Intervention in the Library: The Effect of Increased Responsibility on Bystanders' Willingness To Prevent a Theft

Two field experiments tested the hypothesis that a bystander's increased responsibility to act increases the likelihood of his helping the victim of an emergency. In Experiment 1, an individual asked or did not ask the bystander to protect his property in his absence. In Experiment 2, the presence/absence of an unattentive confederate was varied orthogonally to the request/no request manipulation. The results of both experiments indicated that bystanders who received a prior request for protective assistance felt more personally responsible for protecting the individual's property and were more likely to prevent a theft of that property than were bystanders who received no request. The presence of a confederate in Experiment 2 decreased bystanders' felt responsibility and their willingness to intervene on the victim's behalf. The results were interpreted as support for the "felt responsibility" proposition of the Latané and Darley (1970) model of bystander intervention.     

Adolescent Nonsmokers,Triers, and Regular Smokers' Estimates of Cigarette Smoking Prevalence: When Do Overestimations Occur and by Whom?1

The present study tested three assumptions often made by smoking prevention researchers and practitioners regarding the nature and causes of smoking prevalence estimates. Specifically, it is often assumed that (a) adolescent prevalence estimates of all levels of smoking are inflated, (b) youths at different stages of smoking onset all overestimate smoking prevalence, and (c) the predictors of these estimates are the same for youths at different stages of smoking onset. Measures of smoking behavior based on self-reports using a bogus pipeline procedure, estimates of cigarette smoking prevalence (trying behavior and weekly use), and reports of smoking in significant others were obtained by the same youths when they were in eighth and ninth grades. Results indicated that, taken over all youths, estimates of trying cigarettes were accurate, whereas estimates of weekly use were inflated. When responders were defined by their stage of smoking onset, either as a nonsmoker, trier, or regular smoker, analyses revealed that triers were accurate regarding prevalence estimates of trying, whereas non-smokers made gross underestimations and regular smokers made overestimations of trying. All groups of youths overestimated prevalence of weekly smoking. Analyses of variance revealed that both youths' smoking status and interpersonal smoking environment additively predicted prevalence estimates, and estimates of smoking prevalence were relatively higher in youths who began to smoke, or increased their levels of smoking, within the next year. Thus, previous assumptions were partially confirmed. Future research and prevention programming should focus more on regular smoking as the focus of normative smoking distortion effects and correction efforts.     

A mathematical approach for establishing treatment priorities among patients

Medical decision making often utilizes subjective observations to arrive at concrete judgments. The decisions frequently affect who receives scarce medical treatments and, thus, who lives or dies. In this paper, a model health status index is described. It is specific for the problem of choosing patients for hemodialysis or transplantation. Such a health status index may be designed for any medical decision involving such issues as drug treatment priorities, identification of salvageable patients, and selection of patients for scarce medical treatment. This index (1) incorporates a physician's own medical criteria and values, (2) can be modified as the data base improves, (3) assures consistency from decision to decision, and (4) can be developed and used without the help of a mathematician or computer.     

Social Status and Prestige in the Selection of a Program of Study in the Community-Junior College

This study examines the relative emphasis placed upon social status and prestige in the selection of an occupation and program of study by students in the community-junior college. The following results were noted: (1) Students enrolled in college transfer programs stressed prestige in the selection of an occupation to a greater extent than did those in technical and semi-professional programs. (2) When the students in the sample were grouped according to occupational aspiration level, a positive correlation was found to exist between occupational aspiration level and prestige emphasis. (3) No significant relationship was found to exist between the social status of students and prestige emphasis in the selection of an occupation.     

The Place of Counseling in the Preparation of Student Personnel Workers

The nature of preparation of student personnel workers is currently under discussion. Because of the variety of settings within higher education in which student personnel workers function and the specialized nature of their functions, their preparation should be different from counseling psychologists. Consideration is given to the possible conflicting nature of the student personnel worker's commitment to the institution and his commitment to individual students. The inadequacy of a philosophy of counseling based on radical individualism is discussed. An attempt is made to formulate a consistent and integrated rationale for student personnel work. The position is taken that education as a counselor, based upon an adequate philosophy of individual development within lines that will benefit the whole society, is crucial to adequate functioning as an effective student personnel worker.     

Psychosocial Predictors of Young Adolescent Cigarette Smoking: A Sixteen-Month,Three-Wave Longitudinal Study1

Understanding the psychosocial factors that predict cigarette smoking onset in young people is of crucial importance for prevention efforts. The present study examined prospective psychosocial predictors of smoking in a three-wave longitudinal data set. Similar in design to an earlier study by Chassin, Presson, Sherman, Corty, and Olshavsky (1984), the present study replicated their work, and extended it by (a) using composite predictors derived from exploratory factor analysis, (b) including prior behavior as a predictor, (c) using a design extended over three waves of data collection, and (d) using a sample composed primarily of urban teenagers. Subjects were 3295 7th-grade students at the beginning of the study. The subjects completed a questionnaire containing items tapping cigarette smoking behavior and psychosocial items that have previously been shown to predict smoking behavior. Forty-one psychosocial items on the Wave 1 (initial) questionnaire were factor analyzed, and five factors were retained. Subscale scores were constructed based on these factors and were used as predictors. Regression analyses were performed using the subscales and pretest smoking frequency to predict a continuous measure of smoking, and discriminant analyses were performed to predict transitions between qualitative levels of smoking. Prior smoking behavior was the most important predictor of future smoking. Four of the subscales, Social Disapproval, Risk Taking/Rebelliousness, Perceived Smoking Prevalence, and Motivation to Comply, were significant predictors. One subscale, Physical Consequences from Smoking, was not predictive of smoking in any of the analyses. The effect sizes cross-validated well. It is suggested that an integrative model of smoking initiation developed by Flay, d'Avernas, Best, Kersell, and Ryan (1983) best summarizes the results of the present study.     

Beyond Consent: Building Trusting Relationships With Diverse Populations in Precision Medicine Research

With the growth of precision medicine research on health data and biospecimens, research institutions will need to build and maintain long-term, trusting relationships with patient-participants. While trust is important for all research relationships, the longitudinal nature of precision medicine research raises particular challenges for facilitating trust when the specifics of future studies are unknown. Based on focus groups with racially and ethnically diverse patients, we describe several factors that influence patient trust and potential institutional approaches to building trustworthiness. Drawing on these findings, we suggest several considerations for research institutions seeking to cultivate long-term, trusting relationships with patients: (1) Address the role of history and experience on trust, (2) engage concerns about potential group harm, (3) address cultural values and communication barriers, and (4) integrate patient values and expectations into oversight and governance structures.