Systemic crisis intervention as a response to adolescent crises: an outcome study

The present study demonstrates the safety and effectiveness of an outpatient program designed to respond to adolescent-precipitated crises by mobilizing and restructuring the family's kinship system. Families of 75 adolescents at risk for hospitalization were followed up to 24 months after treatment with Systemic Crisis Intervention. Measures of offspring and family functioning, suicidal behavior, institutional use, and treatment costs are presented. Results clearly demonstrate the safety, effectiveness, and economic viability of Systemic Crisis Intervention.     

Using tutoring systems to study learning: An application of HyperCard

HyperCard was used to develop a simplified tutoring system whose principles were based on a learning theory, and a genetics tutoring system was evaluated experimentally. Learning was studied by examining immediate versus delayed feedback after an error was made. Such tutoring systems aid in psychological studies of learning, because experimental variables can be easily manipulated. HyperCard provides a good vehicle for tutoring system development, since it requires no extensive programming skills.     

Adolescent suicide attempters presenting to a pediatric facility

This study profiles the characteristics of adolescent suicide attempters and the treatment they received in a pediatric emergency room (ER). A retrospective chart review of 4,072 adolescents seen in the ER at a children's hospital (CH) from July 1984 to June 1985 was undertaken. Twenty-seven adolescents who had deliberately injured themselves were identified. The average age was 14 years 7 months (range 11-19 years). Fifty-two percent of the patients were white and 78% were female. Ingestion was the most common method (78%), followed by attempted hanging (11%), and wrist laceration (7%). After evaluation by a pediatrician in the ER, 30% of the patients were treated and released, 11% were transferred directly to a psychiatric hospital, and 59% were admitted to the CH, with an average hospital stay of 1.88 days. Once hospitalized, consultations from psychiatry (81%), social service (50%), psychology (19%), and neurology (6%) were obtained. At the time of discharge from either the ER or CH, the patients had a variety of plans for ongoing care, with 52% being referred to outpatient counseling, 37% being transferred to a psychiatric hospital, and 11% having no documented plan for ongoing care. These results demonstrate that the evaluation of suicidal adolescents cared for in a pediatric facility may be episodic and suggest the need for a comprehensive program to approach the problem.     

Students' attitudes toward university health services

This study measured students' attitudes toward a university's student health services (SHS) and identified factors that were related to their attitudes. A questionnaire surveying students' attitudes was administered to a sample of 150 students at the Oxford Campus of the University of Mississippi. Analysis of the data revealed that students' attitudes had a statistically significant correlation with the following variables: perceived medical care cost, amount of health information/education received during medical encounters, time spent in the waiting room of the SHS, sex of the student, and income of the student. There was no significant relationship between attitude and age.     

Attitudes to new technology in relation to social beliefs and group memberships: A preliminary investigation

Though the term “new technology” is widely used and discussed, there has been very little systematic study of attitudes to technology and their relation to other beliefs and group memberships. This article describes an initial investigation into the nature of attitudes towards new technology (n=534 undergraduates) and demonstrates that, as yet, these attitudes are only weakly structured and are not fully integrated with other social beliefs. General evaluations of the benefits of technological advance appear to be almost unrelated to beliefs about the inevitability of these advances or the desire to acquire training to deal with them. Contrary to popular expectations, evaluations of video games are unrelated to other beliefs about technology while other social beliefs are, as yet, only weakly integrated with these attitudes. This study also identifies gender differences in the assessment of potential benefits and highlights other differences attributable to academic group memberships. These finding are discussed with reference to the literature on sex-role stereotyping and group socialization processes.     

Norms for employed daughters' and sons' behavior toward frail older parents

This study examined whether norms that concerning assisting frail older parents were different for daughters than for sons when the adult children are members of dual-earner couples. Data were gathered by telephone interviews from a probability sample of 315 adults residing in western Alabama. Of the 18 statements presented, statistically significant differences between the expectations for daughters and sons occurred in only three cases (help with housework, meal preparation, and yard work), suggesting substantial support for norms of equalitarianism. Further, there were few differences between the expectations held by females and by males for daughters and sons. Generally, the results suggested strong support for behaviors that facilitate the independent living of both adult children and their frail older parents.The authors acknowledge with thanks the assistance of the University of Alabama's Capstone Poll, which collected the data for this study.     

Book reviews

Current Psychology -     

Effective functioning in dual-career families: an investigation

This study is concerned with the commonalities inherent in diverse psychotherapeutic strategies, despite seemingly discontinuous theoretical stances. Two approaches were evaluated with respect to effective family functioning, viz. Analytical Psychology and Systems Theory. Analytical Psychology posits the growth of conscious awareness in the individual as the source of therapeutic change. Problem centred systems therapy of the family emphasizes the importance of teaching clinically presenting families to negotiate collectively family rules and expectations and thus to allocate and monitor roles via clear and direct verbal communication. Both positions thus stress the reflective mode as a pivotal factor in effective problem solving. Analytical psychology maintains that conscious awareness expands to the extent that the individual integrates the contrasexual aspect of the personality, that is, the affective, expressive mode or 'feminine principle' in the male, or the instrumental, assertive 'masculine principle' in the female. Such individuals are said to be 'androgenous'. It was therefore hypothesized that such individuals would more readily be able to negotiate family rules and expectations in a manner consistent with a major therapeutic thrust of family therapy. These clinically derived hypotheses were subjected to an empirical test by assessing twenty, non-clinical, dual-career families where both parents pursued careers and were therefore presumably both required to share instrumental and affective roles on the basis of mutual agreement. Results indicated that negotiation contributed significantly to successful role fulfilment and effective family functioning, thus substantiating the focus of family therapy strategies upon clear and direct communication and role allocation.