he said.
Kinuko Y. Craft
and communication among their ex-
with what they want over the long run.
"But tomorrow is Tuesday, and I've
76
From the book THE MANAGERIAL WOMAN, Copyright 1976 by Margaret Hennig and Anne lardim, to be published by Doubleday 4) Company, Inc.
got everything on my desk to clear up
later career advancement. Women, on
before I go."
the other hand, see risk only in current
"Look," he said, by now exasperated,
terms-the threat of losing what they
"it doesn't really matter how you ar-
None of them talked
have achieved SO far.
range this. I want that draft by Friday."
about the organizational
Current risk for future gain. The trouble
The meeting ended abruptly, and we
environment. None
with perceiving risk as a current threat
left the room with Helen, who was
mentioned the need to
only is that it obscures the possibility of
quite upset. "Can you believe this com-
future danger. Women who see no dan-
pany is taking the women's issue se-
make her goals
ger in the present tend to assume none
riously?" she asked us. "Did you hear
known and
exists in the future. We can illustrate
him? Drop everything. Forget about pri-
to win support.
this problem with the example of
orities. Do what I say. And it's only a
Donna, a recently promoted product
draft, for God's sake!"
manager in an old, established con-
We asked Helen if she had any idea of
sumer goods company.
what she had just been offered, and had
When we asked such questions, the re-
Donna simply could not understand
not heard. She had just been told, in
plies were generally variations on a pas-
how her new boss, an otherwise compe-
effect, that her work had been good
sive theme: "I was good at my work, and
tent executive, could tolerate one of her
enough to merit a stamp of approval by
it just happened
I
was
lucky
Some-
counterparts-an older, apparently in-
the company's president. Translated
one left at a critical point, and they
competent fellow. "This guy comes in
into official corporate policy, what she
asked me to take over I had a boss who
at 10 o'clock, and goes to the health club
had set out to achieve would now be-
believed I could do it." Somehow it had
at three," Donna told us. "If you heard
come a stated objective for every com-
happened. They had worked hard, and
him in a meeting you wouldn't know he
pany manager. This meant her position
had the luck to be chosen.
was talking about the same products.
would be solidified in the eyes of the
Despite their history of passivity, al-
But nobody says anything." If it were up
management men with whom she had
most all of the women we interviewed
to her, Donna would fire him, retire him
to deal, and her job would become that
had an idea of where they wanted to be
early, or do something else to get him
much simpler. She might even have to
in five years' time. Some could discuss
out of there. But when she went to her
meet with the president to discuss the
their goals in terms of a specific job; oth-
boss, he laughed it off, saying, "Good
draft, and thereby become a recogniza-
ers in terms of a functional area, or a par-
old Joe. You've got to get to know him.
ble face and name for him, one associ-
ticular department; others in terms of
He's been here much longer than I have.
ated with competent performance.
levels of responsibility and salary. When
He knows his way around."
Wasn't that long-run gain worth some
we asked what factors they thought
A few weeks later, we asked her boss
extra work for a few days? Helen looked
would be critical in achieving such pro-
about this matter. "She's killing her-
stunned. "My God," she replied. "I
gress they picked those related to their
self," he told us. "Joe's been around a
never saw it." By concentrating on her
own individual capacities-factors
long time. He knows a lot of people, and
current job, she neither saw nor heard
they could attempt to control them-
he's beginning to hear what she's saying.
the cues that depend on a knowledge of
selves. They cited hard work, increased
She doesn't see the risk. She's going to
how one moves up through the corpo-
competence, and further training. They
ruin herself." When we asked why he
rate hierarchy.
also mentioned the importance of de-
didn't simply tell Donna that, he re-
Somehow it just happened. Compared to
veloping greater self-confidence, be-
plied, "How can I tell her that Joe is
men, women like Helen typically make
coming more aggressive, and learning to
where he is because the guy he went to
their career decisions late, about the age
delegate work more effectively.
school with, went to college with,
of 30 to 33, when they suddenly realize
None of them talked about the orga-
shares a vacation house with, and as far
they are probably going to have to work
nizational environment, an area in
as I know may call every night, is our
for the rest of their lives. In some cases
which she could exert less control.
marketing vice president?
there was a sudden realization that they
None mentioned the need to make her
"If I told her, 'You're right. He's a
enjoyed their work, and that it had a
goals known and to win the support of
loser. He's only here because he's got
much more permanent meaning than
bosses, peers and colleagues. None
friends, it would be all over the division
merely something to pass the time
seemed to recognize that if she is not
that I said it. I can't risk that. She's sim-
while waiting for marriage or some-
seen by others as the kind of person who
ply got to learn.
thing better. In many cases, unexpected
should have a particular job, all the
"I can't help thinking that somehow a
praise by a superior provided the cata-
competence in the world would not be
man would have picked it up by now.
lyst for these late career decisions.
enough.
Somehow a man would have figured
Since the majority of these women
Another crucial reason why women
that Joe must have friends to have sur-
had worked continuously since leaving
tend to be less successful than men at
vived so long. Or at least a man might go
school or college, we wondered why
corporate strategy can be seen in the dif-
slowly until he found out. He wouldn't
they had taken so long to make their ca-
ferent ways they respond to risk. Men
come on like a crusader. I can't justify
reer decisions. We wondered what they
see risk as loss or gain, winning or los-
Joe to a crusader. Why should I? I want a
had failed to see, think about and act on
ing, danger or opportunity. Women see
marketing career in this company, not a
in the preceding 10 years, during which
risk in entirely negative terms: loss,
cause."
men typically build the foundations of
danger, injury, ruin. They see it as some-
For Donna's boss, risk was not only in
their careers. We wondered how these
thing one avoids if possible. Men see
the present, but out there in the future:
women got where they were if they had
risk as affecting the future; you take a
a threat to his potential advancement.
not thought of the long-term at all.
gamble now in order to achieve some
Donna never saw the career risk she was
78
PSYCHOLOGY TODAY. JANUARY 1977
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PSYCHOLOGY TODAY. JANUARY 1977
79
incurring, because there was no risk to
probably make or break them for the
tend to be considerate and helpful to
her current job.
next job.
each other, while everyone else knows
Cues, signals, and executive styles. As
Women place much less weight on
what the situation is? How can they be
Donna's case also demonstrates, an-
the demands and expectations of others.
such hypocrites?"
other major difference between men
Women tend to say, "This is who I am-
That's a revealing question. Corpo-
and women executives involves style,
like it or leave it." They generally have
rate manners tend to be the manners of
and the roles one must fill in a corporate
little sense of playing the game, little
a society whose members are bent both
setting. The role of subordinate can be
willingness to temporarily adopt a dif-
on winning and on sheer survival. Until
filled in a variety of styles: the helper,
ferent style for reasons of self-interest.
one has won, discretion is advisable. At
the follower, the junior colleague, the
How and when do men develop their
the age of 12, little boys already know
equal, or even the friend. How does one
apparently greater flexibility of person-
they need 10 others to make a football
choose?
ality, and their greater capacity for dis-
team, whether or not they like them all.
Men tend to focus on their bosses' ex-
sembling? In their youthful team play,
Women bring with them the manners
pectations of them, while women tend
boys learn how to put up with each
of another society, one in which rela-
to concentrate on their own concept of
other, to tolerate each other and to use
tionships tend to be ends in themselves.
themselves. The difference can be criti-
each other in ways that girls do not find
As a result, women tend to fall into the
cal. It means that men will necessarily
as necessary. Later on, with this back-
trap of emotional intolerance as typified
be more alert to cues and signals from
ground of shared assumptions and team
by a remark such as "I don't like him,
their superiors. The signals may con-
experience, men learn to sit in corporate
and I can't work with him."
cern very small things such as how one
meetings and to put up with each other
To understand the difference between
speaks or dresses; whether one appears
to a degree that women often find in-
the attitudes, styles and behavior of
quick and clever or slow and reflective.
comprehensible. As one asked us,
men and women in management we
Most men ask themselves, "What does
"How can two men who dislike each
must go back and compare their child-
this boss want?" They know he can
other intensely sit in a meeting and pre-
hoods and youth. From an early age boys
How to Make Room at the Top
1. Decide objectively whether you
your colleagues, and with key
9. Ask yourself why you are so
really want a career. Do you expect to
individuals whose friendship could be
vulnerable to criticism. Have you failed
continue working whether or not you
important in gaining subsequent jobs.
to do something you should have
are married, or have children? What
6. Try to establish an informal system
done? Do you balance the criticism by
do you want out of work?
of relationships with other women in
crediting yourself with all the things
2. Make a specific list of every job you
the company. You can help each other
you have done well? Try to realize that
have ever held, including how well you
identify job opportunities in other
criticism is a necessary ingredient in
did at each, and the skills, knowledge
areas of the firm. Such a group can
learning. When you're criticized, don't
and experience you gained.
also help identify bosses who are
assume it's directed at you personally.
3. Make a five-year plan. Take a good
particularly supportive of career
10. Are you having difficulty trying to
look at where you want to be in five
advancement for women.
be a perfect employee as well as a
years. What skills and experience will
7. When dealing with male
perfect wife, or mother, or woman?
you need, and what jobs must be held
colleagues, don't try to engage in their
Stop trying to separate the worlds of
between now and then? Work out a
male joking and camaraderie. Keep
work and home. Discuss your job with
detailed plan for progressing through
your relations with them revolving
your husband and your family. Make
those jobs. Check the plan with your
around job-related issues. Stress your
sure they understand your
boss, or someone else in a position to
competence rather than your
commitment to your career, and your
give you a realistic evaluation of your
personality. When dealing with men
responsibilities at work. Try to reduce
chances and knowledgeable advice
who treat you as a woman rather than
potential conflicts by setting clear
on how to achieve your goal.
as a fellow executive, try to bring the
priorities for your life at home and on
4. Try to find ways to increase your
relationship back to the task at hand.
the job. Some jobs at home may have
experience in planning, problem
8. Learn to control your emotions, and
to be let go. Your husband or your
solving and group leadership-all
the way you express them at work.
children might be able to take on more
crucial skills for a successful career in
Make a list of situations that caused
responsibilities at home, or household
management. Ask your boss to assign
you to become emotionally upset.
help could relieve you of some of the
you projects that will give you such
Describe what happened: did you cry,
burden.
experience, and then ask him to
express anger, or become visibly
11. Stop waiting to be chosen, and
criticize your performance. Read
defensive? Look for patterns in these
start letting people at work know what
books on these subjects or take
events. Did they occur when you were
you want. Ask questions about
courses in them, either in your
criticized, or when you were
promotions and job opportunities.
company's in-house training program
challenged? Was there some warning
Start asking to take on new or extra
or at a nearby business school.
signal before each occasion? If so,
projects that will give you a chance to
5. Study the informal system of
learn to watch for those warnings and
learn new skills. Stop being reactive,
personal relationships that exists in
then excuse yourself and go
and start initiating. Start trying to take
your company. Try to develop
somewhere where you'll have a
control of your career.
relationships with a broad range of
chance to compose yourself.
-Margaret Hennig and Anne Jardim
80
PSYCHOLOGY TODAY. JANUARY 1977
learn that as men they must expect to
informal pressures that influence pro-
work to support themselves, and most
motion-she will probably end up with
likely a family. There is always the reas-
just a job and no career.
surance that men simply do certain
Women bring with them
In the competition for career ad-
jobs, and have always done them.
the manners of
vancement in the ranks of today's cor-
Only a small minority of girls grow up
another society.
porate management, men thus have a
with this concern for jobs and career. In-
As a result, they tend to
clear advantage over women. They have
stead, they learn to expect that some
been trained to win, to do SO as mem-
man will probably support them. Little
fall into the trap of
bers of male-dominated teams, and to
girls' fantasies of the future nearly al-
emotional intolerance:
operate in an essentially male world.
ways have a husband in them, since in
"I can't work with him."
This does not mean that women ex-
most of their own families the fathers
ecutives should necessarily become
support the wives and children. Even
more like men. We make no value judg-
when the mother works, the father's job
ments on the styles and standards of be-
is usually more critical.
some You learned that a team needs a
havior required for success in corporate
Men grow up knowing they will have
leader You had to work with guys you
organizations. But women who do want
to work for the rest of their lives. They
wouldn't choose as friends outside the
to succeed in them must learn to assess
are expected to, and prepare for it. They
team You didn't get anywhere without
more accurately and more concretely
join organizations in which career 'ad-
planning Once you knew the rules
what they really want, how to go about
vancement for men is customary, and
you could bend them."
getting it, and what the costs and re-
their ambitions are naturally supported.
In many ways, these responses de-
wards will be. They must learn to recog-
Women, on the other hand, grow up in
scribe fairly accurately the manage-
nize-as most men do-the reality of
a cloud of ambiguity: will they work or
ment environment in a corporation, and
the way management functions. They
won't they? If they do, for how long?
the skills required for survival and suc-
must either adjust to that reality or pay
Those who do work often end up in sit-
cess in it. Boys begin to develop these
the price. Only individual women can
uations where career advancement for
skills in an outdoor classroom to which
decide for themselves whether their ca-
women is the exception, where they
girls traditionally have had no access.
reers are worth the price.
n
have to prove by their performance that
After years of practice, men bring these
they belong. Far more than men, they
skills with them to management situa-
Margaret Hennig graduated from Simmons
continually have to prove their serious
tions where they are critical to job
College in Boston, and earned her master's
commitment to their career.
performance.
and doctoral degrees from Harvard's Gradu-
ate School of Business
Team play as management training. Small
In both team play and corporate man-
Administration. She
boys learn about being members of
agement, success at planning demands
taught a seminar there on
teams, and about winning and losing.
an awareness of group weaknesses and
career development for
They learn that runners and blockers
strengths. For both teams and manage-
women in management,
are both necessary, and that the guys
ment, successful leadership requires
and is now associate pro-
fessor of management at
with the imagination to plan and antici-
the ability to anticipate problems and to
Simmons.
pate become the team leaders. A team
be ready with alternatives. As team
Anne Jardim, a native
can be a place to hide, a place to learn
members, men have already learned the
of Guyana, is a graduate
about survival, about how to stay on,
ground rules for relationships among
of the London School of Economics. After a
how to get another chance. Above all,
their mostly male colleagues in man-
brief diplomatic career, she joined the faculty
at Harvard Business
boys learn the importance of winning as
agement. They have learned how to op-
School, where she taught
a team, not as an individual.
erate in a subtle network of lateral
a seminar on the psychol-
The great majority of girls share nei-
relationships with fellow team mem-
ogy of leadership and
ther the experience nor the lessons that
bers: a relationship that depends on
collaborated with Hennig
on a research study of
most boys learn from games like foot-
friendship, persuasion, favors, promises
women's career develop-
ball, baseball and basketball. The popu-
and, as Donna failed to sense, on con-
ment. Their work led to
lar sports for girls, such as tennis,
nections with people who already have
their selection as codi-
swimming, and gymnastics, stress indi-
influence. They have already become
rectors of a new Graduate
conscious of how they are seen by their
Program in Management at Simmons. This ar-
vidual rather than team performance.
ticle has been adapted from their book, The
Much more than boys, girls learn to play
team members: as a winner, a member
Managerial Woman, published this month by
at sports according to the old adage, "It's
of "the club," or as a potential loser.
