Family and childhood adjustment in cystic fibrosis

Family adaptation has been commonly associated with the psychological adjustment of chronically ill children. However, few studies have attempted to systematically evaluate this association and its relationship to illness severity. We studied 44 children ages 7 to 15 and their families at a large cystic fibrosis center and obtained measures of 1) impact of illness on the family; 2) family functioning; 3) behavioral adjustment; 4) social competence; 5) ratings of anxiety, depressive, and eating disorder symptoms; and 6) ratings of illness severity and duration. Impact of illness on the family and overall family dysfunction were significantly correlated with illness severity, but not duration. However, impact of illness on the family was significantly correlated with internalizing behavioral symptoms, while family dysfunction was correlated with depressive symptomatology. These findings suggest that illness-related stress is primarily reflected in general emotional and behavioral symptoms, with familial adaptation either ameliorating or exacerbating their development into depressive symptomatology.     

A TECHNOLOGY FOR PROGRAM MAINTENANCE: PROGRAMMING KEY RESEARCHER BEHAVIORS IN A STUDENT HOUSING COOPERATIVE

Behavioral researchers play critical, but often unanalyzed, roles in the programs they develop. Unless they replace their key activities with standardized procedures, their continued participation may be essential to program success—a situation that is often not only impractical but may be prohibitively expensive and disliked by local staff. This study was conducted in a student housing cooperative that is dependent on close researcher supervision for its continued health and survival. A key activity of the co-op researchers was to provide public recognition for good job performance by co-op members. The purposes of this study were (a) to replace that idiosyncratic recognition with systematic procedures so members, instead of the researchers, would provide public recognition to each other for good job performance; and (b) to evaluate those procedures by comparing job performance when member-delivered recognition was provided and when it was not. When the procedures were in place, job performance increased and fines for poor job performance and complaining at meetings decreased. This study suggests that procedures can be developed to reduce program reliance on the researcher that are effective, inexpensive, sustainable, and acceptable to the participants—a first step toward developing a technology of program maintenance.     

BEHAVIORAL COMMUNITY INTERVENTION TO REDUCE THE RISK OF SKIN CANCER

Peer leader modeling, posted feedback, posted goals, and a commitment raffle were used at two swimming pools to increase behaviors associated with skin cancer prevention. During the intervention condition, pool lifeguards modeled the protective behaviors by wearing sunglasses, t-shirts, and hats, using zinc oxide and sunscreen, and staying in the shade. Children and adolescents (1 to 16 years old) increased their use of two or more protective behaviors from a baseline mean of 6.5% to 26.9% during the intervention. Adults (older than 16 years) increased their protective behaviors from a baseline mean of 22% to 37.95% during the intervention. The lifeguards increased their use of all the protective behaviors from a baseline mean of 16.7% to 63.5% during intervention. Ways to improve and expand this intervention are discussed.     

Auditory attention switching in hyperactive children

The ability to rapidly reorient attention in the auditory modality was studied in hyperactive children. Hyperactive and nonhyperactive subjects matched on age, sex, and IQ listened to dichotically presented lists for prespecified targets. Reorientation was studied by comparing performance on trials requiring subjects to reorient their attention during a list to performance on trials requiring no switching of attention. The results indicate that although nonhyperactive children were temporarily disrupted by the switch, they eventually reoriented to the cued ear. In contrast, once hyperactive children were disrupted by the switch, they did not reorient to the cued ear. As the pattern in performance comparing hyperactive and nonhyperactive subjects resembles the pattern previously found in comparing younger and older subjects, these results are consistent with the hypothesis that the auditory reorientation skills of hyperactive children are developmentally immature.     

