Depression in patients with spinal cord injuries: A synthesis of cognitive and somatic processes

Depression in some patients with spinal cord injuries may be clinically significant and, when present, should be treated to decrease morbidity including decreased physical functioning. Depression associated with spinal cord injury (SCI) may be misevaluated, due to (1) nonspecific multifactorial production of depression symptoms and (2) SCI-specific decrease in somatic sensory central nervous system input. The Somatic Suppression Hypothesis suggests that SCI patients have difficulty experiencing any intense emotion because of suppression of physiological arousal. In addition, cognitive processes that may reduce depression in SCI patients include: (1) attribution of somatic symptoms of depression to medical (biological) causes, (2) realistic, positive expectations for physical improvement, and (3) the perception that the disability of the SCI is only minimally related to the patient’s self-care after complete evaluation. Health personnel should accept lack of depression in SCI, and should encourage positive realistic expectations of recovery.     

Public self-Attention and personal standards: The impact of group composition

Increases in self-attention as a function of decreases in the relative size of one’s subgroup in a heterogeneous group context have been shown to result in increased regulation of behavior toward social (normative) standards for behavior. The present study demonstrated increased regulation of behavior toward a personal standard for behavior as a function of variations in group composition. One hundred twenty-five subjects individually completed the Creativity subscale of Scott’s Personal Value Scale assessing attitudes toward originality. They then completed a word-association task in groups ranging in size from 2 to 8. Originality of word-associations was determined by reference to previously established word-association norms and norms based on frequency of responses given in the present study. Results indicate that originality in responses increase as the relative size of one’s own subgroup decreases (indexing increases in self-attention) for subjects who value originality. Discussion centers on the distinction between experimentally manipulated public and private self-attention and standards that are adopted for behavioral self-regulation. Portions of this study were presented at the annual meeting of the Eastern Psychological Association, New York, April 1991.     

Who Uses the Cost-Benefit Rules of Choice? Implications for the Normative Status of Microeconomic Theory

We find three factors to be associated with use of cost-benefit rules in everyday decisions. These are effectiveness in achieving desirable life outcomes, intelligence, and training in economics. We argue that these empirical findings support the claim that cost-benefit reasoning is normative.     

Enhancing Consultee Problem-Solving Skills in Consultative Interactions

Selected empirical research on consultative problem solving is reviewed. Although there is general support for the effectiveness of consultation in resolving a variety of presenting problems and in improving consultees' skills for solving future problems, there is a need for additional methods to facilitate the process. Direct training of consultees in behavior management, communication, and consultation process skills is advocated as one means of attaining this goal.     

Anxiety and the spelling and use in sentences of threat/neutral homophones

The disambiguation of threat/neutral homophones was investigated in high- and low-trait anxiety subjects who had been exposed to either a positive or a negative mood manipulation procedure. Subjects were required first to spell each auditorily presented word and second, to generate and speak a sentence using the word. Difference indices were calculated for the spelling and the sentence usage data, i.e. the number of threat minus neutral interpretations. Examination of these indices revealed that subjects exposed to the negative mood manipulation procedure produced relatively more threat than neutral interpretations (for both spelling and sentence usage) than did subjects exposed to the positive mood manipulation procedure. Multiple regression analyses revealed that both the trait anxiety and mood manipulation variables contributed significantly to the prediction of the difference index on the spelling task. In the analysis of the use of homophones in sentences, only the mood manipulation variable contributed significantly to the prediction of the difference index on the sentence usage task.     

Psychological effects of sustained shipboard operations on U.S. Navy personnel

This study investigated the psychological and physical health status of 265 crew members on two U.S. Navy ships (a guided missile cruiser and a frigate on convoy escort duty for tankers under U.S. flag) during the Persian Gulf conflict at four time periods during combat-ready operations on a single day. Findings suggest that adaptation occurs to extreme stressors associated with sustained operations. Suggestions are made relative to measures that may minimize psychological and physical conditions that adversely affect performance under conditions of heavy stress. Report No. 89-18, supported by the Naval Medical Research and Development Command, Bethesda MD, Department of the Navy, under research Work Unit No. 63206N.M0096. The opinions expressed in this paper are those of the author and do not reflect the official policy or position of the Department of the Navy, Department of Defense, nor the U.S. Government.     

Standards for Organizational Consultation Assessment and Evaluation Instruments

Although consultation researchers and practitioners have called attention to the need for more psychometrically sound instruments, little advancement has occurred in this area. The authors outline key quantitative and qualitative psychometric standards for organizational consultation assessment and evaluation instruments. In addition, a framework and review of several existing questionnaires are presented. Implications for instrument use by practitioners and suggestions for further research are discussed.     

The concurrent validity of three self-report measures of borderline personality

The recent accumulation of self-report measures of borderline personality disorder (BPD) affords the opportunity to evaluate both the construct validity of the concept and the quality of these measures. This study examines the relationship among three recently developed self-report instruments for assessing BPD from the Personality Assessment Inventory (PAI; Morey, 1991), the MMPI Personality Disorders Scales (MPD; Morey, Waugh, & Blashfield, 1985), and the Bell Object Relations Inventory (BORI: Bell, Billington, & Becker, 1986). Data on the three measures were provided by 119 undergraduate subjects from a southeastern university. A correlational analysis addresses the convergence of these measures of BPD, their divergence from measures of different but related traits, and their independence from variance due to method. Application of the Campbell-Fiske (1959) criteria indicates adequate convergence for all the BPD measures but a lack of discriminant validity for the BORI scales. The fit of the data to a structural model of construct validity is tested using confirmatory factor analysis, and these results are consistent with the hypothesis of a latent borderline trait factor independent of measurement method factors. In sum, the construct validity of the borderline personality concept using self-report methodologies receives support, and a strong association between borderline personality and paranoid phenomena is also suggested.     

Research in Consultation: Toward Better Analogues and Outcome Measures

Recommendations for improving consultation research include (a) strengthening consultation analogue research by incorporating “boundary” conditions into research designs and (b) extending the outcome measures used.     

Grandparents Affected by Parental Divorce: A Population at Risk?

When parents divorce, grandparents who have bonded with grandchildren may be affected, particularly when denied visitation. In this article the author reviews normative aspects of grand-parenthood and how grandparents are affected by parental divorce. Legal and ethical issues and counseling interventions are discussed.