The effects of unstable clients in adolescent treatment: contagion versus continuity

This study examined the effects of integrating an unstable group of seriously disturbed adolescents into an existing day treatment program. Behavioral data were collected for an established group of subjects who were in treatment one year prior to and one year after the arrival of a new group of severely disturbed adolescents. It was found that the disruptive behavior displayed by the new admission subjects was not imitated by the subjects of the established group. Rather, there was a significant decrease in aggression and in the overall number of psychiatric events for the established group. The treatment milieu was seen to be resistant to the effects of the new admissions largely due to the structured form of treatment.     

The children's depression adjective check lists (C-DACL) with emotionally disturbed adolescent boys

In this study of the reliability and validity of the Children's Depression Adjective Check Lists (C-DACL; Brewer & Lubin, 1987) with emotionally disturbed adolescent boys (N=50),data were collected on two occasions. Internal consistency (alpha) was .89 and .94 for form H and .89 and .95 for form I. Alternate form reliabilities were .86 and .95. Split-half reliabilities were .80 and .89 for form H and .68 and .86 for form I. Concurrent validity was determined by correlations between C-DACL and the Self-Rating Scale of Depressed Mood. Correlations were .65 and .80 for H and .54 and .80 for I. Data from the present study were tested against data from emotionally disturbed adolescent girls (Sokoloff & Lubin, 1983), with boys scoring significantly lower on both forms (H and I) of the C-DACL.     

Further explorations of common-sense representations of common illnesses

A simple method is presented for measuring people's illness cognitions--their common-sense representations of common illnesses. Data were collected from 1,628 different respondents who described a recent illness form 1 to 3 separate times over a 17-month period. A free-clustering task performed by a set of naive participants confirmed that these cognitions fall into the five components that have been previously noted: identity, time line, consequences, cause, and cure. These five components are found to be reasonably stable over time and across different illness episodes. Several consequences of these illness cognitions, in terms of changes in health-locus-of-control beliefs and different propensities to visit a doctor, are also noted. Specifically, controllable attributions for getting sick and personal responsibility attributions for getting better are associated with increased beliefs in Self-Control Over Health and decreased beliefs in Chance Health Outcomes; people with strong Identity and Cure components in their common-sense representations of common illnesses have a greater propensity to visit a doctor when feeling ill.     

Premature termination: A clinical study

Ten patients who terminated prematurely from 10 different therapy groups were interviewed using a semistructured interview protocol. Half the subjects were patients in private therapy groups; the other half were patients in clinic therapy groups. Among the issues inquired about were subjects' initial attitudes about group treatment; the nature of the preparation process; subjects' experience of the group therapist, other group members, and the group process; their reasons for leaving their groups; and the nature of the termination process. The findings reported focus on patients' perceptions of therapists' motives; the importance of establishing appropriate treatment goals; the handling of negative feelings about the group and/or the group therapist; the issue of narcissistic injury; the experience of the balance between giving and receiving; the difficulties caused by unresolved conflicts within groups; and the problems posed by inadequate preparation for the group experience. Guidelines for practices aimed at minimizing premature terminations are offered.     

Negative anticipatory contrast and preference conditioning: flavor cues support preference conditioning, and environmental cues support contrast.

In 2 experiments, access to a 0.15% saccharin solution was followed on alternating days by access to a 32% sucrose solution and the same saccharin solution. In Experiment 1, rats increased both intake of and preference for a flavored saccharin solution that predicted sucrose, but neither effect was found using a predictive odor cue alone. Experiment 2 replicated the predictive flavor results but showed suppression of saccharin intake when environmental cues predicted sucrose. When both flavor and environment predicted sucrose, saccharin intake did not change, but preference for the predictive flavor increased. Discriminative taste cues appear to facilitate the development of preference conditioning, but environmental cues favor negative anticipatory contrast effects. Also, preference conditioning and contrast may develop concurrently and compete for expression.     

Lateralization in haptic processing: An apparatus for analyzing manual strategies

We describe an apparatus for testing laterality in haptic processing in the discrimination of nonsense shapes in humans or monkeys. The system, which permits either mono- or dichhaptic discrimination, automatically provides data on the measurement of accuracy along with information on hand exploratory strategies.     

What care should be covered?

The answer to the question of what health care services should be covered by a managed care plan is straightforward; the plan should cover whatever the consumer is willing to pay for. From the plan's perspective, the consumer is the payer, that is, the employer who negotiates the plan; not the individual patient whose personal preferences and interests may be quite different. Since managed care organizations contract with payers to arrange for health care services within a defined set of benefits, there is a broader question as well: Within the benefits chosen by the payer, what actually is covered? Criteria for determining "medical necessity," which managed care plans frequently use as the basis for coverage, are discussed.     

An epidemiological study on work and family stress among Chinese in Hong Kong

Hong Kong, with a population of over six million in a modern city, has been shown to be a very stressful place to live in. However, epidemiological data from a big-scale study in this regard are lacking. The present territory-wide survey, from a sample representative of the general population, was aimed to investigate the work and family stress of Chinese adults in the community with respect to the impact on their psychological well-being. The psychosocial context was considered as an important source of stress. The results showed that coping with work demands and rearing children were reported as the highest stress responses. Moreover, workers in Hong Kong took an instrumental attitude, i.e., one emphasizing material rewards, in order to reduce the job stress arising from interpersonal conflicts in the workplace.     

TEACHING CHILDREN TO SPELL: DECREASING CONSONANT CLUSTER ERRORS BY ELIMINATING SELECTIVE STIMULUS CONTROL

Six elementary-aged children were taught to spell words containing initial consonant clusters (CCs). They were trained to select printed words in response to the corresponding spoken words using computerized matching-to-sample procedures. After each training session, they were tested for spelling with a constructed-response transfer test. Based on previous selective stimulus control research, we hypothesized that only the first letter of an initial CC might control spelling when CC spelling errors are made. Thus, a critical-difference matching-to-sample training condition that required the children to respond to both letters of the CC to be correct was compared to a multiple-difference training condition that required the children to respond to only one letter of the pair. Results showed that children made fewer errors during the multiple-difference training condition than during the critical-difference training condition. On the constructed-response transfer tests, however, more overall errors and CC errors were made in the multiple-difference condition than in the critical-difference condition, and the words trained in the multiple-difference condition required more training sessions to reach criterion. All children improved their spelling of novel CC words by the completion of training. If normal classroom or home reading was to be supplemented by computer tasks of the kind used here, some spelling problems could be circumvented without costly intervention by a teacher or a special trainer.