Structural characteristics of the macroeconomy and mental health: Implications for primary prevention research

Recent research on the impact of economics on mental and physical health has raised fundamental questions about structural elements in the macro-economy. Specifically, five characteristics of our current economic system: instability in the business cycle, unemployment, inequality in income distribution, capital mobility, and fragmentation of the work process, appear to play some pathogenic role in the incidence of behavioral and physical disorders. These macroeconomic elements require intervention at the social policy level since they seem to be more powerful than the individual coping mechanisms of some demographic subgroups. Psychologists can play an important role in policy decisions by providing data on the relative impact of structural economic variables on human functioning. Examples of structural research are presented and the implications for primary prevention are discussed.     

Counseling the incest offender

The Center Against Sexual Assault in Phoenix, Arizona is currently treating 50 incest offenders in its Offender Group treatment program. The average age range is 31–45 years old, and 80 percent were sexually or physically abused as children. These men have been found to be extremely self-centered, exhibit poor impulse control, and possess a strong denial of reality. The treatment program includes several intake sessions to ascertain suitability of the offender to this type of therapeutic approach and a stated self-admission of at least the possibility of incestuous involvement. The offenders work in groups, as well as individual sessions.     

The role of group therapy in incest counseling

The use of group therapy is an essential component in the treatment program for victims of incest, their families, and offenders at the Center Against Sexual Assault in Phoenix, Arizona. Four types of groups are conducted on a continuous basis: (a) adults who were victims as children, (b) families of victims, (c) offenders, and (d) child victims. Group therapy is the predominant treatment modality for the 400 incestuous families seen at CASA. Details of each of the four groups are given in this article.     

Effects of sex of defense attorney,sex of juror,and age and attractiveness of the victim on mock juror decision making in a rape case

In an experimental study, mock jurors heard a 50-minute audiotape of a rape trial and saw pictures of the victim and defendant. The factors in the design were sex of the defense attorney, age of the victim (early 20s or 60s), attractiveness of the victim, and sex of the juror. The most striking finding was a higher acquittal rate under the female defense attorney condition (71%) than under the male defense attorney condition (49%). This may be an instance of the recently described “talking platypus” phenomenon. Main effects for juror's sex, age of the victim, and attractiveness of the victim were not significant, but these factors showed complex interactions. Internal-external scores did not predict decisions. The most frequent reasons given for acquittals were reasonable doubt and the victim's not resisting.     

Inferences about the femininity of competent women and their implications for likability

Male (N=59) and female (N=60) college students were given a written protocol describing a competent, achievement-oriented female stimulus person (SP) with either a masculine or feminine pattern of vocational and avocational interests. Three groups were given a masculine-pattern protocol and one group was given a feminine-pattern one. They were then asked to rate the SP on likability in work and social settings, femininity, and a number of other personal attributes. Two groups given the masculine-pattern protocol were also supplied with the SP's responses to items from a “personality” test answered in a predominantly feminine (Masculine—Feminine SP) or masculine (Masculine-Masculine SP) direction. The remaining groups (Masculine-Neutral and Feminine-Neutral SPs) were given no additional information. In agreement with previous findings, the Masculine-Neutral SP was liked more in social settings than was the Feminine-Neutral one. It was hypothesized and confirmed that the Masculine-Neutral SP would be perceived as similar to the Masculine-Feminine SP in femininity and likability and that both these SPs would be judged to be higher on these characteristics than the Masculine-Masculine. Complex results were obtained from the ratings of other attributes. Overall, they indicated that the Masculine-Feminine SP, in whom femininity was explicitly suggested, received the weakest ratings on a series of achievement-related attributes and the Masculine-Neutral SP the strongest.     

CONTINGENT OBSERVATION: AN EFFECTIVE AND ACCEPTABLE PROCEDURE FOR REDUCING DISRUPTIVE BEHAVIOR OF YOUNG CHILDREN IN A GROUP SETTING1

Since a major task of childhood is learning to get along in a group without disrupting other children's activities, caregivers need explicit guidelines for gentle but effective procedures for dealing with disruptive behaviors in child-care settings. In a day-care center for normal 1- and 2-yr-old children, an effort was made to develop a procedure that appeared sufficiently humane and educational to be acceptable to parents and daycare workers, and yet effective in reducing disruptive play behaviors. Caregivers used the occasion of disruptive behavior to instruct the child in appropriate alternatives, then had the child sit on the periphery and observe the appropriate social behavior of the other children, “sit and watch”, for a brief period before inviting him or her to rejoin the play activities. The effectiveness of this procedure was compared with a method commonly recommended for use with young children: instructing the child, then distracting or redirecting the child to an alternative toy or activity. Contingent observation, combining instruction with a brief timeout (from being a participant in an activity to becoming an observer of the activity), proved considerably more effective in maintaining low levels of disruptions and was considered by caregivers and parents to be an appropriate and socially acceptable method of dealing with young children's disruptive behaviors. Therefore, contingent observation can be recommended for general use in day-care programs for young children.     

Gender and reward distributions: A test of two hypotheses

This study was designed as a test of two competing explanations of gender differences in distributive justice: (a) the equity-equality hypothesis, which states that males endorse equitable distributions more than females and females endorse equal distributions more than males; and (b) the exploitation-accommodation hypothesis, which states that the sexes vary their norm endorsement according to self-favoring (males) or other-favoring (females) distribution outcomes. Preadolescent and college-aged subjects rated the fairness of reward distributions of vignette characters who had contributed either more or less than a co-worker in a task, and had subsequently divided the rewards either equitably or equally. The data provided no support for the equity-equality hypothesis, but did support the exploitation-accommodation hypothesis. Specifically, females rated equitable distributions of inferior workers as more fair than males did. Thus, the popular conclusion that males have a stronger commitment to equity than females must be rejected.     

Marks and classroom adjustment as early indicators of mental health at age twenty

The data are derived from a 15-year longitudinal study of 659 urban children who entered kindergarten in 1968, 371 who were interviewed at the age of 20. Analyses related school adjustment and academic performance in the early primary grades, early adolescence, and middle adolescence to mental health outcomes based on responses to a short form of the MMPI at age 20. The results suggest that poor marks, absence of positive coping behaviors, and presence of negative coping behaviors are indicators of later mental health problems, that the absence of positive coping behaviors may be more indicative of later problems than the presence of negative coping behaviors, and that there are sex differences in the time periods at which indicators of school productivity are important.