Improving multiple behaviors for colorectal cancer prevention among african american church members.

The WATCH (Wellness for African Americans Through Churches) Project was a randomized trial comparing the effectiveness of 2 strategies to promote colorectal cancer preventive behaviors among 587 African American members of 12 rural North Carolina churches. Using a 2 X 2 factorial research design, the authors compared a tailored print and video (TPV) intervention, consisting of 4 individually tailored newsletters and targeted videotapes, with a lay health advisor (LHA) intervention. Results showed that the TPV intervention significantly improved (p <.05) fruit and vegetable consumption (0.6 servings) and recreational physical activity (2.5 metabolic task equivalents per hour) and, among those 50 and older (n = 287), achieved a 15% increase in fecal occult blood testing screening (p =.08). The LHA intervention did not prove effective, possibly because of suboptimal reach and diffusion.     

A RESPONSE TO DAVID HOLLENBACH AND SOHAIL H. HASHMI

Irene Oh affirms that religious freedom, faith, and reason, as David Hollenbach suggests, are subject matters that offer promising platforms for interreligious dialogue between Christians and Muslims. The need for cross‐cultural understanding is imperative especially given the current political climate, in which world leaders can easily exacerbate existing tensions through the misapplication of such terms. Sohail H. Hashmi addresses the need to discuss women's rights as part of a larger discussion on human rights in Islam. Oh concurs and notes that Sayyid Qutb's remarks on women in the United States serve as a starting point for clarifying women's agency in Islam.     

Appraisal of behavioral measurement techniques for assessing dental anxiety and fear in children: A review

The aim of this article is to review and evaluate behavioral and physiological measurement techniques frequently used to assess dental anxiety and fear in children. Attention is given to the data collected, the empirical findings obtained, and the availability of normative data. The main focus, however, is on the reliability and validity. Results show that all questionnaires are open to criticism. Of the behavioral measures, Melamed's Behavior Profile Rating Scale is to be preferred to Frankl's Rating Scale, Venham Rating Scales, and Visual Analogue Scales. The main reasons are that Melamed's BPRS measures the behavior of the child more precisely and that it has superior psychometric properties. Furthermore, because of their practical, conceptual, and psychometric problems, physiological measures at this stage are found to be less appropriate for assessing dental fear in children. It is concluded that a behavioral measure is not always the ideal, but often the only available technique for assessing dental fear in children.     

Toward optimum group placement from the perspective of the self or self-experience

This paper offers referring and prospective group analysts/therapists a way of conceptualizing optimum placement. This approach, using the charts provided, will aid in determining the patient's current needs based on past and present selfobject functions, deficits/ derailments, and traumatizations. The charts also offer the group analyst/therapist a tool with which to evaluate the present selfobject functions, impingements, and traumatizations that may be available in a prospective group to determine whether the match is appropriate or whether group should be the treatment modality of choice. When the interviewing analyst/therapist has taken all of the current and past selfobject functions and traumatizations into account, the patient can be expected to benefit from the most growth-enhancing placement available.     

Scientific Meetings of the Association for the Advancement of Psychoanalysis

The American Journal of Psychoanalysis -     

Acquisition of route and survey knowledge in the absence of vision

The ability of sighted, blindfolded individuals to navigate while walking was assessed in two types of tasks, one requiring knowledge of a route that previously had been navigated and another requiring more complex spatial inference or computation. A computerized measurement system monitored spatial position. The route tasks included maintenance of a heading, distance and turn reproduction and estimation, and turn production. The inferential task required completion of a multisegment pathway by returning directly to the origin. pathways were replicated at two different scales. Measures for the route-knowledge tasks indicated a substantial ability to navigate in the absence of visual cues. Route reproduction performance was particularly accurate despite intrinsic veering tendencies. A substantial increase in error was observed in the pattern-completion task. Errors in pathway completion increased with pathway complexity and were quite similar in the two scales. Correlational data suggested that performance on different route-knowledge tasks reflected differing underlying representations. The completion task led to a high correlation between absolute turn and distance error but had minimal correlations with the route tasks. The data suggest that a survey representation with some degree of scale independence was constructed for use in the pathway completion task.     

Communication Styles and Marital Satisfaction in Israeli and American Couples

This study examined the conflict-related communication styles of American and Israeli couples and how these communication styles related to marital satisfaction in the two groups. An Israeli sample was recruited from Israeli couples currently living in New York City; the American sample was selected from the friendship circles of the Israeli couples. In spite of the close social ties of the two groups, we predicted that the conflict-related communication styles of the Israelis would be less calm and rational than those of the Americans and that such rational modes of communication would be positively associated with marital satisfaction for the Americans but not for the Israelis. The principle instruments were Straus' Conflict Tactics Scale, Ryder's Imagined Situation Inventory, and Spanier's Dyadic Adjustment Scale. Results largely confirmed the hypotheses. Israeli couples were more apt to be verbally aggressive (but less physically violent) and less apt to behave calmly during marital conflict, but these communication styles did not relate to marital satisfaction as strongly for the Israelis as for the Americans. These findings are discussed as a demonstration of the importance of considering cultural context when treating families.     

Immediate and delayed punishment of human behavior by loss of reinforcement

Young adult humans pressed a key to obtain money. When responding was punished by presentation of a stimulus signifying that money was lost, response frequencies decreased and response latencies increased. Since these changes did not increase relative earnings, the aversive properties of loss of reinforcement were manifested independently or reinforcement gain. When loss punishment was delayed for either 10, 20, or 40 sec the extent of suppression was found to vary inversely with the response-punishment interval. Subsequent manipulations indicated that the effectiveness of delayed punishment was increased when the response also produced immediate conditioned punishment, i.e., a stimulus paired with the delayed loss stimulus. Instructions about the response-punishment contingency had similar effects. The findings were consistent with animal studies of delayed shock punishment, insofar as a similar delay-of-punishment gradient was observed, and with studies of delayed positive reinforcement, insofar as mediation through conditioned punishment (or instructions) increased the effectiveness of delayed punishment.     

Causal attributions and information seeking to explain success and failure

Previous studies of attributions for success and failure have relied upon a theoretically derived set of causal attributions, either luck versus skill (derived from Rotter, 1966) or ability, effort, luck, and task difficulty (Weiner et al., 1971; Weiner, 1972). The same tendency of relying upon a set of logically derived cues has been evident in investigations of information-processing in making attributional judgments for success and failure (e.g., Fontaine, 1972; Frieze & Weiner, 1971). Two studies were conducted which employed an open-ended format to determine the relevance of the causal categories and information which have been utilized in previous studies. Results of these studies supported the validity of previously employed causal categories and information cues as well as establishing other important but previously ignored causes and sources of information.