Observed behaviors during clinical interviews predict improvement in depression

A considerable percentage of depressed patients do not respond to antidepressive treatment. Early indicators of prognosis are needed. The aims of this study are to examine (a) whether the interpersonal behavior of patients and psychiatrist, as assessed by means of direct observation of behavior during a baseline clinical interview, might have predictive value with respect to therapeutic outcome and (b) which predictive potency measures of psychomotor activation, as assessed by less refined methods, such as global clinical judgment, might have. In the analysis used, speech-pause behavior was taken as the basic structure of the interaction. The relations of other behaviors such as looking and hand and head movement with this structure were determined. Evidence is presented that in a group of 31 depressives, improvement after a period of 10 weeks was related to observed behaviors during a baseline interview. The behaviors of the patients are interpreted as relational or nonrelational. The relational behaviors (i.e., looking yesnodding, gesturing) occur less in patients who will improve, whereas the nonrelational behaviors (i.e., intensive body touching, head movements) occur more in these patients. The nonrelational behaviors are presumed to be indicative of the state of arousal. The predictive potency of these variables could not be explained by their relationship with the baseline severity of depression, which in itself also predicted improvement. Moreover, global clinical assessment of psychomotor activation (i.e., retardation and agitation) could not be related to outcome.     

Murders and suicide: Are they polar opposites

This article explores the relationship between suicidal and murderous desires. Freud's psychological theory and Henry and Short's sociological theory are reviewed, and empirical studies that bear on the issue are examined. There is not sufficient information as yet to confirm or disconfirm that murder and suicide are polar opposites, but suggestions are made for future research needed to answer this question.     

Menstruation and crime: A critical review of the literature from the clinical criminology perspective

The authors review the literature on the relationship between menstruation and crime, focusing upon the methodological limitations of these studies in the broader context of criminological and menstruation research. Based on this review, they conclude: the present state of scientific knowledge is such that it is unknown whether there is an association between any phases of the menstrual cycle and crime; there is no evidence linking fluctuations in reproductive hormones to criminal behavior; and, this lack of scientific knowledge is so glaring that evidence regarding menstruation and crime should not be admissible in criminal trials.     

The effects of perceived parental rearing style on the development of Type A pattern

The aetiological antecedents of the Type A pattern have not been studied widely. In the present study the effects of parental rearing practices on the development of Type A pattern were evaluated. Perceived parental rearing style was assessed by the EMBU and Type A pattern by the JAS. Subjects were drawn from a random sample of residents (older than 21 years) of a Dutch community. Results suggested that a significant amount of variance of Type A behaviour can be accounted for by perceived parental characteristics, especially rejection and lack of emotional warmth. It is suggested that lack of emotional warmth and negative evaluation of children by their parents may lead to an internalized maladaptive cognitive set in the children which may be a developmental antecedent for eliciting the competitiveness, achievement striving, and sense of time urgency characteristic of Type A adults.     

Unanswered questions in assessment center research

This study compared the predictive validity of two types of overall assessment center ratings (clinical and mechanical) and two types of performance ratings (supervisor and subordinate). Data were gathered on approximately 50 law enforcement agency managers over a four-year time span. Results indicated that clinical predictions were not significantly better than mechanical ones and that prior performance ratings were better predictors of future performance ratings than were assessment centers. Further, dimension ratings within the assessment center were found to be unrelated to ratings of the same dimensions on the job four years later, supporting the notion of subtle criterion contamination (Klimoski & Strickland, 1977) and raising questions about the central assumptions underlying the assessment center approach.     

Family therapy with Spanish-heritage immigrant families in cultural transition

Increasing numbers of Spanish-heritage immigrant families in the United States are beginning to seek therapy for family conflicts related to their adapation to the new country/culture. This paper focuses on the difficulties experienced by these families and presents issues specific to therapy with them. Effective therapy with these families requires that therapists focus on clarification of the differential adaptation rates of family members and facilitate a resolution of the family's transitional conflicts(s). Six cases involving such families are presented.David A. Baptiste, Jr., PhD, is a Psychologist and Marital and Family therapist in the counseling center at New Mexico State University and in private practice, Las Cruce, NM.Revision of a paper presented to the International Round Table for the Advancement of Counseling, Annual Conference, Utrech, The Netherlands, July, 1985. The author expresses appreciation to Judith Landau-Stanton for her helpful review of an earlier draft of this paper.     

