Depression and coping in candidates for kidney transplantation: Racial and ethnic differences

Subjects were 288 adolescents and adults with end-stage renal disease who were candidates for kidney transplantation, a group identified at risk for noncompliance. The purpose was to examine racial and ethnic variations in coping—variables that may underlie noncompliance and impact upon health outcome. Secondarily, the relationship between depression and particular styles of coping was investigated. Race/Ethnicity was divided into three categories: Black/Non-Hispanic, White/Non-Hispanic, and Hispanic. Coping and depression were assessed using the COPE and Beck Depression Inventory, respectively. Results indicated that Hispanic and Black subjects were more likely to use maladaptive styles of coping and less likely to use adaptive coping than were White subjects and that Black subjects reported more physical symptoms of depression. These findings point to possible mechanisms underlying the occurrence of noncompliance and resulting poorer health outcome for individuals of different racial and ethnic groups.     

Pavlovian Conditioning to a Diazepam Cue with Yohimbine as the Unconditional Stimulus

On multiple occasions, rats were administered diazepam (2.0 mg/kg, ip) followed 30 min thereafter by yohimbine hydrochloride (2.5 or 5.0 mg/kg) or isotonic saline (forward conditioning groups). Three additional groups (backward conditioning controls) were given equivalent injections, but in reverse order. After eight such pairings, the effects of a single injection of diazepam on motor performance (balancing on a rotating drum) was assessed. Rats that had received either dose of yohimbine during forward conditioning trials maintained their balance longer than the saline controls. After four additional conditioning trials, the animals’ activity patterns in a plus-maze screening test for anxiolytics were examined. Placed into the maze after a single test injection of isotonic saline, the behavior of all groups was virtually identical: less than 16% of total entries into or time spent in the four arms of the maze was spent in the two “open” arms (unprotected by surrounding walls). When tested in the maze again, but 35 min after a single injection of diazepam, the groups that had received diazepam but not yohimbine during the conditioning phase exhibited the expected increase in open-arm activity, and equivalent increases were found in backward conditioning groups. However, the group previously conditioned with 2.5 mg/kg of yohimbine following diazepam also showed an increased open-arm activity when tested with diazepam alone, but it was significantly greater than that seen in the control group. In contrast, the group conditioned with 5.0 mg/kg yohimbine following diazepam exhibited no effect of diazepam upon their plus maze activity; consequently, these animals spent less time in the open arms than either of the other groups. Yohimbine alone normally decreases open-arm activity (a putative “anxiogenic” effect) in a linear dose-dependent fashion. The fact that it had a bidirectional conditional effect on the diazepam cue drug demonstrates that a conditional response in drug → drug conditioning cannot always be predicted on the basis of the behavioral response to the signaled drug. Consideration is given to possible reasons for these effects of diazepam → yohimbine pairings in terms of the known neuropharmacological properties of yohimbine.     

Gaze avoidance: Personality and social judgments of people who avoid direct face-to-face contact

Some people maintain direct, face-to-face contact during interaction, whereas others avert their gaze or turn their face while interacting. Research on individual differences in gaze avoidance, while sparse, falls into two areas. One concerns the personality and psychopathology correlates of gaze aversion, and the other concerns social judgments made of people who avert their gaze during interaction. The findings generally show that gaze aversion is associated with unfavorable traits (shyness, social anxiety, risk for schizophrenia) and negative social evaluations (gaze averse people are rated as more deceptive and less sincere). The present study took advantage of an archival data set that contained facial photographs from which gaze avoidance could be scored. The correlates of gaze avoidance were different for men and women. Gaze avoidant men tended to be emotionally inhibited and overcontrolled, and reported a high incidence of various psychosomatic and physical symptoms. Gaze avoidant women, on the other hand, were high on measures of psychopathy, hysteria, and traditional femininity, they tended to have fewer physical symptoms. Gaze avoidant women were also viewed by others in a negative light (as being disagreeable, unconscientious, unattractive, and even somewhat lower on intelligence). In males, none of the social judgment variables correlated significantly with gaze avoidance. Results are discussed in terms of sex differences in the meaning and communicative function of this non-verbal social behavior.     

An injection olfactometer for humans and a new method for the measurement of the shape of the olfactory pulse

An injection olfactometer for human psychophysical experiments is described. The olfactometer is capable of presenting, either mono- or birhinally, single odorants and binary mixtures. The pulse form of the olfactory stimulus at the exit of the olfactometer approaches a rectangular form, which makes the olfactometer well suited for olfactory reaction time measurements. Since stimulation periods are independent of the subject’s inhalation, time-intensity measurements over prolonged periods of time are possible as well. In the second part of this paper, a new technique is described for the measurement of the stimulus pulse form at the exit of the olfactometer.     

