Reliability of self-reported attachment style in patients with severe psychopathology

Little is known about whether severe psychopathology influences the assessment of self-reported attachment style. Fifty-eight randomly selected adult psychiatric inpatients completed the Experiences in Close Relationship questionnaire (ECR; Brennan, Clark, & Shaver, 1998) and were administered the 24-item Brief Psychiatric Rating Scale (BPRS; Ventura et al., 1993) and the Hamilton Depression Rating Scale (HDRS; Hamilton, 1960) at both admission and discharge. The Structured Clinical Interview for DSM-IV (SCID-I; First, Spitzer, Gibbon, & Williams, 1996) was used to establish Axis I diagnoses. The ECR scales showed good internal consistency and absolute stability both in patients with (n = 24) and without (n = 34) a psychotic disorder. Relative stability was only fair among patients with psychotic disorders but good among patients without psychotic disorders. Neither higher BPRS or HDRS scores, nor the presence of a psychotic disorder, significantly reduced the retest reliability of the ECR scales. These findings suggest that self-report measures might provide a reliable assessment of attachment style in patients with severe psychopathology, except for the most severely impaired patients.     

Assessing Parenting Skills and Attitudes: A Review of the Psychometrics of Parenting Measures

There are many measures that assess parenting skills or practices, such as behavior, beliefs, coping mechanisms, reactions to stress, or discipline. However, little is known about the psychometric quality of these parenting measures. This information is essential for practitioners and researchers to aide in the selection of the most valid and reliable measures to assess parenting behavior or attitudes. This study examined the psychometric quality among parenting measures published from 1985 to 2009. After the initial search 164 measures were identified, but were reduced to 25 measures that supplied some degree of psychometric information, were published in the United States or Canada, and were in English. Measures were compared across numerous categories including respondent type, norming data, administration type, and ten psychometric variables such as internal consistency, content validity, and predictive validity. Out of the 25 measures, seven had no acceptable psychometric properties, seven had only 1–2 acceptable ratings on psychometric properties, six had between 3 and 4 acceptable psychometric ratings, none had between 5 and 6 acceptable ratings, and only five had strong psychometric properties in seven or more of the 10 categories. Likewise, only five measures provided and norming information and 14 measures provided scoring procedures. Implications, limitations, and recommendations for future research are discussed.     

The use of religion in coping with grief among bereaved Malay Muslim parents

The purpose of this study is to explore the influence of religion on bereaved parents after the death of a child. Literature had attempted to understand how religiosity may influence parental grief both in positive and negative ways. However, this area is scarcely explored in the Malaysian context. This qualitative study involved 11 bereaved parents who lost their children due to accidents (n?=?9) and homicide (n?=?2). Open-ended questions that focused on the importance, activities, and role of religion in the grieving process among Malay parents were asked. According to the thematic analysis, some of the main themes found were that the bereaved parents described religion as a beneficial mechanism in helping them to adapt with their losses through various responses that indicated the perception that religion as a guidance. However, other than the positive impact, religiosity can also lead the bereaved parents to experience negative effects of using religion as a coping strategy. The influence of culture is prevalent in the current study as the theme of mystical belief and paranormal experiences were also reported. This study provides some professional implication from the possible use of religion in intervention.     

Bisimulation for Conditional Modalities

We give a definition of bisimulation for conditional modalities interpreted on selection functions and prove the correspondence between bisimilarity and modal equivalence, generalizing the Hennessy–Milner Theorem to a wide class of conditional operators. We further investigate the operators and semantics to which these results apply. First, we show how to derive a solid notion of bisimulation for conditional belief, behaving as desired both on plausibility models and on evidence models. These novel definitions of bisimulations are exploited in a series of undefinability results. Second, we treat relativized common knowledge, underlining how the same results still hold for a different modality in a different semantics. Third, we show the flexibility of the approach by generalizing it to multi-agent systems, encompassing the case of multi-agent plausibility models.     

