Seeking urgent pediatric treatment: factors contributing to frequency, delay, and appropriateness

The present study explored the factors that contribute to mothers' decisions to seek urgent medical attention for their children when symptoms are not of a traumatic nature. One hundred mothers seeking treatment for their children at a prepaid clinic completed a questionnaire eliciting their expectations regarding the course of their children's problems, seriousness of the problems, perceived responsibility for the symptoms, and extent to which a variety of factors contributed to their decisions to seek treatment. Demographic data and information about each child's symptoms and medical history were also obtained. Four major "reasons for seeking treatment" factors were identified: family history of the presenting complaint, worry regarding the symptoms, situational variables, and the extent of the child's illness behavior. The appropriateness of the visit, delay in seeking treatment, and frequency of mothers' use of the pediatric clinic were predicted by the nature of the presenting symptoms (particularly the presence of fever), the ages of the mother and child, and two of the reasons for seeking treatment factors (i.e., family history and child's illness behavior). The present study suggests that mothers pay more attention to presenting symptoms and to the children's behavior than to psychosocial stressors in deciding to seek urgent care.     

Selective cardiovascular effects of stress and cigarette smoking in young women

In an earlier study, we found that men who smoked a cigarette and then engaged in a mildly stressful activity (video game) evidenced pronounced increases in heart rate and blood pressure, which were approximately equal to the sum of the effects produced by either smoking alone or stress alone. In the present study, a 2 (smoke vs. sham smoke) X 2 (stress vs. no stress) factorial design was used to evaluate the impact of stress and smoking on the cardiovascular responses of young women. The results revealed that the combination of stress and cigarette smoking produced blood pressure and heart rate responses that were larger than the additive effects of smoking and stress taken separately.     

Co-occurrent use of cigarettes, alcohol, and coffee in healthy, community-living men and women

Previous studies have examined intra-individual aggregation in the use of cigarettes, alcohol, and coffee by examining the co-occurrent use of any pair of these three substances. A recent literature review failed to find a single investigation that studied use of all three in the same sample. In the present study, co-occurrent use of all three of these substances was examined in crossvalidated subsamples of 226 male and 245 female healthy, community-living, middle-class Americans. A log-linear analysis was used to compare the proportion of smokers, ex-smokers, and nonsmokers categorized as users of more or less amounts of coffee and alcohol. Although most of the intercorrelations were not strong, the results indicate that for both sexes, smokers and ex-smokers were more likely than nonsmokers to drink greater amounts of alcohol and coffee. Furthermore, for smokers, ex-smokers, and nonsmokers, a majority of individuals who reported drinking more alcohol also reported drinking more coffee. Interestingly, the coffee and alcohol consumption levels of ex-smokers resembled those of smokers more than those of nonsmokers. Also, ex-smokers reported drinking more wine and decaffeinated coffee than either smokers or nonsmokers. Finally, the number of cigarettes smoked per day (daily quantity) was positively related to total alcohol and coffee consumption in men, but not in women. Further studies are recommended to examine the role of individual differences in the development, maintenance, and modification of these three appetitive habits and their co-occurrence.     

The inequivalence of self-reports of Type A behavior: Differential relationships of the Jenkins Activity Survey and the Framingham cale with affect,stress, and control

The Jenkins Activity Survey (JAS) and the Framingham Type A Scale (FTAS) have been found to have different psychological correlates. The JAS is typically unrelated to anxiety, while the FTAS is consistently correlated with trait anxiety. The present study of 200 male and female college students clarifies further the psychological heterogeneity of these measures. Enhanced motivation to control the environment has been suggested as an underlying psychological component of Type A behavior (Glass, 1977). Dysphoric emotions and the perception of more environmental stresses, on the other hand, are typical of neuroticism or negative affectivity (Watson & Clark, 1984). Although the results indicate that the JAS and FTAS are highly correlated, the JAS is more closely related to control motivation than is the FTAS. Further, compared to the JAS, the FTAS is more closely correlated with dysphoric emotions and perceived daily stresses. Thus, the results indicate that the JAS is closely correlated with core psychological components of the Type A pattern, while the FTAS has a relatively unique association with general emotional distress. Such differences may account for the fact that these measures are related to different disease end points.     

Chimpanzee (Pan troglodytes) spatial problem solving with the use of mirrors and televised equivalents of mirrors

Two adult male chimpanzees reached through a hole in the wall of their home cage and, by tracking the images of their hands and of an otherwise hidden target object in a mirror or closed-circuit television picture, moved their hands in whichever direction was necessary to make contact with the target object. They discriminated between live video images and tapes and performed effectively when the target objects were presented in novel locations and when the video picture was presented at random in different orientations. There was thus no consistent relation between the location of images on the monitor and the location of their real-world counterparts. Comparable performances in monkeys and nonprimates seem unlikely.     

Life or Death of Severely Disabled Infants: A Counseling Issue

Due to the death of a severely disabled infant from Bloomington, Indiana, a series of events set in motion by the U.S. Department of Health and Human Services has resulted in cautions to health care providers. The resulting policies and procedures warn hospital personnel against withholding nutritional sustenance or medical treatment from severely disabled infants. This article presents dimensions that might serve as a background for counselors to assist families in considering options related to disabled infants. These dimensions include the meaning of life, cost to benefit ratio, medical options, legal precedent, and a theological perspective. This issue is related to counseling practice through counselor ethics, values, and the need for information that counselors can provide to parents during the decision process.     

Responsiveness to estrous chemostimuli in male rats (Rattus norvegicus) of different ages

Previous findings indicate that Norway rats (Rattus norvegicus) respond differentially to estrous chemostimuli in early infancy and that adult male sexual responsiveness to such chemostimuli depends on infantile experience with suckling odors (Fillion & Blass, in press). The development of behavioral responsiveness to estrous chemostimuli in male rats from late infancy to adulthood was examined in this study. Preweanling, adolescent, and adult males were observed for 20 min in the presence of an anesthetized estrous or an anesthetized diestrous female. This was, for adolescent and adult subjects, the first heterosexual encounter since weaning. Rats in each age-group responded differentially according to female state, but in distinct, age-related ways. Preweanling spent more time investigating the female's body if she was estrous. Adults expressed the same affinity but by more focused investigation directed perivaginally. Adolescents showed no female-directed bias but groomed themselves more if the female was estrous. These data identify developmental continuities and discontinuities in male rat behavior toward sexually receptive females.     

Catastrophe theory applications in clinical psychology: A review

Catastrophe theory is a new mathematical science that permits some insight into the way in which sudden changes or discontinuities of behavior may occur even though the underlying causative forces are essentially continuous. This article aims to present a nonmathematician’s view of catastrophe applications in clinical psychology. Areas covered include anorexia nervosa, binge eating and drinking, affective disorders, schizophrenia, aggressiveness, and prison disturbances. Where appropriate, therapeutic implications and possible physiological correlates are offered. Examples are given of catastrophe theory’s ability to explain previously inexplicable findings. Attention is drawn to its refutability and predictive value, and hence its scientific respectability.