Strategy Use in Reasoning Training With Older Adults

The relationship between strategy use and cognitive training gains on reasoning ability is examined in a sample of 393 older participants in the Seattle Longitudinal Training Study. Pre- and posttest gains on the use of strategies specific to reasoning ability were compared for the elderly trained on reasoning versus spatial orientation ability. The present study involves an objective behavioral method of measuring strategy use on tests of inductive reasoning. Results showed that participants trained on reasoning significantly increased strategy use from pre- to posttest on two reasoning outcome measures compared to participants trained on spatial orientation. Higher strategy use by inductive reasoning trainees was also associated with greater training gain on reasoning outcome measures, suggesting strategy use as a possible mechanism of training gain. In addition, young–old participants and those with higher education, irrespective of training condition, exhibited greater pre- to posttest gain in strategy use.     

Preventing depression: A review of cognitive-behavioral and family interventions

Depression is one of the most common psychological disorders. It is associated with tremendous costs in terms of suffering, decrease in productivity, and loss of life. For many individuals, depression is a disorder that will recur throughout life. Recent findings suggest that the prevalence of depression is on the rise, particularly in young people. Clearly, depression prevention is an important goal. Can depression be prevented? In this article we review research on interventions designed to prevent episodes and symptoms of unipolar depression in adults and children. Our review focuses specifically on cognitive-behavioral and family interventions. We discuss what researchers have learned about the prevention of depression and conclude with recommendations for future investigations.     

Guidelines for Writing Letters to Patients

Patient letters provide a permanent record of the genetic counseling that was provided and are unique in medical care; rarely do other health care providers send summaries written specifically to their patients and families. We surveyed genetic counseling training program directors and found that while the acquisition of patient letter-writing skills was considered important, there were no specific guidelines made available to students. To develop letter-writing guidelines, we evaluated patient letters, reviewed references on professional correspondence, surveyed the medical literature, and worked with a writing consultant. The guidelines we subsequently developed and present here include a format for writing patient letters, suggestions on presenting medical information in understandable terms, and wording considerations. These patient letter-writing guidelines are intended to serve as a guide for teaching students this important skill and as a resource for practicing health care professionals.     

A longitudinal evaluation of a social support model of medication adherence among HIV-positive men and women on antiretroviral therapy.

Nonadherence in the management of chronic illness is a pervasive clinical challenge. Although researchers have identified multiple correlates of adherence, the field remains relatively atheoretical. The authors propose a cognitive-affective model of medication adherence based on social support theory and research. Structural equation modeling of longitudinal survey data from 136 mainly African American and Puerto Rican men and women with HIV/AIDS provided preliminary support for a modified model. Specifically, baseline data indicated social support was associated with less negative affect and greater spirituality, which, in turn, were associated with self-efficacy to adhere. Self-efficacy to adhere at baseline predicted self-reported adherence at 3 months, which predicted chart-extracted viral load at 6 months. The findings have relevance for theory building, intervention development, and clinical practice.     

Abuse, health locus of control, and perceived health among HIV-positive women.

This study of 230 predominantly poor Hispanic and African American women aged 25 to 61 years living with HIV/AIDS in New York City revealed high levels of both sexual (39%) and physical (44%) trauma before the age of 16. Both types of early trauma were correlated with later trauma, and all forms of trauma were significantly associated with current perceived health. In multivariate analyses controlling for relevant covariates, the Powerful Others and Internal Control subscales of the Multidimensional Health Locus of Control Scales (K. A. Wallston, B. S. Wallston, & R. DeVellis, 1978) acted as independent predictors of perceived health rather than (as hypothesized) mediators of the association between trauma and perceived health. Findings underscore the importance of addressing trauma and perceptions of control over one's physical health in the provision of health services to HIV-positive women.     

Racism and Feminism: Is Women's Liberation for Whites Only?

The women's movement is often described as „white middle-class” despite the fact that black women not only are more oppressed than whites, but are more favorable to the goals of the women's movement. Black women, especially those identified with the black rights movement, fear that feminism will split their ranks and divert public attention. Black women's problems also differ from those of whites in other ways, mostly related to the fact that their economic position is much worse than that of either white women or black men. Moreover, blacks hesitate to join organizations they perceive as white dominated. It is argued that both black and women's rights movements need each others' support and that black women cannot achieve equality unless both movements succeed