Social Perceptions of Termination of Medical Treatment: Suicide or Rational Decision?

In two studies, college students read about a critically ill patient who died after CPR attempts failed, CPR was not attempted pursuant to a "Do-Not-Resuscitate" (DNR) order, he terminated all medical treatment, or he self-administered a lethal injection. Death resulting from treatment termination was perceived as significantly more unconventional than were death by CPR failure or DNR order. Ending treatment and lethal injection were perceived as equivalent acts of suicide, and resulted in the patient's being seen as less rational and less capable of making health care decisions. Timing of the patient's decisions regarding treatment, as indicated by the presence or absence of Living Will information, did not alter these perceptions. Results are discussed in light of opposing hypotheses regarding views of "naive" social perceivers toward actions with identical outcomes: that acts of commission are perceived as causal and rated more negatively than acts of omission (Spranca, Minsk, & Baron, 1991), and that acts seen as abnormal are attributed greater causal impact (Hilton & Slugoski, 1986).     

The Importance of Attitudes in the Prediction of College Students' Intentions to Drink

Fishbein's (1967, 1980) theory of reasoned action was used to test the relative importance of attitudes and subjective norms in predicting undergraduate students' intentions to perform 3 different types of social drinking actions: avoiding drinking, drinking enough to get a slight buzz, and drinking enough to get drunk. A multiple regression paradigm was used to determine the relative effectiveness of attitudes and subjective norms in predicting intentions to perform each of the 3 drinking behaviors. Although attitudes were consistently found to be better predictors of intentions than were subjective norms, the strength of the attitude-intention relation varied widely across the 3 actions. In particular, the attitude-intention correlation was strongest for "drinking enough to get drunk." Findings also suggest that subjective norms, previous behavior, and perceived behavioral control are not important variables for predicting this behavior.     

AN EXPERIMENTAL COMPARISON OF THREE DIFFERENT SCHEDULES OF REINFORCEMENT OF DRUG ABSTINENCE USING CIGARETTE SMOKING AS AN EXEMPLAR

The efficacy of three different schedules of reinforcement for promoting and sustaining drug abstinence was compared in this study. Cigarette smoking was studied as an exemplar of stimulant drug self-administration. Sixty cigarette smokers were assigned to one of three groups (progressive rate of reinforcement, fixed rate of reinforcement, and yoked control). Participants in all three groups were asked to refrain from smoking for 1 week. Participants in the progressive and fixed groups achieved greater mean levels of abstinence than those in the control group. Participants in the progressive group were significantly less likely to resume smoking when they became abstinent than participants in the other groups.     

CHOICE-MAKING TREATMENT OF YOUNG CHILDREN'S SEVERE BEHAVIOR PROBLEMS

The choice-making behavior of 5 young children with developmental disabilities who engaged in aberrant behavior was studied within a concurrent operants framework. Experimental analyses were conducted to identify reinforcers that maintained aberrant behavior, and functional communication training packages were implemented to teach the participants to gain reinforcement using mands. Next, a choice-making analysis, in which the participants chose one of two responses (either a mand or an alternative neutral response) to obtain different durations and qualities of reinforcement, was conducted. Finally, treatment packages involving choice making via manding were implemented to decrease inappropriate behavior and to increase mands. The results extended previous applications of choice making to severe behavior disorders and across behaviors maintained by positive and negative reinforcement.     

Parental Smoking and the “Epidemic” Spread of Cigarette Smoking1

“Epidemic” models of transitions between stages of cigarette smoking describe the spread of smoking behavior through face-to-face encounters. An epidemic model was successfully fitted that allowed epidemic parameters to be conditioned on the smoking status of adolescents' parents. Model comparisons supported the conclusion that the transition from nonsmoker to trier involved social contacts, whereas the transition from trier to regular smoker was best modeled as a constant rate (i.e., did not depend on the population prevalence of smokers). The transition rate from nonsmoker to trier was more rapid in children of smoking parents than in children of nonsmoking parents. Adolescents with and without smoking parents did not differ in the rate of transition from trier to regular smoking.     