Adolescents' attitudes toward family and gender roles: An international comparison

Adolescents' attitudes toward gender and familial roles were examined using the Attitudes Toward Women Scale for Adolescents [N. L. Galambos, A. C. Petersen, M. Richards, & I. B. Gitelson (1985) “The Attitudes Toward Women Scale for Adolescents (AWSA): A Study of Reliability and Validity,” Sex Roles, Vol. 5/6, pp. 343–356] and the Historic-Sociocultural Premises scale [R. Díaz-Guerrero (1975) Psychology of the Mexican: Culture and Personality, Austin: University of Texas Press]. Participants were 265 international students (11 to 17 years of age) from 46 different countries attending schools in the Netherlands. The countries of origin were grouped into two categories of cultural values based on G. Hofstede [(1983) “Dimensions of National Cultures in Fifty Countries and Three Regions,” in J. B. Deregowski, S. Dziursawiec, & R. C. Annis (Eds.), Expiscations in Cross-Cultural Psychology, Lisse Netherlands: Swets & Zeitlinger]: Wealthier, more individualistic countries comprised Group 1 and less wealthy, more collectivist countries Group 2. Girls responded less traditionally than did boys on both scales. Students from Group 2 countries had more traditional attitudes than did students from Group 1 countries.     

Community-based services and resources: The significance of choice and diversity

Conclusions We are reminded by the growth of consumer-run approaches of the value of diversity and individual choice in community support of persons with severe mental illness. These ideas are evident in the alternative approaches that have been developed to serve persons who have not been reached by more traditional services. The ACT program, described by Bond et al. (1990), is an example of a service approach designed to be responsive to individuals' day-to-day needs as they define them. Continued development of this type of alternative service should be encouraged.Persons coping with severe mental illness benefit from a variety of community supports and resources. Strategies that encourage consumer involvement, ownership, and control help to provide diversity of services and to empower the consumer. Our efforts, as professionals, to provide community services can be enhanced by (a) supporting diversity of service and resource options, both inside and outside of the professional mental health system; (b) developing services that are responsive to individuals needs as they define them; and (c) facilitating the process of consumer choice in selecting resources options.The author expresses thanks to Marc A. Zimmerman and Richard H. Price for comments on earlier drafts of this paper.     

Nontraditional sex role aspirations,gender identity conflict,and disordered eating among college women

Many studies point directly to the role played by sex roles and indirectly to the role played by gender identity in the onset of disordered eating. In this study, women who report adhering to nontraditional sex role aspirations are almost twice as likely as other women to report purging or frequent bingeing. Women who exhibit gender identity conflict by drawing a male or androgynous figure on the Draw-A-Person Test or by reporting a pattern of wishing they had been born a male are more likely than other women to report purging or frequent bingeing. The results are consonant with a hypothesis regarding the etiology of disordered eating that implicates gender identity conflicts among women, particularly women who exhibit nontraditional sex role aspirations.     

Employing paradoxical intention in the treatment of agoraphobia

The present study assessed the efficacy of paradoxical intention in ameliorating the travel restriction of agoraphobics. A combined score indicating proximity to two difficult target locations represented the dependent variable. A multiple baseline across subjects was used with each of two groups of five clients. This was accomplished by sequentially staggering introduction of treatment. At the conclusion of baseline phase. Group A received 6 weeks of gradual exposure followed by paradoxical intention to criterion. Group B received paradoxical intention to criterion immediately after baseline. Results indicated that paradoxical intention produced greater movement toward targets for clients in Group B when compared both with their baseline and with the performance of Group A following an equal period of gradual exposure.     

Elicited imitation in lexical development: Evidence from a study of temporal reference

This study examined the use of elicited imitation in investigating lexical development within a semantic domain. For this purpose the acquisition of reference to sequence and simultaneity by 3–5 year old children was examined. Three factors were proposed to account for the order in which lexical items within a semantic field are acquired: restrictedness of a lexical item, congruence with perceptual strategies, and conceptual simplicity. A significantly greater number of correct responses was found in sentences describing sequential events than in simultaneous events. Furthermore, imitations of sentences referring to simultaneity were more degraded than imitations of sentences referring to sequence. The children seemed to begin acquiring reference to temporally related events by learning about words describing serially ordered events. A three stage developmental model is proposed to account for the results.Some of the data reported here are drawn from the author's doctoral dissertation from the Department of Linguistics, State University of New York, Buffalo, 1974.