A time-limited dynamic approach to adolescent inpatient group psychotherapy

In response to sharply curtailed lengths of stay of adolescents in an inpatient psychiatric program, new therapeutic modalities need to be implemented. A time-limited dynamic approach to adolescent inpatient group psychotherapy is presented. The model integrates psychoanalytic and crisis theory into a group format. The primary focus in this model is upon resolution of problematic interpersonal interactions as they are related to the current crisis state. The group process, as related to the adolescent, involves three phases. These include an initial intake phase, which incorporates an ego-functioning assessment; a second or middle phase which focuses on making actions ego-alien; and the termination phase, which incorporates the learning experience and how it relates to the resolution of precipitators of the admission.     

Characteristics of adolescents at risk for compulsive overeating on a brief screening test

As part of a large survey of addictive behavior in high school students, 43% of a sample of 278 (26% of the males, 57% of the females) scored above the cutoff point set by Overeaters Anonymous on their scale for assessing compulsive overeating. While this at-risk group did not report poorer general adjustment, health, or school achievement than did the students not at risk, they did significantly more often perceive their life quality and relationship with the person closest to them as less positive. The at-risk subsample indicated the defensive effectiveness of overeating in their significantly more frequent report of dissociative experiences while eating, and less severe ratings of insecurity, worrying, and daydreaming. One of the most salient findings was the at-risk students' more frequent report of addictive problems in their parents (overeating, alcohol and drug use, and gambling).     

Temporal memory over the adult lifespan

Performances of noncollege student young adults, middle-aged adults, and elderly adults were contrasted on word temporal memory and paired-associate learning tasks. A comparison group of college-student subjects was also evaluated on each task. Significant effects for age variation were found for each task. The age sensitivity for temporal memory conflicts with one of the criteria commonly established for determining the automaticity of a memory task. In addition, moderately high positive correlations were found for each age group between word temporal memory scores and paired-associate learning scores, implying the involvement of effortful processes over the adult lifespan in word temporal memory.     

Coping, locus of control, social support, and combat-related posttraumatic stress disorder: a prospective study

We examined the relations between coping, locus of control, and social support and combat-related posttraumatic stress disorder (PTSD). The sample consisted of 262 Israeli soldiers who suffered a combat stress reaction episode during the 1982 Lebanon war and were followed 2 and 3 years after their participation in combat. Cross-sectional analyses revealed significant relations between locus of control, coping, and social support and PTSD at the two points of assessment. Changes in PTSD from Time 1 to Time 2 were also associated with changes in coping. We discuss theoretical and methodological implications of the findings.     

Denial and Confirmatory Search: Paradoxical Consequences of Medical Diagnosis1

An experiment was conducted to examine the effects of medical diagnostic-test results on illness appraisal and the recall of symptoms and behavior. Subjects were tested for a fictitious enzyme deficiency and were told either that the test result was positive (deficiency present) or that it was negative (deficiency absent). In addition, some of the subjects were told the test was accurate 95% of the time and others were told it was accurate 75% of the time. As predicted, subjects judged the enzyme deficiency as less serious and more prevalent when presented with positive test results. Subjects with positive test results also recalled more behaviors that had been labeled as risk factors. Although positive test subjects tended to report more deficiency-related symptoms, diagnosis did not affect the free recall of general symptoms. In addition, information concerning the reliability of the diagnostic test had no effect on judgments or recall but did affect information seeking. Subjects with positive test results were less likely to request a definitive follow-up test when their results were unreliable. The results are interpreted as evidence for independent confirmatory search and denial processes following medical diagnosis.     

Disarmament Decisions as Social Dilemmas1

The individual deciding on a nuclear weapons production policy is faced with a dilemma in which a choice must be made to support one of several conflicting defense policies. In order to investigate the social-psychological variables that are related to armament policy decision making, a telephone survey was conducted in the City of St. Louis, Missouri. Adult subjects (N= 110) responded to questions concerned with cognitive, attitudinal, and emotional responses to nuclear arms. Participants were also asked to choose a weapons production policy for the United States under conditions of continued and decreased Soviet nuclear arms production. Results indicated that respondents decisions about nuclear weapons production were related to their support for deterrence, the availability of their nuclear-related images, their emotional response to nuclear war, their attributions of responsibility for the prevention of nuclear war, and their political party affiliation. Distinctions between antinuclear decision-makers and pronuclear decision-makers are discussed.     

Influence of positive affect on the subjective utility of gains and losses: it is just not worth the risk

A modification of the procedure originally used by Davidson, Suppes, and Siegel (1956) to measure subjective utility was used to study the influence of positive affect on individuals' perceived value (utility) functions. Results indicated, as expected, that persons in whom positive affect had been induced showed a more negative subjective utility for losses than did controls. This indicates that losses seem worse to people who are feeling happy than to those in a control condition. The subjective utility functions of the two groups did not differ as much, however, when people were considering potential gain. Thus, at least in the situation tested in this study, potential gains did not seem to be more appealing (nor less so) for affect subjects than they did for controls. These findings are discussed in relation to theoretical issues in decision making and work suggesting that positive affect can promote increased sensitivity to losses in situations of potential meaningful loss.     

Personality in adulthood: a six-year longitudinal study of self-reports and spouse ratings on the NEO Personality Inventory

Previous longitudinal studies of personality in adulthood have been limited in the range of traits examined, have chiefly made use of self-reports, and have frequently included only men. In this study, self-reports (N = 983) and spouse ratings (N = 167) were gathered on the NEO Personality Inventory (Costa & McCrae, 1985b), which measures all five of the major dimensions of normal personality. Cross-sectional and longitudinal analyses on data from men and women aged 21 to 96 years showed evidence of small declines in Activity, Positive Emotions, and openness to Actions that might be attributed to maturation, but none of these effects was replicated in sequential analyses. The 20 other scales examined showed no consistent pattern of maturational effects. In contrast, retest stability was quite high for all five dimensions in self-reports and for the three dimensions measured at both times in spouse ratings. Comparable levels of stability were seen for men and women and for younger and older subjects. The data support the position that personality is stable after age 30.     

A "change-of-standard" perspective on the relations among context, judgment, and memory

We conducted three studies that tested a "change-of-standard" perspective on the relations among context, judgment, and recall. Each study consisted of two or three sessions held a few days apart. All subjects read about the sentencing decisions of one or two target trial judges and of six nontarget trial judges who consistently gave either higher or lower sentences than the target judge(s). Each study varied both the standard that was available when subjects initially judged the sentencing decisions of a target judge and the standard available when subjects subsequently recalled those decisions. To accomplish this, we varied the context of judgment, the timing of judgment, and the overall category norm for trial judges' sentencing decisions that was available at recall. We found that although subjects had been exposed to the same target information and had initially judged it in the same way, their recall of the information was different depending on whether and how a change-of-standard had occurred between judgment and recall. Unique predictions of the change-of-standard perspective were confirmed that could not be accounted for in terms of other types of context effects on judgment and memory.