Effects of Monitoring and Social Reprimands on Instruction-Following in Undergraduate Students

The effects of the magnitude of nonverbal consequences, monitoring, and social consequences on instruction-following were evaluated. Twenty-four undergraduates were exposed to a matching-to-sample procedure. The undergraduates underwent four experimental phases that differed regarding the presence or absence of the observer and the correspondence or non-correspondence of the instructions with the nonverbal contingency. In Experiments 1 and 2, the magnitudes of the nonverbal consequences were manipulated, and in Experiment 3, the effects of verbal reprimands on instruction-following were evaluated. The results revealed that alterations in the magnitudes of nonverbal consequences did not influenced the performances of the participants and that monitoring increased the probability that the participants would follow the instructions but not to an extent sufficient to maintain performance when the consequences did not correspond to the nonverbal contingency. The inclusion of verbal reprimands was necessary to achieve this effect. These results support the proposition that social control is important for maintaining instruction-following.

     

An Exploratory Study of HIV+ Adolescents’ Spirituality: Will You Pray with Me?

The aims of the study were (1) to determine whether adolescents find it acceptable to have physicians explore their spiritual beliefs as part of their medical care, (2) to characterize the role of spirituality and religious beliefs in adolescents with and without HIV, and (3) to examine associations between spirituality/religion and quality of life. Adolescents receiving their medical care at an urban Adolescent Health Clinic completed a study-specific questionnaire about spiritual inquiry by their physician, the Brief Multidimensional Measurement of Religiousness/Spirituality, and the Pediatric Quality of Life Inventory 4.0. Chi-squared analysis, Fischer’s exact test, and t tests were used to assess associations. A total of 45 participants enrolled: 19 HIV+ (53% vertical transmission) and 26 HIV?; mean age 17.2 years; 80% African American. Four out of 45 (9%) had ever been asked by their doctor about their spiritual/religious beliefs, and only 8 (18%) had ever shared these beliefs with their healthcare provider. Most teens wanted their provider to ask them about their spiritual beliefs during some visits, especially when dealing with death/dying or chronic illness (67%). Those with HIV were more likely to endorse wanting their doctors to pray with them (42% vs. 15%), feeling “God’s presence” (Mean = 3.95 vs. 2.83), being “part of a larger force” (Mean = 2.58 vs. 1.69), and feeling “God had abandoned them” (Mean = 1.63 vs. 1.15). There are certain circumstances in which healthcare providers should include a spiritual history with teenage patients. Few differences emerged in the teens studied with and without HIV.     

Priming Effects on Commitment to Help and on Real Helping Behavior

Years of research on bystander apathy have demonstrated that the physical presence of others can reduce the tendency to help individuals needing assistance. Recent research on the implicit bystander effect has suggested that simply imagining the presence of others can lead to less helping behavior on a subsequent unrelated task. The present study was designed to contribute to previous findings on the implicit bystander effect by demonstrating these effects on commitment to help and on real helping behavior, rather than simply on intentions to help. Studies 1a and 1b demonstrate that merely priming participants with the construct of being in a group at Time 1 created significantly less commitment to future helping on a subsequent task at Time 2. Study 2 aimed to extend this effect to behavioral measures and verified that participants exposed to a group prime helped less than those who were exposed to a single-person prime. The implications of these findings for the literature on the bystander effect are discussed.     

Health Literacy,Health Inequality and a Just Healthcare System

Limited health literacy is a pervasive and independent risk factor for poor health outcomes. Despite decades of reports exhibiting that the healthcare system is overly complex, unneeded complexity remains commonplace and endangers the lives of patients, especially those with limited health literacy. In this article, we define health literacy and describe the empirical evidence associating health literacy and poor health outcomes. We recast the issue of poor health literacy from within the ethical perspective of the least well-off and argue that poor health outcomes deriving from limited health literacy ought to be understood as a fundamental injustice of the healthcare system. We offer three proposals that attempt to rectify this injustice, including: universal precautions that presume limited health literacy for all healthcare users; expanded use of technology supported communication; and clinical incentives that account for limited health literacy.