Family-centered intensive case management: A step toward understanding individualized care

New York State's initial attempt at individualizing services occurred within the context of an experiment. We randomly assigned children 5–12 years old who were referred for out-of-home placement in treatment foster care to either treatment foster care, Family-Based Treatment (n=15), or to Family-Centered Intensive Case Management (FCICM) (n=27). FCICM used teams of case managers and parent advocates to provide in-home services. Flexible service dollars, respite care, and behavior management skills training were available to assist teams in individualizing care. Preliminary outcomes indicate that children in FCICM are doing as well or better than children assigned to FBT in their functioning and symptom reduction. Parents of children in FCICM have made gains, although not at a statistically significant level, in behavior management skills and family strengths that allow them to provide care for their children at home.     

Matching adolescents with foster mothers and fathers: An evaluation of the role of temperament

We tested the notion that better foster care adjustment would be observed when the temperaments of mothers and fathers were matched with those of adolescent foster children. We hypothesized that families in which foster parents and foster children had high (easy) scores on subscales of the Revised Dimensions of Temperament Scale (DOTS-R) would also report higher family functioning and higher foster care adjustment than parents and children from families in which one or both family members had low (difficult) scores on these scales. The hypotheses were supported when the mothers and fathers family assessments were used but rejected when the observations of the case managers and adolescents were tested. Methodological and substantive explanations for the findings are discussed and recommendation for foster care practice and continuing research are provided.     

Marketing human organs: The autonomy paradox

The severe shortage of organs for transplantation and the continual reluctance of the public to voluntarily donate has prompted consideration of alternative strategies for organ procurement. This paper explores the development of market approaches for procuring human organs for transplantation and considers the social and moral implications of organ donation as both a “gift of life” and a “commodity exchange.” The problematic and paradoxical articulation of individual autonomy in relation to property rights and marketing human body parts is addressed. We argue that beliefs about proprietorship over human body parts and the capacity to provide consent for organ donation are culturally constructed. We contend that the political and economic framework of biomedicine, in western and non-western nations, influences access to transplantation technology and shapes the form and development of specific market approaches. Finally, we suggest that marketing approaches for organ procurement are and will be negotiated within cultural parameters constrained by several factors: beliefs about the physical body and personhood, religious traditions, economic conditions, and the availability of technological resources.     

On observing: The use of the Carkhuff HRD model in writing psychological reports

Discusses the process of observation and presents a systematic approach for incorporating behavioral observations into evaluations and written psychological reports. The approach is based on Robert Carkhuff's Human Resource Development Model, which combines the psychologist's attending and responding skills to explore where clients are, personalizing skills to understand where they need to be, and initiating skills to act on these goals. Using this framework and drawing on the experiences of the authors, several principles of report writing are discussed. The paper presents specific steps and skills which can be used to determine where a client is functioning in a variety of areas and to communicate this understanding to others. Examples are provided to illustrate the principles and steps described.     

An alternative perspective on sex differences in organizational settings: The process of legitimation

This article takes a sociological approach to a problem that has usually been considered as a psychological phenomenon. It addresses the problem of male—female interactions in work situations utilizing the organizational concepts of division of labor and legitimacy. Traditional explanations evoking sex-role socialization are reviewed and rejected for purposes of experimentation and intervention. An alternative argument, focusing on the structural arrangements of organizational settings, is presented as an explanation for behavioral effects previously attributed to inherent sex differences. The results of a pilot study are briefly described, and directions for further experimentation and possible intervention strategies are suggested.The bibliographic search and initial conceptualization of this research was supported by a grant from the Ford Foundation under the auspices of the Center for Research on Women at Stanford University. We are grateful to Miriam Rosen for much of the bibliographic work. The pilot study was supported in part by funds from the Guggenheim Foundation and by a grant from the Spencer Foundation. We also wish to thank Richard Torres and Christie Timberlake for their invaluable assistance on this project.     

Visual field differences in verbal tasks: Effects of task familiarity and sex of subject

Four experiments using normal subjects investigated differences in magnitude of the right visual field (RVF) superiority as a function of word material (frequency and concreteness/imageability status), nonword letter strings (some of which were homophonic with nonpresented real words), and type of task (overt naming or lexical decision with discriminatory manual responses) as well as sex of the subject and the subject's familiarity with the material. Both latency and error measures showed that RVF superiority was more consistent when overt naming was required and with male subjects. For female subjects engaged in lexical decisions, a left visual field (LVF) superiority was often apparent, especially in the first half of an experimental sequence; when actually naming the items aloud, they showed field asymmetries similar to males. Except from an analysis of errors, there was little evidence to support differential right hemisphere mediation of high frequency concrete/imageable materials. It is suggested that in females, right hemisphere space normally reserved for visuospatial processing may have been invaded by secondary speech mechanisms. These mechanisms appear to operate at an essentially lexical level and may act in a supportive or auxiliary capacity for difficult or unfamiliar material; they seem to be equally concerned with both phonological and graphological processing and may account for the well-known female superiority in verbal tasks and inferiority in visuospatial tasks. Other findings are discussed such as the degree of consistency of the field differences, both for the same subjects and for the same stimulus materials under different task requirements and experimental conditions.     

Microprocessors in the laboratory: Dedicated computation and time-shared peripherals with REMOTE-11

This article describes a new solution to the dilemma faced by investigators who need dedicated computers but cannot afford the cost of expensive peripherals. An available software-hardware combination is described that permits users to timeshare expensive peripherals but to have a dedicated microprocessor at their disposal.     

A feature-integration theory of attention

A new hypothesis about the role of focused attention is proposed. The feature-integration theory of attention suggests that attention must be directed serially to each stimulus in a display whenever conjunctions of more than one separable feature are needed to characterize or distinguish the possible objects presented. A number of predictions were tested in a variety of paradigms including visual search, texture segregation, identification and localization, and using both separable dimensions (shape and color) and local elements or parts of figures (lines, curves, etc. in letters) as the features to be integrated into complex wholes. The results were in general consistent with the hypothesis. They offer a new set of criteria for distinguishing separable from integral features and a new rationale for predicting which tasks will show attention limits and which will not.     

A twin study of personality and temperament during middle childhood

In a study of 105 same-sex twin pairs, ages 7 to 10 years, maternal ratings on 23 bipolar scales yielded six factors designated as compliant morality, applied cognitive, sociability, emotionality, tough-mindedness, and activity-distractibility. Analyses by twin pairs (68 identical, 37 fraternal) indicated that correlations for identical pairs were significantly higher than fraternal pairs on all but one factor: tough-mindedness. Profile analyses for the six factors indicated that the profiles of scores across the factors were more concordant for the identical twin pairs. Correlations obtained from the individual scales produced differences between the identical and fraternal twin pairs as well. Overall, the data suggested that several components and the total organization of those components of personality and temperament are genetically influenced.