Social desirability,perceived stress,and PACT ratings in lung transplant candidates: A preliminary investigation

Some aspect of psychosocial criteria is commonly utilized by most transplant programs in assessing candidates' acceptability for transplantation. However, regardless of the assessment methodology, information obtained in pretransplant assessments may be limited given the evaluative nature of the assessment as well as the sensitive nature of the contents. Indeed, transplant candidates may present themselves in a favorable fashion, minimizing any negative traits or psychological dysfunction which they perceive might prevent transplantation. Unfortunately, there are limited data addressing the extent to which transplant candidates may present themselves in an overly positive light. This investigation surveys the prevalence of social desirability in lung transplant candidates as well as its association with self-reports of perceived stress. Further, the relationship between social desirability and interviewer ratings of transplant candidacy is examined. Subjects included 24 patients in end-stage organ failure being evaluated for lung transplant candidacy. Subjects completed the Perceived Stress Scale and a brief version of the Marlowe-Crowne Social Desirability Scale. Additionally, subjects were interviewer-rated on the Psychosocial Assessment of Candidates for Transplantation. Results indicate social desirability is a prevalent phenomenon in lung transplant candidates, with more than half of the sample scoring at or above the 84th percentile on the social desirability measure. Further, self-reports of perceived stress are moderately and inversely associated with social desirability (r=–.55,p .01). Social desirability was unrelated to interviewer-ratings of transplant candidates acceptability (r=.13,p .56). Future research might include larger samples of subjects, other organ transplant candidates, and more detailed assessments of symptom distress.     

Family therapy research: What are the most important variables?

This report summarizes the results of a nearly day-long session of a group of experienced and distinguished family therapy practitioners and researchers. The task the group set for itself was to begin delineating the most important variables to attend to in understanding family therapy and evaluating its effectiveness. With full recognition that such a task could be only partially and tentatively accomplished in the time allotted, a great many such variables were outlined.     

Relative costs and statistical power in the extreme groups approach

The relationship between variables in applied and experimental research is often investigated by the use of extreme (i.e., upper and lower) groups. Recent analytical work has provided an extreme groups procedure that is more powerful than the standard correlational approach for all values of the correlation and extreme group size. The present article provides procedures to optimize power by determining the relative number of subjects to use in each of two stages of data collection given a fixed testing budget.The opinions or assertions contained herein are those of the writers and are not to be construed as official or reflecting the views of the Navy Department.Edward F. Alf, Jr. is also affiliated with the Department of Psychology, San Diego State University.     

Isolating the typicality effect in semantic memory

An experiment was conducted to isolate the typicality effect in the overall categorization process. Subjects were required to indicate whether or not a probe word was a member of one of a variable number of categories held in memory. The typicality of the probe word, with respect to its superordinate category, was varied as was the physical quality of the probe. These manipulations were designed to test predictions drawn from Collins and Loftus (1975) and Anderson and Reder (1974), as well as a prediction based on the well-known effect of semantic context on word perception. A fourth prediction was drawn from a proposed model which postulates successive access of categories and locates the typicality effect in a within-category search stage. Typicality proved to be additive with stimulus quality and set size, but interacted with response type. These results were interpreted as support for the successive-access within-category search model while disconfirming the alternative predictions.     

Ethical issues in diagnosis

The ways in which ethical issues arise in making clinical judgments are briefly discussed. By showing the topography of the role of value judgments in medical diagnostics it is suggested why clinical medicine remains inextricably a value-infected science.     

Local contrast and maintained generalization.

Pigeons received variable-interval reinforcement for key pecking during presentations of horizontal and vertical line-orientation stimuli, while pecks during five intermediate orientations were extinguished. Lowest peck rates were observed during presentations of negative stimuli adjacent to the positive orientations while peck rate during 45 degrees (the intermediate negative orientation) was relatively high, i.e., there were negative contrast shoulders. When peck rates were manipulated in the positive orientations, peck rate in neithboring orientations changed in the opposite direction. Contrast shoulders faded after prolonged training. A second type of contrast, local contrast, was correlated with similarity of preceding stimulus and different average peck rates during different stages of the discrimination process. The data suggest that sequential local contrast accompanying the formation of a discrimination contributes to the form of generalization gradients. Blough's model of stimulus control predicts the changes in gradient form described here, but may not accurately depict the underlying process responsible for gradient form.