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.     

Selective mutism in children: A structural family therapy approach to treatment

When children refuse to speak in some social settings, but can understand and speak in other settings, the diagnosis of selective mutism must be considered. A review of the literature describes the disorder, the various types of mutism, and related family dynamics. A family systems approach to treatment using structural family therapy is suggested. The case history presented illustrates one type of mutism as well as the family rules and hierarchy which appeared to be maintaining it. Structural and strategic family systems theory techniques that were used to move the family toward resolution of this problem are discussed.Diane Wolf Tatem, MA, MS, completed graduate work in marriage and family therapy at New Mexico State University, Las Cruces, NM. She is employed at Life Management Center of El Paso's Child Development Services and also has a private practice in marriage and family therapy in El Paso, Texas. Robert L. DelCampo, PhD is a professor of family science at New Mexico State University and maintains a private practice with Associates for Marriage and Family Therapy in Las Cruces, NM. Please address all correspondence to Dr. DelCampo at Box 3470, New Mexico State University, Las Cruces, NM, 88003-3470.Appreciation is expressed to Dr. Charles Huber, New Mexico State University in Las Cruces, for his insightful critique of the final draft of this paper. This paper was presented at the Texas Association for Marriage and Family Therapy Annual Conference, January 25–29, 1995 in Dallas, TX.     

A case-based approach to the development of practice-based competencies for accreditation of and training in graduate programs in genetic counseling

The American Board of Genetic Counseling (ABGC) sponsored a consensus development conference with participation from directors of graduate programs in genetic counseling, board members, and expert consultants. Using a collective, narrative, and case-based approach, 27 competencies were identified as embedded in the practice of genetic counseling. These competencies were organized into four domains of skills: Communication; Critical Thinking; Interpersonal, Counseling, and Psychosocial Assessment; and Professional Ethics and Values. The adoption of a competency framework for accreditation has a variety of implications for curriculum design and implementation. We report here the process by which a set of practice-based genetic counseling competencies have been derived; and in an accompanying article, the competencies themselves are provided. We also discuss the application of the competencies to graduate program accreditation as well as some of the implications competency-based standards may have for education and the genetic counseling profession. These guidelines may also serve as a basis for the continuing education of practicing genetic counselors and a performance evaluation tool in the workplace.The Consortium includes Directors of established graduate programs in genetic counseling and members of the ABGC Board of Directors who participated in the Consensus Development Conference held in January 1994: Diane Baker (University of Michigan/ABGC); Bonnie Baty (ABGC); Joan Burns (University of Wisconsin); Debra Collins (ABGC); Virginia Corson (ABGC); Beth Fine (Northwestern University/ABGC); Elizabeth Gettig (University of Pittsburgh); Verle Headings (Howard University); Jacqueline Hecht (University of Texas); Carl Huether (University of Cincinnati); Bonnie LeRoy (University of Minnesota); Joan Marks (Sarah Lawrence College); Anne Matthews (University of Colorado); Roberta Palmour (McGill University); Lorna Phelps (Medical College of Virginia); Kimberly Quaid (Indiana University); Joan Scott (ABGC); Ann Smith (ABGC); Helen Travers (ABGC); Judith Tsipis (Brandeis University); Ann Walker (University of California-Irvine/ABGC); Jon Weil (University of California-Berkeley); S. Robert Young (University of South Carolina); Randi Zinberg (Mount Sinai School of Medicine, New York).     

Vicarious and operant experiences in the etiology of illness behavior: A replication with healthy individuals

The purpose of the present investigation was to replicate a previous study of diabetic patients on the role of parental modeling in the etiology of illness behavior. A random sample of healthy individuals were assigned to an avoidant model (AM) (i.e. parent reported to have avoided work. chores etc. when ill) or non-avoidant model (NAM) group. Subjects subsequently provided retrospective and current information concerning their illness-behavior experiences. The results indicated that individuals with an AM reported more responsibility avoidance when ill currently and as a child compared to the NAM subjects. Additionally. AM subjects reported receiving more positive reinforcement for current illness compared to NAM subjects. It was concluded that the process by which individuals learn to respond to illness may be similar in healthy and chronically-ill individuals but that positive reinforcement for illness may be more likely to be received by healthy individuals during acute illness than by chronically-ill individuals. The present study provides further preliminary support for the learningtheory model of illness behavior.     

Men's and women's evaluations of menstrual-related excuses

Based on an attributional analysis of menstrual distress, the present study examined how a woman is evaluated when she attributes an instance of negative social behavior to the approach or onset of menstruation. College men and women were asked to imagine an interaction in which a woman behaves very irritably and then gives one of several excuses for her negative behavior, two of which were menstrual related. Subjects evaluated each excuse in terms of (1) degree of annoyance, (2) blameworthiness, and (3) internality versus externality. The results showed consistent relationships between these evaluations and both sex of subject and general attitudes about menstruation. Males tended to see menstrual-related excuses as less blameworthy and more external than did females. In addition, general attitudes regarding the debilitating effects of menstruation predicted greater tolerance toward the use of menstrual excuses. These results are discussed in terms of their implications for the socialization and continuing reinforcement of menstrual distress.The research reported in this article was supported by grants SOC-7602137 and SOC-7602179 from the National Science Foundation. The authors wish to thank Russ Fazio for his help in collecting the data and Al Rogers and Terry Balaban for their help in analyzing the data. Diane N. Ruble is now at New York University. Ann K. Boggiano is now at the University of Colorado.     

Subjective contours in stereoscopic space

Stereoscopic depth and subjective contour clarity were manipulated by varying the type of monocular configuration as well as magnitude and direction of disparity. The clarity of the subjective contours was influenced significantly by both magnitude and direction of disparity and by the type of monocular configuration. Subjective contours were always less clear when the objective monocular contour was discontinuous regardless of disparity. Stereoscopic depth estimates varied directly with magnitude and direction of disparity; however, depth magnitude reports were truncated when the disparity was carried by discontinuously defined patterns.     

Neuropsychologic functioning in children with autism: further evidence for disordered complex information-processing.

A wide range of abilities was assessed in 56 high-functioning children with autism and 56 age- and IQ-matched controls. Stepwise discriminant analyses produced good group discrimination for sensory-perceptual, motor, complex language, and complex memory domains but lower agreement for the reasoning domain than previously obtained for adults. Group discrimination did not occur for attention, simple language, simple memory, and visuospatial domains. Findings provide additional support for a complex information-processing model for autism, previously based on adult data, demonstrating a pattern across domains of selective impairments on measures with high demands for integration of information and sparing when demands were low. Children as compared to adults with autism exhibited more prominent sensory-perceptual symptoms and less pronounced reasoning deficits reflecting brain maturation.     

Errors in judging information about reflections in mirrors

We investigated people's perception and knowledge of planar mirror reflections. People were accurate at deciding when they could first see their reflection as they approached a mirror from the side, but only if their reflection was visible. Most people stopped too early if the mirror was covered up. People also overestimated the size of the reflection of their face on the surface of a mirror if they were shown a covered mirror. Their accuracy improved somewhat if their reflection was visible but, unlike the first task, they still made striking errors. Perceptual feedback thus improved performance at predicting the behaviour of mirror reflections in both tasks but failed to eliminate errors in the second task. The overestimation of reflection size was not face-specific as it generalised to novel stimuli (paper ellipses) and it was found with both a matching response and for verbal size estimations. The early error in the first task appears to be due to an inaccurate belief that can be overridden by perceptual feedback. The overestimation in the second task is primarily caused by a powerful size-constancy effect.