Crisis intervention and the prevention of institutionalization: An interrupted time series analysis

In the context of the community mental health movement in Illinois, the evolution and development of a crisis intervention program aimed at avoiding state hospitalization and bringing more appropriate and efficacious resources to bear on the difficulties of the individual and/or family is described. This intervention program is characterized by a more active-seeking style of delivering mental health services. With the novel application of interrupted time series analysis to both the targeted and matched nonequivalent control communities the efficacy of this more active intervention in reducing the number of state hospital administrations diagnosed as "mentally ill" is highlighted. The cost/benefit to the taxpayer is also discussed.     

INSTRUCTIONS,FEEDBACK, AND REINFORCEMENT IN REDUCING ACTIVITY LEVELS IN THE CLASSROOM

The biomotometer, an electronic device which simultaneously measures motor activity and provides auditory feedback, was used in combination with material reinforcers in an experiment to reduce children's activity level in a classroom setting. Subjects were nine boys and two girls, aged 9–13, from a day hospital program for emotionally disturbed children. After five baseline trials, each child had five contingent reinforcement trials in which he/she received feedback “beeps” from the biomotometer and was given toy or candy rewards after each trial in which activity fell at least 20% below mean baseline level. Then five noncontingent reinforcement trials were run in which children received rewards for wearing the apparatus without the feedback attachment. Results indicated that the intervention “package,” including instructions, feedback, and contingent reinforcement, was successful in all five trials for 8 of 11 children. Activity levels increased during the final noncontingent phase.     

Cathedral sex

Sexual dysfunctions may develop out of relationship problems, from poor or ineffective techniques, or from other influences, as overemphasis on performance. This article provides a framework for determining the basis of sexual dysfunction and offers constructive guidelines for dealing with these sexual problems.     

Do Marriage Problems Affect Fathering More than Mothering? A Quantitative and Qualitative Review

The important question of whether marital problems disrupt fathering more than mothering is addressed in (a) a quantitative review of evidence on marital conflict and parenting in intact families, and (b) a qualitative review of research on mother and father involvement with their children following divorce. We conclude that (a) there is limited evidence that, relative to mothering, fathering is more likely to be affected by marital conflict, but suggest that (b) marital status (i.e., divorce) affects fathering notably more than it affects mothering. We further suggest that marital problems may disrupt father involvement which, in turn, weakens the quality of father–child relationships; there likely are multiple alternative pathways through which marriage problems affect parenting, including both spillover and compensation; researchers need to examine more carefully how marital problems disrupt coparenting; child age and gender may moderate linkages between the parental and marital subsystems; and coparenting, marital happiness, and the institution of marriage itself may be essential first avenues of intervention for those who wish to improve or maintain fathers' involvement with their children.     

Inflated responsibility in obsessive-compulsive disorder: Psychometric studies of a semiidiographic measure

An excessive sense of responsibility has been attributed a key role in recent models of obsessive-compulsive disorder (OCD). This study presents the development and initial validation of the Responsibility Questionnaire. Three hundred ninety-seven volunteer adults participated in the study. The Responsibility Questionnaire demonstrated adequate stability over a 6-week interval. Correlation analysis showed that responsibility was significantly related to obsessive-compulsive symptoms, thought suppression, irrational beliefs, and obsessional thoughts. Results are discussed in terms of current models of OCD and the implications for future research.This study was conducted by the first author under the supervision of the second author in partial fulfillment of the requirements of the Maîtrise de Psychologie degree at Université Laval. The first author was supported by les Fonds pour la Formation de Chercheurs et l'Aide à la Recherche.     

Does Problem Focused Coping Buffer the Effects of Trait Anxiety on Depressive Symptoms of Chronic Urticaria Patients?

The present study examined the moderating role of problem-focused coping in trait anxiety—depressive symptoms' relationship in patients with chronic urticaria (CU). Eighty-eight CU patients, who applied to an outpatient clinic of Clinical Immunology and Allergic Diseases, filled out a questionnaire set including State-Trait Anxiety Inventory, Ways of Coping Inventory, and Beck Depression Inventory. The results suggested that CU patients high on trait anxiety reported more depressive symptoms, and the ones using more problem-focused coping (PFC) strategies reported less depressive symptoms. Also, PFC strategies moderated trait anxiety-depressive symptoms relation. Accordingly, PFC strategies did not lead to any significant difference in CU patients who were low on trait anxiety in terms of the level of depressive symptoms. However, CU patients with high trait anxiety experienced significantly less depressive symptoms if they used more PFC strategies. The findings were discussed in the light of the relevant literature.     

The contextual malleability of approach-avoidance training effects: approaching or avoiding fear conditioned stimuli modulates effects of approach-avoidance training

Previous research showed that the repeated approaching of one stimulus and avoiding of another stimulus typically leads to more positive evaluations of the former stimuli. In the current study, we examined whether approach and avoidance training (AAT) effects on evaluations of neutral stimuli can be modulated by introducing a regularity between the approach-avoidance actions and a positive or negative (feared) stimulus. In an AAT task, participants repeatedly approached one neutral non-word and avoided another neutral non-word. Half of the participants also approached a negative fear-conditioned stimulus (CS+) and avoided a conditioned safe stimulus (CS?). The other half of the participants avoided the CS+ and approached the CS?. Whereas participants in the avoid CS+ condition exhibited a typical AAT effect, participants in the approach CS+ condition exhibited a reversed AAT effect (i.e. they evaluated the approached neutral non-word as more negative than the avoided non-word). These findings provide evidence for the malleability of the AAT effect when strongly valenced stimuli are approached or avoided. We discuss the practical and theoretical implications of our findings.