Parenting stress among families of children with attention deficit hyperactivity disorder

Prior research has shown that parenting stress levels can be quite high among families of children with attention deficit hyperactivity disorder (ADHD). This study investigated the degree to which such stress was related not only to the child's ADHD, but also to various other child, parent, and family-environment circumstances. Multimethod assessments were conducted on 104 clinic-referred children with ADHD. Data collected from these subjects were entered into hierarchical multiple-regression analyses, utilizing the Parenting Stress Index as the criterion. The results showed that child and parent characteristics accounted for a substantial portion of the variance in overall parenting stress. The child's oppositional-defiant behavior and maternal psychopathology were especially potent predictors. The severity of the child's ADHD, the child's health status, and maternal health status also emerged as significant predictors. These findings are discussed in terms of their impact upon the clinical management of children with ADHD.The authors are grateful to Mary Maher and Paula Nevins for their assistance in collecting and coding the data. The authors would also like to thank Dr. Kenneth Fletcher for his helpful comments regarding the statistical analyses.     

The development of general competence and domain-specific competencies

The development of competence was studied in a longitudinal sample of 98 children, with measurement points when the children were 7, 10, and 12 years old. Competence was defined in terms of adequate adaptation to developmental tasks, both on a general and on a domain-specijic level. The general form of competence was measured by ego-resiliency, reflecting fexibility and ability to solve developmental problems Domain-specific competencies were measured by school achievement and social preference. The results showed that ego-resiliency was related to the two domain-specific competencies, although the hypothesized causal direction from general competence to specific competencies was not supported. Both domain-specific competencies were found to have a feedback effect on ego-resiliency. This feedback effect was stronger for social preference. These results suggest a transactional relationship between general and domain-specific competencies, and point to the importance of domain-specific competencies (especially social preference by the peer group) in the development of general competence in the child.     

Confidence in expectations: A test of the triangle hypothesis

Kelley and Stahelski's (1970) triangle hypothesis states that competitors hold homogeneous views of others by assuming that most others are competitive, whereas cooperators or pro-social people hold more heterogeneous views by assuming that others are either cooperative or competitive. To evaluate the triangle hypothesis, this study examines differences between pro-socials, individualists, and competitors not only in their expectations about others' choice behaviour, but also in the confidence with which such expectations are held. It was found that pro-social subjects expected more cooperation than individualists and competitors. More importantly, as predicted on the basis of the triangle hypothesis, pro-socials were less confident about their expectations than competitors, with individualists holding intermediate levels of confidence.     

Does the philosophy of medicine exist?

There has been a great deal of discussion, in this journal and others, about obstacles hindering the evolution of the philosophy of medicine. Such discussions presuppose that there is widespread agreement about what it is that constitutes the philosophy of medicine.Despite the fact that there is, and has been for decades, a great deal of literature, teaching and professional activity carried out explicitly in the name of the philosophy of medicine, this is not enough to establish that consensus exists as to the definition of the field. And even if consensus can be obtained as to what constitutes the philosophy of medicine, this does not mean that it exists as a field.     

Neighborhood frequency effects and letter visibility in visual word recognition

Two experiments are described that measured lexical decision latencies and errors to five-letter French words with a single higher frequency orthographic neighbor and control words with no higher frequency neighbors. The higher frequency neighbor differed from the stimulus word by either the second letter (e.g.,astre-autre) or the fourth letter (chope-chose). Neighborhood frequency effects were found to interact with this factor, and significant interference was observed only tochope-type words. The effects of neighborhood frequency were also found to interact with the position of initial fixation in the stimulus word (either the second letter or the fourth letter). Interference was greatly reduced when the initial fixation was on the critical disambiguating letter (i.e., the letterp inchope). Moreover, word recognition was improved when subjects initially fixated the second letter relative to when they initially fixated the fourth letter of a five-letter word, but this second-letter advantage practically disappeared when the stimulus differed from a more frequent word by its fourth letter. The results are interpreted in terms of the interaction between visual and lexical factors in visual word recognition.     

The Additive Factor Method: A differential diagnostic tool in hyperactivity and learning disability

The Additive Factor Method assumes that task performance is the sum of sequential and independent processes. We studied the duration of the central processes (memory search and decision) and the motor decision process in hyperactive and learning-disabled children under socalled divided attention and S-R compatibility conditions. It was found that the learning-disabled were impaired in memory search and decision processes whereas hyperactives were impaired in the motor decision process.The authors wish to thank L. Leertouwer for making the drawings.     

Effects of gaze manipulation on subjective evaluation of neutral and phobia-relevant stimuli. A comment on Drake's (1987) 'Effects of Gaze Manipulation on Aesthetic Judgments: Hemisphere Priming of Affect'

Using neutral stimuli (mushrooms and flowers) and phobia-relevant stimuli (snakes and spiders), the present investigation examined the effect of gaze shifts on subjective evaluation of stimuli in female subjects (N = 29). One group of subjects had to orient to the right, whereas the other group had to orient to the left in order to see the stimuli. When left-handed subjects were excluded from the analysis, the results showed that subjects in the 'orient right' group gave a significantly more positive evaluation than subjects in the 'orient left' group. The results provide a replication of the phenomenon described by Drake (1987).     

Restrained eaters are rapidly habituating sensation seekers

Several authors have pointed to similarities between eating disorders and addictive behaviors. In earlier studies, addicts were found to score high on the Sensation Seeking Scale (SSS) and to habituate rapidly to neutral stimuli. In this study, we found experimental support for an addiction model of eating disorders: restrained eaters also scored significantly higher on the Sensation Seeking Scale and also habituated significantly quicker to a series of neutral stimuli than unrestrained eaters. No clear evidence was found for the hypothesis that restrained eaters score lower on measurements of anxiety. It is hypothesized that rapid habituation promotes sensation seeking, which may be manifested in excessive consumption of either drugs or food. Restraint may be a strategy to prevent negative consequences of sensation seeking and excessive consumption. The model is related to earlier experimental findings.     

An Exploratory Study of Perceived Career Change and Job Attitudes Among Job Changers

The study examined the effects of job change characteristics on perceived career change and attitudes toward the new job. The job change characteristics examined were content of change, magnitude of change, direction of change, volitionality of job choice, and duration of the unemployment period between the two jobs. The subjects were 222 university educated men and women. It was found that perceived career change was firmly related to job change characteristics reflecting both "internal" and "external" career perspectives. After controlling for the direction of change, the magnitude of change had a negative impact on satisfaction with the new job, while the volitionality of job choice and the duration of unemployment were positively associated with job satisfaction. Contrary to expectation, the volitionality of job choice and the duration of unemployment did not increase the commitment to continue in the new job.