Testing Theoretical Explanations of Intention to Seek Care for a Breast Cancer Symptom1

The purpose of this research was to test theoretical explanations of intention to seek care promptly for a breast cancer symptom. Psychosocial variables (affect, expectations, values, and norms), habit, and facilitating conditions (e.g., insurance) regarding care seeking were proposed to influence intention to seek care promptly. Whether psychosocial variables and habit influenced intention directly or in interaction with facilitating conditions remained unclear. Other variables (i.e., clinical and demographic) were proposed to influence intention by mediation through the theoretical variables. Community-dwelling women without history of breast cancer (N= 99) responded to a questionnaire to assess study variables. In a hierarchical set regression, intention was first regressed on psychosocial variables, habit, and full insurance coverage for care, then on terms representing interactions of insurance coverage with psychosocial variables and habit, and lastly on clinical and demographic variables. Findings revealed that (a) anxiety (measure of affect), utility, (the product of expectations and values), and habit were related to intention, (b) having full insurance coverage did not moderate these relationships, and (c) after controlling for theoretical variables, family history of breast cancer was related inversely to intention. Implications for theory, research, and practice are delineated.     

Sexual assault history and use of health and mental health services

A history of sexual assault may be associated with increased current use of mental health and medical services because of the psychologically and physically disruptive consequences of assault. To test this hypothesis, we estimated rates of mental health and medical services use among 2560 randomly selected community residents, 343 of whom had been sexually assaulted. Sexual assault was associated with seeking both forms of care. Controls for demographic variables, psychiatric diagnosis, health status, and insurance suggested that assault increases use indirectly, through poor mental and physical health. Uninsured, assaulted respondents were especially likely to consult medical providers. Respondents assaulted during childhood were particularly likely to seek mental health care. Assault was more common among mental health service users than nonusers, and among women using medical services compared to female nonpatients. The high prevalence of assault among service users underscores the need for providers to recognize and treat sexual assault-related problems.     

Sex differences in dominance behavior

The effect of the status characteristic of sex on dominance behavior was investigated as a function of a challenger's sex and in relation to one's sex-role orientation. Dyads composed of a student and a confederate recorded individual preferences, then joint decisions, for the more attractive picture of 20 pairs of pictures. The number of challenges a student sustained each time a disagreement occurred regarding the more attractive picture of a pair was recorded. Males withstood significantly more challenges against their preferences than females did (p<.006). However, no differences were found as a function of the sex of one's partner; nor did the Attitudes toward Women Scale (AWS) prove to be a good predictor of dominance. Results were discussed in terms of predictions made by the theory of status characteristics.This report is based on a master's thesis written by the first author under the sponsorship of the second and submitted in partial fulfillment of the requirements for the MA degree at the Graduate School of the University of Alabama. Portions were presented as part of of the paper session Compliance-Conformity/Altruism-Helping Behavior at the annual meeting of the Southeastern Psychological Association, New Orleans, March 1976.The authors would like to express their appreciation those who served as confederates in this study: Jim Dodds, Rochelle Hanan, Eunice Fogarty, and Rex Hall.     

Gender differences in early risk factors for adolescent depression among low-income urban children

One component of a model by Nolen-Hoeksema and Girgus, who propose that risk factors for adolescent depression are more common in girls than in boys during childhood, was tested with 85 low-income, urban, African American and Latino kindergarten through fourth grade children who completed inventories of depression, stress, attributional style, gender role, and body image. Endorsing two of three predicted risk factors, girls reported slightly poorer body image and identified more strongly with a feminine gender role. Boys, however, reported a more negative attributional style. Feminine gender role was not associated with body image or negative attributional style. The applicability of the proposed model to a low-income, ethnic minority, urban population is discussed.     

Gender similarities and differences in children's social behavior: finding personality in contextualized patterns of adaptation

This research examined how a contextualist approach to personality can reveal social interactional patterns that are obscured by gender comparisons of overall behavior rates. For some behaviors (verbal aggression), girls and boys differed both in their responses to social events and in how often they encountered them, yet they did not differ in overall behavior rates. For other behaviors (prosocial), gender differences in overall rates were observed, yet girls and boys differed more in their social environments than in their responses to events. The results question the assumption that meaningful personality differences must be manifested in overall act trends and illustrate how gender differences in personality can be conceptualized as patterns of social adaptation that are complex and context specific.     

Evaluations of Affirmative Action Applicants: Perceived Fairness,Human Capital,or Social Identity?

This study examined three explanations forevaluations of an affirmative action universityapplicant: type of policy, the human capital model, andsocial identity. Seventy-nine (84% white, 11% black, 3% Asian, and 2% other) participants read auniversity's admissions policy that varied the type ofpolicy (quota or standard), qualifications of theapplicant (weak, strong), and group affiliation(ingroup, outgroup). Then they rated the applicant,policy, and university. Results indicated support forthe social identity perspective. The ingroup applicantwas evaluated more favorably when the affirmative action policy was perceived to be fair. But theingroup member was derogated when the affirmative actionpolicy was perceived as unfair. The perceived fairnessof the affirmative action policy seemed to have little effect on evaluations of the outgroup member.The implications of these findings arediscussed.     

Huntington disease: A case study describing the complexities and nuances of predictive testing of monozygotic twins

When a candidate for predictive testing for the Huntington disease gene is a monozygotic twin, confidentiality of the co-twin's diagnosis and autonomy of participation are among the critical genetic counseling issues. Predictive testing can proceed when twins voluntarily and simultaneously request counseling and evaluation in an HD testing program. This case describes a young man referred for predictive testing to an HD testing site on the East Coast of the United States. Family history revealed a twin brother of unknown zygosity who resided on the West Coast of the United States. The genetic counselors on opposite coasts collaborated to provide genetic counseling and evaluation for voluntary, informed predictive testing of the twins, protecting their rights while observing national protocol guidelines.     

On multiple determinants of racial differences in intelligence: A reply to Jensen

A belief in the multidimensional nature of intelligence prompted Borkowski and Krause (1983) to reexamine the race-IQ controversy from a new theoretical perspective. Jensen has subsequently forced us to look more carefully at data presented in the earlier paper. After we corrected all measures in the perceptual efficiency and executive systems for unreliability and rethought the earlier data, our original conclusions remain tenable: Control processes and metacognitive states are important factors in understanding the sources of race-related differences in intelligence. In accord with the earlier conclusion, we do not deny the association of “speediness” (perceptual efficiency) with race-IQ differences but rather argue for the necessity, and utility, of a broader, multidimensional conceptualization of the nature and growth of intelligence.