Sex difference trends in completed suicide

The recent suicide literature increasingly has contained statements suggesting that the differences in completed suicide between the sexes are lessening. A compilation of official suicide data for 1933-1980 verifies such a trend from the 1950s through 1971. However, increased differences (as measured by the ratio of male to female rates) were consistently observed from 1971 to 1980. These trends were found for data for the nation, for whites and nonwhites, for numbers of suicides, for crude rates, and for age-adjusted rates. Decreased sex differences were obtained for those 35-44, 45-54, 55-64, and for 65+ years of age, but increased sex differences were observed for those aged 15-24 and 25-34. Possible explanations for these findings are presented.     

On the relation between genuine and simulated amnesia

When claims of amnesia are made in legal cases, it is necessary to determine whether they are genuine or simulated. This article assesses current knowledge of the relation between genuine and simulated amnesia and discusses issues that are critical to understanding of the problem. It is argued that there are few well established facts regarding the nature of simulated amnesia, and no evidence that experts can distinguish accurately between genuine and simulated amnesia. Suggestions are made for future research that draw upon recent advances in cognitive psychology, social psychology, and neuropsychology.     

Family therapy of school-focused problems: A macrosystemic perspective

School-focused problems present an interesting challenge to family therapists in that they take place in a system outside of the family. Treating the family without including the school often leads to a poor outcome. This article presents a macrosystemic model of treatment which views the family and school as an interacting system that maintains the ongoing problem. The therapist intervenes in this larger system by separately treating the family and school, then rejoining them to create a more functional working relationship.     

Book reviews

With Faith and Fury. Delos McKown. New York: Promethius Books, 1985. pp 440. $16.95

The Sacred in a Secular Age. Phillip E. Hammond, Editor. University of California Press, 379 pages (p/b) $8.95 (£8.50)     

Computing stress

This article is based on a review of recent literature on “computing stress”; that is, on the psychological stress effects of working with computer systems. Current research into the sources of computer-related stress has tended to concentrate on those employees who operate Visual Display Units (VDUs), either on a full-time professional basis as word-processor (WP) operators, data-entry clerks, secretaries, or those dealing with enquiries from the public; or employees who use the VDU irregularly as part of their other duties. A few studies have looked at specific occupation groups, such as printers (Kalimo & Leppänen, 1985), information technology professionals (programers and analysts), process workers, and college students (Sproull, Kiesler, & Zubrow, 1984). Generally, however, research has been carried out on office workers, more often women, carrying out administrative tasks. An attempt is made to identify those potential work-related stressors that have been isolated by these studies, and also included are criticisms of the general methodologies used in many of them.     

The use of a resident daily scheduling procedure to increase appropriate social,ward, and scheduling behavior in adult psychiatric residents (patients)

The purpose of the present experiment was to investigate the efficacy of a goal orientation procedure in their treatment of apathy, isolation, and insufficient goal setting skills in chronic psychiatric residents. The experiment was conducted in a behaviorally-oriented deinstitutionalization program in a state psychiatric hospital. Three male and four female chronic psychiatric residents served as research participants. A group repeated measures design with four within-participant phases (ABA‘B’) was utilized. The goal orientation procedure included a written schedule that was completed by each research participant daily. This Daily Living Schedule required that a behavior be specified by the participant for every half-hour period during the day (8:30 a.m. to 9:00 p.m.). During all four phases of the experiment, research participants were observed on the ward from 8:30 a.m. to 12:00 noon and 1:00 p.m. to 5:00 p.m. for engagement in scheduled target behaviors. The daily scheduling procedure produced substantial increases in appropriate behavior such as social activities, ward jobs, and participation in treatment programs, whereas decrease were produced in inappropriate behavior such as isolation and day time sleeping.     

Marital dissolution and distress in a psychiatric population: A longitudinal design

There has been interest in recent years in the relationship between marital distress and psychopathology. It has been rare, however, for investigators to follow patients after their release from the hospital and observe the course of their marital relationships. The present study included patients meeting criteria for three DSM III DISORDERS (MAjor depressive, bipolar, and schizophrenic) and a normal control sample, all of whom are participants in an ongoing longitudinal study of children at risk for psychopathology (Stony Brook High-Risk Project; Weintraub & Neale, 1984). Marital Adjustment Test (MAT; Locke & Wallace, 1959) scores were collected on patients at entry into the project (Phase I) and at a three year follow-up (Phase II). Course of marriage was defined as negative if the couple's marital adjustment was rated as poor at Phase II or resulted in divorce or separation at Phase II. It was found that only the depressed group differed from the normal group in having significantly worse course of marital relationship; 84% of the depressive couples showed a “negative” course of marital change over time. However, all three patient groups had significantly higher rates of divorce by Phase II. MAT scores at Phase I successfully predicted course of marital relationship for all diagnostic groups. Implications for aftercare of psychiatric inpatients are discussed.