Doubleday. For more information, read:
not whether you win or lose, but how
As we have learned in our interviews
Douvan. Elizabeth and Joseph Adelson. Adolescent Experi-
you play the game."
and classes, and in our discussions with
ence; Wiley. 1966. $12.00.
Horner. M.S. "Femininity and Successful Achievement:
In our management seminars we
male executives, many women in man-
Basic Inconsistency" in Feminine Personality and Conflict.
asked the men to think back to the time
agement unconsciously convey,
Judith Bardwick. et al., Brooks-Cole. 1970. $3.50.
they played team games like football,
through their attitudes and behavior,
Maccoby. Eleanor E. and Carol N. Jacklin. Psychology of
Sex Differences: Stanford University. 1974. $18.95
and to recall what it was like and what
the image of being content with just a
Super. Donald E. Vocational Development: A Framework for
they remember learning as members of
job instead of a career. If a woman shows
Research; Bureau of Publications. Teachers College. Co-
lumbia University. 1957, $4.25.
the team. Varying only in form, they
that the quality of relationships is her
consistently gave similar answers: "It
most important priority; if she has no
A Psychology Today Cassette "How Women
was boys only team work competi-
clear career objectives; if she focuses
Accept Success" by Lois Hoffman is available
@ $7.95 (Outside U.S.A. $8.95). Order from
tion cooperation It gave you a sense
her energies on current job perfor-
Consumer Service Division, 595 Broadway,
of belonging you win some, you lose
mance; if she remains oblivious to the
New York, New York, 10012.
PSYCHOLOGY JANUARY 1977
81
Masculinity (Continued from page 42.)
teria of masculinity, and women are re-
These egalitarian males want to believe
about their masculine identity. "I be-
lying less on marriage and children as
they are doing their share of domestic
lieve that the average person hasn't the
the main criteria of femininity. In this
duties, but the realities may be closer to
least idea of what or who is a homosex-
sample, for instance, both sexes were
the traditional ways.
ual," wrote one man, "except for the
equally likely to agree on the important
The sexes have different perceptions
stereotypical effete male, which really
aspects of their lives, in this descending
on another matter, a little item we put
isn't true. I've known many very 'mas-
order: love, job, sex, recognition, mar-
in at the last moment. When you are
culine' men who were exclusive homo-
riage, money, religion, and power. This
driving with your spouse or lover and
sexuals-and the only passes I've ever
is new. In the olden days, men would
lose your way, what are you most likely
had made at me have always been by
rank work, money, recognition and
to do? (Women responded in terms of
married men. Interestingly enough it is
power as much more important than
what their men were likely to do.) Half
this type of person who always makes it
the softer side of life, quite the opposite
of the men said they would ask for direc-
a point to either make a crude joke
of women.
tions themselves, but only one-fourth
about 'queers' or is extremely disdainful
But equality does not mean same-
of the women said their men would do
of homos."
ness. Men and women still want some
such a reasonable thing. Men either
The new masculinity. Respondents sup-
differences to remain, and the lag be-
keep hunting by trial and error, the
ported the women's liberation move-
tween changing external conditions and
women said, or the women in despera-
ment, but they also overwhelmingly
changing beliefs means that people will
tion finally ask for directions. Which
think that men could use some liberat-
be caught in uncertainty for a while. For
sex is more accurate? Why masculinity
ing too (72 percent of the men, 74 per-
example, many female respondents still
precludes asking for directions baffles
cent of the women). Not because of the
want to look up to their men. We asked
me, unless it's a genetic throwback to
confining pressures of the male role,
men how acceptable it would be to
the age when men couldn't stop to ask
surprisingly; the majority of the respon-
them if their wives or lovers were more
while hunting saber-toothed tigers.
dents disagreed that "the respon-
intelligent than they, earned more
Today there are as many styles of mas-
sibilities of work and supporting a
money, or were more famous. We asked
culinity as a man could want, and it
family give men less freedom of choice
the women how they would feel about
even appears that the machos and the
than women have" (52 percent of the
earning more money or being more in-
feminists are becoming more tolerant of
men, 62 percent of the women). On the
telligent and famous than their men.
each other. The next report will con-
contrary, about half of the respondents
The men were more likely than the
trast some of these styles, and also ex-
think that neither sex is better off than
women to say such situations would be
plore some of the background factors
the other in this society, and most of the
"totally acceptable" to them. Forty-five
and current experiences that are related
rest think men have the advantage.
percent of the men but only 27 percent
to different meanings of masculinity.
Men's liberation, to these readers, has
of the women would find the woman's
For the moment, here is one reader who
more to do with emotional issues than
greater intelligence "totally accept-
illustrates how much standards of mas-
economic ones. "I think men quit grow-
able," and 18 percent of the men and 36
culinity have changed in this century:
ing emotionally at five," one woman
percent of the women would find it un-
"In 1910, when I was born, I was living
wrote. "They need to be taught to feel.
acceptable. Curiously, both sexes said
in an era when men were really men,
Bringing home a good income isn't
the woman's great fame and fortune
compared to whom modern examples of
enough." A man explained, "Ste-
would be easier to accept than her
masculinity seem like a bunch of pan-
reotypic ideas about masculinity in the
greater intelligence, possibly because
sies. In those times to my young eyes,
1950s were to a great degree my undo-
the former situation is less probable
women were mostly a pain in the neck,
ing. My inability to develop along rou-
than the latter. Almost 90 percent of the
and the males' main interest in them
tine lines had a lasting, negative effect
men said it was acceptable for their
was to catch a glimpse of their ankles as
on my self-esteem." Another man
wives to earn more money, but very few
they walked up or down stairs, but I
thought that women presently are more
wives actually do earn more. We can't
never understood why. Women could
liberated than men; women merely
tell from these answers, unfortunately,
never keep a confidence but were in-
have to endure discrimination in jobs
whether men really would be more at
curable tattletales, which was of
and family, but men are more discrimi-
ease than women in these situations, or
utmost disgust to any men, who were
nated against in emotional needs. "I
whether the women know the men bet-
strictly honorable in all their dealings.
suspect that women have always been
ter than the men admit.
How the world has changed!"
more internally free of their role than
Some evidence for the second inter-
men," said another man. "Men's slavish
pretation comes from other questions.
Carol Tavris, a social psychologist who writes
about behavioral science for the general pub-
inhibitions keep them within the con-
Women want to look up to their men,
lic, was for eight years an editor of Psychology
fines of a given role, resulting in defen-
yes, but not while they are scrubbing
Today. Tavris earned her
sive egotism, practically forcing women
the floor. The men are more likely to say
Ph.D. in psychology from
to humor their rigidness."
they share housekeeping and routine
the University of Michigan
in 1971. Her Ph.D. thesis
The fact that more men and women
childcare 50-50, but the women dis-
was a survey of attitudes
believe in sexual equality is not a ran-
agree with that perception, saying they
toward the issues of
dom or accidental event. It has its roots
do most of it, and that while their hus-
women's liberation. Next
in the changing nature of family and
bands approve of their working, they
spring, Harcourt, Brace,
work in this country; both sexes are de-
would not make personal adjustments
Jovanovich will publish
The Longest War: Under-
ciding that two roles are better than
to help them out. Men are also more sat-
standing Sex Differences, which Tavris wrote
one. Men are becoming less obsessed
isfied with the division of labor than
with Carole Wade Offir.
with work and success as the main cri-
women (49 percent to 34 percent).
For reprints, see Classified Advertising
82
PSYCHOLOGY TODAY. JANUARY 1977
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9) TCHAIKOVSKY
17) HAYDN
Violin Concerto in A Minor
Symphony No. 6 in B Minor
Symphony No. 94 "The Surprise
Concerto w/Harpsichords & Orchestra
"The Pathetique
Symphony No. 101 "The Clock
Violin Concerto in E Major
Eduarde Lindenberg Conducting
Fantasia in C Major
Alfred Scholz Conducting
The Vienna Opera Orchestra
The South Germany Philharmonic
The Nuremberg Symphony
Alfred Scholz Conducting
2) BACH
10) TCHAIKOVSKY WORDSWORTH
18) LISZT
Symphony in G Major
Serenade for Strings in C Major
Piano Concerto No 2
Symphony in B Major
"Prelude" w/Orchestral Accompaniment
Hungarian Rhapsody No. 6
Orchestral Suite No 2
Alfred Scholz Conducting
Symphonic Poem "Tasso
Hanspeter Gmur Conducting
The South Germany Philharmonic
Rato Tschupp Conducting
The Bamburg Symphony
James Alexander Gordon/Narrator
The Nuremberg Symphony
3) BEETHOVEN
11) STRAUSS
19) MOZART
Piano Concerto No. I in C Major
Waltzes From Vienna's "Waltz King
Symphony No 35 in D Major
Piano Concerto No. 2 in B Flat Major
Voices of Spring/Blue Danube
Divertimento in D Major
Rato Tschupp Conducting
Gypsy Baron/Morning Papers/Vienna Woods
Divertimento in F Major
The Nuremberg Symphony
Michael Raucheisen Conducting
Alexander von Pitamic Conducting
Hanae Nakajima/Pianist
The Vienna Promenade Orchestra
The South Germany Philharmonic
4) BEETHOVEN
12) BEETHOVEN
20) SCHUBERT
Piano Concerto No. 5 "The Emperor
Symphony No 6 "The Pastoral
Symphony No 2 in B Flat Major
Seven Bagatelles
Polonaise in C Major
Symphony No 3 in D Major
Rato Tschupp Conducting
Edward Lindenberg Conducting
Urs Schneider Conducting
The Nuremberg Symphony
The Vienna Opera Orchestra
The Nuremberg Symphony
Hanae Nakajima/Pianist
Ernst Groschel/Pianist
5) MOZART
13) BEETHOVEN
21) SCHUBERT
Eine Kleine Nachtmusik
Triple Concerto in C Major
Quintet for Piano and Strings
"A Little Night Music
Coriolan Overture in C Minor
"The Trout
Symphony No 40 in G Minor
Egmont Overture in F Minor
Heinz Bossert/Leader
Carlo Pantelli Conducting
Zsolt Deaky Conducting
The Salzburg Mozart Quintet
The Nuremberg Symphony
The Nuremberg Symphony
Vienna Orchestra
6) SAINT-SAENS RAVEL
14) BEETHOVEN
22) SCHUMANN BRAHMS
Carnival of the Animals
Violin Concerto in D Major
Symphony No I Springtime
Miroirs (Mirrors)
Sonata No. 14 "Moonlight Sonata
Academic Festival Overture
Urs Schneider Conducting
Zsolt Deaky Conducting
Tragic Overture
The Nuremberg Symphony
The Nuremberg Symphony
Urs Schneider Conducting
Hanae Nakajima/Pianist
Wilhelm Klepper/Ernst Groschel/Solo
The Nuremberg Symphony
7) SCHUBERT
15) CHOPIN
23) STRAUSS
Symphony No 4 in C Minor
Keyboard Classics
Waltzes from Vienna's Waltz King
"The Tragic
"The Military Black Keys Study
Roses From the South/Lemon Trees
Symphony No 5 in B Flat Major
Prelude in D Flat/"The Raindrop
Radetsky March/Pleasures of Life
Alfred Scholz Conducting
Polonaise
Michael Raucheisen Conducting
The South Germany Philharmonic
Alan Schiller/Pianist
The Vienna Promenade Orchestra
8) SCHUBERT
16) HAYDN
24) DE ALBA
Symphony No 8 "The Unfinished
Symphony No. 97 in C Major
Fingers of Gold"
Moments Musicaux
Symphony No. 104
Romance/Olvido/Mi Viejo Olivo
Alexander von Pitamic Conducting
"The London"
Lagrima/Balcon Gaditano
The South Germany Philharmonic
Zsolt Deaky Conducting
Tu Sonrisa/Mi Favorito/Arroyuele
Ernst Groschel/Pianist
The Nuremberg Symphony
Juanillo De Alba/Acoustic Guitar
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books
even mentions a university president
whose aim is to develop a college "that
the football team can be proud of."
Overzealous fans will get a disturbing
view in Roberts' accounts of some of their
biggest heroes. Coach Woody Hayes of
Ohio State comes off as a wind-up Gen-
eral Patton. Wilt Chamberlain, we dis-
cover, believed and supported Richard
Nixon-the man who liked to diagram
pass plays that could only have been in-
tercepted. Pro football-player Bill Glass,
baseball-player Steve Garvey, and vari-
ous college basketball coaches not only
talk to God about their sports but get de-
tailed answers on such matters as recruit-
ing and Christian victory. Indeed, one
whole chapter, "Jesus Christ-Super-
star," elaborates our athletic culture's
bizarre union of violence and religion. On
Roger Huyssen
Sunday mornings (both from sports-lov-
ing preachers and born-again athletes),
it's all brotherly love and turn the other
cheek; but by Sunday afternoon the mes-
FANS! HOW WE GO CRAZY
between TV games is in for a shock. The
sage is rock-em, sock-em, and break
OVER SPORTS
book is funny in places and scandalous
those bones.
by Michael Roberts
elsewhere, yet the most important pas-
Death wish. Violence has become such
The New Republic Book Company, Inc.,
sages are probably going to hurt. There
an integral part of some sports that we
$8.95
will be fans who feel like the little boy con-
accept it as a strategy, as part of the
Reviewed by Thomas A. Tutko
fronted with the Black Sox scandal: "Say
game rather than a disruption of the
it ain't so!" But it is so. Roberts is convinc-
game. Roberts makes this clear in
A
S athletics in America take on more
ing on that score.
