The making of an adolescent clinic

This paper addresses the nationwide need for comprehensive health care services directed toward adolescents, outlining a multidisciplinary team program designed to provide such services. The national problem of teenage pregnancy is discussed, and the multidisciplinary team's success with family planning counseling is described. The authors strongly encourage the development of more school- or community-based clinics based on a comprehensive health care team model.     

When a compliance without pressure strategy fails due to a minority dissenter: A case of “behavioral conversion”

While a strategy of compliance without pressure (Joule, 1987) had the effect of inducing almost all of a group of smoking subjects to stop smoking first for 18 hours then for 3 days, simply observing someone (an accomplice) break his or her own initial agreement to abstain from smoking for 18 hours was enough to bring about a substantial reduction in the willingness of other subjects to later abstain for 3 days. However, subjects did not follow the lead of the accomplice immediately, and persisted in their agreement to abstain for 18 hours. This pattern of indirect, but not direct influence, suggests that there may be a type of minority influence at work here that represents a sort of behavioral conversion.     

THE STATE OF PSYCHOLOGY IN CATALONIA*

The major features of comtemporary psychology in Catalonia, a principality of Spain, are described. Training, licensing, and employment are explored within the context of recent regional advancements in the discipline of psychology. These advances are viewed from an historical perspective in which recent progress in psychology in highlighted against a backdrop of political reforms emerging out of the new Spanish democratic constitution and the consignment of educational/professional development and oversight to the autonomous State Government of Catalonia.     

Parent vs. Self-Report: Contributions Toward Diagnosis of Adolescent Psychopathology

Assessment of psychopathology in adolescents can be complicated due to uncertainties about who should be considered the primary informant. While a multimethod, multiinformant approach to assessment allows for a thorough assessment, it can also result in contradictory findings. The purpose of this study was to use a sample of 121 adolescents to investigate issues of parent-adolescent agreement on behavior rating scales and a structured diagnostic interview. Additionally, this study evaluated whether adolescent report offers unique information to the assessment beyond the parent's report. The sample included both normal controls and adolescents who met criteria for diagnosis of an Internalizing or Externalizing disorder based on the DSM-IV criteria. Agreement between parents and adolescents on the Diagnostic Interview for Children and Adolescents—Revised (DICA-R) was low for ADHD (39.4%) and Externalizing Disorders (41.1%) and moderate for Internalizing Disorders (56.6%). A significant difference was found between the number of ADHD symptoms reported, with parents reporting more symptoms (M = 9.42) than adolescents (M = 8.34). Regression analysis indicated that the adolescent completed Youth Self-report (YSR) contributed unique information beyond the parent completed measures in predicting both the adolescent and the parent interviews for Internalizing Disorders. This finding emphasizes the need to continue to collect self-report information, especially when assessing Internalizing disorders, which inherently contain symptoms indicating high-risk behaviors such as suicide ideation.     

The Role of Lay Health Advisors in Cardiovascular Risk Reduction: A Review

Interventions are needed to reduce the negative impact of cardiovascular disease. The combination of health risks for disease, disability, and mortality, particularly among underserved populations, might be best addressed with programs designed to enhance awareness and development of resources within a context of community support. The objectives of this review were to: (1) provide a comprehensive review and evaluation of the roles, evaluation, and effectiveness of LHA in community-based programs with an emphasis on cardiovascular risk reduction; and (2) provide recommendations for future research involving LHA in such programs. Computer and manual searches were conducted of articles in the English-language literature from 1980 to 2007. Twenty articles were evaluated, which emphasized the role of the LHA in cardiovascular risk reduction. A review of research literature provides a starting point for determining salient approaches for intervention and evaluation, issues related to program implementation and sustainability, and strengths and limitations of existing approaches.     

Life-after-death beliefs and self motivations

An experimental study was designed to ascertain whether three self-motives (death-thoughts avoidance, self-uncertainty reduction, and need-for-control) are irreducible motives or examples of a more basic primary motive with regard to their relationship to life-after-death (LAD) beliefs. The study explored the impact of the three self-motives on adherence to LAD beliefs through three mediators: self-esteem, feelings of disquiet, and thoughts-accessibility (thoughts of death, need-for-control, and uncertainty). Participants were randomly assigned to write about their own death, a time they felt uncertain, a time they felt powerless, or about a toothache episode. The mediators (accessibility of disturbing thoughts, feelings of disquiet-uncertainty, and self-esteem) were measured next. The dependent variable selected was endorsement of LAD beliefs. Results showed that the cognitive and emotional responses produced by the activation of the three motives were similar. The three motives increased the accessibility of uncertain-related thoughts that, in turn, increased the adherence to LAD.     

Delay discounting of different outcomes: Review and theory

Steep delay discounting is characterized by a preference for small immediate outcomes relative to larger delayed outcomes and is predictive of drug abuse, risky sexual behaviors, and other maladaptive behaviors. Nancy M. Petry was a pioneer in delay discounting research who demonstrated that people discount delayed monetary gains less steeply than they discount substances with abuse liability. Subsequent research found steep discounting for not only drugs, but other nonmonetary outcomes such as food, sex, and health. In this systematic review, we evaluate the hypotheses proposed to explain differences in discounting as a function of the type of outcome and explore the trait- and state-like nature of delay discounting. We found overwhelming evidence for the state-like quality of delay discounting: Consistent with Petry and others' work, nonmonetary outcomes are discounted more steeply than monetary outcomes. We propose two hypotheses that together may account for this effect: Decreasing Future Preference and Decreasing Future Worth. We also found clear evidence that delay discounting has trait-like qualities: People who steeply discount monetary outcomes steeply discount nonmonetary outcomes as well. The implication is that changing delay discounting for one outcome could change discounting for other outcomes.     

Using Racial Identity Theory to Explore Racial Mistrust and Interracial Contact Among Asian Americans

The purpose of this study was to examine the use of racial identity attitudes as predictors of racial mistrust (perceived interpersonal racism) of African Americans and other racial contact variables among Asian Americans. A packet consisting of the Visible Racial/Ethnic Group Members (VREG) Identity Attitudes Scale, Cultural Mistrust Inventory, Marlow‐Crowne Social Desirability Scale, Racial Contact Scale, and a demographic data sheet was administered to 160 participants. Hierarchical regression analyses showed that racial identity attitudes significantly predicted racial mistrust, overall group impression, 4 racial stereotypes, and 2 quality of racial contact variables in ways consistent with racial identity theory. Implications of the findings for Asian American psychology, counseling, and race relations research are discussed.     

Functional analysis and operant treatment of food guarding in a pet dog

The present study extended functional analysis (FA) methodology to human-directed resource guarding in a dog in an in-home setting. The subject underwent four conditions including control, attention, escape, and tangible, arranged in a modified FA. The results indicated multiply controlled resource guarding (i.e., escape, attention, and tangible functions). The experimenter then conducted a treatment evaluation involving three function-based treatments in a concurrent multiple baseline design. Resource guarding decreased to zero levels in treatments for each maintaining contingency. Treatment effects were maintained when the subject was tested with an owner, with an untrained handler, a highly preferred treat, in an untrained setting, as well as after 2 weeks in the absence of training. Behavior analytic techniques may hold promise for lasting behavior change for resource guarding in domestic dogs, and should be examined in other populations and with other canine problem behavior.