Activity level: A comparison between actometer scores and observer ratings

Activity level of 13 boys (aged 9–13) from a day hospital program was measured using actometers in classroom, gym, woodshop, and group therapy settings. Ratings of Ss' activity were obtained from mothers using the Werry scale, and from six clinical staff familiar with the Ss using the Davids scale. It was predicted that activity ratings would have situationally specific relationships with actometermeasured activity level according to the rater's opportunities for observation. Comparisons between measures indicated that all clinical staff ratings correlated significantly with actometer activity in the classroom (r=.49 to r=.73), while mothers' ratings correlated significantly with actometer activity in gym (r=.67), and woodshop (r=.77), and with overall activity (r=.65), a combined measure derived from actometer scores in the four conditions tested. Five of six clinical staff raters showed significant interrater reliability (r=.58 to r=.83). Results are discussed in terms of their implications for solution of current problems in assessment of activity level and hyperactivity.     

Interactions among levels of processing

This article examines associations among representations of physical, name, and category information by determining effects of category repetition on and following physical, name, and category match trials. Subjects decided whether two letters were from the same half of the alphabet. Category repetition effects were evidenced by faster ~nd more accurate responses when letters from the same half of the alphabet were used on successive trials. Although physical matches showed no effect of category repetition, name and category matches did. Trials following physical matches were less affected by category repetition than were trials following name or category matches. The results suggested that these category repetition effects were mediated by interletter associations: Reaction time increased with the alphabetic distance between preceding and current letters. However, these distance effects held only for forward (A → B) and not backward (B → A) alphabetic sequences, suggesting that the alphabetic representation is ordinal and unidirectional.     

Appraisals of Childbirth Experience and Newborn Characteristics: The Role of Hardiness and Affect

ABSTRACT Prior research has suggested an overlap between hardiness and negative affect in the prediction of self-reported health outcomes. A prospective study, investigating the relationships between hardiness and negative and positive affectivity in the prediction of postdelivery outcomes was conducted. Maternal appraisals of childbirth difficulty and success in coping with labor, maternal perceptions of the infant, and the amount of analgesic intake, as well as the objectively assessed difficulty of labor, were the outcome variables. Subjects were 73 pregnant women expecting their first baby. Hardiness and negative and positive trait affect were evaluated during the second trimester of pregnancy, while the dependent measures were assessed during labor and 48 hours after. Hardiness measured as an additive construct did not predict appraisals of the observed health event independent of negative affect. However, two hardiness subscales—commitment and challenge—and the interaction between challenge and control were found to predict outcomes independent of negative affectivity. The pattern of relationships between negative affect with both subjective and objective assessments of childbirth difficulty confirms previous research findings on symptom perception. Findings suggest an anxious cognitive style among nonhardy subjects and underscore the importance of the study of hardiness as an interactive construct.     

Faith development and Teresa'sInterior Castle

James Fowler's model of faith development is compared with the course of development described by St. Teresa of Avila in her classic work,Interior Castle. Both Teresa and Fowler drew their models from the study of individual lives. The paper first presents a brief summary of Fowler's model, then goes through the different levels of development described by St. Teresa, comparing each of them with corresponding stages in Fowler's model. The paper concludes that, though these models were developed in different cultures, centuries apart, they appear to describe a similar course of religious or spiritual unfolding.This paper is a revised version of one originally delivered to Division 36, Psychologists Interested in Religious Issues, at the annual meeting of the American Psychological Association.References to Teresa'sInterior Castle in this paper are given by section (Mansions) and chapter within section so that the passages can be found in any translation.     

Father and mother contributions to family functioning when the child has a mental delay

Less is known about the father's than the mother's role in family adaptation to children with disabilities. The purpose of this study was to examine relationships of both father and mother use of coping strategies and perceptions of the child with measures of family functioning style. Subjects were 26 families of 30-month-old children with a mental delay and a comparison group of 26 families of same-aged children with no delay. Functioning style for study families showed a balance of cohesion and adaptability; comparison families were more chaotically flexible on the adaptability scale. Mothers and fathers agreed on family functioning style. Study parents made the greatest use of external coping strategies, while in both groups mothers used more external and fathers more internal coping strategies. Relationships between coping and family functioning varied by parent and by group. Results suggest the need for further exploration of the separate needs of fathers and mothers in maintaining balanced family functioning.     

Exploring Ethical Pharmacy Practice in Jordan

Science and Engineering Ethics - Patient-centered pharmacy practice involves increased pharmacist engagement in patient care. This increased involvement can sometimes require diverse...     

Statistical power in randomized intervention studies with noncompliance

This study examined various factors that affect statistical power in randomized intervention studies with noncompliance. On the basis of Monte Carlo simulations, this study demonstrates how statistical power changes depending on compliance rate, study design, outcome distributions, and covariate information. It also examines how these factors influence power in different methods of estimating intervention effects. Intent-to-treat analysis and complier average causal effect estimation are compared as 2 alternative ways of estimating intervention effects under noncompliance. The results of this investigation provide practical implications in designing and evaluating intervention studies taking into account noncompliance.     

Disaster mental health services following the 1995 Oklahoma City bombing: modifying approaches to address terrorism

How did the 1995 Oklahoma City bombing differ from prior disasters and what implications did it have for disaster mental health services and service delivery? The federal disaster mental health approach in this country developed largely out of experiences with natural disasters. The 1995 Oklahoma City bombing differed in several important ways, including the large number of human casualties, higher rates of psychopathology, and an extended period of concern due to the criminal investigation and trials, which suggested the need to consider modifications in the program. Outreach was extensive, but psychiatric morbidity of direct victims was greater than that of victims of natural disasters, emphasizing the need for attention to the triage and referral process. Other concerns that warrant consideration include practices related to record keeping and program evaluation.     

Modifying Children's Gender-Typed Musical Instrument Preferences: The Effects of Gender and Age

Previous research has indicated that children display gender-typed musical instrument preferences. Two studies were conducted to determine (a) whether these preferences can be modified by presenting counter-examples (i.e., instruments played by gender-inappropriate musicians) and (b) whether child gender or age (kindergarten vs. 4th grade) influences the efficacy of such interventions. A videotape presentation format was employed in Study 1 and drawings in Study 2. Children exposed to counter-examples were less stereotyped than those who saw the instruments without musicians (Study 1) or with gender-appropriate musicians (Studies 1 & 2). Age did not influence children's responsiveness to the counter-examples, but boys were more resistant to the intervention than girls. There was some evidence that the counter-examples were effective not simply because children were attracted to same-sex musicians. Instead, children's instrument choices also appeared to be motivated by a desire to avoid behaving like musicians of the other-sex. Potential strategies for increasing children's responsiveness to instrument counter-examples (e.g., multiple exemplars; portrayal of positive consequences) were also discussed.