Linking empirically based theory and evaluation: The family bereavement program

Conclusion We have illustrated how our small theory (Lipsey, 1990) of bereavement guided the development and evaluation of a preventive intervention for bereaved children. Our small theory, based on prior empirical research, enabled us to identify family processes that appeared to mediate the effects of parental death on child mental health. Our intervention was designed to attempt to change these processes. The evaluation of our experimental trial of the intervention assessed changes on these processes as well as the more distal mental health outcomes. The experimental trial showed some-what encouraging results, in terms of the program's ability to modify the warmth of the parent–child relationship and to decrease symptomatology in the adolescent children. We also obtained further empirical support for our underlying theoretical model. Finally, implications for redesign of the program were derived from assessing the adequacy of the program components to change each of the mediators in the theoretical model.Support for this research was provided by NIMH grant P5OMH39246 which is gratefully acknowledged. David R. Pillow is now at Western Psychiatric Institute, Pittsburgh; Fred Rogosch is at the University of Rochester; Janette Beals is now at University of Colorado Health Sciences Center; Kim D. Reynolds is now at the University of Alabama, Birmingham; Carl Kallgren is now at the Pennsylvania State University, at Erie; and Rafael Ramirez is now at the University of Puerto Rico.     

The Correlation Between Depression and Headache: The Role Played by Generational Changes in Female Achievement

The relationship between depression and somatic symptoms such as headache has never been explained. Both depression and headache appear to become more prevalent among women than among men only for cohorts that reach adolescence during periods of great change in opportunities for a female's academic achievement. In Studies 1a and 1b, the same pattern was found to apply to the correlation between depression and headache. In Studies 2a and 2b, self-report measures of depression and headache were found to share significant variance only among female adolescents who reported concerns regarding the limited achievements of their mothers. These females may view the roles of adult women as being limited and may experience stress and low self-esteem associated with depressive and somatic symptomatology.     

Childhood abuse and spiritual development among women religious

Childhood abuse is known to have a negative influence on human development. This study expected to find a spiritual attitude of acceptance, as measured by the Ego Grasping Orientation scale, would help mitigate effects of childhood abuse in the realm of spiritual development. Spiritual Experience Index (SEI) scores for 350 religious women were treated as a measure of spiritual maturity. Contrary to expectation, however, the sexually and the physically abused groups with a more accepting attitude scored lower on the SEI than the abused with a more controlling attitude and the nonabused. Implications for spiritual development and well-being are discussed.     

Gender differences in depressive symptomatology: The role played by “anxious somatic depression” associated with gender-related achievement concerns

In the studies reported here, females were more likely than males to report high levels of depression accompanied by anxiety and somatic symptomatology such as disordered eating and headache, but not more likely to report depression unaccompanied by these symptoms. This gender difference in depression prevalence and the symptomatology associated with depression was due to a subgroup of females who scored high on scales comprised of items measuring concerns about the limitations placed on their achievement (sample item: “More people would pay attention to my ideas if I were male”) or on their mothers (sample: “When you were growing up, how much did your mother feel limited by being female?”) due to responses to their gender.     

Person perception: Effects of sex,marital status,and sex-typed occupation

A sample of 208 male college students evaluated a briefly described stimulus person on 20 7-point bipolar scales which described personality traits and professional performance characteristics. Each subject rated one of 16 persons who were described as either female or male; never married, divorced, widowed, or unmarried; and employed in either a feminine or masculine sex-typed occupation. Female stimulus persons generally were rated more favorably than male stimulus persons. The personality traits of married persons of both sexes were evaluated more favorably than those of unmarried persons. Individuals in sex-typical and sex-atypical occupations received similar evaluations.Parts of this article were presented at the meeting of the American Psychological Association, Los Angeles, August 1981.     

Informed consent: An overview

Over the past 25 years, obtaining informed consent for the performance of many medical procedures has become part of the practice of medicine. As opposed to the “duty to warn” that is enforced by the law, informed consent should be a cornerstone of a fully collaborative decision-making process, the elements of which are presented in this paper. The responsibility for this process rests upon health care institutions and financing arrangements, as well as upon physicians and courts. In response to emergencies, patient preferences, and public interests, the consent process is justifiably abbreviated. However, as presently articulated, the consent process treats communication too simplistically, is distorted by the way it is enforced in litigation, is inattentive to social justice issues, and is not integrated into the moral commitment of physicians.     

Intonational marking of given and new information: Some consequences for comprehension

The role of intonation in conveying discourse relationships in auditory sentence comprehension was investigated in two experiments. Using the simple comprehension time paradigm, Experiment 1 found that sentences with accented new information were understood faster than sentences with a neutral intonation contour and that the presence of accent in context sentences facilitated comprehension of subsequent targets. Both experiments showed faster comprehension times in conditions in which accent placement was appropriate for the information structure of the sentence. In Experiment I, comprehension times were faster when the accent fell on the information focus than when it fell elsewhere in the sentence. In Experiment 2, faster times resulted when new information was accented and given information was not, compared to conditions in which this accent pattern was reversed. This effect held for both active and passive sentences, and whether the new information occurred in the subject or object position.     

Irrelevance of mitigating circumstances in retaliatory behavior at high levels of excitation

Subjects were aggressively instigated by a provoker. They then performed either a nonstrenuous or a strenuous task in order to be placed in either a moderate or an extreme state of sympathetic arousal. Following the task, they either learned or did not learn about mitigating circumstances behind the provoker's behavior. This information was received prior to the provision of an opportunity to retaliate. Under conditions of moderate arousal, mitigating circumstances were found to reduce retaliation. In contrast, these circumstances failed to exert any appreciable effect on retaliation under conditions of extreme arousal. In addition, the induction of extreme arousal was observed to increase retaliatory behavior. The findings were considered to support a model of hostility and aggression that postulates a specific interdependency of cognitive and excitatory processes.     

Socialization and career orientation among black and white college women

In a study of career orientation among black and white college women, support was found for hypotheses derived from postulates of Rotter's Social Learning Theory. Compared to whites, (1) blacks were less likely to expect the level of work involvement preferred; (2) blacks expected more employment; and (3) blacks were more likely to prefer less employment than they realistically expected. Antecedents of career expectation were categorized as internal, external, or neutral. As hypothesized, variables expressive of external control predicted level of career expectation among blacks, whereas variables expressive of internal control predicted high career expectations among whites.