Counseling and screening for cystic fibrosis in patients with congenital bilateral absence of the vas deferens: Patient perceptions

Congenital bilateral absence of the vas deferens (CBAVD) occurs in approximately 1.3% of infertile males and is thought to be, in most cases, a primarily genital form of cystic fibrosis (CF). Fourteen males with CBAVD considering microsurgical sperm aspiration from the epididymis (MESA) and in vitro fertilization were seen for genetic counseling and screening for CF. To retrospectively evaluate these patients' perceptions of the counseling and screening information, we conducted structured telephone interviews to assess their recall of information about CF and its impact on their health concerns and reproductive plans. We found that, as the health implications of CF are abstract and not as important to patients as the diagnosis of CBAVD itself, patients tend to view their CF status primarily in terms of their reproductive potential. Retrospective analysis afforded us an opportunity to identify the psychosocial issues of most concern to this unique patient population.     

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...     

Self-esteem,need gratification,and work satisfaction: A test of competing explanations from consistency theory and self-enhancement theory

A sample of 112 administrators provided self-report data used to test two hypotheses derived from Korman's consistency model of work behavior. As predicted, those with high self-esteem experienced significantly greater need gratification than did those with low self-esteem, and self-esteem also significantly positively moderated the relationship between n gratification and work satisfaction. Need gratification was assessed for only those needs that were most salient for each person, thus eliminating a rival interpretation of the findings derived from the self-enhancement model of self-esteem. The moderating effect of self-esteem on the n gratification-work satisfaction relationship was limited to those experiencing low levels of n gratification, indicating a possible “boundary condition” of consistency theory. A problem with the use of moderator variables in behavioral science was also discussed.     

Prevocational Experience and Postentry Behavior: Occupational Influences on Job Attitudes and Turnover

The effect of prevocational contact on postentry behavior was studied using a sample of staff nurses. The results indicated that those nurses who had prevocational contact with the nursing occupation had different conceptions of the nursing role and more positive work attitudes than those who did not have prevocational contact with the profession. The groups. however, did not differ with respect to turnover.     

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.     

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.