The effect of social support on prenatal care.

This article examines the effects of social support on the receipt of adequate prenatal care. A study was conducted to test the hypotheses that social support helps women overcome obstacles to obtaining such care, and that social support has greater effects on women facing the most obstacles. Survey data were gathered for more than 90% of the women who gave birth in Oklahoma hospitals during specific periods in the summer of 1986. The authors found only weak support for the first hypothesis, and for the second hypothesis found only support that must be qualified according to the measure of social support. Strong evidence indicates, however, that difficulty in paying for prenatal care, personal inconveniences, and unwanted pregnancies are obstacles to obtaining such care. The findings account for some of the frequently observed demographic differences associated with receipt of adequate prenatal care, although such differences persisted even after the obstacles were considered. The authors present implications for policy makers seeking to improve women's receipt of adequate prenatal care.     

Working with Lesbians,Gays, and Bisexuals: Addressing Heterosexism in Supervision

Heterosexism is a form of multicultural bias that has the potential to harm both clients and supervisees. Supervisors are encouraged to examine their own heterosexist lens as a first step in providing a safe environment in which supervisees can challenge their own heterosexism. The issue of heterosexism is first discussed from an ethical vantage point. The second section of the article examines four facets of heterosexism (discrimination, lack of knowledge, stereotyping, and insensitivity) and how they might be exhibited by the supervisor in the supervision arena. Special topics discussed in this section include: the possible consequences of “coming out” in the supervisory context; the presence of heterosexism in the foundational family systems theory; the need for recognition of the special family characteristics of lesbians, gays, and bisexuals; the value of personal and professional relationships with persons who are gay, lesbian, and bisexual; common heterosexist stereotypes and research that refutes them; and the use of language. The final section of the article offers suggestions for working with supervisees around these issues.     

Intelligence and the Frontal Lobe: The Organization of Goal-Directed Behavior

Basic to the study of individual differences is the concept of “general intelligence” or Spearman'sg.In this article we suggest thatgis largely a reflection of the control functions of the frontal lobe. A series of experiments investigates a phenomenon we callgoal neglect:disregard of a task requirement even though it has been understood and remembered. Subjectively it is as though the neglected requirement “slips the subject's mind.” Previously described in frontal patients, we show that goal neglect can also be seen in some members of the normal population. In line with conventional distinctions between controlled and automatic processing, eliciting conditions for goal neglect include novelty, weak error feedback, and multiple concurrent task requirements. Under these conditions neglect is linked closely togand extremely common after frontal lesions. Following many other models, we suggest that behavior in any task is structured by a set of action constraints or requirements, derived in part from verbal instructions and specified at multiple levels of abstraction. A frontal process of constraint or requirement activation is fundamental to Spearman'sg.     

THE EFFECTS OF CONTINGENT AND NONCONTINGENT ATTENTION ON SELF-INJURY AND SELF-RESTRAINT

Self-restraint and self-injurious behavior (SIB) are two responses that can sometimes be members of the same functional response class (i.e., maintained by the same contingency). In such cases, a single treatment should be effective for both responses. In this investigation, we examined the effects of providing attention (the presumed reinforcer) both noncontingently and contingent upon either SIB or self-restraint. Results were consistent with our hypothesis that both responses were maintained by attention and suggested that noncontingent reinforcement was a potentially effective treatment.     

A PRELIMINARY PROCEDURE FOR PREDICTING THE POSITIVE AND NEGATIVE EFFECTS OF REINFORCEMENT-BASED PROCEDURES

In the current investigation, a modification was made to the preference assessment described by Pace, Ivancic, Edwards, Iwata, and Page (1985) to predict the effects of stimuli when used in a differential-reinforcement-of-other-behavior (DRO) schedule for 2 clients with severe self-injurious behavior (SIB) and profound mental retardation. Based on the results of the preference assessment, three types of stimuli were identified: (a) high-preference stimuli associated with high rates of SIB (HP/HS), (b) high-preference stimuli associated with relatively lower rates of SIB (HP/LS), and (c) low-preference stimuli associated with low rates of SIB (LP/LS). Consistent with the results of the preference assessment, the DRO schedule with HP/HS stimuli resulted in increased SIB, and the DRO schedule with LP/LS stimuli resulted in no changes in SIB. HP/LS stimuli were demonstrated reinforcers but did not result in a change in SIB when used in a DRO schedule. Thus, the stimulus preference assessment may be useful clinically in some situations for predicting both the beneficial and the negative side effects of stimuli in DRO procedures.