Abuse and neglect of adults with mental retardation in different residential settings

Eighty-two per cent of all cases of abuse or neglect of an adult with mental retardation substantiated by the Abuse Investigation Division of the Connecticut Office of Protection and Advocacy for Persons with Disabilities over a five-year period occurred in the victim's residence. Chi square analyses revealed that there was significantly more abuse in institutions and group homes and significantly less in the individual's own home. Furthermore, analyses revealed that there was significantly more personal neglect in group homes and community training homes and significantly less in own homes. The results were discussed and recommendations made regarding ways of reducing abuse and neglect.     

Stress and family support as predictors of distress and rejection in people who care for a relative with schizophrenia

Relatives (N=121) of adult schizophrenia patients were interviewed to investigate predictors of their level of psychological distress and of rejecting attitudes toward the sufferer. The relatives' total stress, particularly that associated with poor communication skills in the sufferer, predicted several measures of their psychological distress, and the same variables plus turbulence of sufferer behavior (i.e., violence and disruptiveness) predicted rejection of the sufferer by the relative. In each case, adequacy of family support moderated the influence of the stressors, although this effect was more marked for distress outcomes than for rejection. The results have important implications for the sorts of professional and peer support which relatives may need to encourage their performance of this potentially burdensome role. In addition, the results fit a classic stress management model and provide a feasible alternative to the Expressed Emotion Model of the relationship between relatives' rejection and patients' illness severity.     

The patient-physician relationship and the allocation of scarce resources: a law and economics approach

Patients with insufficient financial resources place physicians in a conflict of interest between the patients' needs and the financial interests of the physician, other patients, and society. Not only must physicians act ethically, but they must avoid liability for violating their legal duties to their patients. The traditional rules of contract and malpractice law that govern the patient-physician relationship do not provide satisfactory guidelines. Better answers are found in the rules of fiduciary law, but only with regard to direct conflicts between patients and physicians and only at the risk of reducing patient access to care. Certain types of legislative action can resolve these conflicts by altering the traditional legal rules, but care must be taken to preserve patient-physician trust, which the legal rules were designed to enhance.     

Multimethodological approach to examining risk-taking

Research on risk-taking behavior has shown to yield inconsistent findings. Three studies were conducted using four different analysis techniques. The first study used a phenomenological approach and qualitative analysis to gain an understanding of risk-taking. A model of factors relating to risk-taking was developed and tested in a second study. The third study was conducted to develop scales of risk and used magnitude estimation and multidimensional scaling techniques. Results from the studies confirmed the multidimensionality of the construct of risk-taking. Also indicated was a gender difference in risk-taking behavior and perception. These studies expand our knowledge of risk-taking behavior in that 1) a method of categorizing risks was developed, 2) gender similarities and differences in risk-taking were explored, and 3) perceived magnitude and underlying dimensions of risk were developed.     

Meaning dominance norms for 120 homographs

Over the past two decades, homographs have been used in psychological experiments aimed at testing a variety of theoretical issues concerning memory and language. Often, such research requires prior knowledge of the dominance relations among various meanings of the homographs. Previously available homograph meaning norms are limited because they are now more than 10 years old, and they have typically reported only the two most dominant meanings even though many homographs have three or more common meanings. This paper presents normative data on 120 homographs from a relatively large, heterogeneous sample of subjects (N = 100). Meaning dominance was assessed by having subjects write the first definition that came to mind for each homograph. Definition responses were grouped by similarity, and the resulting meaning categories were verified against dictionary meaning classifications. The number of distinct meanings varied from two to six for the homographs investigated, and frequency of response is reported for all definition categories.     

Teaching the Rescorla-Wagner model using STELLA-II

Although the Rescorla-Wagner model is widely taught in learning courses, most textbooks present a simplified version that does not contain all of its parameters. On the basis of Rescorla and Wagner 1972) and the Turbo PASCAL program by Lachnit, Schneider, Lipp, and Kimme! (1988), we created a simulation using STELLA-II, an icon-based program by High Performance Systems, Inc. We argue that this simulation facilitates teaching the complete Rescorla-Wagner model. Using trans-switching (Kimmel & Ray, 1978; Lachnit, 1986; Murrin & Kimmel, 1986) as an example, we demonstrate the effectiveness of the STELLA-II version of the Rescorla-Wagner model as a heuristic tool.