"Hockey Means Never Having to Say
prestige, and as they come to touch
Field of carnage. He sees big-time
You're Sorry," where he describes how
our lives more intimately, the desire for in-
sports as a barometer of society. The ba-
the game has led to several deaths and a
side information is swiftly becoming a
rometer is dropping foully, as evidenced
number of court cases. Boxing can be
passion. Like voyeurs, the fans hunger for
by the increasing destructiveness of
just as barbaric, except that the brain
more and more detailed books, more
sports, the exploitation, the disillusion-
damage typically happens in smaller in-
exposés of the world of sports. And writ-
ment, and the pain. Many individuals and
crements, namely with each hard blow to
ers have been trying to meet the demand.
institutions contribute to this unhappy
the head. Evel Knievel, meanwhile, may
Jim Bouton in Ball Four and Jerry Kramer
mess, and Roberts exposes most of
not have fulfilled his own death wish but
in Instant Replay caught the nation's
them. Politicians, businessmen, clergy-
he has been a fine example to others who
sports figures in the dugout and the
men, schools, and colleges-as well as
have attempted to fulfill theirs, and in
dressing room. Leonard Shecter in The
coaches and athletes-are all, appar-
some cases succeeded.
Jocks and Dave Meggysey in Out of Their
ently, helping to turn a potentially noble
One clear message of this book is that
League proceeded into the shower and
activity into a field of carnage and fakery.
the traditional values of sportsmanship,
the bedroom. There is no stopping the
Legislators will change laws and officials
trying your best, playing the game, and
flood of books. There is no stopping the
will bend them in order to meet the needs
building character have all been aban-
procession, either, and at last Michael
of the sports establishment. Businesses
doned in favor of the craze to win. And the
Roberts in Fans! How We Go Crazy Over
looking for government contracts give
craze has affected players, teams, and
Sports has caught the jocks in the john.
tickets away in exchange for favors. Col-
spectators. Another message: although
Has he gone too far? Probably not. This
leges can be remarkably cynical in their
we can choose to be either artistic or bar-
book isn't just an angry dump on sports
attempts to recruit the best high-school
baric through sports, we seem to have
and it isn't just a nasty peek into the lives
athletes; besides the usual clot of lies, de-
chosen barbarism, delighting in an ugly
of Sunday-afternoon celebrities. It's more
ceptions, and cash, some colleges also
side of human nature. Still another ob-
incisive, and much more disillusioning.
take advantage of young women who are
vious message: our competitive society
The sports addict expecting a literary fix
happy to make their contribution. Roberts
apparently offers many individuals so lit-
84
PSYCHOLOGY TODAY. JANUARY 1977
FACES IN THE NEWS
TIME
TIME
This portfolio of 2,810 TIME cover paintings and photographs
TIME
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FACES IN THE NEWS-remarkable men
A GALLERY OF 2810 TIME COVER PAINTINGS AND PHOTOGRAPHS
and women who, for better or worse, cap-
1932
tured the world's attention and imagination.
Some burst briefly and powerfully into the
1948
THE
news, but soon slipped from sight. Some
tough
Truman
influenced the way we think, feel, and live.
the
Dewey
successfully
Some changed the course of history. When
UNITED
perjury
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Hiss
Olympics
pursued
S
you remember their faces, you can't help
TIME
feeling affection, or wonder, or rage, or
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laughter, or sadness. FDR, Churchill, Hitler.
TME
Ghandi, Einstein, Freud. Brando, Chaplin,
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Monroe. Would you still recognize Dizzy
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The US
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to cancellation
at any time.
Actress
Geneviève
Bujeld
tle that they are reduced to feeding off
must try to find that old-new road.
more acute by the moments of passion-
teams and sports heroes for their deep-
Thomas Tutko is professor of psychology at
ate love, delight in my children's spirited
est fulfillments. It seems a fairly mag-
San Jose State University and a director of the
bodies and minds, amazement at how
gotlike existence.
Institute for the Study of Athletic Motivation.
they went on loving me in spite of my
What Roberts does not touch on, and
failures to love them wholly or selflessly."
what we are left wondering about, is why
OF WOMAN BORN
Her husband was a "sensitive, affec-
people become SO obsessed with sports
by Adrienne Rich
tionate man who wanted children" and
in the first place. How can any reasonable
W.W. Norton& Company, Inc.,
was willing to help. But his help too often
human being identify with a basketball
$8.95
seemed an act of generosity. It was his
player, for example-with a freakishly tall
Reviewed by Niles Newton
professional life that was supposed to be
man in gaudy underwear? Because he
O
f Woman Born is subtitled "Mother-
the real work of the family; her struggles
can put a leather sphere through a metal
hood as Experience and Institution,"
as a writer were a luxury that cost the fam-
hoop better than most people? It's pretty
but what the book really discusses is cer-
ily the price of household help.
strange when you think about it. How can
tain feelings of ambivalence toward
"Had yourself spayed?" A turning point
a normal weekday jobholder become,
childbearing and child care, and the evils
in her life came when she got pregnant
figuratively, a raging mass of flesh each
of patriarchy. The book recognizes the
with an unintended child-her third. She
Sunday, as 11 men in armor try to push a
unique importance of the mother since all
made arrangements to be sterilized im-
pig's bladder 100 yards through 11 other
males and females are "of woman born"
mediately after the birth. Tubal ligation
men who are trying to stop them?
and the first major experience of a baby's
was a pioneering act in the 1950s. She
It seems that we care SO little for our-
life usually comes from the mother.
still remembers her husband asking
selves that we can't find healthier enter-
The author's reactions to her own moth-
whether she was sure she might not feel
tainments. The situation is a shameful
erhood illuminate her generalizations.
"less feminine" once she was sterilized.
irony when we consider what athletics, at
She writes:
Twenty-four hours after the birth of her
their best, can mean to a person and a
for a long time, I avoided this jour-
last child, after she woke up from the op-
culture. Sports can be a royal road to per-
ney back into the years of pregnancy,
eration, a young nurse said, "Had your-
sonal growth and development-phys-
childbearing, and the dependent lives of
self spayed, did you?" It was an ugly
ically, socially, and psychologically. What
my children, because it meant going
experience.
we need, I think, is a movement of some
back into pain and anger that I would
The physical aspects of childbearing
kind that will help us discover the latent
have preferred to think of as long since
were\at times actually repugnant to
"jock" in all of us. For there's an athlete
resolved and put away I could remem-
Adrienne Rich. Her reactions to figures of
inside nearly everyone, and not a specta-
ber little except anxiety, physical weari-
prehistoric mother-goddesses, which
tor but an Olympian. Roberts has por-
ness, anger, self-blame, boredom, and
emphasized enlarged breasts and stom-
trayed, very impressively, just why we
division within myself: a division made
achs, were initially those of "distaste or
profound ambivalence." Later, she
Chris Callis
learned to see them as symbols of
"power" and "integrity" and "absolute
nonfemininity." The cycle of physical ma-
ternity begins with sex, SO it is not surpris-
ing to have the author comment,
"physical pleasure, even in sex, was
problematic to me."
The ambivalence in her own life con-
tinues when she mentions the pleasure of
suckling each of her babies; yet she feels
deep resentment at "being uprooted
from already meager sleep to answer a
childish nightmare, pull up a blanket,
warm a consoling bottle, lead a half-
asleep child to the toilet."
Eventually, the seeming nightmare of
her children's early lives was over, and
her sons grew old enough SO that she
could talk with them as equals. "To-
gether," she reports, "we lived through
my leaving the marriage and through
their father's suicide." But, "for years I be-
lieved I should never have been anyone's
mother."
Rich blames the male establishment
for women's suffering. Her theories are
best put in her own words, for she writes
eloquently on the subject:
"The cross-cultural global domination
88
PSYCHOLOGY TODAY. JANUARY 1977
of women by men can no longer be either
ternal reactions. They are the experi-
power-struggles, and ambivalence to-
denied or defended. When we acknowl-
ences of oppression, whether threatened
ward childbearing, child care, and men.
edge this, we tear open the relationships,
or suffered directly:
Admittedly, almost all mothers have had
a tangle of lust, violence, possession,
"Rape and its aftermath; marriage as
some experience that could trigger simi-
fear, conscious longing, unconscious
economic dependence, as the guaran-
lar feelings. What I find SO strange, as a
hostility, sentiment, rationalization: the
tee to a man of 'his' children; the theft of
mother of four and as a long-term wife, is
sexual understructure of social and politi-
childbirth from women; the concept of the
that the positive side of motherhood is SO
cal forms." And again: "The patriarchal
'illegitimacy' of a child born out of
underrepresented.
institution of motherhood is not the
wedlock; the laws regulating contracep-
To me, the temporary pains and incon-
'human condition' any more than rape,
tion and abortion; the cavalier marketing
venience of childbearing and rearing are
prostitution, and slavery are." Or, "We
of dangerous birth-control devices; the
far outweighed by the warm physical,
must remember that a father is simply a
denial that work done by women at home
emotional, and intellectual interchange
male who has possession and control of a
is a part of 'production'; the chaining of
between mother and child. Many mothers
female (or more than one) and her
women in links of love and guilt; the ab-
with whom | have had close contact
offspring."
sence of social benefits for mothers; the
(though not all of them) would agree.
Experiences of repression. She speaks
inadequacy of child-care facilities in most
Many of us see our husbands, moreover,
sardonically as well: "When we think of
parts of the world; the unequal pay
not as ogres engaged in a power struggle
motherhood, we are supposed to think of
women receive as wage-earners, forcing
with us but rather as partners in creating
Renoir's blooming women with rosy chil-
them often into dependence on a man;
a home that meets the emotional needs of
dren at their knees, Raphael's ecstatic
the solitary confinement of full-time
all its members. Besides, husbands can
madonnas, some Jewish mother lighting
motherhood'; the token nature of father-
be fun in bed. There is SO much potential
the candles in a scrubbed kitchen on
hood, which gives a man rights and priv-
for enjoyment in the female body, with its
Shabbos, her braided loaf lying beneath
ileges over children toward whom he
three interpersonal reproductive acts
a freshly ironed napkin."
assumes minimal responsibility; the psy-
(coitus, birth, and breast feeding) that
She emphasizes, however, that pa-
choanalytic castigation of the mother; the
being a woman and mother can be pro-
triarchy, although invisible, still shapes
pediatric assumption that the mother is
foundly satisfying and interesting. And
women's relationships with their children
inadequate and ignorant; the burden of
this is true despite the measurable dis-
and suggests that women should keep in
emotional work borne by women in the
crimination that exists in regard to pay
mind precisely what kinds of institutions
family."
and work opportunities outside the home.
and experiences may influence their ma-
Rich's book is full of hate, resentment,
Rich's book gave me an understanding
This unique four-disc album is interest-
Stereo Review's
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Understanding
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Randolph's straightforward professional
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PSYCHOLOGY TODAY. JANUARY 1977
89
of the depth of feeling behind another
and psychophysical aspects of reproduction
stomach contracts, squeezing, battering,
point of view toward motherhood. It is un-
and childbearing. Of Woman Born is a selec-
bruising its contents in an orgy of tritura-
doubtedly true that there is a segment of
tion of the Psychology Today Book Club.
tion. No stung horse shudders and rears
American women who do feel about men
SO mightily."
and motherhood the way she does. She is
Essay on the skin. Richard Selzer is a
to be recognized for her frankness and
surgeon-poet. Unlike physician-poet
her ability to vividly convey these
William Carlos Williams, Selzer does not
emotions.
write poetry but poetic prose. I assume
(and hope, for the sake of his patients)
Niles Newton is a professor in the department
of psychiatry at Northwestern University Medi-
that in the operating room his surgical na-
cal School. Both as teacher and researcher,
ture is in the ascendancy. But when he
her chief interests have been the psychosocial
writes of the human body, it is the poet
who picks up the pen. Here, for example,
is the opening paragraph of his essay on
the skin; "I sing of the skin, layered fine as
baklava, whose colors shame the dawn,
at once the scabbard upon which is writ
our only signature, and the instrument by
which we are thrilled, protected, and kept
constant in our natural place. Here is
each man bagged and trussed in perfect
amiability. See how it upholsters the bone
and muscle underneath, now accenting
the point of an elbow, now rolling over the
pectorals to hollow the grotto of an
armpit. Nippled and umbilicated, and
perforated by the most diverse and mar-
velous openings, each with its singular
rim and curtain. Thus the carven helix of
the ear, the rigid nostrils, the puckered
continence of the anus, the moist and
sensitive lips of mouth and vagina." The
reader will find that the Archives of Der-
matology contain no articles written in
that particular style.
What Selzer has done, in this remarka-
ble collection of essays, is to translate
medical jargon into English, not simply to
explain the body to us but to help us per-
ceive its essence. From Mortal Lessons
the lay reader will not only learn about the
Anita Siegel
art of surgery and about the various parts
of the body, but he will enjoy the pleasure
of reading a most remarkable stylist. Any-
MORTAL LESSONS: NOTES ON THE
knew anatomy might describe it: "In re-
one who appreciates good writing will en-
ART OF SURGERY
pose, the stomach is a J-shaped flaccid
joy Mortal Lessons almost as much for
by Richard Selzer
sack, and it thus follows that there is a
the way it is written as for what it has to
Simon and Schuster, $8.95
greater and a lesser curvature. Above is
say.
