Abuse and Older Persons: Issues and Implications for Counselors

Counselors can play a vital role in addressing the needs of increasing numbers of older persons subject to and at risk for abuse from their families, caretakers, and themselves.     

Status of perfusion scintigraphy in the diagnostic strategy in cerebrovascular disorders and space-occupying lesions

The results of an evaluation of the perfusion scintigraphy findings of 350 hospitalised neurological patients and 55 more strictly selected neurosurgical patients with cerebrovascular complaints, revealed an accuraty of 83%, a sensitivity of 89%, and a specificity of 83%. The selection of the patients had no influence on the results as a whole. Compared with contrast-medium angiography, incorrect diagnosis must be expected in 17% of the cases. This includes erroneous negative findings in 10% of the cases. Grounds for misinterpretations are suggested, and the biological and methodological limitations of the method are set forth.     

Community responses following suicide, homicide, and other deaths: the perspective of potential comforters

To determine whether actual responses of potential comforters in the community differ according to cause of death, 83 college students participated in a structured, individual interview. They were asked demographic questions about themselves, the bereaved, and the deceased, and then about various aspects of how they, and others in the community, responded to the death. Students were grouped by their reports of the cause of death (suicide, homicide, accident, natural anticipated death, or natural unanticipated death). When the death was by suicide or homicide, others were perceived as relatively less supportive of the bereaved person. When the death was by suicide, respondents themselves tended more to blame the bereaved person. When the death was by homicide, the bereaved person was perceived as reacting relatively worse. Potential comforters were relatively more shocked when the death was by homicide or accident.     

Physicians and clergy in dialogue

The goals and ends of contemporary medicine are often unclear. An explicit inquiry into the religious dimensions of healing offers an important perspective from which to evaluate the potential capabilities of the medical profession. This paper describes a course in which medical students joined divinity students to explore areas of mutual intellectual, professional, and personal interest. Students and faculty examined in depth three broad areas in which medicine and religion share common ground: concepts of health and illness from the religious perspective, approaches to the understanding of suffering and meaning, and the shared professional stresses of physician and clergy.This paper comes from the Department of Medicine, Beth Israel Hospital, and the Division on Aging and the Program for the Analysis of Clinical Strategies, Harvard Medical School, and the West Roxbury-Brockton Veterans Administration Geriatric Research, Education and Clinical Center, Boston.     

Delayed temporal discrimination in pigeons: A comparison of two procedures

A within-subjects comparison was made of pigeons' performance on two temporal discrimination procedures that were signaled by differently colored keylight samples. During stimulus trials, a peck on the key displaying a slanted line was reinforced following short keylight samples, and a peck on the key displaying a horizontal line was reinforced following long keylight samples, regardless of the location of the stimuli on those two choice keys. During position trials, a peck on the left key was reinforced following short keylight samples and a peck on the right key was reinforced following long keylight samples, regardless of which line stimulus appeared on the correct key. Thus, on stimulus trials, the correct choice key could not be discriminated prior to the presentation of the test stimuli, whereas on position trials, the correct choice key could be discriminated during the presentation of the sample stimulus. During Phase 1, with a 0-s delay between sample and choice stimuli, discrimination learning was faster on position trials than on stimulus trials for all 4 birds. During Phase 2, 0-, 0.5-, and 1.0-s delays produced differential loss of stimulus control under the two tasks for 2 birds. Response patterns during the delay intervals provided some evidence for differential mediation of the two delayed discriminations. These between-task differences suggest that the same processes may not mediate performance in each.     

Leadership skills and helpful factors in self-help groups

The effects of training on leadership skills and group processes in cancer and anorexic self-help groups are investigated. Three components of the study are reported. Firstly, an observational case-study of each type, of group was conducted to investigate the nature of the leadership input. Secondly, a Self-Help Questionnaire based on Lieberman's classification of leadership skills was administered to members of eight self-help groups to compare the experiences of groups with trained and untrained leaders. Thirdly, group members completed a Helpful Factors Questionnaire based on Yalom's analysis of group processes. The observational case-study revealed significant differences between the trained and untrained leaders in that, unlike the trained leader, the untrained leader clearly dominated the group. Results from the Self-Help Questionnaire showed that trained leaders scored higher on Caring and Emotional Stimulation but lower on Attribution of Meaning. Member satisfaction, however, was similar in the two types of group. Results from the Helpful Factors Questionnaire showed that most of the helpful factors were seen similarly by the two types of group, though differences were found concerning the relative rankings of both Guidance and Altruism. It is concluded that some degree of training of group leaders could be usefully incorporated into the self-help movement.     

