Prevalence of DSM-III conduct and adjustment disorders for adolescent psychiatric inpatients

The prevalence of DSM-III conduct and adjustment disorders in two adolescent psychiatric facilities, both located near large U.S. cities, was investigated. Overall, 31.6% of the adolescent inpatients were conduct disordered while 12.5% were adjustment disordered. The conduct disorders were primarily "aggressive" subtypes suggesting that this characteristic may influence hospitalization and diagnostic decisions. Such data on prevalence assists future treatment planning, allowing anticipation of case loads.     

Students' attitudes toward university health services

This study measured students' attitudes toward a university's student health services (SHS) and identified factors that were related to their attitudes. A questionnaire surveying students' attitudes was administered to a sample of 150 students at the Oxford Campus of the University of Mississippi. Analysis of the data revealed that students' attitudes had a statistically significant correlation with the following variables: perceived medical care cost, amount of health information/education received during medical encounters, time spent in the waiting room of the SHS, sex of the student, and income of the student. There was no significant relationship between attitude and age.     

Adolescents' perception of aspects of the home environment and their attitudes toward parents, self, and external authority

Although there is extensive literature on the home environment as a socializing agent and on the perception of self and others, research relating home environment variables to adolescents' perception of themselves and others is not common. The present study, using a survey of 480 students, attempts to define and relate these two domains. Factor analyses of 16 semantic differential scales generated three dimensions--evaluation, understandability, and potency--for specifying attitudes toward self, parents, and certain external authority figures (teachers and police). In addition, factor analysis of 20 variables relating to adolescents' perception of their home environment suggested five factors: (1) extent of punishment, (2) amount of chores at home, (3) perceived parental control, (4) absence of parents, and (5) parents' attitude toward authority figures. Controlling for sex and age, these home environment factors were found to account for sizable portions of variance in certain components of the person perception domain. Particular relevance for several of these factors are discussed.     

The new MAACL scales with adolescents: preliminary reliability and validity determinations

This study reports on the reliability and concurrent validity of both the trait and state forms of the Multiple Affect Adjective Check List (MAACL) with a high school population, age range of 14-16 years and educational range of 9th and 10th grades (N = 403). Alphas of the four scales (anxiety, depression, hostility, and positive affect) ranged from .67 to .91. Correlations with a check-list of stress-related symptoms and an inventory of the number of extracurricular activities in which the students participated were significant and in the expected direction. Means and standard deviations on the MAACL scales were similar to those of college students. Sex differences were found on some of the scales. The findings indicate that the MAACL is sufficiently reliable and valid to warrant additional use with an adolescent population.     

Adolescent eating disorder: bulimia

Bulimia, an eating disorder, recently has emerged as a major mental health problem, especially among adolescent females. The bulimic experiences periods of compulsive binge eating followed by purges to rid the body of unwanted calories. Binges are triggered by intense emotional experiences, such as loneliness, anger, rejection, or stress. Associated features of bulimia are secretiveness, depression, drug abuse, preoccupation with body image and sexual attractiveness, and an awareness that the behavior is abnormal. The physical side effects include dental problems, inflamed esophagus, EEG abnormalities, abdominal or urinary disturbances, and changes in blood sugar level. Cognitive disturbances related to binging and purging are perfectionistic, egocentric, and distorted thinking, misconceptions about nutritional requirements, unreasonable goals and expectations, and disturbed affect. Bulimics resist treatment; however, such methods as cognitive, group, family, behavior, and drug therapy, and hospitalization appear promising.     

Variables which differentiate placement of adolescents into juvenile justice or mental health systems

Studies of the variables that determine whether an adolescent is placed in the mental health or juvenile justice system for treatment have led to conflicting conclusions based on impressionistic data. The primary hypothesis of this study--that demographic variables would and personality/psychopathology variables would not differentiate into which system a youth will be placed--was supported. Adolescents were studied at intake into both the juvenile justice system and the mental health system. Data were collected on demographics (structured interviews), personality/psychopathology (MMPI), social adjustment (CAAP), and academic achievement (PIAT). A discriminant function analysis identified eight statistically significant variables which differentiated the two groups. In order of decreasing importance they are: ethnicity, gender, MMPI-depression, previous mental health history, CAAP-productivity, drug use, parental marital history, and parental religious preference.     

Recognizing people seen in events via dynamic "mug shots"

This study examined effects of an event and dynamic mug shots on facial recognition. Witnesses saw either a film of a liquor store holdup staged by six perpetrators, slides of the same targets, or freeze-framed views from the filmed event. Slides of different facial views of targets among 12 foils, or dynamic 180 degrees mug shots of the same men, or multiple static views were administered 24 hr later in yes-no recognition tests. Recognition (d') was poorer for the same men seen in the event than in slides, but better for dynamic than for static mug shots. Nondynamic event characteristics were responsible for poor recognition of people seen in events, whereas dynamic aspects of facial transformations, not multiple views, seemed responsible for the superiority of dynamic mug shots. The implications of these results for issues of ecological validity of traditional face recognition methodology and for static feature models vs. dynamic transformation models of face recognition are discussed.     

Working together separately: clarifying the relationship between college therapist and dean of students

The authors, a college psychotherapist and dean of students, describe the relationship between these college personnel. They describe the dynamics of their interaction and the importance of communication and mutual understanding. They define counseling and therapy, discuss the issues of agency and confidentiality, suggest methods of referral and consultation, and emphasize the need for support and trust within a school community. Finally, they present case studies that illustrate the benefits of mutual trust, understanding, and respect.     

Identity conflict in Mexican-American adolescents

Mexican-American adolescents of migrant origin present conflicting attitudes in their selection of ideal characters and images for identification. As minority members, identification with members of outside groups appears blocked for them. At the same time, encounters with outside society seem to undermine identification processes that develop within their own group, their families, and community. This study concludes that relationships of dominance and dependence in the outside society foster inhibitions to the process of identification, and disturbances in the mechanisms of defense in the minority member. These relationships seem to interfere with the internalization and adoption of significant others' characteristics and attitudes.