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.     

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...     

Incidental memory for format of presentation of number stimuli: Evidence from monolinguals and bilinguals

Are numerical stimuli represented in an abstract code or is information about surface format preserved in memory? Three experiments bearing on this issue are reported. All used an incidental recall procedure. Two experiments examined memory for numeral versus word format in monolinguals and the third examined memory for words in the first versus second language of Spanish-English bilinguals. Across all studies, memory for format of number presentation was above chance and was as high as 76% under certain conditions. Implications for number representation are discussed.     

Relations among cognitive,semantic, and syntactic variables in children's comprehension of the minimum distance principle: A 2-year developmental study

Theoretical issues regarding cognitive aspects of the semantic interpretation of two syntactic structures were examined. A 2-year study was conducted investigating possible developmental trends in children's sentence-processing strategies. Experimental materials incorporated two levels of role expectations and two levels of syntactic complexity. Subjects were initially 6–10 years old; 12 original subjects from each age group were retested a year later. Exceptional and typical syntactic structures were not of significantly different difficulty either year. Semantic and cognitive complexity, as reflected in the two levels of expectation, was significant both years (p<0.001). Performance improved, over the 12-month period, in all but the 7- to 8-year-old group (p<0.005). Results are discussed with reference to cognitive strategies in sentence processing.This article is based on research reported at the annual meeting of the Northeastern Educational Research Association, Ellenville, New York, October 29–31, 1975.     

Black Women and the Pleasures of Intellectual Work

What does it mean for a Black woman to choose to do intellectual work? In the twenty‐first century, Black women, either by virtue of their academic careers or their vocations outside of institutional settings, pursue intellectual work for its own sake as well as in pursuit of collective goals. That is to say, they can acknowledge intellectual work as a source of personal fulfillment, indeed a source of joy in ways that earlier generations of Black women could not. At least that should be true. In fact, it remains difficult for Black women to own the joy that their engagement with ideas produces.     

Counter-argument self-efficacy predicts choice of belief-defense strategies

Research has identified many strategies people use to defend against belief-inconsistent information. However, little research has identified factors that predict which defense strategy people will use when more than one is available. Two experiments tested whether people choose to counter-argue belief-inconsistent information because they believe arguing will be successful, but resort to weaker defense strategies because they believe arguing will be unsuccessful. Exposure to strong versus weak belief-inconsistent information caused a decrease in counter-arguing and an increase in ignoring (Experiment 1) or claiming a belief to be a matter of opinion (untestable) rather than a matter of fact (testable; Experiment 2). Consistent with self-efficacy theory, expectations of successful counter-arguing was the mechanism responsible for both effects. When people feel less capable of successfully counter-arguing because the information is too difficult to refute, they resort to epistemically weaker defense strategies in order to preserve their belief.     

Specifying the impulsivity of female inmates with borderline personality disorder

Impulsivity is regarded as a core feature of borderline personality disorder (BPD; M. C. Zanarini, J. G. Gunderson, & F. R. Frankenburg, 1989) despite lack of evidence from laboratory research (D. M. Dougherty, J. M Bjork, H. C. G. Huckabee, F. G. Moeller, & A. C. Swann, 1999). This study examined impulsivity in incarcerated women with BPD using a passive avoidance task (J. P. Newman & W. A. Schmitt, 1998) and the Impulsiveness-Monotony Avoidance-Detachment inventory (IMD; D. Schalling, 1978). As predicted, incarcerated women diagnosed with BPD committed more passive avoidance errors and reported more impulsivity on the IMD than controls. These findings identify disinhibition as a potentially important component of the impulsivity that characterizes BPD. Specifying the impulsive behavior identified with BPD may contribute to the effective assessment and management of the disorder.     

Utilization of emotion cues in male and female offenders with antisocial personality disorder: results from a lexical decision task

Antisocial personality disorder (ASPD) diagnoses have demonstrated good reliability and validity in male offenders. However, there is a paucity of research assessing utilization of emotion cues in ASPD individuals and the extent to which correlates of ASPD in males generalize to females. This investigation examined emotion utilization in incarcerated men and women with and without ASPD using a lexical decision task with emotional and neutral words. The performance of male offenders with ASPD was similar to that of male controls, whereas women with ASPD demonstrated greater emotional facilitation than female controls. Moreover, the number of violent crimes committed by female inmates with ASPD was related to emotion facilitation, suggesting a link between their sensitivity to emotion cues and antisocial behavior.     

Beyond bruises and broken bones: the joint effects of stress and injuries on battered women's health

We investigated the joint mediating effects of injuries and stress on the relationship between abuse and women's health. A community sample of 397 women, half of whom had been assaulted by an intimate partner within the prior 6 months, was interviewed about their experience of intimate partner violence, injuries, stress, income, depression, and physical health problems. Structural equation modeling techniques confirmed the complex model of hypothesized indirect effects of abuse on women's physical health problems through injuries, stress, and depression. Stress accounted for 80% of the indirect effect of abuse on women's physical health. Its direct effect on physical health was somewhat larger than its indirect effect through depression, but both processes played a key role in determining the effect of abuse on women's physical health problems. Furthermore, abuse was a stronger predictor of women's stress than was poverty. Implication and future research are discussed.     

Do orthographic cues aid language recognition? A laterality study with French-English bilinguals

Sixteen French-English late bilinguals performed a speeded language recognition task on lateralized words that were either marked or unmarked for language on the basis of digram frequency. Response latencies were faster to orthographically marked than unmarked words, particularly in the second language (English). Furthermore, L2 marked words were responded to faster than L1 marked words. These effects were especially prominent for words presented in the left visual field. It is suggested that subjects made use of different strategies in performing the task of language recognition task, with a perceptual search strategy deployed to identify orthographically marked words, resulting in an L2 advantage for such words, and a lexical search strategy deployed for unmarked words, resulting in an L1 advantage for such words.