TESTICULAR SELF-EXAMINATION: VALIDATION OF A TRAINING STRATEGY FOR EARLY CANCER DETECTION

Testicular self-examination (TSE) can lead to early diagnosis and treatment of testicular cancer, the third leading cause of death in young men. We evaluated the effectiveness of a brief and specific checklist for teaching TSE skills. Ten men were videotaped while performing testicular self-examinations before and after training. The TSE training resulted in large and significant increases in the number of TSE steps completed and duration of the TSE. Two urological validation measures supported the improvements observed in the mens' self-examinations. Subjects reported continued performance of TSE during a follow-up telephone interview. This pilot study indicates that a brief and specific checklist is an effective strategy for teaching early cancer detection skills.     

PRIMARY ENCOPRESIS: EVALUATION AND TREATMENT

Cathartic and behavioral treatment procedures for eliminating diurnal and nocturnal primary encopresis were investigated using a multiple-baseline design across four children. The dependent and independent variables measured were appropriate bowel movements, soiling accidents, independent toiletings, and cathartic use. Over 177 reliability observations (home visits) were conducted. For two of the children, treatment with cathartics and child-time remedied their soiling accidents and increased their independent toiletings in 8 to 11 weeks. While the cathartics and child-time increased the rate of appropriate bowel movements, they did not eliminate the soiling accidents with the other two children. Independent toiletings for these two children were achieved after 32 to 39 weeks of treatment when punishment procedures (positive practice, time-out, and hourly toilet sits) were incorporated and the suppositories were faded systematically.     

Exemplification: The self-presentation of moral character

How do people come to terms with moral self-presentations and disconfirming behaviors? Subjects were exposed to the self-presentation of either an exemplifier (presenting himself as morally virtuous) or a pragmatist (presenting himself as morally adaptable) and then learned whether the self-presenter had or had not cheated for self-serving reasons in an earlier experiment Subjects clearly distinguished between exploitativeness and hypocrisy in their attributions, and considered a cheating exemplifier more hypocritical and self-deluding, but less exploitative and devious than a cheating pragmatist A second experiment manipulated subjects' involvement with the cheating of an exemplifier and a pragmatist by making half of the subjects its victims As in Experiment 1, uninvolved subjects considered the cheating exemplifier more hypocritical and less exploitative than a cheating pragmatist, however, involved subjects (victims) considered a cheating exemplifier more hypocritical but no less exploitative than a cheating pragmatist The results are discussed in terms of strategic self-presentation and the attribution of moral character     

“Aunt Grace can't have babies”

One of the most necessarily sensitive areas of pastoral care is dealing with perinatal death. This case study grows from a need for care providers to understand better the feelings of a mother in the loss of her baby. This particular exploration evolved from a taped interview with the writer's aunt (now in her seventies) and her dealings with the multiple losses she experienced over fifty years ago. Her conversation in the interview gives credibility to many coping skills that we endeavor to teach today and that she developed for herself out of a need to survive....it was as if the birds would never sing again.-Aunt Grace     

Macrocosm to microcosm: Toward a systemic model of personality

This paper attempts to: (1) provide a paradigm through which to understand the human self and, (2) bring some order out of the variety of theories of personality and strategies of change used in clinical practice today. Drawing on modern physics and general systems theory, a multi-leveled, systemic model incorporating physical, psychological, and spiritual dimensions is proposed and then applied to a representative clinical case. Implications of this model for clinical work and for a spiritual understanding of personality are elaborated.     

Discrepancy detection and vulnerability to misleading postevent information

When people are exposed to misleading details after a witnessed event, they often claim that they saw the misleading details as part of the event. We refer to this as themisinformation effect. In four experiments, involving 570 subjects, we explored the role that discrepancy detection plays in the misinformation effect. Experiment 1 showed that subjects who naturally read a post-event narrative more slowly were more resistant to the effects of misleading information contained in the narrative. In Experiment 2, subjects who naturally read more slowly were more likely to detect a discrepancy between what they were reading and what was stored in their memory. In Experiment 3, subjects who were instructed to read slowly were more likely to detect a discrepancy than were those who were instructed to read quickly. In Experiment 4, subjects who were instructed to read slowly were more resistant to misleading postevent information. Taken together, these results suggest that longer reading times are associated with a greater scrutiny of postevent information. This leads to an increased likelihood that discrepancies will be detected and that the misinformation will be resisted.     

Locus of inhibition effects in the priming of lexical decisions: pre- or postlexical access?

The lexical decision task has been employed to investigate the effects of semantic context on word recognition. A frequent finding from the task is that “word” responses are slower when the target is preceded by an unrelated word than when it is preceded by a neutral stimulus. This inhibition effect has been interpreted as indicating that the unrelated prime interferes with word-recognition processes operating on the target. In three experiments, the effects of unrelated primes were compared for a lexical decision and word naming task. Although large inhibition effects were found for the lexical decision task in all experiments, no inhibition effects were observed for the naming task. The results are interpreted as demonstrating that inhibition effects in the lexical decision task are not on recognition processes; rather they are located at processes operating after recognition of the target has occurred.     

Latent trait models and dichotomization of graded responses

This paper discusses thecompatibility of the polychotomous Rasch model with dichotomization of the response continuum. It is argued that in the case of graded responses, the response categories presented to the subject are essentially an arbitrary polychotomization of the response continuum, ranging for example from total rejection or disagreement to total acceptance or agreement of an item or statement. Because of this arbitrariness, the measurement outcome should be independent of the specific polychotomization applied, for example, presenting a specific multicategory response format should not affect the measurement outcome. When such is the case, the original polychotomous model is called compatible with dichotomization.A distinction is made between polychotomization or dichotomization before the fact, that is, in constructing the response format, and polycho- or dichotomization after the fact, for example in dichotomizing existing graded response data.It is shown that, at least in case of dichotomization after-the-fact, the polychotomous Rasch model is not compatible with dichotomization, unless a rather special condition of the model parameters is met. Insofar as it may be argued that dichotomization before the fact is not essentially different from dichotomization after the fact, the value of the unidimensional polychotomous Rasch model is consequently questionable. The impact of our conclusion on related models is also discussed.