Assessing mental capacity and susceptibility to undue influence

Clinicians are commonly asked to participate in the determination of an individual's mental capacity and susceptibility to undue influence. Vague statutory definitions and lack of operational criteria for both determinations have contributed to inconsistency in the quality and usefulness of expert input to these determinations. Questionnaire responses of 119 probate judges from the U.S. indicate that this input is quite influential despite the problems mentioned above. This paper presents and discusses the judges' views on selected procedural and conceptual aspects of expert evaluation and testimony.     

Decision-making incapacity among nursing home residents: results from the 1987 NMES survey. National Medical Expenditure Survey

Recent legislative and regulatory developments have focused attention on older adults' capacity for involvement in health care decision-making. The Omnibus Budget Reconciliation Act of 1987 (OBRA 87) focused attention on the rights of nursing home residents to be involved in health care decision-making to the fullest extent possible. This article uses data from the 1987 National Medical Expenditure Survey (NMES) to examine rates of incapacity for health care decision-making among nursing home residents. Elements of the Oklahoma statute were used to operationalize decision-making incapacity: disability or disorder, difficulty in decision-making or communicating decisions, and functional disability. Fifty-three percent of nursing home residents had a combination of either physical or mental impairment and an impairment in either self-care or money management. The discussion focuses on the policy and practice implications of significant rates of incapacity among nursing home residents.     

Child abuse and neglect by parents with disabilities: A tale of two families

Two families, in which the children had been placed in foster care due to abuse and neglect by parents who had disabilities, were studied. In the first case, the mother was instructed in skills that our assessment suggested were important for her child's survival. The mother readily acquired and applied these skills, a fact reflected both in changes in her behavior and in changes in the child's well-being. In the second case, the parent's incremental resumption of child custody was made contingent upon completion of relevant parenting tasks. Initially, improvements in the completion of such tasks were evident, but over time and with the onset of militating factors, no further progress was made and all parental rights were terminated. The implications of these cases for behavior analysis and the effort to reunite and preserve families are discussed.     

The paradox of preference for unreliable reinforcement: The role of context and conditioned reinforcement

We discuss Belke and Spetch's (1994) work on choice between reliable and unreliable reinforcement. The studies by Belke and Spetch extend a line of basic research demonstrating that under certain experimental conditions in a concurrent chains procedure, pigeons prefer an alternative that produces unreliable reinforcement. The authors describe the variables that influence preference for unreliable reinforcement, including the signaling and the duration of the reinforcement schedules, the context in which the signaling stimuli occur, and the effects of conditioned reinforcement. Hypothetical applied examples that address these variables are provided, and their influence on preference for unreliable reinforcement in humans is discussed. We conclude by suggesting a line of applied research to examine the relationship between these variables and a preference for unreliable reinforcement.     

'The Rich Squander Money by the Thousands'

Following the publication of an unknown letter of Jung's on the theme of the possibility of liberal dictatorship, the authors have presented the actual letter that prompted Jung's reply and a further letter from the 16–year-old boy in Kansas. An interview with Jung in Hearst's International Cosmopolitan Magazine conducted by H.R. Knickerbocker in 1938 initially prompted the boy to write to Jung and the interview, which has been published, is summarized. Economic and financial themes were prominent in the boy's mind and links are made to earlier discussions in this Journal about these matters.     

Prevalence of the extinction burst and its attenuation during treatment

Although extinction has been an effective treatment for a variety of behavior disorders, its use may be associated with several adverse side effects, the most common being an initial increase in the frequency of the target response, called an "extinction burst." We attempted to determine the prevalence of the extinction burst in applied research and its possible attenuation with other operant procedures. An analysis of 113 sets of extinction data indicated that bursting may not be as common as previously assumed (it occurred in 24% of the cases) and may be less likely when extinction is implemented with alternative procedures rather than as the sole intervention (bursting was evident in 12% of the former cases and 36% of the latter).     

Predicting and scaling hens' preferences for topographically different responses

Six hens were exposed to several concurrent (second-order) variable-interval schedules in which the response requirements on the alternatives were varied. The response requirements were one key peck versus five key pecks, one key peck versus one door push, and five key pecks versus one door push. Response- and time-allocation ratios undermatched the obtained reinforcement ratios but were well described by the generalized matching law. Time and response bias estimates from two pairs of response requirements were used to predict bias in the third pairing. The predicted values were close to those obtained; this result supports the notion that both numerically and topographically different responses act as constant sources of bias within the generalized matching law. The differences between the response and time biases could be accounted for by the different times needed to complete each response requirement. The results also suggest that the door push is a useful operant for research with domestic hens.     

Personological evaluation of Clance's Imposter Phenomenon Scale in a Korean sample

The purpose of this study was both to determine if the Impostor Phenomenon (IP) can be reliably and validly assessed in a Korean context and if so, evaluate the construct within the context of Jungian typology and the 5-factor model of personality. A sample of 654 Korean men and women were selected from 4 major Korean cities and administered the Clance Impostor Phenomenon Scale (CIPS; Clance & Imes, 1978) along with the Myers-Briggs Type Indicator (MBTI, Form G; Myers & McCaulley, 1985) and NEO Personality Inventory-Revised (NEO-PI-R; Costa & McCrae, 1992). Results indicated that the CIPS was very reliable, and the pattern of correlates suggested impostors to be introverted types on the MBTI. Results with the NEO-PI-R showed impostors to be very high on neuroticism and low on conscientiousness. This pattern of correlates is similar to other performance-inhibiting constructs such as fear of success and fear of failure. It was argued that IP be construed more as a motivational style than as a distinct clinical syndrome. The IP seems to be less pervasive in Korea than America and these cross-cultural implications were discussed.     

Extraversion: A “Hidden” Personality Factor in Coping?

Recent evidence suggests a larger role for personality determinants of the coping response than has been traditionally held. In the two studies presented here, we examined the influence of personality on the use of social support and other coping strategies in samples of undergraduate students. The first study surveyed a range of coping responses to naturally occurring stressors and found that Extraversion was related to social support seeking, optimism (identified as germane to coping in prior research) was related to problem solving, and both dispositions were negatively related to avoidance. The second study used an experimental approach and multiple personality measures to correct for possible methodological problems in the first. Extraversion again proved to be associated with help seeking; moreover, this relationship accounted for that of another disposition, self-esteem—a construct considered crucial in the literature. The utility of personality variables, particularly Extraversion, in predicting and explaining the choice of a coping strategy is discussed.     

Origins of Ruminative Thought: Trauma, Incompleteness, Nondisclosure, and Suppression

The purpose of this paper is to discuss theories of the origin of ruminative thought. We begin by providing a working definition of rumination, separating rumination from other forms of cognitive activity and distinguishing ruminations from ordinary memories. Then, we review what we believe are the major categories of theory that attempt to account for the existence and nature of rumination. These include theories of traumatization, incompleteness, nondisclosure, and thought suppression. Ruminations may originate for a number of reasons, but it seems they may continue because of our attempts to control them. Evidence from studies on thought suppression suggests that the suppression of unwanted thoughts may in fact fuel the very emotions and thoughts we are trying to avoid. Thought suppression may set up a state in which we not only increase the amount we think about an unwanted thought, but potentially also sharpen our emotional reaction to those thoughts.