INCREASING CALORIE CONSUMPTION IN CHILDREN WITH CYSTIC FIBROSIS: REPLICATION WITH 2-YEAR FOLLOW-UP

Three mildly malnourished children with cystic fibrosis and their parents participated in a behavioral group-treatment program that focused on promoting and maintaining increased calorie consumption. Treatment included nutritional education, gradually increasing calorie goals, contingency management, and relaxation training, and was evaluated in a multiple baseline design across four meals. Children's calorie intake increased across meals, and total calorie intake was 32% to 60% above baseline at posttreatment. Increased calorie consumption was maintained at the 96-week follow-up (2 years posttreatment). The children's growth rates in weight and height were greater during the 2 years following treatment than the year prior to treatment. Increases in pace of eating and calories consumed per minute were also observed 1 year posttreatment. These findings replicated and extended earlier research supporting the efficacy of behavioral intervention in the treatment of malnutrition in children with cystic fibrosis.     

Procedural fairness and self-esteem

We argue that people's self-esteem is affected by the fairness of procedures to which they are subjected; unfair treatment will lower self-esteem. Moreover, since this influence on self-esteem is presumably due to the implicit evaluation expressed by the choice of procedure and hence by the evaluation expressed by the person implementing the procedure, people's concern with the fairness of treatment will be focused on the interactional aspects of the procedure. In two experiments designed to test these hypotheses subjects received either a high or a low grade on an ability test on the basis of either fair or unfair grading procedures. The results of Experiment 1 indicated that subjects' self-esteem was lower after unfair treatment, and this influence was only apparent when subjects received high test feedback. Additionally, ratings of the fairness of the interaction were lower following unfair grading procedures. Experiment 2 also manipulated level of involvement with the test. Self-esteem was affected by procedural fairness and procedural fairness influenced perceived fairness of the interaction only in the high involvement condition.     

Racial bias and the MCMI

We studied the scores obtained on the Millon Clinical Multiaxial Inventory (MCMI) by Black and White male psychiatric inpatients to determine the presence or absence of racial bias. In predicting psychopathology for the two races, comparisons of MCMI performance indicated significant differences for all diagnoses except the personality disorders. The subjects were then matched into two groups of 209 patients each, according to DSM-III psychiatric diagnoses. The data were analyzed at the item, scale, and structural levels. At the item level, application of the Mantel-Haenszel Procedure revealed that 45 of the 175 items of the inventory were answered significantly different by the two racial groups. Because this number was higher than what could be expected by chance, the finding suggested possible deficiencies in terms of the culture-fairness of the items used in the test. At the scale level, an analysis of variance (ANOVA) demonstrated that the scores obtained by the Black and White groups were significantly different in 9 of the 20 scales (Histrionic, Narcissistic, Antisocial, Paraphrenia, Hypomania, Dysthymia, Alcohol Abuse, Drug Abuse, and Psychotic Delusion). With the exception of the Dysthymic scale, all of the differences were in the direction of the Blacks obtaining a higher score than the Whites. At the structural level, however, a principal components factor analysis performed on each group resulted in factor structures that looked identical.     

Minority influence and social categorization

In this article, a theoretical distinction is proposed between representative outgroup minorities (representative of a minority category in the society, e.g. gays) and dissident outgroup minorities (defined as a minority subgroup within a larger outgroup category). Two studies are reported comparing the social influence of dissident outgroup minorities with that of ingroup minorities (belonging to the subject's own social category). It was predicted that a position advocated by a dissident outgroup minority would be more readily accepted than that of an ingroup minority, but that the ingroup minority would be more likely to elicit the generation of new, alternative solutions. A first experiment in which subjects were either exposed to an ingroup minority, an outgroup minority, or no influence source confirmed these predictions. In a second experiment, subjects were either exposed to a majority or to a minority source either belonging to the subject's own social category or to the outgroup. The results indicate that the position of an ingroup majority was readily accepted whereas the otherwise identical message of an outgroup majority was rejected; neither ingroup nor outgroup majority stimulated the development of alternative proposals. Again, in line with Nemeth' (1986a) theory, the position of an ingroup minority was rejected but stimulated the generation of new, alternative proposals. The differential role of social category membership in minority and majority influence and the applicability of Nemeth' (1986a) theory to the attitude change area are discussed.     

An on-line assessment of causal reasoning during comprehension

Fletcher and Bloom (1988) have argued that as readers read narratives, clause by clause, they repeatedly focus their attention on the last preceding clause that contains antecedents but no consequences in the text. This strategy allows them to discover a causal path linking the text's opening to its final outcome while minimizing the number of times long-term memory must be searched for missing antecedents or consequences. In order to test this hypothesis, we examined the reading times of 25 subjects for each clause of eight simple narrative texts. The results show that: (1) causal links between clauses that co-occur in short-term memory (as predicted by the strategy) increase the time required to read the second clause; (2) potential causal links between clauses that never co-occur in short-term memory (again as predicted by the strategy) have no effect on reading time; and (3) reinstatement searches are initiated at the end of sentences that are causally unrelated to the contents of short-term memory or that contain clauses that satisfy goals no longer in short-term memory. These results support the claim that subjects engage in a form of causal reasoning when they read simple narrative texts.