Linking Childhood Sexual Abuse and Early Adolescent Risk Behavior: The Intervening Role of Internalizing and Externalizing Problems

A robust literature links childhood sexual abuse (CSA) to later substance use and sexual risk behavior; yet, relatively little empirical attention has been devoted to identifying the mechanisms linking CSA to risky behavior among youth, with even less work examining such processes in boys. With the aim of addressing this gap in the literature, the current study examined the indirect effect of childhood sexual abuse (CSA; from age 2 to 12) trajectory group on risky behavior at age 14 (alcohol use & sexual intercourse) via the intervening role of caregiver-reported internalizing and externalizing problems at age 12. Analyses were conducted with a subsample of youth (n?=?657 sexual intercourse; n?=?667 alcohol use) from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN), a multisite prospective study of youth at risk for maltreatment. For boys and girls, there was an indirect effect from CSA to sexual intercourse through externalizing problems. The same pattern emerged for alcohol use, but only for girls. Findings did not support an indirect path through internalizing problems for either boys or girls for either outcome. Findings suggest more focal targets for prevention efforts aimed at maintaining the health and safety of maltreated boys and girls during the adolescent transition.     

Gaining and losing weight: Identity transformations

Individuals who experience weight problems frequently have a long history of weight gain and weight loss. Based on observation and participation, this study follows a group of dieters in a weight loss clinic over a period of one year. The findings suggest that social factors in the dieter's world have a significant impact on the degree of success experienced. Of particular significance are the perceptions of others once extensive weight loss occurs. It is argued that the loss of weight is only one of a number of issues that the heavy person deals with as he or she moves into the thin world.     

Is continuous sedation at the end of life an ethically preferable alternative to physician-assisted suicide?

The relatively new practice of continuous sedation at the end of life (CS) is increasingly being debated in the clinical and ethical literature. This practice received much attention when a U.S. Supreme Court ruling noted that the availability of CS made legalization of physician-assisted suicide (PAS) unnecessary, as CS could alleviate even the most severe suffering. This view has been widely adopted. In this article, we perform an in-depth analysis of four versions of this "argument of preferable alternative." Our goal is to determine the extent to which CS can be considered to be an alternative to PAS and to identify the grounds, if any, on which CS may be ethically preferable to PAS.     

Reflex modification by acoustic signals in newborn infants and in adults

This research asked whether the reflexive eyeblink elicited by a tap to the glabella (the flat region of skin between the eyebrows) is modified by acoustic signals which either precede or accompany the tap. Five experiments employing identical reflex modification procedures on neonates and adults suggest developmental differences in processing auditory stimuli. Neonates failed to exhibit reflex inhibition by either prior acoustic or tactile stimuli. Adults exhibited robust reflex inhibition to these same stimuli. Neonates, however, exhibited reliable reflex augmentation when mild (70 dB re: 0.0002 dyne/cm2) tones were presented simultaneously with the tap. For adults, tone intensities of at least 90 dB were necessary to obtain reliable reflex augmentation. The developmental processes implied by these findings are discussed.     

Love and the therapeutic process

This paper deals with the nature of love that can be present in the person of the therapist as well as how it can express itself in the therapeutic effort. It also takes up certain errors that can occur as a result of the misunderstanding of the terms as well. There are those who lean toward making therapy an overintellectualized process. The point of view is presented that for psychotherapy to have its full value, the emotions need awakening and structuring for the benefit of the patient's individual life contributions as well as for the benefit of those he will associate with during his lifetime.     

