Illness, Family Theory, and Family Therapy: I.Conceptual Issues

This article examines and clarifies controversies about the concept of illness in the field of family therapy. We contend that illness, as traditionally understood in all cultures, is a relational, transactional concept that is highly congruent with core principles of present-day family theories. Family therapists need not buy into a biotechnical, reductionistic reframing of illness as disease. Rather, it is more appropriate to conceptualize and work with illness as a narrative placed in a biopsychosocial context. Such a narrative includes how shared responsibility for coping and for finding solutions can take place, without becoming involved in disputes about causal models.     

Career Aspirations of Pregnant Teens

This study examined the career aspirations of pregnant teens enrolled in a program designed to minimize their chances of dropping out of high school. The teens completed a demographic data form that included questions on their career aspirations. The data were coded by Holland type using the Dictionary of Holland Occupational Codes. Trends were discussed in light of the future labor market and critical need for career counseling for this at-risk population.     

On estimating processing variance: commentary and reanalysis of Kail's "Developmental functions for speeds of cognitive processes".

A recent paper by Kail (1988) in this journal appears to contain a significant error in the data analysis. The "goodness-of-fit" coefficients reported which suggest that overall about 94% of the variance can be accounted for by the model seem to be a substantial overestimation as a result of inappropriate procedures for statistical modeling. Using the data made available to us by Kail, we have reanalyzed these results. The corrected values range from 0.9 to 92.1% for the individual tasks with an overall average between 40 and 60%. We suggest that the support for the original conclusions is considerably weaker than reported.     

Earthquake Preparedness: Predictors in a Community Survey1

We measured the relationship between earthquake concern and preparation in a community with high seismic risk. Five samples of approximately 800 people were interviewed by telephone about their earthquake concern, but this study focuses on the last two samples in which respondents reported their preparatory behaviors. The findings were consistent in showing greater likelihood of concern for those who had experienced an earthquake, were female, younger, and non-Anglo and a greater likelihood of preparation for those who had more concern, were married, and had lived longer at their present address. In a nonrecursive causal model, no evidence was found for a reciprocal effect of preparation on concern. These results were discussed in terms of health belief models including the self-efficacy and “stages of change” perspectives. Implications were drawn for interventions to increase preparation in ready-to-change groups and compensate for the resistance of those less willing or able to prepare.     

Ratings of Orally Presented Verbal Expressions of Probability by a Heterogeneous Sample

Verbal expressions of probability are used in daily conversations, physician-physician and physician-patient communications, and questionnaire and interview responses. To assess the degree of agreement among English-speaking Australian adults in allocating numerical probabilities to these verbal expressions of probability, 966 interviewees provided estimates for 60 isolated expressions of probability and a sequence of seven items placed in a sequence. Means and median scores appeared to be consistent with common sense and with findings from other countries. Mirror-imaged terms were neither symmetrical nor equidistant, with the means and medians for the positive terms being closer to the mid-points of the scale than the means and medians of the negative terms. Items in a sequence of probability terms showed greater symmetry and less variability than isolated expressions. For most items, there was an unacceptably high level of within-subject and between-subject variability. Although subjects with higher levels of education and/ or mathematics education showed less variability, these factors accounted for very little of the variance. The greater variability in Australian results relative to those reported elsewhere was partly attributed to the use of interviews rather than questionnaires. There were no particular stems that yielded greater consistency. It was concluded that the use of these expressions leads to very imprecise communication.     

An "Epidemic" Model of Adolescent Cigarette Smoking

The prevalence of regular smoking increases rapidly during adolescence. We applied modeling methods from the study of epidemic infectious disease to smoking behavior. Our "epidemic" models dealt with the process of transition among four states: nonsmoker (susceptible), trier (exposed), regular smoker (infected), and ex-smoker (recovered). The best fitting model was one in which the transition from nonsmoker to trier was a social contagion process where nonsmokers contacted either triers or regular smokers. All other transitions were treated as constant rate processes in which a constant proportion of eligible individuals made the transition in a given year. The recursive equation model embodying these assumptions was able to predict accurately the proportion of adolescents in each state in Grades 6–11. Our results support a "stage" model of smoking, suggesting that different psychological and physiological processes are involved in the initiation of smoking than in developing a habit of regular smoking. A possible sex difference was found in the non-contact transition between trier and smoker states, with the transition being more probable in females than in males.     

Information feedback and the learning multiple-degree-of-freedom activities

The influence of information feedback on the learning of a multiple-degree-of-freedom activity, the overhand throw, was investigated. During learning, feedback was presented in the form of knowledge of results, knowledge of performance, knowledge of performance with attention-focusing cues, or knowledge of performance with error-correcting transitional information. Across 12 practice sessions, performance was assessed with respect to both throwing distance and throwing form. Subjects provided with knowledge of performance along with transitional information demonstrated significant gains in throwing distance, compared with subjects receiving knowledge of performance or knowledge of results alone. Movement form ratings followed the same trend. Providing learners with cues to focus their attention on the relevant aspects of knowledge of performance or directly providing transitional information was a better aid to the acquisition of throwing form than providing knowledge of results or knowledge of performance alone. These results support the hypothesis that knowledge of results may not be the most potent form of feedback in multiple-degree-of-freedom activities and that knowledge of performance, when combined with additional information, can lead to significant gains in skill acquisition.