Relative effectiveness of three stimulus variables for locating a moving sound source

A study is reported in which it is shown that observers can use at least three types of acoustic variables that indicate reliably when a moving sound source is passing: interaural temporal differences, the Doppler effect, and amplitude change. Each of these variables was presented in isolation and each was successful in indicating when a (stimulated) moving sound source passed an observer. These three variables were put into competition (with each indicating that closest passage occurred at a different time) in an effort to determine their relative importance. It was found that amplitude change dominated interaural temporal differences which, in turn, dominated the Doppler effect stimulus variable. The results are discussed in terms of two interpretations. First, it is possible that subjects based their judgements on the potential discriminability of each stimulus variable. However, because the stimuli used involved easily discriminable changes, subjects may instead have based their judgements on the independence of a stimulus variable from different environmental situation conditions. The dominance ordering obtained supports the second interpretation.     

The effects of labor shortages on starting salaries for sex-typed jobs

An experimental simulation was conducted to examine potential differences in sensitivity to forces to supply and demand among male and female sex-typed jobs. Respondents faced with a labor shortage favored raising salaries for male sex-typed jobs, but favored alternatives to salary increases for female sex-typed jobs at entry and middle levels. Findings are discussed in terms of occupational sex stereotypes and differing perceptions regarding the urgency and difficulty of filling vacancies in male and female positions.Portions of this study were presented at the National Academy of Management Meetings, Chicago, 1986.     

Alcohol and drug use in stressful times: The influence of the masculine role and sex-related personality attributes

In times of stress, men and women sometimes turn to the use of alcohol and drugs as an avenue for relieving their discomfort and distress. One explanation of this finding implicates traditional male tendencies as predisposing factors. The purpose of the present investigation was to study how the relationship between stress and substance use is moderated (1) by the masculine role, as measured by the Masculine Role Inventory; and (2) by socially desirable and undesirable masculine-instrumental and feminine-expressive personality attributes, as measured by the Extended Personal Attributes Questionnaire. The results indicated that during stressful episodes men characterized by socially undesirable instrumental personality attributes reported using tranquilizers and sedatives. By contrast, it was found that during stressful times, women characterized by success preoccupation reported less use of mind-altering drugs and more use of tranquilizers-sedatives. In addition, it was found that socially desirable expressive attributes served to buffer the impact of stressful experiences on women's use of alcohol.A preliminary report of these data were presented at the 1985 annual meeting of the Southwestern Psychological Association, Austin, Texas. Gratitude is extended to Toni Falbo for her assistance with this research.     

The influence of individual and family characteristics upon career aspirations of girls during childhood and adolescence

The term pioneer is used for girls aspiring to male-dominated careers. This longitudinal study assesses the career choices of 68 middle-class girls during childhood (8–13 years, Phase I) and again during adolescence (13–18 years, Phase II), and investigates the relation between pioneering career choice and personal and family characteristics. Subjects were originally selected for exposure vs nonexposure to exogenous hormones during pregnancy. In childhood, pioneers were somewhat older, were more often persistent tomboys, had higher IQs, and had parents with higher educational attainment. In adolescence, paternal education was the only variable that showed the same relation to career choice. Adolescent girls who had wanted to get married at the time of the childhood assessment were now less likely to choose pioneering careers. Adolescent pioneers also had higher educational aspirations than nonpioneers and less likely anticipated being married within ten years than nonpioneers. A number of statistically borderline relationships were also observed: pioneers had somewhat fewer older brothers than nonpioneers, less often came from homes in which traditional femininity was stressed, and more frequently had mothers who had worked outside the home throughout their daughters' school years than mothers of nonpioneers. Prenatal exposure to exogenous sex hormones was not related to career choice during either childhood or adolescence.