Management of hyperactive children through correspondence training procedures: A preliminary study

This study examined the clinical effects of correspondence training procedures in the management of three hyperactive boys between the ages of seven and 10 years. Two subjects were intervened with the “reinforcement of corresponding reports” procedure: reports about the inhibition of hyperactivity (inattention and overactivity) were reinforced only if they corresponded with the actual inhibition of hyperactivity. The “reinforcement set up contingent upon promises” procedure was used with the third subject: the reinforcer was set up (or displayed) contingent on the patient's promises about the inhibition of hyperactivity in the immediate future, and delivered contingent upon fulfillment of the promise (actual inhibition of hyperactivity). These interventions were programmed in a multipie baseline design across two subjects and a multiple baseline design across two behaviors. A changing-criterion design was also used with all subjects: the nonoccurrence of hyperactivity had to be observed across a pre-established criterion level for the actual delivery of the reinforcer. Consistently higher levels of correspondence occurred during treatment, relative to baseline observations. The results also demonstrated the generalization and maintenance of treatment effects. The use of correspondence training as a potential alternative in the development of hyperactive children's self-control is discussed.     

Generic versus specific inclusion of women in language: Effects on recall

Considerable evidence suggests that, although “generic” terms (he, his, man, men) may be intended to refer to both women and men, they are often interpreted literally and thus function to exclude women. Two experiments tested the hypothesis that readers' sensitivity to and literal interpretation of gender references in prose can affect performance in a memory task. Collegestudent subjects read essays that were identical except for the use of “generic” terms versus those that specifically include women (he/she, his/her, people). In Experiment I, the Generic essay form led to better recall of the essay's factual content by male subjects, while the Specific form produced better recall by females. A similar pattern was found for female subjects in Experiment 2. In both experiments, effects were stronger for good learners. Results suggest that Generic and Specific styles are more relevant to men and women, respectively, and that the observed differences in recall may be mediated by differences in interpretation and interest based on perceived relevance.     

Unit-price analysis of opioid consumption by monkeys responding under a progressive-ratio schedule of drug injection.

Several reports have indicated that drug consumption in self-administration procedures is a function of the ratio of the instrumental requirement to the dose of drug, a quantity termed unit price. We evaluated three predictions from this unit-price model in a reanalysis of data on opioid self-administration in rhesus monkeys responding under a progressive-ratio schedule (Hoffmeister, 1979). We evaluated whether consumption was inversely related to unit price, and compared the goodness of fit of an equation devised by Hursh, Raslear, Shurtleff, Bauman, and Simmons (1988) to that of a linear model predicting consumption as a function of dose. We also tested whether consumption was constant when the same unit price was comprised of different combinations of dose and instrumental requirement. Consumption declined overall as unit price increased. The equation devised by Hursh et al. and the linear model based on dose fit the data equally well. Drug consumption was not uniform at a given unit price. The analyses suggest limits on the unit-price model as a characterization of drug consumption.     

Assumptions of agreement and familiarity on the abbreviated conners teachers rating scale

Implicit in the development and use of the Conners' scales are the assumptions that the raters will agree upon their rating of hyperactivity regardless of a lack of operational defitions of items in such scales, and that the cut-off score (1.5) for ADHD should be higher in cases where the rater has some familiarity with the clinical case. This study describes a method for the evaluation of both assumptions. Seven children were rated by nursing staff and school teachers using the Abbreviated Conners Teachers Rating Scale (ACTRS) daily. Observations were conducted during the 7 a.m.-3 p.m. and 3 p.m.–7 p.m. shifts in order to provide two separate scores across raters. The results supported the assumption of agreement within (for example nurses' ratings during the 7 a.m.–3 p.m. period) and between (i.e. nurses' ratings versus teachers' ratings) settings. The results did not support the assumption of familiarity: scores during early observations were similar to the scores during later observations (when more familiarity with the clinical case is assumed). It was concluded that familiarity with the clinical case does not necessarily lead to higher scores (i.e. a better prediction of hyperactivity as a function of the rater's familiarity with the case) on the ACTRS. Agreements within and between observers could be a function of the raters' agreement in terms of using a specific cut-off point (i.e. 1.5) in their definition of a case as ‘hyperactive’, rather than the raters' agreement on reporting similar scores across observers.