Reviewed by William A. Nolen
the cardia, below the pylorus. In the mid-
Too much about corpses. I must warn
dle is the capacious antrum through
the reader, however, that though there is
ichard Selzer is a surgeon. Like other
which food traverses an imaginary chan-
humor as well as beauty in the book (e.g.,
R
well-trained surgeons, he knows not
nel, the magenstrasse. Two layers of
Selzer's description of Benjamin Franklin
only the anatomy of the human body but
muscle, one longitudinal, the other circu-
standing on his head to void whenever a
also how its organs function. He could, if it
lar, envelop the stomach. These muscle
bladder stone blocked his urethra), there
suited his purposes, name each artery
layers, aroused by the presence of food
is also some material that struck me as
that supplies blood to the stomach, de-
in the antrum, are thrown into vigorous
morbid. His chapter on the corpse, for ex-
scribe the route each vein takes as it
contortion. Waves of peristalsis erupt in
ample, told me more about the dead
leaves the stomach on its way to the liver,
the cardia and ripple downward to spend
body than I cared to know. In fact, I
tell us how many quarts of hydrochloric
themselves at the pylorus. Ridges are
couldn't bring myself to read this essay
acid the stomach secretes every 24
raised, indentations cut, as this fierce en-
through when it first appeared in Esquire,
hours. However, in Mortal Lessons he
ergy is transmitted from cell to cell, ad-
nor could I force myself to read it in this
gives us none of this information. Instead,
vancing upon the tissues in a broad front,
book. Yet I am a surgeon and, like most
he tells us of the stomach as a poet who
engulfing them. The whole corpus of the
(Continued on page 103.)
90
PSYCHOLOGY TODAY. JANUARY 1977
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91
A COMPLETE NEW SELECTION OF
psychology today
Therapists, counselers, teachers, and students will
THERAPY FOR SEXUAL PROBLEMS
Joseph LoPiccolo
find these authoritative interviews and lectures
Dr. LoPiccolo talks about the sex therapy program
for enhancing sexual relationships of couples now
useful in a variety of therapeutic and instructional
in operation at the Sex Therapy Clinic at Stony
Brook. #39
situations. Individuals will find them significant
MEDICAL USES OF HYPNOSIS-Stephen Black
A review of the values and limitations of hypnotism
as a means of increasing their knowledge and
in the treatment of psychosomatic illness, by
the former Director of the Psychophysiological
expanding upon particular interests.
Research Unit, London. #525
PARENT EFFECTIVENESS TRAINING
Thomas Gordon
See CHILDREN #8
MEDITATION
CHILDREN
THE RESPONSIBLE WORLD OF
FLOW AND MINDFULNESS-Daniel Goleman
VIOLENCE AND THE TEENAGER-Derek Miller
REALITY THERAPY-William Glasser
How to make any activity, even daily chores, a
With wit and deep insight, Miller explores what
William Glasser, the father of Reality Therapy,
pleasure. Dr. Goleman instructs in mindfulness, the
occurs when the capacity to recognize teen-agers as
outlines the steps involved in applying his principles
meditation that lets things flow. #42
humans beings is temporarily lost. He discusses
to the problems of patients, classrooms,
DEEP RELAXATION-Daniel Goleman
what happens when teenagers are dehumanized
institutions, and your own personal life. #27
Relax away your tension. Dr. Goleman leads you
and what chances we have to alter the current
through a deep relaxation procedure that you can
trends. #46
SEX
learn and do on your own. #43
CHILD ABUSE- Robert Burt
Prof. Burt discusses the social, legal, and moral
MARRIAGE THERAPY-Joanne and Lew Koch
MEDITATION-Daniel Goleman
definitions of child abuse and society's
See THERAPY #44
Dr. Goleman tells how to do an easy, basic
meditation technique. He also talks about the
responsibility to the abused child. He explores
THERAPY FOR SEXUAL PROBLEMS
Eastern origins of meditation and discusses
whether it is possible to recognize a child abuser,
Joseph LoPiccolo
common problems of beginners. #36
whether there are methods of prevention, and
See THERAPY #39
the ramifications of this pertinent problem. #48
A SCIENTIFIC VIEW OF MEDITATION
FEMALE SEXUAL RESPONSE TO EROTICA
Robert Ornstein
CHANGING ROLES OF STUDENTS
Julia R. Heiman
A discussion of whether meditation suppresses
Elizabeth Douvan See EDUCATION #49
Dr. Heiman discusses new techniques for measuring
ordinary thought so that other functions of the mind
EFFECTS OF DIVORCE ON CHILDREN
female sexual response, and what experiences and
can appear, and if there is a physiological basis
Joan B. Kelly
fantasies enable a woman to achieve more complete
for this concept. #529
Dr. Kelly, who conducted one of the first studies
sexual fulfillment. #40
on the effects of divorce on children, discusses her
SEXUAL DYSFUNCTION RELATING TO
research and what she and others have found
BEHAVIOR MODIFICATION
PHYSICAL DISEASE-Diane Fordney-Settlage
on how to help children with divorced parents. #38
Dr. Settlage talks about alternatives and the
WEIGHT CONTROL-Michael Mahoney
PARENT EFFECTIVNESS TRAINING
potential for relearning when a sexual partner has
Dr. Mahoney shows that to control weight perma-
Thomas Gordon
suffered the partial loss of use of his or her
nently, one must focus on behavior, not diets. #37
The author of the acclaimed book of the same
body. #41
name gives his views on child rearing and what he
FAMILY LIVING SERIES
sees as its goals and principles. A very open
OVERCOMING SEXUAL INADEQUACY
Dr. Gerald R. Patterson and Marion Forgatch
and intelligent approach to parenthood. #8
Stephen Neiger
In this series of five tapes, clinical psychologist
THE PYGMALION EFFECT: WHAT YOU EXPECT
A self-help series of cassettes designed to benefit
Gerald R. Patterson, one of the foremost experts in
IS WHAT YOU GET-Robert Rosenthal
individuals and couples in the privacy of their
the field of behavior modification, explains how
own homes regardless of whether they have a sex
See EDUCATION #12
families can use techniques developed by behavior
problem. Dr. Neiger incorporates information
therapists to improve relationships at home. Dr.
COMPENSATORY EDUCATION
from his clinical experience to provide the listener
Patterson focuses on child-rearing practices, but he
Seymour Feshbach See EDUCATION #21
with a comprehensive, up-to-date course on what
also teaches adults how to air grievances, settle
we know about sex and how we can use that
disputes, and communicate more openly with each
WOMAN
knowledge to improve our sex lives and overcome
other. Each tape defines a single technique,
sexual difficulties. Couples and individuals can
discusses its uses, and through example, tells
HOW WOMEN ACCEPT SUCCESS
benefit from these sessions either to cure sexual
listeners how to employ it. Complete Set-5 Tapes
Lois Hoffman
difficulties or enrich an already satisfactory
$39.75. (Outside U.S.A. $44.75). #S901
A discussion on how far women have come in the
sexual relationship. This complete series consists of
Tapes are also available individually as listed below
conception of themselves, and the difficulties
12 cassettes and provides 7 hours of commentary.
@ $9.95 each (Outside U.S.A. $10.95).
they encounter from outside and within, in striving
$89.50 (Outside U.S.A. $99.50) #S902
POSITIVE REINFORCEMENT
to attain success. Prof. Hoffman contends that
Cassettes in this series may also be purchased
How to use reinforcers such as love and attention in
women may tend to avoid achievement because of
individually and are listed below. $9.95 each
helping children change troublesome behavior. #500
their concerns about social rejection and loss
(Outside U.S.A. $10.95). Order by #. *References on
PINPOINTING AND TRACKING
of femininity. #47
tapes #S 512, 513 and 514 are made to techniques
described on other titles in the series. It is
Teaches methods of observing and keeping track
FEMALE SEXUAL RESPONSE TO EROTICA
recommended that these tapes be purchased in the
of behavior patterns. #501
Julia R. Heiman See SEX #40
groupings indicated. If you wish to do so, these
TIME OUT
groupings only are available at 20% discounted
Time out means removing a child from a place or
ABNORMAL/CLINICAL PSYCHOLOGY
prices shown
situation that rewards him for acting up. This tape
shows how to use time out. #502
AFFECTIVE PSYCHOSES: INTERVIEWS
OVERVIEW/DOES SEX COMES NATURALLY?-#505
WITH MENTAL PATIENTS- George W. Kisker
NEGOTIATION
See MENTAL ILLNESS #530
HOW TO FIND YOUR SEXUAL POTENTIAL-#506
Negotiation shows how to agree on what problems
ORGANIC BRAIN DISORDERS:
SOME DAMAGING MYTHS ABOUT SEX AND
really exist and how to go about solving them. #503
INTERVIEWS WITH MENTAL PATIENTS
ORGASM-AND THE TRUTH-#507
CONTRACTING
George W. Kisker
NEW FINDINGS ON HUMAN SEXUAL RESPONSE
Demonstrates the final step in the family living
Interviews demonstrating chronic brain disorders
#508
program, in which a family can actually write a
caused by alcholism, senility and frontal lobe
contract to change behavior. #504
SEX WITHOUT INTERCOURSE-#509
atrophy. #531
SEX GADGETS/RELAX AND ENJOY IT-#510
ROGERS/SKINNER DEBATE on Education and the
DEATH, THE ENEMY-Edwin S. Shneidman
BODY EXPLORATION-#511
See DEATH #19
Control of Human Behavior
HOW MEN CAN RESTORE AND
Carl R. Rogers and B. F. Skinner
THERAPY
MAINTAIN ERECTION-512*
Edited by Professor Gerald A. Gladstein,
(Group I-#s 509, 510, 511, 512-$31.85)
Univ. of Rochester
THE THEORY AND PRACTICE OF RATIONAL-
These debates between Carl Rogers and
HOW MEN CAN LAST LONGER IN LOVEMAKING/
EMOTIVE PSYCHOTHERAPY-Albert Ellis
B. F. Skinner provide invaluable insights into their
DIFFICULTIES IN FEMALE AROUSAL
differing views on free will, the causes of behavior,
Dr. Ellis outlines the principles of rational-emotive
AND ORGASM-#513*
the importance of mental events, the effects of
psychotherapy and illustrates their application to
(Group II-#s 507, 508, 509, 510, 511, 513-$47.75)
environment, and the goals of psychology. The
actual problems. #532
VAGINISMUS AND OTHER DIFFICULTIES/
6-cassette set provides nearly 4 hours of dialogue
MARRIAGE THERAPY-Joanne and Lew Koch
HOW TO BUY AND USE A VIBRATOR-514*
between Rogers and Skinner. The interchange of
Marriage therapy is booming, but buyers must
(Group Ш-#509, 510, 514, 515, 516-$39.80)
ideas between these two outstanding authorities on
beware, especially in sex clinics. The couple who
THE USE OF NOVELTY AND VARIETY
education and human behavior bring the subjects
wrote The Marriage Savers tell what to watch out
FOR SEXUAL ADEQUACY-#515
alive in a unique and vital way. Complete set-
for and why some therapies get dramatic
6 Tapes $49.50 (Outside U.S.A. $55.00). #S900
results. #44
THE LANGUAGE OF SEX-#516
CASSETTES
AVAILABLE FOR THE FIRST TIME
Unit at Manchester College, Oxford, Hardy explores
the field of extrasensory perception through a
study of religious experience. #526
ALTERNATIVES TO MARRIAGE-Carl Rogers
Dr. Rogers discusses marrying versus living
together, why it is important to be your own person,
DEATH
the importance of deep communication, why the
THE MYTH OF MENTAL ILLNESS
family is a failing institution. #3
Thomas S. Szasz
SELF-DESTRUCTION AND IDENTITY
The controversial Dr. Szasz views mental illness
POWER AND INNOCENCE-Rollo May
Norman L. Farberow
Farberow talks about the processes and influences
as a disguise for moral and psycho-social problems
A look at the types of power its uses and abuses,
of living. #517
the reasons why we repress our power and
of identity formation that make persons vulnerable
to suicide. Using case histories, he describes
FAMILY DYNAMICS AND SCHIZOPHRENIA
what happens when we don't admit we have power.
the risk for both sexes in adolescence, middle age,
Jerry Higgins
May's concern over our increasing apathy to
violence is also discussed. #15
and old age. #519
Higgins examines how the family group is related
to the schizophrenic child, and how the development
NON-VERBAL COMMUNICATION
DEATH, THE ENEMY-Edwin S. Shneidman
of the child is contingent upon the type of family
Ernest Beier & James Gill
A noted thanatologist examines death and dying.
organization. #520
Body language, gestures, facial expressions, and
He explains why suicide notes are usually boring,
other kinds of non-verbal "speech" form a rich
why people are incapable of writing their own
SCHIZOPHRENIA: INTERVIEWS WITH
language. Two psychologists show how this silent
epitaphs, and why death really exists only for
MENTAL PATIENTS-George W. Kisker
language reveals feeling, and suggests why our
survivors, not for those who die. # 19
Interviews with reactive schizophrenics illustrating
non-verbal messages are not always consistent
disjointed thinking, paranoia, persecution
EVERYDAY HEROICS OF LIVING AND DYING
with our verbal ones. #24
Ernest Becker
complexes, delusions of grandeur. #521
NEW MIND, NEW BODY-Barbara B. Brown
Winner of the 1974 Pulitzer Prize for The Denial
Bio-feedback comes of age. No longer just a
of Death, Dr. Becker speaks from his hospital bed
EDUCATION
toy of the scientist, bio-feedback promises to make
shortly before he died of cancer. He lucidly
CHANGING ROLES OF STUDENTS
dramatic improvements in our physical and
explains his profound theory that the fear of death
mental health. #32
is behind much of the creativity in human culture
Elizabeth Douvan
and the heroism of individuals. These are some
Dr. Douvan stresses how male and female sex
Individual cassettes are $7.95 each, unless other-
of this brilliant man's last and most moving words
roles affect all aspects of school life. Recent studies
have shown that the way society socializes boys
wise noted. Add 50¢ per cassette for postage
about our endless effort to transcend death's
inescapability. #29
and girls has negative effects on their adjustment
and handling; 5 or more, postpaid. Prices for
and well-being during the school years. #49
complete sets are shown next to catalog num-
COPING WITH DEATH AND DYING
bers and include postage and handling charges.
