The psychologist's role in assessing and facilitating patients' knowledge of advance directives in medical settings: A preliminary investigation

In a time of budgetary shortfalls in the medical industry, an aging population, and an increased emphasis on health care choices, psychologists are being called upon to administer advance medical directive programs to patients. This study reports preliminary findings from a program to assess and facilitate patients' knowledge of advance directives (ADs) by the Psychology Service at the Ann Arbor VA Medical Center. The participant pool included 243 male veteran patients admitted to medical and surgical wards at the hospital. The intervention included the use of a computer-generated prompt for consultation, which was sent to the psychology staff in response to a patient inquiry regarding ADs. It also involved an increased emphasis on the delivery of written material on ADs by the admissions clerks. The intervention appeared to result in a modest increase in patients' knowledge of advance directives. Suggestions are offered for areas that should be emphasized in future attempts to increase patients' knowledge and utilization of advance directives.     

Homicide by juvenile girls

We investigated offense characteristics for a national sample of 38,749 homicide arrestees identified in the FBI Supplemental Homicide Reports for 1984 and 1993. Analyses indicated little change from 1984 to 1993 in the circumstances of homicides committed by adolescent girls; however, there were consistent offense differences between girls and boys, and between girls and women. Homicides by adolescent girls were more likely than those committed by boys to involve interpersonal conflict rather than a criminal motive such as robbery. Girls were more likely than boys to use a knife rather than a firearm and their victims were more likely to be under the age of 13 years. Compared to women (18 years or older), girls were more likely to act with an accomplice and their victims were more likely to be female and between 13 and 20 years of age. Results were inconsistent with a stereotypic masculinization theory of the increase in female violence, but provide indirect support for the importance of domestic stress and relational conflict experienced by adolescent girls. Overall, this study supports the need for differentiated study of violence by juvenile girls, and for preventive interventions which target domestic and interpersonal stress.     

Nonstranger sexual aggression: A discriminant analysis of the psychological characteristics of undetected offenders

Sex Roles - Rape is an underreported and underconvicted crime. Therefore, many highly sexually aggressive men are missed by research employing judicial identification for sample selection. The...     

Mid-career change in academia: The decision to become an administrator

This study explored the reasons why professors would leave their teaching/ research occupations to begin new careers as administrators. Valence-Instrumentality-Expectancy theory of occupational preference and choice was used as a framework to examine mid-career change among professors and department chairmen at a major university. Data showed that professors' intentions to change careers and become administrators could be explained by the theory. Analyses of job characteristics demonstrated that professors who want a mid-career change are primarily attracted by the power and formal authority vested in the administrative position, while professors who prefer to remain in their career paths do so because of the autonomy it offers.     

Electromyographic indications of laryngeal-area activity during stuttering expectancy

Using surface electrodes, mean microvolt values of laryngeal-area muscle activity were determined for 13 male and 6 female stutterers during 10-sec periods in which single words were silently read and stuttering expectancy was indicated. No significant differences in levels of laryngeal-area muscle activity were found between periods of fluency expectancy and stuttering expectancy preceding both fluent and stuttered speech. The results were interpreted as being nonsupportive of the hypothesis that a breakdown in stutterers' laryngeal-area muscle activity occurs during moments of stuttering expectancy. In addition, the results suggest that the most common rationale for the utilization of laryngeal biofeedback procedures to enhance fluency should be questioned.     

Experiential and physiological responses associated with anger and aggression in women and men

In a 2 × 2 × 2 factorial design, 48 male and female college students were either given a “sex-appropriate” provocation or were not provoked. Half of the subjects were then requested to give a “stream of consciousness” (SOC) report. Throughout the experiment, three physiological measures were monitored. Finally, all subjects delivered noxious sounds to their same-sex partner as part of a Buss-type learning task. No sex differences were found for subjects not giving the SOC report; provoked men and women were equally angry, hostile toward their partner, and displayed equal amounts of aggressive behavior. Provoked men reporting on their SOC, however, appeared to stimulate themselves to more aggression, whereas women seemed to adopt a nonhostile strategy for coping with their anger, thus reducing their inclination to behave aggressively. These patterns of results were closely paralleled by physiological changes. The relative validity of systolic and diastolic blood pressure as indicators of anger arousal was also discussed.     

Developmental trends in distractibility: Is absolute or proportional decrement the appropriate measure of interference?

Since baseline performance varies with age, diminished interference effects found with increasing age do not provide evidence for a developmental trend in distractibility unless their relationship to baseline performance is known. In the present study, baseline difficulty was varied in two speeded classification experiments to investigate whether interference effects due to irrelevant information could best be characterized by absolute or proportional decrement models. In Experiment 1, first graders, third graders, and adults sorted cards on the basis of square size, both in the presence and absence of extraneous stimulus information. In Experiment 2, first graders and adults sorted cards on the basis of the density of a regular array of dots and two kinds of irrelevant information were used. Robust interference effects were found which declined with age. Manipulating discriminability of the relevant stimulus dimension resulted in large changes in sorting time, but interference effects did not vary with baseline difficulty. These results were interpreted as strongly supporting both an absolute decrement model and a developmental trend in distractibility.     

Children’s use of phonological encoding when reading for meaning

The role of phonological recoding in children’s reading was investigated by means of a task requiring comprehension of sentence meaning: The child’s task was to decide whether a sequence of printed letter strings was a meaningful sentence or not. Meaningless sentences that are meaningful when phonologically recoded (e.g., “He ran threw the street”) produced more incorrect responses than did meaningless sentences that remain meaningless when phonologically recoded (e.g., “He ran sew the street”). The difference in error rates between the two sentence types diminished as a function of age. Control experiments showed that these results were not due to visual similarity effects, nor to imperfect ability to spell homophones. It was concluded that very young readers rely extensively on phonological recoding when reading for meaning; as they grow older, reliance on visual encoding becomes progressively more important.