Two-week prognosis in problem drinkers

The predictors of favorable status two weeks after entry into an alcoholism rehabilitation program were measured. Favorable outcome was predicted by lower MMPI Pd Scale, being older, and having been older at time first intoxicated. Implications were discussed for these findings for the shortest prognostic interval apparently reported in the alcoholism literature.     

A dualistic model for group treatment of alcohol problems: abstinence-based treatment for alcoholics, moderation training for problem drinkers

This article provides a clinical framework for a dualistic group treatment model: abstinence-based treatment for alcohol dependent individuals and moderation training for problem drinkers. The major premises of these models are set forth, compared, and contrasted. An integrated approach for synthesizing these models is then detailed along with suggestions for clinical implementation and management of countertransference.     

A comparison of the other-directed stigmatization produced by legal and illegal forms of affirmative action

Recent studies have begun to show that the stigma of incompetence sometimes directed toward the beneficiaries of affirmative action may be significantly reduced as the preferences granted to women and minorities become more moderate. The author examined whether the stigmatization of African Americans would differ under hiring policies that represented legal and illegal levels of racial preference according to federal regulations. Participants were 178 students and 161 corporate employees who rated fictitious Black and White target employees working under (a) an illegal policy of selection of unequal candidates, (b) a legal policy of selection of comparable candidates, or (c) equal opportunity. Participants rated Black targets' achievement-related traits lower than White targets only under the illegal policy. Under the legal policy, no such stigmatization was observed. Additional dependent measures and theoretical implications were explored.     

Pre‐treatment change in psychotherapy with adult children of problem drinkers: The significance of leaving home

In a qualitative diary study of four adult children of problem drinkers in psychotherapy, it transpired that all four clients had experienced significant changes before they entered psychotherapy. This study first addresses the issue of how pre‐treatment change may be conceptualised in psychological theory and research. Five ways of understanding pre‐treatment change are presented. Data from the case studies are then presented, highlighting how these clients experienced a diminishing sense of self‐control in relation to leaving the home they cohabited with their alcoholic parent. The dynamics of how leaving home affects the clients are analysed. It is suggested that change experienced in relation to leaving home is significant to the decision to enter therapy. The fit between the data and the theories of pre‐treatment change is discussed.     

The utility of the Michigan Alcoholism Screening Test in the detection of alcoholics and problem drinkers

This study examined the vulnerability of the Michigan Alcoholism Screening Test (MAST), a widely used, direct alcohol inventory, to positive dissimulation. An earlier study by developers of the MAST suggested that most alcoholics were unable to alter their scores and thereby avoid detection by the instrument. But closer examination indicated that a standard scoring procedure was not employed. This study examined the ability of alcoholics to avoid detection by the MAST when using a standard scoring procedure. As predicted, alcoholics readily manipulated their MAST scores and avoided detection when so motivated. These results are discussed, indications and contraindications for use are included, and recommendations regarding future research are made.     

The role of attention in the contextual enhancement of visual memory for natural scenes

The role of attention in memory for objects in natural scenes was investigated using a visual memory. In Experiment 1, participants were asked to memorize six cued (to be attended) objects in a natural scene, and were subsequently tested on one of the cued objects. Four types of test scene images were created by jumbling different sections in scene's background: Attended sections changed, unattended sections changed, both sections changed, and both unchanged. In Experiment 2, the procedure was the same as that of the jumble condition except that scenes to be memorized were also jumbled. Results showed that jumbling of attended sections reduced memory performance, whereas jumbling unattended sections did not, irrespective of the regularity of scene to be memorized. This finding suggests that attention plays an important role in mental construction of a natural scene representation, and leads to enhanced visual memory.     