Elisabeth Kübler-Ross
DIALOGUE ON AMERICAN EDUCATION
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JANET H., AN ATTRACTIVE 29-year-old
People with depression suffer from a
people do not respond to drugs, some
divorcée with a bright and lively young
sad, low mood. They complain of loss of
suffer side effects. Others refuse medica-
son, came to the Mood Clinic at the
appetite, impaired sleep, reduced sexual
tion for personal reasons. Psychoanalytic
Hospital of the University of Pennsyl-
interest, fatigue, and aches or pains. De-
and other therapies have been available to
vania in a desperate state. She com-
pressed people often lose motivation
depressed people for quite a while. How-
plained of a pervasive sense of sadness
and interest. They have difficulty in car-
ever, they have not been proved effective
and hopelessness and of recurring
rying out customary responsibilities
for treating depression. We at the Mood
thoughts of suicide. She had lost inter-
and they have problems with con-
Clinic, along with researchers elsewhere,
est in her friends and family and could
centration and memory. Above all they
have been looking for an effective short-
think only of past failures, present prob-
think negatively about themselves.
term psychotherapeutic treatment for de-
lems, and future suffering. She de-
They view the world as cold and inhos-
pression. We have developed a short-term
scribed herself in negative terms and
pitable and feel that things cannot
and surprisingly successful psycho-
was preoccupied with her presumed in-
improve.
therapy for treating depressed outpa-
adequacies as a mother and, formerly, as
Some depressions are relatively mild,
tients like Janet.
a wife. She blamed herself for being
but others require hospitalization.
We began investigating the psychol-
weak and overly dependent on others,
Some come on rapidly, while others de-
ogy of depression in the late 1950s.
for her lack of energy and her fatigue, as
velop in a slow and insidious manner.
Guided by Freud's statement that the
well as for not being able to remember
Most doctors treat depression with
dream is the "royal road to the uncon-
all the things she was supposed to do.
tricyclic drugs (so-called because of
scious," we analyzed the dreams of hun-
She worried excessively, awakened at
their molecular structure) such as Elavil
dreds of depressed and nondepressed
three or four each morning and could not
and Tofranil; lithium carbonate; and
people. We found that the depressed
go back to sleep. She had lost 15 pounds.
electroconvulsive therapy. The choice
people dreamed of situations in which
Depression like Janet's has been known
of treatment depends on the patient's
they were frustrated, humiliated, re-
for thousands of years. This distressing
symptoms. In the past, antidepressant
jected, deprived, or punished. A typical
human experience is described in man's
drugs were used primarily for patients
dream was: "I inserted a coin into a
earliest records, including Egyptian
who were hospitalized, but now they
Coke machine and all I got was fizz-no
manuscripts, the Old Testament, and
are extensively prescribed for depressed
syrup." Another depressed person
the writings of ancient Greek physi-
outpatients. Lithium carbonate, a natu-
dreamed that he bought a pair of shoes
cians. A recent publication of the Na-
rally occurring salt, has been used pri-
for an important occasion and, just as he
tional Institute of Mental Health says
marily for manic-depressive illnesses,
was getting dressed, discovered that
that depression rivals schizophrenia as
which constitute about five percent of
both shoes were for the same foot. Janet
the "number one mental health prob-
all depressions. Recently, however, doc-
had recurring dreams of being deserted
lem." According to several studies,
tors have prescribed lithium for certain
by her parents and rejected by her
seven to 15 percent of the general popu-
forms of recurrent severe depression.
friends. In her dreams she saw herself as
lation suffers from depression at any one
Many investigators are concerned that
inept, ugly, or diseased.
time, with up to 70 percent of college
lithium, which is potentially dangerous
Recent studies by Peter Hauri at
freshmen affected by symptoms of the
and is effective only in certain types of
Dartmouth have shown that the same
illness. Further, statistics over the past
depression, has acquired an unwar-
unpleasant dream themes persist even
decade show that suicide, often a by-
ranted reputation as a cure-all.
after a person recovers from depression.
product of depression, is the second lead-
Antidepressant medication, though
Thus the dream mirrors a person's
ing cause of death among people 15 to 24.
popular, doesn't work for everyone. Some
chronic predisposition to view his
A New, Fast Therapy for
DEPRESSION
BY AARON BECK AND MARIA KOVACS
Jettrey S
94
PSYCHOLOGY TODAY JANUARY 1977
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Our therapy attempts
to identify negative and
unrealistic thoughts.
world and himself in a negative way.
a person's distorted ideas, interpreta-
questions about Harold's call: "What
Gross distortions. In our clinical inter-
tions, and attitudes-in other words,
reason did he give for breaking the
views, depressed patients often de-
his cognitions.
date?" Janet replied, "He said an impor-
scribed themselves as losers. They felt
Recently at the Mood Clinic we
tant business deal had come up that
they lacked key attributes they consid-
treated depressed outpatients with ei-
needed his attention." The therapist
ered essential for reaching important
ther antidepressants or with our short-
asked, "Is there any reason to doubt his
life goals. A successful salesman felt he
term psychotherapy. We randomly as-
sincerity? Has he been honest with you
had lost his ability to appeal to custom-
signed 41 depressed patients to two
in the past?" Janet answered, "Yes, in
ers; a writer believed he had lost his tal-
groups. For 12 weeks, 19 received cogni-
fact one of the things I like most about
ent; an attractive woman who had
tive therapy, meeting with a therapist
him is his sincerity. That's what was
always traded on her personal ap-
for 45 to 50 minutes at least once a
wrong with my husband-I could never
pearance began to think that she had be-
week. The remaining 22 took anti-
tell whether he was lying or telling the
come old and ugly. We discovered that
depressant drugs and saw the psychia-
truth. Did he sound affectionate or re-
even though the depressed people
trist only briefly each week. Although
jecting on the phone?" asked the thera-
showed some diminution in business
patients in both groups improved dur-
pist. "I guess he sounded affectionate,
ability, creativity, or personal attrac-
ing the 12 weeks, those who underwent
but I guess I didn't believe it," Janet
tiveness, their conclusions represented
cognitive therapy made substantially
replied. The therapist then asked, "Did
gross distortions of reality. Janet, for ex-
more progress. Fifteen of the 19 people
he indicate that he wanted to see you
ample, called herself a bad mother de-
in the cognitive-therapy group were no
again?" Janet answered, "Oh, yes. He
spite evidence to the contrary, and
longer depressed, according to standard
said he'd call me again today." As Janet
berated herself for making mistakes.
scales that measure the illness. Among
began to regain her objectivity, her sad-
She believed that she could never enjoy
the patients who received drugs, five
ness started to disappear.
life again and reacted to every problem
were no longer depressed and another
This exchange illustrates an impor-
as though it were insoluble.
six showed partial improvement. Re-
tant feature of cognitive therapy. Under
We felt that if a patient like Janet were
searchers at the University of Toronto,
the guidance of the therapist, a patient
guided to regard herself, her experi-
Michigan State University, and Queens
examines the connection between his
ences, and her future more realistically,
University in Canada have reported
interpretation of an event and his subse-
the other symptoms of her depression
similar success with cognitive therapy.
quent bad feelings. He then tries to find
might lessen. If she were to see herself
John Rush at the University of
out whether his negative conclusions
as a winner instead of a loser, she might
Oklahoma Medical School and Brian
are based on facts. Janet discovered that
feel better.
Shaw at the University of Western On-
on this and similar occasions, she un-
In a series of experiments we found
tario are adapting this therapy to the
necessarily read rejections into neutral
that when a depressed person had a
needs of people of varying socioeco-
situations. Janet's tendency to distort
number of successful experiences, he
nomic and educational backgrounds. For
the reactions of others apparently de-
began to perceive himself more
some patients, it would appear that
veloped early in her life, when her
positively. For instance, after a success-
cognitive therapy works better than
mother repeatedly rejected her. After
ful performance on a card-sorting task,
drugs.
Janet broke up with her husband, she be-
patients began to feel more competent
Broken date. In our initial interviews
came increasingly self-critical and
and also rated themselves as more at-
with a depressed patient, we try to show
began to see even her best friends reject-
tractive, more sociable, and more op-
him that what he thinks determines
ing her as her mother once did.
timistic than before the experiment.
what he feels. In an early therapy ses-
Exaggerated disappointments. Rejec-
Our therapy attempts to identify the
sion, Janet told about a call from her
tions, criticisms, and disappointments
negative and unrealistic thoughts cen-
boyfriend canceling a date. She said this
happen to everybody, but most people
tral to depression and to help the person
depressed her. When she hung up the
do not become unduly depressed by
correct them. By using a combination of
phone, she thought, "Harold is rejecting
them. Janet's response shows the de-
verbal and behavioral techniques, we
me again. He doesn't care. Why can't I
pressed patient's tendency to exaggerate
have found that as a person learns to
satisfy him? What's wrong with me? I
disappointments, to overgeneralize
think more realistically, to approach his
can't get along with any man. I'll never
criticisms, and to recall only unpleasant
problems with more perspective, and to
be happy." As long as Janet interpreted
incidents. Like most depressed people,
look at his future more objectively, his
the call in a negative manner she would
Janet never stopped to ask herself
mood improves, while other symptoms
feel and act depressed. It was not the
whether her pessimistic ideas really
such as loss of appetite and insomnia di-
broken date that upset her, but the
made sense.
minish. We call our treatment cognitive
meaning she attached to it.
In cognitive therapy the patient keeps
therapy because it is aimed at correcting
The therapist asked Janet a series of
a diary. By writing down her thoughts
100
PSYCHOLOGY TODAY. JANUARY 1977
How to Wake Up the
Financial Genius Inside You
"Millionaires Are Not 100 Times Smarter Than You, They Just Know The Wealth Formula"
Millionaires are not 100 or even 10 times
without cash, but by the time the deal was
smarter than you, but it is a fact that million-
complete, he had $5,000 cash in his pocket
aires are making 10 to 50 and even 100 times
to boot.
more than you.
I also showed him how to buy a $26,000
Are these wealthy people working that
property for $75 down.
much harder than you? No way!
You, or anyone, can do exactly what I
If you are working only 20 hours a
did, or my close friends have done; in fact,
week, it would be physically impossible.
you may well do it better. (I began doing this
(There are only 168 hours in a week, no one
in my spare time only).
gets more.)
It doesn't matter where you live or the
These questions used to really stump me.
size of your town or city, my formula will
That was six years ago.
MARK O. HAROLDSEN
show you exactly how to:
My wife and I then lived in Denver, Col-
32 Year Old Millionaire
Buy income properties for as little as
orado, at 2545 South High Street. We paid
$100 down.
$135 a month rent for a cramped, tumbled
thods I had been shown. The results were
Begin without any cash.
down house. My wife was expecting our
amazing. I couldn't believe how easy it was,
Put $10,000 cash in your pocket each
second child and we were flat broke. I felt
in fact it seemed too easy.
time you buy (without selling property).
desperate and forced into a corner. I had to
But then I met an elderly lady (83 years
Double your assets every year.
borrow $150 from my father and another
old) who, although not very smart, has made
Legally avoid paying federal or state in-
$150 from my father-in-law just to buy the
$117,000 using the same formula.
come taxes.
groceries and pay the rent. If that wasn't
I then figured my beginning wasn't
Buy bargains at 1/2 their market value.
enough, I was several thousand dollars in
luck.
Allow you to travel one week out of
debt.
For three and one half years, I worked
every month.
Things are much different now. Last
hard to refine and improve on the formula
When you send me a check or money
year I could have retired and lived off the in-
that I had been shown, so that it would be
order for $10, I will send you all my formulas
come of my one million dollars in real estate
easy to get quicker results.
and methods, and you are free to use them
holdings. (Incidently, almost all of the in-
As I did this, my assets multiplied very
anywhere and as often as you would like.
come from the real estate is tax free).
rapidly (160% per year) to the point that I
Now if you were a personal friend of
Since I had worked 20 to 40 hours a
didn't have to work any longer.
mine, I know you would believe me and not
week, I know that I didn't work even 10
I guess I am bragging now, but I did start
need any kind of guarantee, but since you
times longer or harder than you. And with
spending alot of time in our back yard pool,
don't know me personally, I will guarantee
my C-average from Ames High School (lo-
traveling around the country, and doing a
that you will be completely satisfied and that
cated in Ames, Iowa). I'm quite certain that
lot of loafing.
my formula will work for you if you apply it.
I'm not any smarter than you.
Then one day a friend asked me how he
If for any reason you are not satisfied or
If hours, efforts, or brains are not what
could do what I had done.
change your mind, send the material back and
separates the rich from the average guy who
So I began to outline the formula
I will quickly refund you $10.00.
is swamped with debts and very little income,
that I had improved to show him really how
You may well ask, why am I willing to
then what is?
simple it was, and how he could do the same
share my formula for wealth? Well, because
I learned the answer to that question
thing.
many of you will probably seek further con-
from an old fellow in Denver. This fellow
By the next time he approached me, I
sultation and direction from me as your
worked in a drug store stocking the shelves.
had written almost a complete volume on the
wealth rapidly grows and my consultation
Very few people knew that he had $200,000
easy way for him to copy my results.
fee of $75.00 an hour adds to my fortune.
in the bank, all of which he had earned
I wrote this in simple, straight forward
But you shouldn't care if I profit as
starting from nothing.
language so anyone could understand it.
long as you profit. And I guarantee that you
Within a year after meeting him, I was
This time my friend's questions were
will.
told and shown the same thing by a young
very specific. (He had already begun buying
There is one small catch; you will have
man who had recently earned over a million
properties with the formulas I had been giving
to apply some effort in order to get results
dollars. By this time, I began to realize that
him). Now he had a property he wanted to
from my formulas. But of course, nothing
what I was being shown was truly a remark-
buy, but was out of cash. How could he buy
worthwhile comes without some effort, but
able and workable way to grow rich.
it?
let me assure you your efforts will be re-
I began to apply the principles and me-
I not only showed him how to buy
warded beyond what you believed possible.
