Optimism and neuroticism as predictors of coping and adaptation in older women

This prospective correlational study looked at the relationship between optimism, perception of stress, coping, and adaptation in women over the age of 60. One hundred and nine women took part in two interviews, separated by a minimum interval of 3 months. Although optimism was found to be correlated with most of the dependent variables (DVs), hierarchical regression analyses revealed that it lost its predictive power when the effects of the covariates, particularly Time 1 measures of the DVs and neuroticism, were statistically removed. The most important predictors of coping, distress, and life satisfaction were initial measures of these variables, followed by neuroticism. The discussion of the findings focuses on the need to clarify the construct of optimism. It supports the idea that optimism may be better conceptualized as a two-dimensional construct (optimism/pessimism), subsumable under two of the ‘Big Five’ personality factors, namely Extraversion and Neuroticism, respectively.     

Between adolescents and aging grandparents: Midlife concerns of adults in the “Sandwich generation”

This study examined whether the midlife transition of men and women in the “sandwich generation” was related to their 15- to 19-year-old adolescent's psychosocial development and their relationships with their own aging parents (i.e., the grandparents). One hundred eighty-six (186) respondents representing adolescents, mothers, and fathers from 62 families completed questionnaires that assessed adolescents' psychological autonomy and involvement in adult-type roles, adults' midlife transition and marital quality, and adults' relationships with their aging parents. Analyses conducted by domain revealed that women reported greater concerns with midlife issues when their adolescents demonstrated fewer signs of psychological autonomy and involvement in adult-type roles whereas men reported more intense midlife concerns when they experienced more strain in their relations with their own parents. When adolescent, grandparent, and marital factors were considered conjointly, the results indicated that women's level of midlife concerns was still related to their adolescents' development, but men's level of concerns was most strongly related to their satisfaction with the quality of their marriages. The discussion focuses on adult women's and men's experience of the midlife transition in relation to adolescents' development, parents' relationships with aging grandparents, and marital quality.     

Chemical aversion treatment of alcoholism: Lithium as the aversive agent

Animal work indicating flavour aversion produced by chemical aversion therapy (CAT) with lithium might be effective in the treatment of alcoholism led to this treatment being given to 25 patients. The abstinence rate six months later of 36% was significantly better than the 12% rate for an equivalent group of patients, treated with a disulfuram-like drinking deterrent, calcium carbimide. The rate for the CAT group improves to 47% if 8 patients are excluded who did not develop sickness reactions to lithium. CAT with lithium appears safe given proper medical precautions.     

Dominance and context effects on activation of alternative homophone meanings

Two eyetracking-during-listening experiments showed frequency and context effects on fixation probability for pictures representing multiple meanings of homophones. Participants heard either an imperative sentence instructing them to look at a homophone referent (Experiment 1) or a declarative sentence that was either neutral or biased toward the homophone's subordinate meaning (Experiment 2). At homophone onset in both experiments, the participants viewed four pictures: (1) a referent of one homophone meaning, (2) a shape competitor for a nonpictured homophone meaning, and (3) two unrelated filler objects. In Experiment 1, meaning dominance affected looks to both the homophone referent and the shape competitor. In Experiment 2, as compared with neutral contexts, subordinate-biased contexts lowered the fixation probability for shape competitors of dominant meanings, but shape competitors still attracted more looks than would be expected by chance. We discuss the consistencies and discrepancies of these findings with the selective access and reordered access theories of lexical ambiguity resolution.     

Repairing inappropriately specified utterances: Revision or restart?

In two experiments, we investigated repair of inappropriately specified utterances (e.g.,blue square instead ofdark blue square) to determine whether speakers can simply revise a speech plan or must begin anew. In Experiment 1, speakers produced a prime utterance followed by a target utterance that differed from the prime in only one word, but in Experiment 2, they only planned the prime but produced the target. If speakers must repair by restarting, both situations would involve planning from scratch, with a possible benefit of residual activation. If they can repair by revising, though, only the first situation would involve planning from scratch, and the second situation would involve revision of a plan. The targets had either one word more (addition) or fewer (deletion) than the prime sentences. The restart hypothesis predicted that any cost of addition over deletion should be similar in the two experiments. In contrast, the revision hypothesis predicted an extra cost of addition in Experiment 2, because addition involves retrieval of an extra word. In support of the revision hypothesis, there was no difference between additions and deletions in Experiment 1, but in Experiment 2 additions took longer than deletions. We conclude that speakers can repair utterances by revising a speech plan.     

Ethical Considerations for Providing In-Home Mental Health Services for Homebound Individuals

The number of homebound individuals in the United States is on the rise, causing health-care professionals to expand in-home health services to help meet the increased demand. Due to the prevalence of feelings of isolation and depression in this population, it is imperative that mental health professionals join this effort to increase access to mental health services. Delivering psychotherapy in clients’ homes presents many advantages to these homebound individuals, but there is a dearth of literature addressing how therapists should handle unique ethical issues that arise in this type of setting. This article addresses ethical considerations and guidelines for in-home provision of mental health services. General ethical issues related to home-based psychotherapy include boundaries, confidentiality and privacy, competency, insurance coverage, and autonomy. Issues pertaining to different categories of homebound individuals, including persons with agoraphobia, chronic illnesses, and older adults, are then discussed in turn. Recommendations on how to best manage these issues by applying the American Psychological Association’s, the American Counseling Association’s, and the National Association of Social Workers’ Ethics Codes are provided.