Adolescent Smoking Behavior and the Recognition of Cigarette Advertisements1

In a study designed to assess the relationship between smoking status and correct identification of cigarette brands, junior high school students from two schools viewed cigarette and automobile advertisements with brand and model identification deleted. Results showed that adolescents with higher ad recognition scores were more likely to smoke cigarettes. In addition, a relationship was found between age and correct identification of cigarette advertisements, with older students identifying more ads correctly than younger students. No significant effects emerged for identification of automobile advertisements except for sex, with boys identifying more advertisements than girls. Additional findings indicated that even “experimental” smokers, who smoked as little as once per year, recognized significantly more cigarette advertisements than nonsmokers. These and other results are discussed in terms of their implications for prevention and policy issues. It is argued that society's allowance of printed cigarette advertising overlooks adolescents' heightened vulnerability to the kinds of appeals used in cigarette advertisements. Present policy also overlooks adolescents' relative unresponsiveness to the health risk information required in cigarette advertisements.     

Teaching cotherapy: Instructional and supervisory processes

A course on cotherapy for mental health practitioners is described. The authors strongly recommend that clinicians from all disciplines be taught and trained to do cotherapy, since it is a highly effective therapeutic modality in treating individuals, families and groups.     

The use of guided imagery in psychotherapy: Modules for use with passive relaxation training

Passive relaxation training can be an important technique when conducting psychotherapy with anxiety disorder clients. A central element of the passive relaxation process is the use of guided imagery. The clinical use of imagery is verbally guided by the therapist and includes multiple sense modalities. The exact procedures used in guided imagery are not often described in adequate detail. An appendix is included to describe five guided imagery modules to be used in combination with the passive relaxation procedures.     

The self in transformation: Dialectical processes in long-term psychotherapy

A number of phases are notable during the process of integration of the self through psychotherapy. Each of these phases encompasses a particular ontology in relation to the dynamic self. The underlying process of change, moreover, may be conceived of as dialectical in nature with each phase having a unique thesis and antithesis. A clinical case is presented to illustrate these ideas for the therapist.     

Preschoolers' construction order of event sequences related to mental ability and degree of familiarity.

Preschoolers' understanding of sequential relations was investigated in two experiments. Experiment 1 showed that appreciation of sequential relations depends on the level of mental ability and the degree of familiarity displayed with the social or behavioral phenomena under investigation. Experiment 2 reproduced the findings of Experiment 1 and, further, demonstrated that an increase in experience and familiarity through an interaction phase between children with higher and those with lower mental abilities led to a significant exchange of information and performance that was retained over the posttest phase. The data of both experiments are discussed within the framework of the "invariance hypothesis" (Bullock, 1985) in contrast to Piagetian theory (Piaget, 1946/1969).     

Courtesy stigma: the social implications of associating with a gay person

We investigated the operation of courtesy stigma with American male college students who reacted to a fictitious male student described as gay, rooming by choice with a gay male student, involuntarily assigned to room with a gay, or rooming with a male heterosexual. Among respondents who expressed strong intolerance of gays, the voluntary associate of a gay was perceived as having homosexual tendencies and as possessing the same stereotyped personality traits attributed to a gay. No such courtesy stigma was attached to the involuntary associate of a gay by these respondents. Relatively tolerant respondents engaged in no courtesy stigmatization at all. Thus, courtesy stigmatization occurred only under circumscribed conditions and appeared to depend more on the tendency of highly intolerant individuals to infer that a male student who apparently liked a gay individual was himself gay than on a motivation to maintain cognitive consistency.     

The spiritual well-being and need of parishioners

In this study we compare the spiritual well-being and need of healthy and ill parishioners, creating data that pastors can use as background in assessing pastoral need within their parishes. Three questionnaires generate the data, and the results demonstrate increased need of parishioners in the hospital. Specifically, women hospitalized for problem pregnancies demonstrate statistically more need than healthy parishioners, and these data suggest that pastors should assess their needs carefully. A group of patients who fight their metastasized cancer create scores statistically similar to healthy parishioners. Demographic variables also have an impact on spiritual well-being and need, particularity the parishioner's age and level of education.This research was supported in part by the Section of Graduate Education and Research, the Department of Family Medicine, The Ohio State University, Columbus, Ohio.The PIL and SONG were obtained through the Institute of Logotherapy in Saratoga, California. The Spiritual Well-Being Scale was used with permission of Craig W. Ellison.     

Respect: Response to shame in health care

Shame is a not uncommon experience of patients in health care settings. Religious assessments often confuse shame with guilt, and therefore respond in ways that may not be appropriate. Illustrated by a case study, this article distinguishes shame from guilt and examines systemic considerations. Then shame is explored in relation to traditional, negotiating, and individualistic belief paradigms, looking at epistemology, causality, response to shame, healing models, and tasks. It concludes with a discussion of the idea of respect as foundational for responding to people experiencing shame in health care.