REFERENCES
30 DAY FREE TRIAL
Community Bank & Trust, 940 W. South Temple, Salt Lake City, Utah
MARK O. HAROLDSEN, INC.
For FAST SERVICE-C.O.D. or Credit Card Buyers
Zions Bank & Trust, 1 South Main Street, Salt Lake City, Utah
Tudor Mansion Bldg.
Call Toll Free (24 hours a day, 7 days a week)
Charles F. Huber, Certified Public Accountant, 220 South 2nd East,
Suite 101, Dept. E-604
1-800-325-6400
Salt Lake City, Utah
4751 Holladay Blvd.
Missouri Residents call 1-800-342-6600
I HEREBY CERTIFY THAT ALL THE ABOVE STATEMENTS ARE
Salt Lake City, Utah 84117
TRUE AND FACTUAL TO THE BEST OF MY KNOWLEDGE AND
THAT I HAVE KNOWN MARK 0. HAROLDSEN FOR MORE THAN
Mark, I am sending you $10.00 only on the condition that you guarantee I will be com-
FOUR YEARS. DURING WHICH TIME HE HAS ACCOMPLISHED
pletely satisfied and that you will send my $10.00 if for any reason I change my mind
THE THINGS HE HAS INDICATED ABOVE.
and send the material back within 30 days. Further, you agree to send the material to me
BRUCE M. HALE NOTARY PUBLIC
the same day you receive my check or money order so I can expect to receive your
formulas within 7 to 10 days. Upon these conditions, here is my $10.00.
(Upon request, a notorized signed statement will be sent to you, certifying all
statements and the money back guarantee.)
Name
(Mr. Haroldsen has lectured to many and varied groups on his methods and for-
mulas, but never before now have all of these been available. They are now avail-
Address
able through this ad, or at the place of his lectures.
City
State
Zip
© MARK 0. HAROLDSEN 1976
whenever she felt especially sad or de-
low mood was related to her negative
thinking; next to help him substitute
spairing, Janet learned to identify her
thoughts, and that by changing her
appropriate interpretations for his
self-criticisms and to challenge them.
thinking she could improve her mood.
faulty thinking; and finally to identify
For example, she often thought she was
Eventually she was able to overcome
and correct the basic unreasonable as-
a terrible person because, according to
her selective recall for failure and
sumptions that cause his distorted ap-
her, "I am dumb, I am lazy, Iam fat, I am
unpleasantness.
praisal of reality.
dependent, and I can't finish anything."
Inflexible standards. Cognitive therapy is
Cognitive therapy has wider applica-
She rated her degree of belief in each of
not over once a person can pinpoint his
tions than simply treating depression.
these statements as close to 100 per-
misinterpretations and correct them. To
Proceeding according to these steps,
cent. She then questioned the objective
maintain a lasting improvement, he
therapists have successfully helped peo-
basis for each of these conclusions. For
must work on the factors that predis-
ple with disorders such as anxiety, pho-
example, she asked, "What evidence do
pose him to depression. He must rec-
bias, obsessive-compulsive reactions,
I have that I am dumb?" and responded
ognize the basic attitudes that form the
psychosomatic disorders, obesity, and
with, "If I am so dumb how could I have
foundation of his negative interpreta-
irrational anger and aggression. The
worked for years as an executive secre-
tions. We call these deeply ingrained at-
techniques of cognitive therapy are
tary?" After five or six sessions Janet
titudes "silent assumptions," since a
easily adapted to everyday life. We be-
spontaneously challenged her self-de-
person generally is not immediately
lieve that with these techniques, most
feating thoughts. She continued the in-
aware of them. They often take the form
people can learn to deal effectively with
ternal dialogue until she reached a
of either/or premises, such as "either
their unreasonable anxiety, anger, or
realistic conclusion that she could
I'm popular with everybody or I'm a
sadness.
U
believe.
total failure." A depressed person either
At times we also use a mastery and
has incredibly high expectations for
Aaron T. Beck received his M.D. from Yale Uni-
pleasure log, a notebook in which the
himself or else he judges his perfor-
versity School of Medicine. He graduated from
patient writes down his activities as
mance by unreasonable, inflexible stan-
the Philadelphia Psychoanalytic Institute in
they occur and decides whether or not
dards. When feels he isn't living up to
1958. Beck is a professor
of psychiatry at the Uni-
they constitute an accomplishment or a
his unattainable goals, he shifts into the
versity of Pennsylvania
reason for satisfaction. When Janet
negative thinking characteristic of de-
School of Medicine and
started her mastery and pleasure log she
pression and tells himself, "I am a flop"
has been a member of the
discovered that she was accomplishing
or "I am unlovable."
psychiatry department
there since 1954. He is
much more and having more pleasant
Cognitive therapy works first to un-
President of the Society
experiences than she had realized. She
cover a person's negative distortions;
for Psychotherapy Re-
began to recognize that her persistent
then to show him the fallacy in his
search and Director of the
Mood Clinic at the Hospital of the University of
Pennsylvania. Maria Kovacs was born in
Budapest, Hungary. She
ON MARCH 26,
received her Ph.D. in 1971
from the University of
Pennsylvania and did a
THE BEACH
year of postdoctoral
internship in clinical psy-
chology at the Norristown
OPENS
State Hospital. Kovacs is
an assistant professor of
psychology in psychiatry
AT ASPEN.
at the University of Pennsylvania School of
Medicine and Associate Director of the Mood
Clinic.
For more information, read:
When spring busts out all over and your
fancy turns to golf and tennis, remember
Beck. Aaron T. Depression: Causes and Treatment: Univer-
you've got all summer to do those things
sity of Pennsylvania. 1972. $12.50; paper. $4.45.
Beck. Aaron T. Diagnosis and Management of Depression:
and turn your thoughts instead to the
University of Pennsylvania. 1973. $8.50.
delights of skiing Aspen in the
Beck. Aaron T. Cognitive Therapy and the Emotional Disor-
springtime: low rates and plenty of
ders: International Universities Press. 1976. $15.00.
rooms in the inns. Not to mention
Ellis. Albert. Reason and Emotion in Psychotherapy: Lyle
the joy of soaking up the sun and
Stuart. 1962. $12.00
gloating in the fact that you're
Mahoney. M. J. Cognition and Behavior Modification: Bal-
linger: 1972. $14.50.
a good thousand miles from
Raimy. Victor. Misunderstandings of the Self; Jossey-Bass
the nearest shark scare. For
1975. $12.50.
rates and reservations,
write Aspen Reserva-
For more information on depression, a two-
cassette series, "How to Handle Depression"
tions, Inc., Dept. T,
by Dr. Frederic Flach, author of the best-selling
P.O. Box 4546, Aspen,
book The Secret Strength of Depression, is
Colorado 81611 or
available from Psychology Today Cassettes.
call 303-925-4000.
ASPEN
Send $15.00 (outside U.S.A., $18.00) to Con-
sumer Service Division, 595 Broadway, New
York, N.Y. 10012.
AMERICAN
Cards
Welcome
THERE'S ONLY ONE ASPEN. EST. 1879.
For reprints of this article, see Classified
Advertising.
A Joint Venture of Aspen Skiing Corporation and Aspen Highlands Skiing Corporation
Books (Continued from page 90.)
Although The Mentality of Apes was first
TRIBE (Random House, $8.95) he pre-
surgeons, performed dozens of autop-
published half a century ago, the be-
sents the history of the people he be-
sies and dissections of human bodies in
havior of Grande, Chica, Nueva, Sultan,
lieves are the forebears of many modern
my student days. I know what Selzer says
and the other tool-using chimps makes
Jews: the fierce Khazars, a central Asian
is true (at least as far as I read) but I don't
fascinating reading today.-E.H.
nomadic tribe that converted to Judaism.
want to read about it. I suspect that this
The kingdom of Khazaria flourished from
essay on the corpse and the one on abor-
BETRAYAL (Giniger/Stein and Day, $8.95)
the seventh to the 11th century and held
tion, which I read-twice-and recom-
by Lucy Freeman and Julie Roy, tells the
sway from the Caspian to the Black Sea,
mend strongly, may be too explicit for
story of Roy's successful suit against her
from the Caucasus to the Volga River. The
most readers.
psychiatrist. Despondent, given to crying
powerful Khazars separated the Chris-
Other essays deal with smoking, bald-
jags and eating binges, Julie Roy sought
tian Byzantine Empire from the expand-
ness, abortion and Chinese medicine;
help and ended up in the arms of psychi-
ing forces of Islam. Rather than align
the book concludes with four essays,
atrist Renatus Hartogs, who wrote an ad-
themselves with either religious power,
mostly light, which are reminiscences of
vice column for Cosmopolitan magazine.
the Khazar rulers, in the 10th century,
Selzer's childhood. I enjoyed them. If I
He persuaded Roy that weekly sex with
converted to Judaism from the shama-
were Selzer's editor, I think I would have
him-sometimes for brief 10-minute vis-
nism of their native Asian steppes. When
scattered these last four articles through
its, always at 10 dollars-was necessary
the Khazar nation was overrun by Gen-
the book, inserting them after essays like
for her mental health. When Hartogs sud-
ghis Khan's hordes in the 12th century,
the one on the corpse, in an attempt to
denly broke off the relationship, Roy's
many Khazars emigrated west and north,
relieve the depression that such pieces
condition deteriorated. With the help of
especially to Poland. Koestler culls the
are likely to produce. In truth, the only jus-
two lawyers she brought a successful
scanty evidence on Khazar history to
tification for including these reminis-
legal action against Hartogs. The book
trace the course of their empire, and his
cences is their authorship. They are only
describes Roy's background, her meet-
thoroughness is convincing. However,
tenuously related to the Mortal Lessons
ings with Hartogs, the trial-including
the evidence for his controversial thesis
with which the book deals.
courtroom testimony-and her victory.
that Eastern European Jews descend
Richard Selzer practices medicine in
-J.G.
from the Khazars is weak. He finally rests
New Haven, where he lives with his wife
his case, in part, on the absence of cer-
and their three children. He has won liter-
Most modern Jews, contends Arthur
tain records-never a convincing way to
ary acclaim for his essays, and his
Koestler, are not descendants of the Jews
explain the past when one's ideas con-
awards are well deserved.
of Biblical Palestine. In THE THIRTEENTH
tradict accepted views.
-D.G.
William A. Nolen, who practices surgery in
Litchfield, Minnesota, wrote The Making of a
Surgeon, Healing: A Doctor in Search of a Mir-
acle, and this year's Surgeon Under the Knife
Even when your
(Coward, McCann and Geoghegan).
mouth is shut,
BRIEFLY:
your body
Wolfgang Köhler, an architect of Gestalt
psychology, was one of the first to realize
speaks
the high intelligence of the apes. During
About where you've been. What you've
World War I, when hostilities stranded him
been through. The kind of person you are.
in Africa, he studied chimpanzees inten-
THE BODY REVEALS takes you beyond
mere body language to show you how to
sively, and his experiments changed our
"read" body structure, posture and physique
ideas about intelligence in both apes and
-your own, and others. And it tells you about
BOOKSHELF
man. His pioneer study, THE MENTALITY OF
the new body therapies-rolfing, patterning,
APES (Norton Library Paperbacks, Live-
bioenergetics, the Alexander and Feldenkrais
techniques. THE BODY REVEALS: the indispen-
right, paper, $3.95), which has just been
sable guide to self awareness. Harper & Row/
reissued, describes, among other things,
Quicksilver Books, Publishers.
the problem-solving techniques used by
Fully illustrated.
Paper RD 139 $4.95
REVEALS THE BOOY
a group of chimps to reach bananas that
Köhler carefully placed beyond their
At bookstores
An Illustrated the Psychology of the Body
reach. The chimps used sticks to pull the
Harper Row
10E 53rd St.. New York 10022
1817
fruit through bars, piled up boxes SO they
could reach suspended bananas, and
generally behaved like human beings
faced with a new problem. "Chim-
panzees," writes Köhler, "manifest intel-
ligent behavior of the general kind
familiar in human beings," and he goes
HECTOR PRESTERAND
on to say that even the "least-gifted" of
BY LILLY, M.D.
his chimps showed marked intelligence,
behaving in "specifically human" ways.
PSYCHOLOGY TODAY, JANUARY 1977 103
Go a little crazy.
265744
*
RAY CONNIFF
267187
CHICAGO X
COLUMBIA Send In The Clowns
COLUMBIA
Another Rainy Day In NYC
CHICAGO trademark
256487
WAR
266619* CONWAY TWITTY
WHY CAN'T WE
WR
HIGH PRIEST
BE FRIENDS
MCA
OF COUNTRY MUSIC
267021* MICKEY GILLEY'S
265140
JOHNNY MATHIS
ONLY HAVE EYES
PLAYBOY GREATEST HITS
COLUMBIA
FOR YOU
235952
JIM CROCE
265959
*
STEELY DAN
ABC
I GOT A NAME
ABC
THE ROYAL SCAM
253005
*
JANIS IAN
265926
Leonard Bernstein
COLUMBIA Between The Lines
COLUMBIA
Age Of Gold
260836
*
C. W. McCALL
265595 * JOE STAMPLEY
EPIC
MGM
BLACK BEAR ROAD
Sheik Of Chicago
REDDY'S
256644
RAY CONNIFF
TEST HITS
264408* MAYNARD FERGUSON
COLUMBIA Another Somebody Done
Somebody Wrong Song
COLUMBIA
PRIMAL SCREAM
263871*
SANTANA
257402* GLEN CAMPBELL
COLUMBIA)
CAPITOL
RHINESTONE COWBOY
AMIGOS
235739
MARIE OSMOND
261370
PAUL ANKA
MGM
LA
PAPER ROSES
Times Of Your Life
262071
MANTOVANI
266627
*
RONNIE LAWS
LONDON
THE GREATEST GIFT IS LOVE
BLUE NOTE
PHASE
FEVER
248690 *
CHER
264499
FERRANTE & TEICHER
MCA
GREATEST HITS
LA
PIANO PORTRAITS
254912 *
AEROSMITH
266049 * STEVE MILLER BAND
COLUMBIA
TOYS IN THE ATTIC
CAPITOL
FLY LIKE AN EAGLE
255562
*
DONNY & MARIE
263491*
WILLIE NELSON
MGM
OSMOND
COLUMBIA
The Sound In
Make The World Go Away
Your Mind
257980*
ROY CLARK'S
263590
DIANA ROSS
ABC DOT
GREATEST HITS
THEME FROM MAHOGANY (Do You
MOTOWN
Know Where You're Going To)
VOLUME
249524
* BARRY MANILOW II
267336
*
BOBBY VINTON
ARISTA
MANDY
ABC
Serenades Of Love
264416*THE STATLER BROS.
