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.     

Helping Children Accept Death and Dying Through Group Counseling

This article suggests that the new wave of openness about death in our culture and the elimination of the death taboo will not be completely accomplished without developing a generalized practice in death counseling with children. A brief historical perspective of research confirms the necessity of including children in discussions about death education. A taped counseling session with several preadolescent boys in a rural midwestern school demonstrates the importance of accepting the deep feelings and fears that children must deal with in order to be free from unnatural anxiety about death and dying as adults.     

Active and passive observers' attraction to a self-disclosing other

Active observer (participant) subjects were induced to make either a high or a low intimacy disclosure about themselves to a partner. Their (videotaped confederate) partner then disclosed either intimately or non-intimately in return. The impressions and attributions of these subjects were compared to the predictions of passive observer subjects (non-participants) who were each furnished with the original instructions, heard a tape recording of a different active observer's disclosure, and watched the same videotape of the confederate that person had seen. As expected, both active observers' responses and passive observers' predictions indicated a preference for the intimate partner. In addition, passive observers' attraction predictions were less positive than active observers' reports. But contrary to the hypotheses, passive observers predicted that active observers would attribute the partner's disclosure more to personalistic causes than was actually the case, and guessed inaccurately that active observers would interpret the partner's intimacy as an indicator of attraction. The methodological implications of these active-passive observer differences for research in self-disclosure and relationships are discussed.     

A house divided? Cognitive functioning with callosal agenesis

An anatomical and behavioral review of 29 reported cases of corpus callosum agenesis is presented. This review addresses itself to two questions: (1) Do acallosals manifest split-brain symptoms? (2) Is the corpus callosum necessary for the establishment of lateralization? Unlike the commissurotomy cases, acallosals show few symptoms of hemispheric disconnection. Behavioral strategies, use of noncallosal commissures, elaboration of ipsilateral pathways, and bilateral representation of function are discussed and evaluated as possible mechanisms of compensation. An impairment in spatiomotor functioning often accompanies callosal agenesis. Results of acallosal lateralization testing are examined and problems in interpretation are discussed. Current evidence does not conclusively establish that the corpus callosum is needed for lateralized development of some functions. However, the corpus callosum may play a role in the satisfactory performance of “lateralized” (i.e., spatial, linguistic) functions.     

Instructed versus pharmacological effects of alcohol in alcoholics and social drinkers

Twelve alcoholics and 12 social drinkers were studied in an experiment where instructions about alcohol or placebo were orthogonally crossed with administration of alcohol or placebo in a Balanced Placebo Design. Three subjects were simultaneously observed while watching soccer games on the TV together and having free access to a mixed drink, which in the alcohol conditions contained 150ml of 80% proof vodka. The assessment procedure included several aspects of drinking behavior, behavioral observations during the session, psychiatric ratings and nurse observations before and after each session, ratings for craving, self-reported state anxiety and physiological changes (heart rate and blood pressure). In general, the results showed the alcoholic's behavior to be controlled by instruction-induced expectancies rather than by the actual beverage given, whereas the social drinkers showed tendencies in the opposite direction. The implications of these results for the traditional disease conception of alcoholism and for learning theory approaches are discussed.     

Behavioral thresholds for tones during infancy

An adaptive up-down tracking procedure was used in combination with a visually reinforced head turn response to examine auditory sensitivity for 500, 2000, and 8000-Hz tone bursts in infants 6 to 18 months of age. Six- and 10-month-old infants were tested with headphone presentation of stimuli, while 10-, 14, and 18-month-olds were tested in sound field. Infant threshold estimates for both headphone and sound field were within 15 dB of adult comparisons for all frequencies and age groups. Six-month-olds were significantly less sensitive to the 8000-Hz tone than to either of the lower frequency stimuli, but older infants demonstrated approximately equal sensitivity for all three frequencies tested.     

Construction of new scales for the Multiple Affect Adjective Check List

Factor analyses were used to develop new scales for the Multiple Affect Adjective Check List (MAACL) measuring anxiety, depression, hostility, positive, and sensation-seeking affects. Anxiety, depression, and hostility scales were moderately intercorrelated and a combined score called “dysphoria” was formed from their addition. Positive and sensation-seeking affects were also correlated and combined in a summary score (PASS). The dysphoric and PASS scores were not highly correlated. The number of items checked correlated highly with the positive affect scale, moderately with sensation seeking, and relatively low with the negative affect scales. Internal reliabilities were high and retest reliabilities were low, in conformance with the model for state scales. The anxiety score increased and the positive affect score and number of items checked decreased just prior to a classroom examination. Further plans for scale development are discussed.     

Work-Home Role Conflict,Family Climate,and Domestic Responsibilities Among Men and Women in Dual-earner Families1

Correlates of work-home role conflict for dual-earner couples were examined. Respondents (N= 208) were an equal number of married, employed men and women with children. Data were collected in the northeastern U.S.A. through a survey which measured work-home role conflict, family climate, domestic responsibilities, and activities performed during one's free time. LISREL was used to determine if domestic responsibilities mediate the correlation between gender and work-home conflict. A regression analysis was used to determine the relative effects of domestic responsibilities and family climate on work-home conflict. Results indicate that (a) work-home role conflict is negatively related to family climate for men as well as for women, (b) gender differences in role conflict are partially attributable to gender differences in domestic responsibilities, and (c) domestic responsibilities and family climate each correlate significantly with work-home role conflict. Findings suggest that how one works hard (the conditions under which one lives) may be just as important as how hard one works (the number of tasks one performs).