Pupillometry system for use in social psychology

It is now relatively easy to implement pupillometry in social psychological research. We describe a system in which a Macintosh computer presents visual and auditory stimuli to subjects while monitoring an infrared pupillometer. The computer records information on subject, task, and pupil diameter into a data file for input into standard statistical analysis programs. Pupil diameter is measured continuously while subjects respond to stimuli that last for several seconds or minutes. A demonstration experiment verifies the usefulness of the system. The ability of the Macintosh computer to easily handle visual and auditory stimuli and to record responses lasting a considerable length of time makes the system well suited for studying pupil responses to complex social stimuli. This system is also well suited for the researcher initiating a research program using pupillometry. Ease of operation makes using a large number of subjects feasible.     

THE EFFECTS OF CONTINGENT AND NONCONTINGENT ATTENTION ON SELF-INJURY AND SELF-RESTRAINT

Self-restraint and self-injurious behavior (SIB) are two responses that can sometimes be members of the same functional response class (i.e., maintained by the same contingency). In such cases, a single treatment should be effective for both responses. In this investigation, we examined the effects of providing attention (the presumed reinforcer) both noncontingently and contingent upon either SIB or self-restraint. Results were consistent with our hypothesis that both responses were maintained by attention and suggested that noncontingent reinforcement was a potentially effective treatment.     

The principle of charity and the problem of irrationality (translation and the problem of irrationality)

Common formulations of the principle of charity in translation seem to undermine attributions of irrationality in social scientific accounts that are otherwise unexceptionable. This I call the problem of irrationality. Here I resolve the problem of irrationality by developing two complementary views of the principle of charity. First, I develop the view (ill-developed in the literature at present) that the principle of charity is preparatory, being needed in the construction of provisional first-approximation translation manuals. These serve as the basis for explanatory accounts and associated refinements in the translation manual. In developing such explanatory accounts, the principle of charity is no longer constraining. Thus, the principle of charity applies only in the early stages of constructing translation manuals, and there is no problem of irrationality in the later stages of constructing translation manuals. Second, I reduce the principle of charity, where it does apply, to a special case of what I call the principle of explicability: so translate as to attribute explicable beliefs and practices to the speakers of the source-language. I show that the appropriate formulation of the principle of charity counsels just what the principle of explicability requires in the early stages of social scientific investigation.I am grateful to Robert Barrett, Roger Gibson, and Paul Roth for their generous assistance.     

Paragrammatic speech without a comprehension deficit? A case report

In this article we present a case report of a patient, who had a peculiar pattern of language use following a stroke. The two most prominent features were language switches during spontaneous speech in the first months postonset, when the patient mixed English, German, and French words and utterances into his mother tongue (Dutch); clearly disturbed speech output, showing signs of word-finding problems and paragrammatism but hardly any paraphasias, while at the same time no evidence of a language disturbance could be obtained with standard clinical aphasia tests.     

Feasibility and effectiveness of school-based relaxation in lowering blood pressure

Progressive muscle relaxation (PMR) is a broadly useful anxiety reduction technique that has been found to lower blood pressure (BP) in essential hypertension. The present investigation is the first to evaluate the feasibility and efficacy of wide-scale PMR instruction as a public health promotion strategy aimed at adolescents. Students (N = 1,400) in Grades 9 and 10 at two large Baltimore City public high schools underwent BP screening; those with BP persistently above the 85th percentile were randomly assigned to (a) 12 weeks daily PMR instruction provided in class for academic credit or (b) a control condition. The latter students had their BP measured at the same frequency as the PMR students and completed the PMR course during the following year. Approximately two thirds of eligible students entered and completed the study. Results demonstrated that treatment students (n = 51) enjoyed daily PMR, mastered the technique, and achieved reduced systolic BP at posttest relative to the untrained controls (n = 59). At follow-up 4 months later, group BP differences were not significant. Implications for use of PMR to promote cardiovascular health are discussed.     

Parental history of hypertension and screening attendance: effects of wellness appeal versus threat appeal

This study examined whether the orientation of a health appeal differentially influences health beliefs and early-detection practices among young individuals who are potentially at risk. Undergraduates with and without a hypertensive parent were given printed material about hypertension and the importance of early detection framed in either a wellness or illness-threat format. The major dependent measure was attendance at a blood pressure screening during the week following the experimental session. Results showed that parental history (PH) participants were more than twice as likely to attend the screening when given a wellness message in comparison to threat. In the threat condition, PH participants also reported that hypertension was less preventable in comparison to participants without a hypertensive parent. Reported likelihood of developing hypertension was inversely related to subsequent screening attendance among PH participants only. Factors accounting for the efficacy of wellness-oriented appeals among individuals who report a family history are discussed.