258905 BARBRA STREISAND
MERCURY Harold, Lew, Phil & Don
COLUMBIA
LAZY AFTERNOON
236885
CARPENTERS
266478*
JOHNNY CASH AND
Columbia
THE TENNESSEE THREE
The Singles 1969-1973
COLUMBIA
ONE PIECE AT A TIME
House
262527
FREDDY FENDER
227371
JIM CROCE
ABC DOT
ROCK 'N' COUNTRY
LIFE AND TIMES
ABC
Bad Bad Leroy Brown
260737
HELEN REDDY'S
264333 * OSCAR PETERSON
BASF
REUNION BLUES
268490
HELEN REDDY
265918
CARPENTERS
267310
*
MERLE HAGGARD
CAPITOL
GREATEST HITS
CAPITOL
MUSIC, MUSIC
CAPITOL
MY LOVE AFFAIR
A KIND OF HUSH
WITH TRAINS
266270*
260695
*
ERIC CARMEN
263749
MAC DAVIS
MONTY PYTHON
252718* PETER FRAMPTON
FOREVER LOVERS
264150
ROGER WILLIAMS
ARISTA
ARISTA
ALL BY MYSELF
COLUMBIA
A&M
FRAMPTON
Live at City Center
MCA
VIRTUOSO
NEIL DIAMOND
WALTER CARLOS
256578
260984
TONY ORLANDO & DAWN
211565
264796
DON WILLIAMS
264481*
MCA
BY REQUEST
TOM T. HALL
ARISTA
GOLD
COLUMBIA
GREATEST HITS
DOT
HARMONY
MERCURY
FASTER HORSES
239483
249870
ENGLEBERT
MAC DAVIS
*
252940
LINDA RONSTADT
222406
BARRY MANILOW I
260067* LINDA RONSTADT
CAPITOL
Heart Like A Wheel
CAPITOL
PARROT
HUMPERDINCK'S
ARISTA
SILK PURSE
BABY DON'T GET
COULD IT BE MAGIC
GREATEST HITS
COLUMBIA
HOOKED ON ME
249631
BOBBY VINTON
252379* GLEN CAMPBELL'S
252445 * THE LETTERMEN
255083
Z Z TOP
264564 * NILS LOFGREN
LONDON
ABC
MELODIES OF LOVE
CAPITOL
GREATEST HITS
CAPITOL All Time Greatest Hits
A&M
FANDANGO
CRY TOUGH
264523 CHARLIE McCOY
260257 * SHIRLEY BASSEY
263657 *
CLEDUS MAGGARD &
266460 *
263467 *
JOHNNY WINTER
JIMMY DEAN
LA
Good, Bad But Beautiful
THE CITIZEN'S BAND
MONUMENT Harping The Blues
CASINO
MERCURY
I.O.U.
THE WHITE KNIGHT
BLUE SKY
CAPTURED LIVE!
257345
255059
Bachman Turner Overdrive
261990*
ROY CLARK
239855
MAC DAVIS
213538*
PAUL SIMON
HELEN REDDY
Mercury
FOUR WHEEL DRIVE
HEART TO HEART
COLUMBIA Stop And Smell The Roses
COLUMBIA)
Me and Julio Down by
CAPITOL
ABC DOT
No Way To Treat A Lady
The Schoolyard
249953 ANYA TUCKER'S
263558
*
NARVEL FELTS
258970*
ToM T. HALL
263541*
JESSI COLTER
259523*ASLEEP AT THE WHEEL
CAPITOL
TEXAS GOLD
COLUMBIA GREATEST HITS
ABC DOT
NARVEL THE MARVEL
MERCURY
GREATEST HITS
CAPITOL
JESSI
262980*THE GREAT TOMPALL
* MARIE OSMOND
246330* Donny & Marie Osmond
222018
THE 5th DIMENSION
251462
259796
JOHNNY MATHIS
MGM
& HIS OUTLAW BAND
MGM
WHO'S SORRY NOW
I'M LEAVING IT
ARISTA
COLUMBIA
MGM
Greatest Hits On Earth
FEELINGS
ALL UP TO YOU
263582
*
SONNY JAMES
262907 *
PHOEBE SNOW
264515 *
FREDDIE HART
267229
JOHN DAVIDSON
253690
JIM NABORS
200 YEARS
COLUMBIA SECOND CHILDHOOD
& THE HEARTBEATS
EVERYTIME SING
A VERY SPECIAL
COLUMBIA
COLUMBIA
OF COUNTRY MUSIC
CAPITOL
PEOPLE PUT TO MUSIC
(20TH CENTURY)
LOVE SONG
A LOVE SONG
240382* PAUL SIMON IN CONCERT
250324
*
THE BEST OF
252536 *
HELEN REDDY
260018+ CRYSTAL GAYLE
263806 DAVID ALLAN COE
COLUMBIA
LIVE RHYMIN'
CHELSEA WAYNE NEWTON-LIVE
CAPITOL
I AM WOMAN
LA
Somebody Loves You
COLUMBIA
Longhaired Redneck
252544
*
THE BEST OF
260745
CAT STEVENS
259630
ARTHUR FIEDLER & THE
207324
258806 +
OZEL
ORIGINAL CAST
POLYDOR
BOSTON POPS PLAY
ELAY
CAPITOL
NANCY WILSON
A&M
NUMBERS
ARISTA
GODSPELL
NEIL DIAMOND SONGBOOK
ALLA TURCA
265447
:
BILLY JOEL
266106 * RASPBERRIES' BEST
264424*The Greatest Hits Of
265058
GEORGE SHEARING
263889
t EARL SCRUGGS
TURNSTILES
CAPITOL
Featuring ERIC CARMEN
BASF
THE WAY WE WERE
COLUMBIA
COLUMBIA
MERCURY JOHNNY RODRIGUEZ
REVUE, VOL. II
Available on records only
Available on records and 8-track tapes only
Get a lot of music.
11 records or tapes- $1.00
plus
shipping
and
handling
if you join the Columbia Record & Tape Club now and agree to buy
This is the beginning of a fling. A crazy fling.
8 more selections (at regular Club prices) in the coming 3 years
A fling filled with music. The music you love
most. More music than you've ever been able
267849
BARRY MANILOW
267351
*
DIANA ROSS'
ARISTA
to get at once.
This One's For You
MOTOWN
GREATEST HITS
267195
NEIL DIAMOND
COLUMBIA BEAUTIFUL NOISE
Part One of the fling: you go over the list of
265223*
AEROSMITH
265231
GLEN CAMPBELL
albums shown here. And you choose the 11 you
COLUMBIA
ROCKS
CAPITOL
BLOODLINE
265645*
NAZARETH
A&M
CLOSE ENOUGH FOR
want most. Then mail the application card.
ROCK 'N' ROLL
256099
THE CAPTAIN
A&M
& TENNILLE
Part Two of the fling: your 11 records or
Love Will Keep Us Together
265496* in Electric Light Orch.
OLE-ELO
264390
LEONARD BERNSTEIN
COLUMBIA
NEW YORK PHILHARMONIC
tapes arrive in the mail.
Tchaikovsky Symphony No. 4
266403* CHARLIE RICH'S
EPIC
GREATEST HITS
240069
This, of course, is the part where you really
REDD FOXX
REDD FOXX AT HOME
265678 * The Alan Parsons Project
TALES OF MYSTERY
go crazy. You can tease yourself and play one a
20TH CENTURY
& IMAGINATION
219477 SIMON & GARFUNKEL'S
day. Or you can play them all at once in the
COLUMBIA
GREATEST HITS
264440*
KISS
CASABLANCA
DESTROYER
224758
LYNN ANDERSON'S
most incredible concert you've ever had in your
COLUMBIA
GREATEST HITS
room. You can invite good friends over to share
265256 * NANCY WILSON
CAPITOL This Mother's Daughter
232561 ANDY WILLIAMS
263814:
the fun. And, of course, you can play them
Greatest Hits, Vol. 2
LEE OSKAR
10
BLT
again and again and again.
246868
JIM CROCE
ABC
MEMORIES
HIS GREATEST HITS
266114*
CONWAY TWITTY
11 hit albums for only $1.00, plus shipping
MCA
LORETTA LYNN
261859
BACHMAN TURNER
FEELIN'
Overdrive
and handling. A crazy idea, perhaps. But it can
HEAD ON
265983 * Charlie Daniels Band
Saddle Tramp
260638
happen to you as a member of the Columbia
EPIC
CHICAGO IX
COLUMBIA
CHICAGO' GREATEST HITS
BCHICAGO trademark
264903*
STATUS QUO
Record & Tape Club. Make it happen now
CAPITOL Is There A Better Way?
263517 CAPTAIN & TENNILLE
A&M
SONG OF JOY
263632
SWEET
CAPITOL
GIVE US A WINK
252387
*
THE BEST OF
TAKE YOUR PICK
CAPITOL
NAT KING COLE
259184
LSIMON
STILL CRAZY AFTER
262501 *
JOHNNY RODRIGUEZ
COLUMBIA
ALL THESE YEARS
MERCURY
LOVE PUT A SONG
IN MY HEART
263574*GRAND FUNK RAILROAD
CAPITOL
230714
BORN TO DIE
CARPENTERS
NOW & THEN
260752* KRIS TOFFERSON
RECORDS OR CARTRIDGES OR CASSETTES OR REEL TAPES
MONUMENT
WHO'S TO BLAME
110262 * THE PLATTERS
AND WHO'S TO BLESS
MERCURY Encore of Golden Hits
Simply mail the application together with check or money
263483*
LYNN ANDERSON
order for $1.86 as payment (that's $1.00 for your first 11
THE BEST OF
COLUMBIA
All The King's Horses
259911 *
RAY CONNIFF
267831
BACHMAN TURNER
LOVE WILL
MERCURY
COLUMBIA
selections, plus 86¢ for shipping and handling).
OVERDRIVE
KEEP US TOGETHER
263509*
MOE BANDY
Every four weeks (13 times a year) you'll receive the
COLUMBIA
HANK WILLIAMS.
261412*
ToM JONES
263731 *
DONNY & MARIE
YOU WROTE MY LIFE
MEMORIES DON'T LEAVE
Club's music magazine, which describes the Selection of
POLYDOR
FEATURING SONGS FROM
THEIR TELEVISION SHOW
PARROT
LIKE PEOPLE DO
the Month for each musical interest plus hundreds of
alternates from every field of music. In addition, up to
255109* ANITA BRYANT
259689 ART GARFUNKEL
254102* FREDDY FENDER
WORD
six times a year you may receive offers of Special Selec-
All-Time Favorite Hymns
BEFORE THE
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ABC DOT
COLUMBIA
NEXT TEAR DROP
tions, usually at a discount off regular prices.
208868
Johnny Cash Portrait
If you wish to receive the Selection of the Month or the
266486* MEL STREET'S
264044
*
Greatest Hits =
THIN LIZZY
Special Selection, you need do nothing-it will be shipped
GRT
GREATEST HITS
MERCURY
JAILBREAK
automatically. If you prefer an alternate selection, or none
264267
*
CHICK COREA
at all, simply fill in the response card always provided
264663
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259895
BARRY MANILOW
POLYDOR
ANDRE OSTELANETZ
THE LEPRECHAUN
TRYIN' TO GET
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COLUMBIA
ARISTA
PLAISIR AMOUR
THE FEELING
You will always have at least 10 days in which to make
239525 BARBRA STREISAND
263533* MELISSA MANCHESTER
your decision. If you ever receive any Selection without
265991* RAMSEY LEWIS
COLUMBIA THE WAY WE WERE
BETTER DAYS &
ARISTA
COLUMBIA
SALONGO
HAPPY ENDINGS
having had at least 10 days in which to decide, you may
return it at our expense, for full credit.
SELECTIONS WITH TWO NUMBERS ARE 2-RECORD SETS OR
231084
CHARLIE RICH
DOUBLE-LENGT TAPES, AND COUNT AS TWO SELECTIONS
Your own charge account will be opened the selec-
EPIC
Behind Closed Doors
- WRITE EACH NUMBER IN A SEPARATE BOX
tions you order will be mailed and billed at regular Club
prices, which currently are: 8-track tapes and cassettes,
232603-232604* DICK CLARK
264507 *
OUTLAWS
BUDDAH
20 YEARS OF
262311
PETER FRAMPTON
$6.98 or $7.98; reel tapes, $7.98; records, $5.98 or $6.98-
ROCK N ROLL
262312
ARISTA
LADY IN WAITING
A&M
Frampton Comes Alive!
plus shipping and handling. (Multiple unit sets and Double
212654
Selections may be somewhat higher.)
BOB DYLAN
215061 *
THE BEST OF
212655
Greatest Hits, Vol. 2
260182
Earth, Wind & Fire
ROGER MILLER
COLUMBIA
COUNTS TWO
260183
After completing your enrollment agreement (by buying
Mercury
Little Green Apples
Gratitude
COLUMBIA
8 selections within 3 years), you may cancel membership
203893*
OF HANK WILLIAMS
at any time. If you decide to continue, you'll be eligible for
261933 *
JANIS IAN
203894
261677* LAWRENCE WELK AND HIS
ALL TIME GREATEST HITS
MGM
261678 MUSICAL FAMILY 200 YRS.
our generous money-saving bonus plan. Act now!