Personality and Coping: Three Generations of Research

ABSTRACT This article introduces the Journal of Personality 's special issue on coping and personality. It first presents a historical overview of the psychological study of how people cope with stress and identifies three generations of theory and research: (a) the psychoanalysts and the ego development school, which tended to equate personality and coping strategies; (b) the transactional approach, which appeared in the 1960s and emphasized situational and cognitive influences on coping while downplaying the role of individual differences; and (c) the most recent, "third generation," whose work is represented in this special issue and focuses on the role of personality in coping while maintaining strong operational distinctions among coping, personality, appraisal, and adaptational outcomes. This introduction concludes with a discussion of unresolved conceptual and methodological issues and a brief orientation to the third-generation articles that follow in this special issue.     

Coping and Personality: Third Time's the Charm?

ABSTRACT In this special issue, a third generation of research is represented which recognizes and demonstrates that individual differences in personality play an important role in the coping process. Although progress is apparent, there are several unresolved issues, including the best way to measure coping and whether "type of coping" matters in naturalistic settings. Three potentially important parameters of coping—range, patterning, and competence—are described, but only the first has received systematic empirical attention. The study of coping might also be advanced by researchers giving more attention to the differences between problem situations in which traits are more easily expressed ("weak" situations) versus those where normative criteria and constraints are explicit ("strong" situations).     

Detection of a Cry for Help on the MMPI-2: an analog investigation

We compared Minnesota Multiphasic Personality Inventory (MMPI-2) results from 2 groups of mildly to moderately disturbed psychiatric outpatients (N=60) answering under either Standard or Cry for Help instructions. Results from previously completed intake MMPI-2 protocols were obtained for each participant. The two groups were comparable on intake MMPI-2 variables and demographic characteristics. Analysis of feedback data from the second, experimental observation indicated that the two groups had equivalent self-estimates of understanding of their role and success in simulating their role. Significant differences were found between the two groups on their experimental MMPI-2 protocols. The Cry for Help group had significantly higher scores on F, F-K, Fb, Ds2, and Fp scales as well as significantly lower scorns on the K scale. The Cry for Help group also had significantly higher scores on all clinical scales with the exception of 5, which was not tested. Cutting scores derived by Rogers, Sewell, and Ustad (1995) for the detection of a Cry for Help in outpatients were cross-validated with fairly positive results. Although these results are promising, particularly in light of the shrinkage expected on cross-validation, further research is needed in this area.     

Relevant implication and the case for a weaker logic

We collect together some misgivings about the logic R of relevant inplication, and then give support to a weak entailment logic DJ^d. The misgivings centre on some recent negative results concerning R, the conceptual vacuousness of relevant implication, and the treatment of classical logic. We then rectify this situation by introducing an entailment logic based on meaning containment, rather than meaning connection, which has a better relationship with classical logic. Soundness and completeness results are proved for DJ^d with respect to a content semantics, which embraces the concept of meaning containment.Dedicated to Robert K. Meyer on the occasion of his 60th birthdayThis paper was presented to the Australasian Association for Logic Conference, A.N.U., Canberra, in July, 1992. This Conference commemorated the 60th birthday of Robert K. Meyer, in recognition of the enormous contribution he has made to Logic, especially to Relevant Logic, and of the general lift he has given to the field in his adopted country, Australia. This paper owes its inspiration to Robert Meyer's Farewell to Entailment [37] and his earlier Why I am not a Relevantist [35]. This paper also owes a great deal to Richard Sylvan who has consistently supported weaker relevant logics at a time when stronger relevant logics were in vogue (see especially [47], Chapter 3). In writing this paper, I have also benefited from conversations with Nuel Belnap, Michael Dunn, Kit Fine and Alasdair Urquhart during a period of study leave in 1991. I also thank Robert Meyer, Michael Dunn, Martin Bunder and John Slaney for useful comments on my conference paper. I would also like to thank the referees of this Journal for their helpful comments, which led me to make substantial improvements to this paper.     

Depression and the soul

Clergy are often confronted by challenges in dealing with the depressed congregant. This paper addresses the interface between psychology, psychiatry, and religion in a discussion of two cases. Models are suggested for dealing with the issues raised by the depressed congregant. The paper developed from a symposium on “The Depressed Congregant: Three Pastoral Responses to a Case Vignette” presented at a conference for cleargy onDepression and The Soul, at Temple Sholom in Chicago.