Patterns of practice with the TAT in juvenile forensic settings

Psychologists in juvenile forensic psychological clinics were surveyed about usage of the TAT. A clear majority uses the TAT as part of their assessment battery, the majority using between six and ten cards. Administration and scoring methods were examined. Selection of cards was harmonious with prior research on theme productivity. Many respondents were found not to use the TAT because of time constraints, a finding discussed in terms of appropriate standards of care. Additional research needs to establish representative as well as expected standards of ethical practice for the TAT among general clinical groups, both adult and adolescent.     

Factors associated with juvenile detention truancy

Factors influencing truancy from a juvenile court treatment facility were investigated. Youth born in 1962 (N = 124) who were placed in the facility were compared for number of truancies, background, and personality variables. Results showed that males with prior adjudication for home or school truancy had a 65% probability of eloping from the court facility as compared to a 34% probability for youth adjudicated for other offenses. Most females were adjudicated for truancy offenses and showed a 62% probability of truancy while in the court facility. Further, for females who eloped and were returned, the probability of a subsequent truancy was above 80%. Personality characteristics of truants varied with sex: male truants were more likely to be conduct disordered youth for which impulsivity and disregard for social norms is prevalent; female truants appear more likely to be in conflict over autonomy issues.     

The effects of polydrug use with and without cocaine on mother-infant interaction at 3 and 6 months

The face-to-face interactions of 43 polydrug-with-cocaine-using mothers and their infants at 3 and 6 months were compared to 17 non-cocaine-but other-drug-using mothers and 21 mothers who used no drugs during their pregnancy. Coders blind to mothers' drug use status scored 3 min of face-to-face interactions for 16 measures of maternal and infant interactive behaviors. A principal component of 7 behaviors formed a measure of maternal attentiveness; a principal component of 5 behaviors formed a measure of mother-infant dyadic organization; and a principal component of 4 behaviors formed a measure of infant readiness to interact. A measure of maternal interruption was computed as the mean standard score of 3 additional interruptive behaviors. At 3 and 6 months, polydrug-with-cocaine-using mothers were less attentive to interactions, and polydrug-with-cocaine-using mothers and their infants engaged in fewer dyadic interactions than either non-cocaine or non-drug-using mothers. Compared to 3 months, polydrug-with-cocaine-using mothers at 6 months were less attentive to interactions and more frequently interrupted interactions by looking away, redirecting the infant, or withdrawing, whereas non-cocaine-using and non-drug- using mothers showed no change or an improvement in attentiveness to interactions and a decrease in interruptions. No differences emerged in the interactive behaviors of the infants of polydrug- with-cocaine-using, non-cocaine-using, or non-drug-using mothers. Cocaine use represents a significant risk for diminished parental attentiveness and responsiveness to infants and for diminished interactiveness in infants.     

Sexual responding of “nonrapists” to aggressive sexual themes: Normative data

The present study presents data relevant to the sexual responding to aggressive cues of a large sample of nonrapist males recruited from the community. Two hundred three subjects received physiological assessment of sexual arousal to heterosexual and rape stimuli. Results indicated that under instructions not to interfere with sexual responding, approximately 80% of the nonrapists would be correctly classified, which was significantly different from chance. However, under instructions to suppress arousal, classification was no better than chance. The rape index was not related to age, socioeconomic status, sexual experience, or amount of arousal shown in the laboratory. However, there was a small but significant relationship to IQ. Overall, the data suggest that for instructions not to interfere with responding, the error rate seen in this larger-scale sample was equivalent to that in previous studies using smaller normative samples and that classification in general is not biased by the subject characteristics measured in this study.Portions of this project were supported by USPHS Grant MH-34030-02 from the Center for the Studies of Crime and Delinquency and by Tennessee Department of Mental Health and Mental Retardation Research Contract ID-0783 to the Department of Psychiatry.     

EVALUATION OF BIOFEEDBACK IN THE TREATMENT OF BORDERLINE ESSENTIAL HYPERTENSION1

Direct biofeedback of blood pressure was compared with frontal EMG biofeedback and with self-instructed relaxation for the treatment of essential hypertension in a controlled group outcome study. Patients were followed up for four months after the end of treatment. Generalization of treatment effects was assessed through pre- and posttreatment measurements of blood pressure under clinical conditions in a physician's office. There were no significant reductions in diastolic blood pressure. The systolic blood pressure (SBP) of the patients receiving blood pressure biofeedback decreased 8.1 mm mercury (p = 0.07) and the SBP of the patients in the relaxation condition decreased 9.5 mm mercury (p = 0.05). In the generalization measures, there were significant reductions in SBP for the relaxation group. The results are discussed in terms of the general lack of replicability within the area of biofeedback treatment of hypertension.     

Language and disfluency variables in normal speaking children from discrete chronological age groups

Thirty male and female children from three chronological age groups were compared on Developmental Sentence Score, total words spoken in a language sample, total disfluency, and eight specific disfluency subtypes. Analyses were performed to determine in differences existed among the three age groups, between sexes, and whether language and disfluency were related. No sex differences in either language or disfluency were found. Total disfluency showed only a slight decrease with an increase in chronological age between 4 and 8 years. This suggests that the major disfluency decrease must occur subsequent to age 8. Although the total disfluency changed minimally between ages 4 and 8, some of the disfluency subtypes shifted considerably. Older children were almost as disfluent as younger children, but the topography of their disfluency was different. No significant relationship was found between the disfluency and language variables studied.