The Social Psychology of Caregiving: Physical and Psychological Costs of Providing Support to the Disabled1

The emphasis of much of the existing research on social support-health relationships has been on the availability and impact of support on the recipient, but social psychologists have paid little attention to the costs to the caregiver of providing that support. In an earlier study (Schulz & Decker, 1985), we found that the long-term coping of individuals experiencing chronic disability as a result of spinal-cord injury was facilitated by the availability of a primary support person, or caregiver. In this study we examined the determinants of well-being of the primary caregiver of the middle-aged and elderly spinal-cord-injured persons. Psychological well-being, life satisfaction, and depression were the dependent measures. The availability of social support, social contact, and feelings of control over one's life were important determinants of caregiver well-being, even after controlling for health and income. In addition, the amount of time spent each day assisting the disabled person was a strong independent correlate of depression, and the extent to which the caregiver felt burdened by the victim was significantly and negatively related to life satisfaction. These results are discussed in the context of a comprehensive stress-coping model. Since data were available from both disabled individuals and their primary support persons, we had the unique opportunity to compare the perspectives of both those giving and receiving daily care. We found no relationship in levels of psychological well-being and depression reported by the disabled person and caregiver; however, caregivers attributed to the victims affective levels similar to their own.     

Book Reviews

The Psychological Record -     

Observers’ sensitivity to dynamic anomalies in collisions

The present study examined observers’ ability to discriminate canonical and dynamically anomalous collisions that were presented in either frictionless or frictional systems. Whereas previous research has provided qualitative demonstrations that dynamic information can be extracted from visual events, the current study provides a parametric assessment of observers’ sensitivity to dynamic invariants. Our findings indicate that observers are competent when viewing both familiar, terrestrial (frictional) systems and unfamiliar but computationally simpler, 0-G (frictionless) systems. Thus, our sensitivity to these dynamic invariants in visual events is robust in natural systems whose dynamic properties differ from those of the environment in which we evolved and developed.     

Type A behavior,anger expression,and reactions to anger imagery

The experiment investigated the effects of Type A behavior, anger expression, and gender on perceptions of control and heart rate. Jenkins Activity Survey defined Type A and B subjects, categorized as either high or low in anger expression, were asked to recall, image, and generate self-referent statements about angry situations. State anger and heart rate were measured during all of the anger induction conditions, and ratings of imagery vividness and perceptions of control for self and others were taken following the recalled and imaged anger conditions. The results, with both the heart rate and self-report measures, indicated that the effects of the independent variables were interactive and situationally dependent. Type A behavior was associated with increased heart rate in two experimental conditions (mood anger and recalled anger), and, in one instance, this effect was amplified in male subjects (recalled anger). The self-report results yielded interactional effects that most commonly took the form of high anger expression, with male Type A's providing higher ratings of state anger, more vivid anger imagery, and lower perceived self-control ratings than did other categories of subjects. Taken together, these results suggest that anger expressiveness, particularly among males, amplifies the usual reactions attributed to Type A's, and that such effects are mediated by the threat of loss of control. Further, the observed interactive relationships limit the generalizability of A/B differences and raise definitional questions about Type A behavior.     

A maximum likelihood hierarchical disaggregate model for predicting choices of individuals

The absence of operational disaggregate lexicographic decision models and Tversky's observation that choice behavior is often inconsistent, hierarchical, and context dependent motivate the development of a maximum likelihood hierarchical (MLH) choice model. This new disaggregate choice model requires few assumptions and accommodates the three aspects of choice behavior noted by A. Tversky (1972, Journal of Mathematical Psychology, 9, 341–367). The model has its foundation in a prototype model developed by the authors. Unlike the deterministic prototype, however, MLH is a probabilistic model which generates maximum likelihood estimators of the aggregate “cutoff values.” The model is formulated as a concave programming problem whose solutions are therefore globally optimal. Finally, the model is applied to data from three separate studies where it is demonstrated to have superior performance over the prototype model in its predictive performance.     

Infant sensitivity to figural coherence in biomechanical motions

Two experiments assessed infant sensitivity to figural coherence in point-light displays moving as if attached to the major joints of a walking person. Experiment 1 tested whether 3- and 5-month-old infants could discriminate between upright and inverted versions of the walker in both moving and static displays. Using an infant-control habituation paradigm, it was found that both ages discriminated the moving but not the static displays. Experiment 2 was designed to clarify whether or not structural invariants were extracted from these displays. The results revealed that (1) moving point-light displays with equivalent motions but different topographic relations were discriminated while (2) static versions were not, and (3) arrays that varied in the amount of motion present in different portions of the display were also not discriminated. These results are interpreted as indicating that young infants are sensitive to figural coherence in displays of biomechanical motion.     

The recognition of and empathic response to “personal legends”

The ability to recognize and analyze a personal legend in the conversation of an older person is a useful tool for the skilled, compassionate conversation partner. Having isolated the legend, the empathic listener can offer the teller of the legend the gift of an understanding, clarifying interpretation of its significance.Carolyn K. Dennis, M. Th., is assistant chaplain and program coordinator of the health care lay ministry training program at Gaston Episcopal Hospital, in Dallas, Texas.     

Commentary on “Can a good philosophical contribution be made just by asking a question?”

This paper explains some of the reasoning behind “Can a Good Philosophical Contribution Be Made Just by Asking a Question?,” a paper which consists solely in its title and which is published in the same issue of the journal as the present paper. The method for explaining that reasoning consists in making available a lightly edited version of a letter the authors sent to the editors when submitting the title-only paper. The editors permitted publication of that paper on the condition that the authors also separately publish a version of that letter; the present paper aims to fulfil that condition.