Accounting for self-selected drinking goals in the assessment of treatment outcome

Many treatment outcome studies are abstinence-based and rely on achieved abstinence as an indicator of success, making the implicit assumption that participants have an abstinence goal. However, it is often the case that participants self-select controlled drinking goals, even in the context of an abstinence-based treatment. The current study explored the use of an outcome variable, percent weeks meeting goal (PWMG), which takes into account individual goal choice at baseline. The sample consisted of 57 women who participated in a cognitive-behavioral therapy treatment for alcohol dependence and were followed for 18 months after baseline. Twenty-two (39%) women self-selected controlled drinking goals, and 35 (61%) self-selected an abstinence goal at baseline. A repeated measures analysis of variance with PWMG as the dependent variable revealed that both goal groups were equally successful in meeting their goals during the 6-month treatment period. After treatment, participants with a goal of abstinence had more PWMG than did participants with a self-selected controlled drinking goal, but the difference was significant at a trend level. The two goal groups did not differ in outcome when the authors compared them using more traditional measures of outcome, percent days abstinent and percent heavy drinking days.     

Being active and impulsive: The role of goals for action and inaction in self-control

Although self-control often requires behavioral inaction (i.e., not eating a piece of cake), the process of inhibiting impulsive behavior is commonly characterized as cognitively active (i.e., actively exerting self-control). Two experiments examined whether motivation for action or inaction facilitates self-control behavior in the presence of tempting stimuli. Experiment 1 used a delay discounting task to assess the ability to delay gratification with respect to money. Experiment 2 used a Go/No-Go task to assess the ability to inhibit a dominant but incorrect motor response to the words ??condom?? and ??sex??. The results demonstrate that goals for inaction promote self-control, whereas goals for action promote impulsive behavior. These findings are discussed in light of recent evidence suggesting that goals for action and inaction modulate physiological resources that promote behavioral execution.     

The role of treatment acceptability in the initiation of treatment for ADHD

Approximately 50% of families of children with ADHD fail to pursue, or adhere to, recommended treatments. The present study examines parent ratings of the acceptability of pharmacological and behavioral treatments for ADHD and the relationships between these ratings and subsequent pursuit of treatment. Fifty-five families whose children received an evaluation for ADHD completed questionnaires and were contacted 3 to 4 months later to assess their pursuit of treatment. Consistent with previous research, parents rated behavior therapy as more acceptable than medication. Parent ratings of medication acceptability significantly predict pursuit of pharmacological treatment, whereas ratings of the acceptability of behavior therapy do not predict pursuit of this treatment. Preliminary analyses found that Caucasian parents' ratings of medication are significantly higher than those of non-Caucasian parents. Furthermore, Caucasian families were more likely to pursue a recommendation for pharmacological treatment than non-Caucasian families. The clinical and research implications of these results are considered.     

The strategic role of language abstraction in achieving symbolic and practical goals

This article addresses the role of linguistic abstraction in the achievement of symbolic and practical goals. Reviewing evidence from laboratory studies, we first elaborate on the power of language as a means of ingroup enhancement or outgroup derogation under different intergroup conditions. We then report several experimental and archival studies that showed how language serves the achievement of different practical goals such as initiating, maintaining, and ending romantic relations, accounting for individual and group decisions, maintaining or obtaining political and gender power, and persuading others. The analysis of open-ended language measures—which represents a methodological thread of the reviewed studies—shows how language is strategically moulded according to individual and group goals in laboratory as well as in real-life contexts. The implications of the interplay among language, cognition, and action are addressed.     

The role of information-processing capacity and goals in attitude-congruent selective exposure effects

Two experiments explored the role of information-processing capacity and strategies in regulating attitude-congruent selective exposure. In Experiment 1, participants were placed under time pressure and randomly assigned to conditions in which either an attitude-expressive or no-information processing goal was made salient. Analyses revealed an attitude-congruent selective exposure effect and indicated that this effect was stronger when an attitude-expressive goal was made salient than when no goal was made salient. In Experiment 2, information-processing goals and time pressure were factorially manipulated. Analyses revealed an attitude-congruent selective exposure effect and indicated that this effect was especially strong when time pressure was high and an attitude-expressive goal was made salient. In both experiments, bias at exposure was found to predict bias at later stages of information processing (attention and memory). Supplementary analyses and data confirmed that the attitude-expressive goal manipulation activated its intended motivational processing strategy.