The psychotherapist's duty to act reasonably to prevent suicide: A proposal to allow rational suicide

It is proposed that society should re-examine its assumptions about suicide. Rational suicide is viewed as an extension of the right to die. After a review of the legal liability of the psychotherapist and psychiatric facility for both inpatient and outpatient suicide, the author presents an analysis of philosophical, ethical, and psychoanalytic arguments for allowing rational suicide. It is argued that emotional pain should be given more legitimacy as a reason for suicide. The decision to live or to die is argued to best rest with the individual.     

Research in Consultation: Toward Better Analogues and Outcome Measures

Recommendations for improving consultation research include (a) strengthening consultation analogue research by incorporating “boundary” conditions into research designs and (b) extending the outcome measures used.     

Using focus groups to facilitate culturally anchored research

Scholars have acknowledged the need to anchor scientific knowledge about social and psychological processes in the norms, values, and experiences of the partticular population under study. This article describes how focus groups can be incorporated into the planning stages of a research pogram to facilitate these goals. After a brief overview of teh central components of focus group research, and example from a program of research involving dual-earner African American families is used to as an illustration. The article describes how (a) the identification of cultural knowledge and (b)access to the language participants use to think and talk about a topic can help researchers formulate a conceptual framework, identify important constructs, and develop appropriate instruments for assessing constructs. Some strengths and limitations of focus group research are discussed.     

Social Interactions of Obese and Nonobese Women

The stigma associated with obesity is likely to limit the opportunities obese women have to develop social skills. This hypothesis was tested by having obese (n = 15) and nonobese (n = 22) women converse on the telephone with college students who were unaware of the women's weights. Ratings made by judges who listened to the women's contributions to the conversations but who were unaware of their weights showed that obesity was negatively related to judgments about the women's likability, social skills, and physical attractiveness. The telephone partners of obese women rated the women and themselves more negatively than did the partners of nonobese women. Obese and nonobese women generally did not differ in their evaluations of their own and their telephone partners' behavior, and they also did not differ on a measure of social self-esteem. These findings suggest that there are real differences in the social behavior of obese and nonobese women and that these differences affect the impressions formed by those with whom they interact.     

Sex differences in visual-spatial ability: The role of performance factors

Two studies were designed to explore the role of performance factors as sources of the frequently noted higher male scores on visual-spatial ability tests. In the first study, the mental rotations test (MRT) was administered to male and female college students of equally high quantitative ability (based on SAT math scores). Although males had significantly more correct responses on the test than did females, their advantage was eliminated when the ratio of correct responses to items attempted was used as the dependent measure. In the second study, the same test was administered to new groups of male and female college students. In this sample, the males had significantly higher SAT math scores. The MRT was administered under standard, timed conditions and under untimed conditions. Both raw and ratio scores were calculated. With SAT math score as the covariate, analyses of covariance indicated that males demonstrated higher performance in the timed, raw-score condition but not in the untimed or in the ratio-score conditions. The theoretical and social policy implications of these studies are discussed.     

Sex roles and friendship patterns

The purpose of this study is to examine the relationships among sex, sex role orientation, and friendship. Based on the Bem Sex Role Inventory, 164 participants were categorized as either androgynous (17 males; 29 females), traditional (36 males; 39 females), or undifferentiated (26 males; 17 females) in their sex role orientation. Participants reported the number of close male and female friends, and responded to several questionnaires: interpersonal trust of male and female friends, communal and exchange orientations, affective and activity attributes associated with male and female friends, loneliness, and friendship satisfaction. Results indicate that close friends tended to be same sex, even though females had more close friends overall than did the males. Androgyny was related to characteristics that enhance the development and maintenance of close friendships, such as a communal orientation and positive conceptions of friends, while the undifferentiated orientation was related to less relationship enhancing orientations and a less rewarding interpersonal milieu. The study confirms that sex and sex role orientation are important factors in both quantitative and qualitative aspects of friendship during young adulthood.Portions of this paper were presented at the annual convention of the Southwestern Psychological Association, Houston, Texas, April 13, 1989. We appreciate the extensive help of an anonymous reviewer on earlier versions of this paper.     

Using a Person-Centered Approach in Community-Based Instruction for Adults with Developmental Disabilities

Instruction is a variable that has enhanced community access for adults with developmental disabilities. Community-based instruction emerged as an especially useful format to teach individuals daily living and work skills in the settings where skills would be used. As advocacy and self-advocacy for individuals with developmental disabilities increased, professionals recognized the importance of empowerment and self-determination in gaining community access. Adult education that incorporates the values of person-centered planning will evolve beyond what has traditionally been viewed as community-based instruction. This article describes the characteristics of community-based instruction designed to enhance not only community access, but also the participant's overall quality of life.     

WHO CONSIDERS THEMSELVES VICTIMS OF DISCRIMINATION?

We focus on the general issue of how and why individuals might decide if they have been victims of gender discrimination and how social status differences between women and men may change the significance of experiencing gender discrimination. Because both self-protective and situational factors have been found to influence interpretation of prejudicial events, in the present study we explore several individual-difference factors that might differentially predict perceived gender discrimination in women and men. We found that, for men, low self-esteem and high personal assertiveness were related to higher ratings of personal discrimination. Low self-esteem was also related to men's perceptions of discrimination against men as a group. For women, high need for approval was negatively related to perceptions of personal discrimination whereas depression was positively related. Depression was also related to higher ratings of discrimination against women, as was feminism. We argue that perceptions of discrimination serve different purposes for structurally privileged and disadvantaged groups.     

The Balance of Power in Romantic Heterosexual Couples Over Time from “His” and “Her” Perspectives

In this investigation, the balance of power between men and women in romantic relationships was examined with a sample of 101 heterosexual couples, some of whom were surveyed up to jive times over a four-year period. A majority of the participants (who were primarily Caucasian and middle class) reported some imbalance in power in their relationship (53% of the men and 52% of the women on a global measure of power; 67% of the men and 65% of the women on a measure of decision making). The longitudinal data indicated that perceptions of power were quite stable over time. When power imbalances in relationships occurred, the male partner was more likely than the female to be seen as the power holder, although these differences were statistically significant only for men (full sample). In support of W. Waller's principle of least interest [(1937) The Family: A Dynamic Interpretation, New York: Gordon], being the less emotionally involved partner in the relationship was associated with greater power. We further found that men were more likely than women to perceive themselves as the less emotionally invested partner. Perceptions of power balance were generally unrelated to either relationship satisfaction or to the likelihood that the couple broke up over time. In one exception, men who perceived their relationship to be equal in power (but not decision making) reported the highest level of satisfaction. We conclude that the balance of power still often favors men in these romantic couples (especially in decision making), although couples do not always agree on their perceptions, with male partners tending to see more male dominance than females.     

Determinants of Condom Use Among High-Risk Heterosexual Adults: A Test of the Theory of Reasoned Action1

The research presents tests of traditional and augmented versions of Fishbein and Ajzen's Theory of Reasoned Action (TRA), applied to condom use among adult clients of a sexually transmitted disease clinic. In a longitudinal survey, predictor variables suggested by Ajzen and Fishbein (1980), plus gender and condom use self-efficacy, were measured at Time 1. Condom use at Time 2, 3 months later, was regressed onto these variables. The traditional TRA worked well to predict condom use intentions and behavior. Support was also found for inclusion of gender and self-efficacy in the prediction of intention to use condoms, but not behavior. Implications for interventions to increase condom use among those at high risk for AIDS and other STDs are discussed.