COLUMBIA
AFTERTONES
RANWOOD
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259788
KISS
Columbia
263111*
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259789
252361 *
BEACHBOYS
CASABLANCA
ALIVE!
if the application is missing, please
252362
MERCURY
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CAPITOL
COUNTS AS TWO
write to Columbia Record & Tape Club,
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PSYCHOLOGY TODAY. JANUARY 1977 107
Photography (Continued from page 54.)
tant than so-called subconscious ones.
to what degree events that exist in pho-
velopment. The individual learns not
Photographic inkblots. Photographs can
tographs will exert an effect on the
only how to take pictures, but also how
constitute an important psychological
world outside it. For example, if we stop
to appear in them, that is, to pose. In-
document about an individual. Robert
two strangers on the street, ask them to
fants, we know, are not self-conscious
Akaret's book Photoanalysis shows how
pose momentarily, and take a picture,
about cameras. They do not know what
far one can go in interpreting the psy-
has the photograph created a bond that
the camera is for, and this innocence al-
chological meaning of individual
previously did not exist? If the photo-
lows us to capture their naive actions.
snapshots. But one can also use the ag-
graph is circulated to others, will the
But a child learns quickly, and by five or
gregate of photographs in an indi-
two individuals accidentally brought
six may not be able to stand in front of a
vidual's possession as an index of his
together in a photograph tend to be
camera without grimacing, and feeling
psychic life. First, people ordinarily
treated as a pair? Does the photograph
ill at ease. In most individuals, this
photograph only what interests them. If
act on the real world, and begin to shape
awkward feeling is gradually brought
we examine the photographs a person
it?
under control of an adjustive re-
has taken during his lifetime, we will be
Events that happen in photographs
sponse-a pose. Studying how poses
able to discern the things that were im-
may exert a devastating power. House
change over time, in different social
portant to him, and those that were not.
detectives have known this for years. A
classes, in different cultures, and
It is probably as good a measure as we
photograph showing a politician shak-
through the growth and maturation of
have of his enduring emotional
ing hands with a Communist Party offi-
the individual is a first-class problem
concerns.
cial can kill his chance for reelection,
for research.
My colleague, Stuart Albert, has sug-
even when the photograph is faked.
One of the most challenging areas for
gested that we examine the content of
Or, consider a more typical case. An
research deals with the psychological
family photo albums to see which
aspiring young lawyer gets to see Presi-
characteristics of the professional pho-
events are recorded, and which are not.
dent Carter for five minutes. A photo-
tographer. Freudian psychologists
He believes that most photographs
graph is taken of the two men chatting.
might say that the profession of pho-
show people during rapid change and
The lawyer proudly hangs it behind his
tography is a sublimated form of voy-
growth, thus explaining the prepon-
desk. The image-freezing machine has
eurism, and underlying every lifelong
derance of photographs of children and
done its work. Clients see the photo-
commitment to photography is some
the concentration of those photos dur-
graph, are impressed, draw inferences.
remnant of the desire to catch a glimpse
ing the first few years. Their families
The lawyer need never mention the
of the primal scene, sexual intercourse
construct a fairy tale in photo albums.
photograph. It resoundingly speaks for
between one's parents. Like the little
They record only the happy moments:
itself, a powerful new element in the
boy peeking at that special scene, the
birthdays, bar mitzvahs, weddings, and
lawyer's career. The lawyer has learned
photographer positions himself to view
vacations. The resulting pseudo-narra-
through personal experience what
the event, not to intervene in it, but
tive highlights all that is life-affirming
prophets of photography have long sus-
merely to register it.
and pleasurable, while it systematically
pected. A photograph not only records
We need not take this interpretation
suppresses life's pains. For most con-
events. It creates them.
seriously in order to acknowledge that a
temporary families, this album is the
good photographer does require an ex-
only narrative of its history, having sup-
Stanley Milgram received his Ph.D. from Har-
traordinary balance of passive and ag-
planted the family Bible, which in ear-
vard in 1960. He is a professor of psychology
gressive tendencies. He needs the
lier times contained a record of births,
at the Graduate Center of the City University of
aggressiveness to intrude himself into a
deaths, and marriages.
New York, where he also
Another set of questions concerns the
served as head of the
situation where he is often irrelevant,
doctoral program in so-
and sometimes unwanted. He takes
photographs themselves, and the reality
cial psychology. While
photographs of funerals, accidents and
they create. Photographs are often
teaching at Yale, Milgram
griefstricken moments, as a thief
treated as compelling and incontrover-
examined the degree to
snatches diamonds. At the same time
tible evidence that the events depicted
which ordinary people
the photographer must remain passive,
in them actually happened. Beyond
will comply with orders
that go against their con-
keeping himself receptive to the images
this, the photograph creates a new real-
sciences. Photographer
presented by the environment and let-
ity, valued in and of itself. We all know
Henri Dauman gave Milgram his first oppor-
ting them enter his camera. Without
the joke about the grandmother travel-
tunity to write about the psychology of pho-
overstating the case, we note how easily
ing with her grandchildren. A fellow
tography and Milgram taught a graduate
seminar on photography at City University with
photography became a highly sex-
passenger remarks on how attractive
Harry Beilin.
ualized activity in Antonioni's film,
the children are. The grandmother re-
For more information, read:
Blow-Up. To the working photographer,
plies: "That's nothing, let me show you
Akeret. Robert U. Photoanalysis: How to Interpret the Hid-
none of these factors will seem par-
their pictures."
den Psychological Meaning of Personal and Public Photo-
graphs; Wyden. 1973. $9.95.
ticularly important, since he is preoc-
For years, we eagerly awaited the offi-
Arnheim. Rudolph. "On the Nature of Photography" in
cupied with making a living, trying to
cial Chinese Communist May Day pho-
Critical Inquiry. Sept. 1974. Vol I. pp. 149-161.
Becker. Howard. "Photography and Sociology" in Studies in
please his clients and turn a profit, wor-
tograph to see who was photographed
the Anthropology of Visual Communication. 1974. Vol. 5. pp.
rying about competition and his integ-
alongside Chairman Mao, and who had
3-26.
rity, wondering whether to fake a news
been displaced. The official photograph
Newhall. Beaumont The History of Photography; Museum
of Modern Art. 1972. paper. $6.95.
photograph, or whether to lend a hand
not only reflected a political reality, it
Sontag. Susan. "Photography" in New York Review of
to a suffering accident victim or sim-
solidified that reality and became an
Books. October 18. 1973. November 13. 1973. and April 18.
1974.
ply to photograph him. These con-
element in it.
For reprints of this article, see Classified
scious conflicts are no less impor-
All this makes the researcher wonder
Advertising.
108
PSYCHOLOGY TODAY JANUARY 1977
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SUMMER PROGRAMS
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ANNOUNCING A WORKSHOP. Combine group dynamics
and cultural studies in Costa Rica, Central America
isolated at Playa Hermosa on the Pacific Ocean, climate
ideal, private home, fifteen per session, "rough it". Ses-
sions: June 19-July 2; July 17-30; August 14-27, 1977.
King Kong (Continued from page 48.)
clothing and sniffing the shreds of her
$1200.00 plus travel. INQUIRES: Applied Psychological As-
sociates, 803 East 70th Street, Savannah, Georgia 31405.
are almost destroyed in the process.
garment. Several years after the film's
COLORADO ROCKY MOUNTAIN SUMMER. Fun and
Others interpret this Depression-era
release, the scene was snipped by the
learning. Individualized program for girls and boys 9-18.
Horses, pool, yoga, ranching, 300 acres. Catalog. C.P.
film as social criticism. Thus the cap-
censors because it was considered too
Arnold, Lazy A Ranch, Gold Hill, Boulder, Colorado 80302.
italist Denham, in his greed for profit,
overtly sexual. Kong is not depleted of
endangers Ann Darrow, exploits nature
his strength by his love. It is his primal
TRAINING PROGRAMS
ruthlessly, upsets the primitive har-
fate to battle for the woman and to be
mony of Skull Island, and nearly de-
defeated by men who individually could
MONTESSORI TEACHER TRAINING Begins June 22.
Montessori expanding. MMTTC, 1010 West Chicago Ave.,
stroys Manhattan when his captive
never match him.
Chicago, IL 60622.
rebels. A somewhat similar theory de-
At bottom, King Kong is the myth of
picts the film as an allegory of racism.
the primal father, his struggle, and his
TRAVEL
All these interpretations are worth
death. It grips adults as tightly as it grips
thinking about. None of them actually
children because it goes to the core of
UNSTRUCTURED CARIBBEAN. Virgin Island wind-
contradicts the Freudian theme.
jammers, cosmopolitan country-clubs. From $387
our individual and collective experi-
including air. VIB Tours, "the Casual Ones." (212) 661-
There is at least one other interpreta-
ence. The new version of this popular
5040, 244 East 46 St. NYC. Also, earn Travel Discounts
selling VIB.
tion of this cinematic myth. The apoc-
myth will resurrect Kong to live through
ryphal Arabian proverb that precedes
his agony once again. The crowds will
REAL ESTATE-FOR RENT
the film reads: "And the Prophet said-
no doubt be large, and each of us will
And lo! the Beast looked upon the face
bring to the theater that portion of inner
PUERTO RICO. Luquillo beach house. 3 bedrooms. For
of Beauty. And it stayed its hand from
being in which the small child still
rent weekly. Edward Pinney, 148 E. 78 Street, New York
killing. And from that day it was as one
lives, and where Kong's struggle still
City 10021 (212) 879-8870.
dead. The screenwriters are implying
smolders.
MISCELLANEOUS
that Kong's downfall is due to his inter-
est in a woman, an interest that will
Mark Rubinstein practices psychiatry and psy-
GOLD, Silver, platinum, mercury wanted. Highest prices
render him impotent and lifeless. This
chotherapy in New York City. He received his
paid by refinery. Ores assayed. Free circular. Mercury
Terminal, Norwood, MA 02062.
interpretation, I believe, is based on the
medical and psychiatric training at the State
ancient fantasy that sexual intercourse
University of New York's
will deplete a man of all his powers, as
Downstate Medical Cen-
REPRINTS AVAILABLE
in the Samson and Delilah myth. We
ter, where he is presently
on the faculty as clinical
Reprints of designated articles in this
should remember, though, that Delilah
assistant professor of
issue are available at 60¢ each (70¢ out-
side U.S.A.). Minimum order is 6 reprints.
consented willingly to Samson's ad-
psychiatry. He is actively
Order from Psychology Today, Consumer
vances; in fact she wanted to beguile
involved in the teaching
Service Division, 595 Broadway, New York,
him. This is not the case with Kong and
of medical students and
N.Y. 10012. Be sure to indicate title and
psychiatric residents.
quantity desired and enclose your remit-
Ann Darrow. She never consents to his
Rubinstein has written a
tance with your order. Please add 25¢
per order to partially cover postage and
advances and he never succeeds in satis-
number of professional papers and is the
handling charges. Institutional purchase
fying his sexual interest in her.
coauthor of The First Encounter: The Begin-
orders are accepted only for orders of $10
or more. No purchase orders accepted from
His interest, by the way, is certainly
nings of Psychotherapy, with William A. Con-
outside U.S.A. Residents of Calif., Colo.,
sexual. This is apparent in the original
sole and Richard C. Simons (published by
Fla., III., Mich., Mo., N.Y. State, D. C. and
Jason Aronson, Inc., 1976). The author has for
Texas add applicable sales tax. (Postage
version of the film. On Skull Mountain,
several years maintained an interest in the psy-
and handling charges non-taxable.)
before battling the pterodactyl, Kong
chological foundations of popular culture.
was shown peeling off Ann Darrow's
For reprints, see Classified Advertising
PSYCHOLOGY TODAY. JANUARY 1977 111
COMING IN PSYCHOLOGY TODAY
The New Science of Genetic Self-Interest
Sociobiologist Irven DeVore talks with Scot Morris about the
selfishness built into our genes. It is not the survival of the fittest
that humans and other animals strive for; it is for the reproduction
of the individual's genes.
The Busy, Purposeful World of a Baby Infants aren't
as dumb as they seem. A baby knows who he is before he has
the language to tell us SO. He reaches deliberately for control of
his environment, especially his parents.
Sweaty Palms in the Control Tower Air-traffic controllers
at Chicago's O'Hare field wrestle like pilots in combat with 1,900
flights a day. The job of juggling airliners and making snap
decisions on which lives depend exacts a steep toll in stress-
related diseases, nightmares, and acute anxiety.
Workers Can Set Their Own Wages-Responsibly
Fixing their own wages and benefits can increase employees'
satisfaction and support for a company's goals. Some managers
are now proving that this heretical idea will work.
Social Psychologists: Benign Con Artists
Dance Therapy
Who Wouldn't Help a Lost Child? You, Maybe.
112 PSYCHOLOGY TODAY. JANUARY 1977
© 1977 Commonwealth of Puerto Rico
Play it your way.
Mix your martini with white rum from Puerto Rico.
Instead of marching to the
That's because every drop of white
same old tune and mixing your
rum is required by Puerto Rican
martini with gin or vodka, strike
law to age for at least a year.
an original note and make yours
White rum exerts its civilizing
a white rum martini.
influence on all of your favorite
There's enough in common
mixers, smoothing out every drink
between all three martinis to
from the screwdriver to the gimlet.
make the transition to white rum
No wonder 84% of all the rum
an easy one. And there's enough
sold in the U.S. comes from
difference to make the change
Puerto Rico.
worthwhile.
Mix your next martini with white
White rum from Puerto Rico
rum. It's a great way to
has a distinctive smoothness that
make music together.
sets it apart from gin and vodka.
PUERTO RICAN RUMS
White rum martini
For free "White Rum Classics" recipes, write: Puerto Rican Rums,
Dept.L-21, 1290 Avenue of the Americas, N.Y., N.Y. 10019.
©Lorillard, U.S.A., 1976
True
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