The Practice of Marriage and Family Therapists with Managed Care Clients

This study examined the practice patterns of Nebraska marriage and family therapists (MFTs) working with managed care cases. The participants' two most recently closed managed care cases were examined to determine the types of cases seen, the process of treatment, and treatment outcome. Results indicated that the therapists saw cases for a median number of six sessions. MFTs worked with a variety of presenting problems and diagnoses. Depression was the most common presenting problem, and the most common DSM-IV diagnosis was adjustment disorder. A comparison of pre- and post-treatment GAF scores indicated that clients' level of functioning improved significantly during the course of treatment.     

The "common cause hypothesis" of cognitive aging: evidence for not only a common factor but also specific associations of age with vision and grip strength in a cross-sectional analysis.

A prominent hypothesis in cognitive aging is the existence of a common factor that is responsible for age-related deterioration in cognitive and noncognitive processes. A multiple indicators, multiple causes model was used to examine the nature of this common factor and its relationship to age, gender, and the apolipoprotein E (APOE) genotype. The common factor was modeled by using 10 indicator variables with 374 participants aged between 77.4 and 98.7 years. A latent factor was identified, with all indicators except blood pressure loading significantly. This factor could be established in 2 age strata within the sample. After controlling for the effects of gender, APOE, and level of education, direct effects of age were seen on visual functioning and grip strength. APOE was significantly associated with memory but not with the common factor. The findings suggest that a number of specific processes may operate concurrently with any common cause factor.     

The Incan Quipus

Quipus, knotted structures of woollen or cotton cords, were used as a bureaucratic tool in the Inca state. In the absense of a writing system, numerals and possibly other pieces of information were encoded on the quipus by tying knots into elaborately structured coloured cords. Though interpretation of the quipu contents is far from complete, some information on Inca mathematics can be deducted from the analysis of ancient specimen, especially when combined with the results of anthropological and linguistic research in contemporary Andean societies. In this paper, the quipus are introduced, their structure is explained, and some results on mathematical concepts of the Incas are presented based on a comparison of mathematical and anthropological literature on the subject.     

Level of aspiration and performance of chronic psychiatric patients on a simple motor task

The level of aspiration and performance was examined for 25 male psychiatric inpatients whose mean age was 57.4 yr. and mean length of hospitalization was 23.6 yr. For a simple motor task involving flipping a plastic chip over a goal line, each patient expressed the ward and his personal pretask levels of aspiration, performed the task, and expressed his personal posttask aspiration. The expressions of both the ward and pretask levels of aspiration were less than the mean score of a nonhospitalized referent group. Both performance and posttask levels of aspiration were greater than the pretask level. More patients predicted they would perform worse than the other patients on the ward than predicted they would perform better. The patients appropriately shifted their levels of aspiration either up after success or down after failure. The results were discussed according to expectations from classical theory as well as findings with schizophrenics. Implications for further research were discussed.     

Affiliative Need,Different Types of Social Support,and Physical Symptoms1

Less tangible types of social support (emotional, informational, and companionship) were shown to predict reports of physical symptoms as a joint function of both affiliative need and negative life events, while the effects of tangible support depended only upon the occurrence of negative life events (the prototypical buffering effect). Low affiliative need individuals tended to benefit from both types of support, while high affiliative need individuals benefited primarily from more tangible support. The results were discussed in terms of the proposal that low affiliative need individuals hold a more problem-focused view of social support, while high affiliative need individuals tend to take a less personally instrumental stance toward interpersonal interaction.     

Patient Adherence in Chronic Illness: Personality and Coping In Context

ABSTRACT Previous reviews have concluded that there is no evidence for a predictable association between person factors and regimen adherence in chronic illness. The brief current review of the literature reveals that past work has been limited by the lack of a common structural theory of personality and the failure to consider the interaction of person factors with disease and treatment context. Application of the five-factor model of personality to adherence research will reduce divergence in the field and and in the orientation and interpretation of future work. Evidence suggests that an interactive perspective recognizing the moderating influence of contextual factors on the behavioral expression of personality traits will contribute to the prediction of adherence behavior.