Multidimensional Family Therapy HIV/STD Risk-Reduction Intervention: An Integrative Family-Based Model for Drug-Involved Juvenile Offenders

Drug and juvenile justice involved youths show remarkably high rates of human immunodeficiency virus (HIV)/sexually transmitted disease (STD) risk behaviors. However, existing interventions aimed at reducing adolescent HIV risk behavior have rarely targeted these vulnerable young adolescents, and many approaches focus on individual-level change without attention to family or contextual influences. We describe a new, family-based HIV/STD prevention model that embeds HIV/STD focused multifamily groups within an adolescent drug abuse and delinquency evidence-based treatment, Multidimensional Family Therapy (MDFT). The approach has been evaluated in a multisite randomized clinical trial with juvenile justice involved youths in the National Institute on Drug Abuse Criminal Justice Drug Abuse Treatment Studies ( http://www.cjdats.org ). Preliminary baseline to 6-month outcomes are promising. We describe research on family risk and protective factors for adolescent problem behaviors, and offer a rationale for family-based approaches to reduce HIV/STD risk in this population. We describe the development and implementation of the Multidimensional Family Therapy HIV/STD risk-reduction intervention (MDFT-HIV/STD) in terms of using multifamily groups and their integration in standard MDFT and also offers a clinical vignette. The potential significance of this empirically based intervention development work is high; MDFT-HIV/STD is the first model to address largely unmet HIV/STD prevention and sexual health needs of substance abusing juvenile offenders within the context of a family-oriented evidence-based intervention.     

Information processing in chronic pain disorder: A preliminary analysis

Researchers have alternately suggested selective attention, impaired stimulus filtering, and affective language deficiency models as accounting for multiple somatic complaints in persons with chronic pain disorder. The purpose of the present study was to establish the comparative usefulness of these three models for explaining somatic focus in a chronic pain population. Nine chronic pain patients evidencing high somatic focus (somatizing chronic pain patients), 10 chronic pain patients evidencing low somatic focus (nonsomatizing chronic pain patients), and 10 healthy control subjects were administered a computerized version of the emotional Stroop test as a test of these models. A total of 105 pain-, depression-, and neutral-content words were used as Stroop test stimuli. Stroop test color-naming response latencies were submitted to a two-way Group × Word Type mixed-model ANOVA, with Word Type as the repeated measure. Results reveal that neither the selective attention model nor the affective language deficiency model adequately explain Stroop test performance in somatizing chronic pain patients. Findings provide tentative support for the impaired stimulus filtering model, with somatizing chronic pain patients evidencing similar Stroop test response delays across all words. These results suggest that chronic pain sufferers misinterpret bodily sensations. Findings are discussed in terms of a bilevel approach for treatment of somatizing chronic pain patients that would include assisting the patient in accurate appraisal and interpretation of physical symptoms.     

General slowing in semantic priming and word recognition.

Analyses of lexical decision studies revealed that (a) older (O) adults' mean semantic priming effect was 1.44 times that of younger (Y) adults, (b) regression lines describing the relations between older and younger adults' latencies in related (O = 1.54 Y-112 and unrelated conditions (O = 1.50 Y-93) were not significantly different, and (c) that there was a proportional relation between older and younger adults' priming effects (O = 1.48 Y-2). Analyses of word-naming studies yielded similar results. Analyses of delayed pronunciation data (Balota & Duchek, 1988) revealed that word recognition was 1.47 times slower in older adults, whereas older adults' output processes were only 1.26 times slower. Overall, analyses of whole latencies and durations of component processes provide converging evidence for a general slowing factor of approximately 1.5 for lexical information processing.     

Attributions for the Success and Failure of Female Managers: A Replication and Extension

This study attempted to extend earlier work on the relationship between attitudes toward women in management and attributions for the success and failure of female managers. One hundred and ten employees of a large state human services agency responded to a survey measuring their attitudes toward women in management and their attributions for either the success or failure of a hypothetical female manager. Results for males were highly supportive of earlier findings, with attitudes toward women in management significantly related to attributions for success but not for failure. Females showed an opposite pattern of results, with attitudes toward women in management significantly related to attributions for failure but not for success. It is suggested that these differences in attitude-attribution relationships may be the result of males expecting failure from female managers while females expect success.     

Top-down design for a system to control operant choice experiments

STATIONS, a FORTRAN program to control operant choice experiments, was developed based on the principles of top-down design and structured programming. As a consequence, the program consists of modules organized in a hierarchical fashion. Separate modules deal with different types of reinforcement schedules, such as variable ratio (VR) and variable interval (VI). These modules produce specific schedules with different parameters by using sequences of values read in at ran time and then randomly sampled. This form of organization permits modifications to be made via changes confined to one module without global repercussions. The clarity of structure that results from the application of top-down design and structured programming should enable future users to more easily adapt this package to suit their specific needs.     

Reflections on Parenting: A Multigenerational Perspective

This paper presents some of the underlying patterns of parenting that have emerged from six years of ethnographic field research into the role of the family in children's acquisition and use of reading and writing skills. The research has provided some insights into the many complex and interrelated ways that children's literate activities are mediated and affected by multigenerational family patterns and by their personal experience of everyday life both within and outside the family. Two central themes are discussed: the spirit of change, which breaks the patterns of the past and brings new interpretations into the present, and the spirit of conservation, which maintains the continuation of family patterns from one generation to the next. Also described are the important parental attitudes of social flexibility and resiliency that are frequently evident in these processes of conservation and change of multigenerational patterns. One specific family story provides the background for the theoretical issues that are explored.     

An examination for construct bias in the WISC-R across socioeconomic status

The ten subtests comprising the Wechsler Intelligence Scale for Children —Revised (WISC-R) were independently factor analyzed for middle and low socioeconomic status children. Two factors described the structure of the test in both cases. These two factors corresponded quite closely to the Verbal Comprehension and Perceptual Organization factors usually reported for the WISC-R. After testing for the equivalence of covariance matrices between the two socioeconomic status groups, coefficients of congruence between the factors were calculated. These coefficients indicated equivalence in the constructs being measured across the two groups.     

A clinical contribution to the etiology of lesbianism

Lesbianism may be viewed as an attempt to rectify malfunctioning in the original mother/daughter dyad. This paper discusses how failure of the girl child to establish female identification is preceded by failure to individuate, causing regression to an earlier symbiotic stage, resulting in feelings and desire for merging. It is this failure in development, regression to the symbiotic stage and wish to merge which may be a crucial component in the lesbian personality. The course of treatment of a young woman, who was not sure whether she was lesbian or not, is described with focus on her request for a hypnotic session, which was done by another therapist.