Quality-of-life measures: hospital interview versus home questionnaire

Measures adapted from social survey research were used to assess the quality of life of 33 end-stage renal disease (ESRD) patients in a 2-week test-retest design that varied both location and format of administration (hospital interview vs. home self-administered questionnaire). The measures were found to have substantial consistency over time, location, and format. These results indicate that quality of life is a stable construct and support the usefulness of questionnaire quality-of-life measures for evaluating medical interventions.     

Health care and the poor: psychological implications of restrictive policies

Medicaid proposals increasingly focus on cost-saving strategies that restrict clients' control over where and when they may receive services. This study used a field experiment in an urban welfare office to examine the possible effects of two aspects of restrictive policies: the loss of choice of providers and adverse patient mix (i.e., when the majority of a provider's clients are Medicaid beneficiaries). Results indicate that health care presented within the context of not having a choice is derogated and that choice and patient mix combine to influence intentions to seek care. Persons who did not choose the health plan in a simulated choice, who had fewer choices than expected, and who did not accept restricted choice also had negative perceptions.     

Psychopathy: A psychobiological perspective

After critically examining the concept of psychopathy and reviewing the major existing theories of psychopathy in the light of a psychobiological conception of abnormal behaviour (Öhman, 1981), this paper attempts to present an integrated, psychobiological model of psychopathy. Essentially this analyses psychopathy in terms of the predisposing influences, the triggering environmental events which initiate psychopathic behaviour, and the neurophsychological mechanisms which mediate it. It is suggested that individuals who show chronic antisocial behaviour, conforming to the North American term ‘sociopath’, may demonstrate a maturational deficit but do not necessarily show a psychopathic personality disorder. The latter is said to be characterised, at a personality trait level, by high Impulsiveness and Psychopathy (Blackburn, 1982 a, b), reflecting interactive deficits in goal direction and affect. At a dynamic (state) level, a psychopathic personality disorder is said to be characterised by a lack of coping, reflecting either, in the case of the secondary psychopath, a deficit in primary appraisal, (over-perception of threat), or in the case of the primary psychopath, a deficit in secondary appraisal (low perceived control over aversive environmental events). It is further suggested that a genetic predisposition to social withdrawal and exposure to an uncontrollably aversive early environment may interact to predispose an individual to develop a psychopathic personality disorder in adulthood.     

Children and cigarettes: The effect of a model who quits

Twenty-six previous studies were reviewed which demonstrated a consistent link between children's smoking uptake and exposure at home to an actively smoking older family member. The present study included another variable: the family model of smoking cessation. The smoking practices, intentions, and attitudes of 344 children aged 10–14 in Western Australia were anonymously assessed. Those with ex-smokers but no active smokers at home resembled children who had never been exposed to a smoking family model in being less likely to smoke now or intend to in the future, having fewer smoking chums, and believing that cigarettes had more personal and social disadvantages than their peers who shared households with active smokers. This suggested that any pro-smoking modeling while the ex-smoker was active had been counteracted by modeling of quitting. Implications for intervention were discussed.     

Social reciprocity in handicapped and nonhandicapped children in a dyadic play situation

Social reciprocity behavior was compared for handicapped and nonhandicapped preschool children when they were in play situations with both handicapped and nonhandicapped partners. In a counterbalanced design, handicapped and nonhandicapped children were paired with both handicapped and nonhandicapped play partners, and the social initiation and response sequences of the dyads were observed. Types of initiation observed were friendly statements, friendly questions, mildly negative advances, and demanding statements. Friendly, ignoring, and negative responses were observed to these initiations. Handicapped and nonhandicapped children did not differ on overall number of initiations. However, they did differ on the types of initiation they made. Handicapped children asked fewer friendly questions and engaged in more demanding initiations than expected. Both groups made more initiations when paired with handicapped partners than when paired with nonhandicapped partners, but the groups did not differ on the types of initiation made to handicapped and nonhandicapped partners. The handicapped children made more ignoring and negative responses to friendly initiations than the nonhandicapped children. Behaving similarly, both groups tended to respond negatively to negative and demanding initiations.     

Experts, amateurs, and refrigerators: Comparing expert and amateur negotiators in a novel task

Recently a controversy has arisen among behavioral decision theory researchers concerning the generalizability of research based upon student subject samples to the behavior of expert decision makers. This study compared the influence of framing and performance constraints (goals or limits) on the ability of expert and amateur negotiators to reach integrative agreements in a negotiation task novel to both. The results suggested that while experts did outperform amateurs on comparable competitive market simulations, the patterns of their performance as influenced by framing and performance constraints were consistent.     

Ericksonian Hypnosis: A Dialogue with Charles Citrenbaum,Mark King,and William Cohen

The three subjects of this article, Charles Citrenbaum, Mark King, and William Cohen, are authors, hypnotherapists, and educators par excellence. In this interview they discuss a variety of topics, including Milton H. Erickson (the “Father of Clinical Hypnosis”), hypnosis, hypnotherapy, and effective clinical practice.     

Psychopathology subtypes and symptom correlates among former prisoners of war

Psychopathology and symptom patterns were studied in 60 former prisoners-of-war (POWs) by administering standardized tests including the Minnesota Multiphasic Personality Inventory (MMPI), an adjustment problem checklist, and a structured clinical interview. Most POWs showed marked psychological impairment, but modal profile analysis identified two prototypic MMPI patterns, which differed in pervasiveness and type of psychopathology. Profile subtypes were defined by unique clusters of clinical symptoms and differed in confinement stress severity. The typology of symptoms argues against a homogeneous conceptualization of stress-induced disorders and suggests the need for definition of the severity and subtype of stress phenomena and individual difference factors in responding to trauma.