A structural model for postpartum responses to the somatic and cognitive items on the Beck Depression Inventory

A distinction can be drawn between those items on the Beck Depression Inventory (BDI) that reflect mainly cognitive and emotional symptoms and those that reflect somatic symptoms. Responses to the BDI were obtained from women at 3, 6, 9, and 24 weeks postpartum. The covariances of cognitive and somatic symptom scores across the four time points were closely fit by a structural equations model referred to as the simplex. The modeling indicates that earlier cognitive scores directly predict later somatic scores but that early somatic scores do not directly predict later cognitive scores. Other data confirm the results.Much of this research was supported while the first author was an NIMH Fellow at the University of Iowa (MH15168).     

Adjustment to hemodialysis treatment through behavioral controls

The present study was conducted to examine the hypothesis that compliant chronically ill patients, typically described as adjusted, reinforce more positive social environments using behavioral controls than noncompliant patients, typically described as maladjusted. Specifically, it is hypothesized that diet-compliant chronic hemodialysis patients emit significnatly more active involvement-in-treatment behaviors and more social behaviors than diet-noncompliant chronic hemodialysis patients. Subjects, who ranged in age from 30 to 77 years, were outpatients at a kidney center. Behavioral observations were conducted to assess the occurrence or frequency of (1) four involvement-in-treatment behaviors that are routinely taught to all patients and (2) two social behaviors, which were patient verbalizations and smiles. The results showed that compliant patients emitted significantly more involvement-in-treatment behaviors and smiles than noncompliant patients. Results support the proposed control framework that compliant, in contrast to non-compliant, chronically ill patients have recourse through positive behavioral controls when adjusting to the stresses of illness. It was proposed that through these controls, compliant patients reinforce positive environments rather than simply respond to life circumstances as given.     

Psychosocial risk factors, natural immunity, and cancer progression: Implications for intervention

One of the more important and emerging fields in which psychologists collaborate with other disciplines is psychoimmunology. Centuries of clinical anecdote and decades of psychosomatic hypotheses have gained credibility in the eyes of the medical establishment—and many patients—by the systematic investigation of mechanisms potentially explaining how events intrapsychic and interpersonal could affect physical disease processes. The central nervous system is connected with the immune system by both neuronal and endocrinological pathways. The immune system has been found to mediate the organism’s response to aberrations of its own normal functions, as well as to invading organisms from without. AIDS, arthritis, asthma, lupus, and herpes are some of the illnesses in which research is demonstrating important relationships among psychosocial and immunological factors and disease course. In this article, we first discuss the immunological apparatus in order to provide a base for subsequent discussions of the effects of stress on immune function. Then we discuss malignant diseases and current evidence that disease course is related to both psychosocial stressors and immune function. We next discuss a model of these interactions, and finally we talk about interventions incorporating psychosocial factors aimed at influencing immune status and, thus, disease course.     

New wave or second stage? Attitudes of college women toward feminism

The attitudes of female subjects toward gender roles, gender inequality, and the women's movement were measured using a 24-item attitudinal inventory. Subjects tended to hold nontraditional but only moderately feminist attitudes toward gender roles. They were, however, highly aware of gender inequality and supportive of the women's movement, although they were also reluctant to identify themselves as feminists. T tests revealed that subjects most supportive of feminism were advanced students (juniors and seniors) and students who had personally experienced discrimination. But when personal experience of sex discrimination was controlled for, the strength of the relationships between class level and gender role attitudes, and between class level and support for the women's movement, diminished. Students who had personally experienced sex discrimination are less traditional and more feminist in their gender role attitudes, and show stronger support for the women's movement, regardless of their class level, than students who have not had such experiences. These findings are interpreted and their implications for the future of the women's movement are discussed.