Patterns and determinants of attitudes of psychiatric residents toward group therapy

The nature and origins of psychiatric residents' attitudes toward group psychotherapy were assessed by means of a semistructured interview. Subjects were 10 PGY-4 residents from five different residency training programs. Questions focused on subjects' perceptions of the possibilities and limitations of group therapy as a treatment modality, the efficacy and dangers of combined and conjoint treatment, the nature and extent of their training experiences in group approaches, the salient characteristics of their group therapy teachers and supervisors, and the attitudes of faculty about group psychotherapy that they were able to infer. Results suggest enormous variability of residents' attitudes. Hypotheses about the reasons for such variability are offered.     

DSM-III and the revolution in the classification of mental illness

A revolution occurred within the psychiatric profession in the early 1980s that rapidly transformed the theory and practice of mental health in the United States. In a very short period of time, mental illnesses were transformed from broad, etiologically defined entities that were continuous with normality to symptom-based, categorical diseases. The third edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-III) was responsible for this change. The paradigm shift in mental health diagnosis in the DSM-III was neither a product of growing scientific knowledge nor of increasing medicalization. Instead, its symptom-based diagnoses reflect a growing standardization of psychiatric diagnoses. This standardization was the product of many factors, including: (1) professional politics within the mental health community, (2) increased government involvement in mental health research and policymaking, (3) mounting pressure on psychiatrists from health insurers to demonstrate the effectiveness of their practices, and (4) the necessity of pharmaceutical companies to market their products to treat specific diseases. This article endeavors to explain the origins of DSM-III, the political struggles that generated it, and its long-term consequences for clinical diagnosis and treatment of mental disorders in the United States.     

Prevalence of DSM-III conduct and adjustment disorders for adolescent psychiatric inpatients

The prevalence of DSM-III conduct and adjustment disorders in two adolescent psychiatric facilities, both located near large U.S. cities, was investigated. Overall, 31.6% of the adolescent inpatients were conduct disordered while 12.5% were adjustment disordered. The conduct disorders were primarily "aggressive" subtypes suggesting that this characteristic may influence hospitalization and diagnostic decisions. Such data on prevalence assists future treatment planning, allowing anticipation of case loads.     

Young adults' media use and attitudes toward interpersonal and institutional forms of aggression

Links between media violence exposure and favorable attitudes toward interpersonal violence are well established, but few studies have examined whether associations extend to include favorable attitudes toward institutional forms of aggression. Studies on this topic have not assessed multiple forms of media use and statistically controlled for individual characteristics likely to influence attitudes beyond sociodemographic information. In this study, undergraduate students (N=319) aged 18-20 years (56% male) completed a survey assessing media use (number of hours per week spent playing videogames, watching movies/TV shows, watching TV sports) and attitudes toward interpersonal violence, punitive criminal justice policies, and different types of military activities (preparedness/defense and aggressive intervention). Greater number of hours spent watching TV contact sports was associated with more favorable attitudes toward military preparedness/defense, aggressive military intervention, and punitive criminal justice policies among men independently of parental education, lifetime violence exposure within the home and community, aggressive personality, and constrained problem solving style. Greater number of hours spent watching violent movies/TV was associated with more favorable attitudes toward military preparedness/defense among men and with more favorable attitudes toward interpersonal violence and punitive criminal justice policies among women, but these associations became non-significant when adjusting for covariates.     

Attitudes toward homosexuality: Feminist attitudes and sexual conservatism

Attitudes toward homosexuality, attitudes toward women, sexual conservatism, social desirability, masculinity, femininity, and psychological androgyny were measured in 104 male and female subjects. Both nonfeminist and conservative sexual attitudes independently correlated with antihomosexual attitudes. Antihomosexual individuals held more stereotyped attitudes regarding women and defined acceptable heterosexual behaviors more narrowly than prohomosexual individuals. Psychological androgyny, measured with Bem's Sex-Role Inventory, did not correlate with either attitudes toward homosexuality or attitudes toward women.     

Suicidal ideation and attitudes toward suicide

Although hopelessness and depression are known risk factors for suicide, most individuals who are hopeless or depressed never make a suicide attempt. In this study, we tested the hypothesis that college students' (n = 230) attitudes toward suicide (the degree to which they see it as an acceptable option under some circumstances) would moderate the link between both hopelessness and depressive symptoms and their levels of suicidal ideation. This moderation hypothesis was supported, but only among men. Specifically, among men, levels of hopelessness and depressive symptoms were significantly related to suicidal ideation among only those with relatively positive attitudes toward suicide.     

Sports ideology,attitudes toward women,and anti-homosexual attitudes

The present work tests the associations of sports ideology with sexist and anti-homosexual attitudes in a sample of 304 college students. It was found that sports ideology is positively associated with sexist and anti-homosexual attitudes, but only among males. Among females only sexist attitudes were associated with negative attitudes toward gays and lesbians. Among males, the link of sports ideology to anti-homosexual attitudes was independent of sexist beliefs. Reciprocal causal influences between sexist attitudes and sports ideology are discussed.     

Hispanic and majority student attitudes toward forcible date rape as a function of differences in attitudes toward women

Less rejecting attitudes toward forcible date rape are related to more traditional attitudes toward women, as measured by the Attitudes Toward Women Scale (G. J. Fischer, “College Student Attitudes Toward Forcible Date Rape. I. Cognitive Predictors,” Archives of Sexual Behavior, 1986, 15, 457–466). Does this relation reflect more traditional or more negative attitudes toward women? If the former, then an ethnic minority having still more traditional attitudes toward women (than the nonethnic majority), also should be less rejecting of forcible date rape. This hypothesis was assessed by surveying attitudes of bicultural and bilingual Hispanic, other self-reported Hispanics, and nonethnic majority college students from a large introductory sociology class in a large Southwestern university. Results showed that Hispanics, overall, (1) had more traditional attitudes toward women than nonethnic majority and (2) as hypothesized, had less rejecting attitudes toward forcible date rape. However, these effects were not a simple function of ethnicity, at least not for males. For example, bicultural and bilingual Hispanic males were least likely to blame the male for the forcible date rape, but were no less rejecting of such behavior than other Hispanic males and had no more traditional attitudes toward women than other Hispanic or majority males. Bicultural and bilingual Hispanic females, on the other hand, were most likely to blame the male, had the least rejecting attitudes toward date rape, and had the most traditional attitudes toward women. one interpretation is that exposure to less restrictive sex roles of the majority culture is a liberating influence on Hispanic females, but not on Hispanic males who, perhaps, see more liberal attitudes toward women as having no or even negative payoff. Differences found between Hispanics who are bicultural and bilingual and other self-reported Hispanics suggest that these groups should not be combined, and that a research sample needs to be defined more specifically than “Hispanic.”     

Adolescent attitudes toward designer jeans: further evidence

The classical conditioning theory of learning was used to predict the attitudes of junior high students toward spending for designer jeans. Two groups of junior high (mean age = 13.3 years) home economics students (N = 44) viewed and responded to four slides of designer or status jeans and four slides of nondesigner jeans. In addition, half the subjects were exposed to designer hangtags, and half were not. Thus, the design of the experiment was a mixed model two X two analysis of variance. In accord with recent research on designer jeans, it was predicted and found that junior high students were likely to say that in comparison to the nondesigner jeans, they would spend more for the designer jeans, select them more often as gifts, and purchase them more often for themselves. It also was found that the junior high students were more likely to say they would select a pair of jeans as a gift when the hangtags were present but were more likely to say they would purchase the jeans for themselves in the absence of the hangtags. There were no interactions. Classical conditioning theory is used to explain the results and to offer avenues for further research.