Physical characteristics of residential psychiatric and substance abuse programs: Organizational determinants and patient outcomes

Described the Physical and Architectural Characteristics Inventory (PACI), which assesses the physical characteristics of hospital- and community-based psychiatric and substance abuse residential treatment programs for adults. Developed using data from 94 representative programs, the PACI has 7 dimensions that assess community accessibility, physical features that add convenience, aid recreation, and provide support for patients, and space for patient and staff functions. In comparison to community-based programs (n=63), hospital programs (n=31) had more social-recreational and prosthetic aids, safety features, staff facilities, and space. The PACI dimensions were also related to other organizational features, such as facility ownership and program size and staffing level. Programs with more physical amenities had patients who were more involved in self-initiated and community activities and were more likely to successfully complete the program and be discharged to independent living situations and paid jobs. Programs with more social-recreational and prosthetic aids, space, and access to community resources also had better patient outcomes. In addition, PACI dimensions were related to observers' ratings of facility attractiveness. Potential applications of the PACI and the full inventory of which it is a part are discussed.     

Antecedents and Consequences of Victimization of Lesbian, Gay, and Bisexual Young People: A Structural Model Comparing Rural University and Urban Samples

Research indicates that antigay victimization is widespread and that lesbian, gay, and bisexual young people may be very vulnerable to such victimization. The current study builds upon previous work by Hershberger and D'Augelli (1995), who studied the consequences of sexual orientation-based victimization in 194 urban lesbian, gay, and bisexual youths. Using structural equation modeling, the present study models both antecedents and consequences (including psychological distress, self-esteem, and suicidality) of victimization via a secondary analysis of their data set. In addition, a second sample of 54 lesbian, gay, and bisexual youths from a rural university setting was examined to cross-validate and generalize the relationships found in urban settings. Results indicated that a revised model of victimization exhibited sufficient fit to the urban sample data and provided preliminary support for the generalizability of the model beyond the initial sample. Additional similarities were found between the urban and rural university community samples, including a high prevalence of reported suicide attempts: 42% of the urban sample and 32% of the rural university sample had attempted suicide at least once. Results indicated that victimization based on sexual orientation has similar correlates for young people in different community settings.     

Values and Valences: Variables Relating to the Attractiveness and Choice of Food in Different Contexts1

This study investigated relations between values and the attractiveness and choice of food in different contexts for a sample of 464 participants who completed a mail survey distributed in 12 supermarkets in metropolitan Adelaide, South Australia. Participants responded to 5 hypothetical scenarios describing situations, each of which presented 2 alternatives relating to the presentation or consumption of different foods. Participants also completed the Schwartz Value Survey (Schwartz, 1992). Results showed that measures of the attractiveness (or valence) of each alternative and choice of alternative were related to specified value types for some scenarios, depending on context and structural relations among the value types engaged by each alternative. Results also implied that choice of alternative was mediated by the valences.     

A Psychometric Evaluation of the Career Decision-Making Self-Efficacy Scale

A thorough psychometric evaluation of the Career Decision-Making Self-Efficacy Scale (CDMSES; Taylor & Betz, 1983) is provided. The construct of career decision-making self-efficacy, stemming from Bandura's (1977) self-efficacy theory, is discussed. A summary of the initial construction and development of the scale is provided, followed by a comprehensive review of the results of various investigations on the reliability and validity of the CDMSES. An overall evaluation of the CDMSES's psychometric strengths and weaknesses is given. The article concludes with ideas for additional psychometric research of the CDMSES and discusses the usefulness of the scale in career counseling and career development research.     

From dialectic to organization: Bogdanov’s contribution to social theory

This paper situates Bogdanov in the context of social theory generally and socialist theory in particular. It outlines briefly the principal characteristics of his mature system, and assesses the strengths and weaknesses of his approach to the fundamental problems of social thought. The paper devotes particular attention to the problem of just how systems develop from less complex to more complex forms of organization, and evaluates Bogdanov’s solution to this problem against the background of populist, social democratic, and Leninist alternatives.     

The pain behavior scale: Modification and validation for outpatient use

The present study investigated the validity of an inpatient pain behavior rating scale modified for outpatient use. A series of 43 consecutive outpatients referred for evaluation of chronic pain was examined using the Pain Behavior Scale (PBS) and other psychometric instruments. Analyses revealed significantly higher Pain Behavior Scale scores for low back and multiple pain-site groups. The results also indicated a high degree of internal consistency of the scale. A multiple regression analysis, predicting observed pain behavior from reported pain behavior, indicated that decreased activity accounted for 32% of the variance in the PBS score. A similar regression for pain experience found that the pain level and the sensory scale score on the McGill Pain Questionnaire accounted for 39% of the PBS variance. Psychological characteristics including disease conviction, self-control, depression, and anxiety explained 45% of the variability in the PBS score. Thus, the scale is related to pain intensity, interference with activities, and a variety of psychological characteristics. The scale provides a measure of observable pain behavior that is also relatively independent of these clinical data sources. The Pain Behavior Scale as modified for outpatient use provides a brief index of pain behavior with potential use in the comprehensive evaluation of the pain patient.     

On doing research: the dream and the reality

The principal concern of this essay is to offer practical and personal guidance to professional therapists who wish to engage in research in family therapy. It is not a paper about research design or experimental/observational/survey methods; rather the focus is upon the experience of engaging in research. It attempts to destroy a few common myths about researchers, research, and the motives of researchers and those whom they research. Research is seen as a continuing and evolving process (rather than a product) which can intrude in many aspects of the individual's life; it can affect motives, working relationships, organizational composure, personal family life, and personal self-esteem. Research is thus like most other forms of employment. Research, as an activity, must be seen in terms of systems dynamics, resistance to change, and hopefully, in terms also, of self-actualization and the refreshment of professional parts that other addictions cannot reach.
Recommendations are made for the structuring of research activity, in the light of the research model presented.     

Learned helplessness deficits: Uncontrollable outcomes or perceived failure?

An experiment is described showing that learned helplessness deficits are produced by prior exposure to uncontrollable outcomes rather than perceived failure. Although the controllability manipulation did produce differences in perceived success or failure, similar differences were also induced by means of instructional feedback. These latter differences, within the controllable and uncontrollable groups, were not associated with poorer performance by subjects given failure feedback. Moreover, the instructional feedback did not influence subjects' perceptions of controllability or uncontrollability. The results confirm that helplessness deficits cannot be explained as reactions to task failure.This research was supported by Research Grant A28015473 from the Australian Research Grants Scheme.