The Predictors of Post-Sterilization Regret in Married Women1

We interviewed a sample of 317 married women prior to a tubal sterilization (195) or a husband's vasectomy (122) and then reinterviewed them yearly for 5 years. Using these women's responses to six questions about their feelings and desires following sterilization, we fitted a latent-variable model of post-sterilization regret to the data by means of a linear structural equation analysis. The results confirmed our view that post-sterilization regret was not a simple psychological state but rather was a complex process with different, causally linked manifestations. This process began with a renewed interest in having a baby, proceeded to the development of negative feeling about the three decisions that lead to sterilization, and concluded with a desire to reverse the surgery. This sequence was affected by the negative, post-sterilization effects of the sterilization and by the Occurrence of divorce. Next, we identified the pre-sterilization predictors of six regret variables from our model by means of a series of linear regression analyses. The major pre-sterilization predictors of the regret process included being relatively young, ambivalence about future childbearing, negative attitudes toward sterilization, dominance of the decision making by the woman's husband, and conflict with her husband during decision making. Finally, we divided the sample into quintiles on the basis of their scores on a Pre-Sterilization Predictor Scale and assessed the performance of our predictor variables as indicators of risk of regret by determining the level of negative feelings toward sterilization in each quintile. The results confirm the discriminatory power of our predictors. The overall findings indicate a number of psychological and marital issues, the exploration of which might help counselors provide anticipatory and preventative services to couples seeking sterilization.     

TEACHING SELF-ADMINISTRATION OF SUCTIONING TO CHILDREN WITH TRACHEOSTOMIES

We examined the effectiveness of using dolls to teach young children with tracheostomies to self-administer a suctioning procedure. Four children between the ages of 5 and 8 years, who had had tracheostomies for 6 months or longer, participated. After skills were taught via doll-centered simulations, in vivo skills were evaluated. All of the training and probe sessions were conducted in the participants' classrooms or homes. Results of a multiple baseline design across subjects and skill components indicated that the performance of all children improved as a function of training. Skill maintenance was demonstrated by all participants during follow-up assessments conducted 2 to 6 weeks posttraining. Results of a questionnaire completed by caregivers and interviews with the children revealed high levels of satisfaction with the training procedures and outcomes.     

Prevocational Experience and Postentry Behavior: Occupational Influences on Job Attitudes and Turnover

The effect of prevocational contact on postentry behavior was studied using a sample of staff nurses. The results indicated that those nurses who had prevocational contact with the nursing occupation had different conceptions of the nursing role and more positive work attitudes than those who did not have prevocational contact with the profession. The groups. however, did not differ with respect to turnover.     

COMMUNITY INTERVENTION TO DETER ILLEGAL PARKING IN SPACES RESERVED FOR THE PHYSICALLY DISABLED

Illegal use of reserved parking spaces represents a major obstacle to the independence and mobility of people with physical disabilities. Using an ABACACA reversal design, the daily rates of illegal parking in four reserved spaces were examined across three types of sign displays: (a) a vertical sign alone or in combination with (b) a message sign that announced the possibility of public surveillance or (c) a message dispenser device that announced community involvement and dispensed politely worded reminder notes. The average rate of illegal parking dropped from 51.3% during the initial vertical sign phase to 37.3% under the message sign condition, followed by an increase to 50.4% when the message was removed. Illegal parking decreased to 24.5% when the message dispensers were first used (followed by an increase to 57.0% when they were removed) and to 23.7% when the message dispenser condition was repeated. Illegal parking in the final vertical sign condition failed to return to previous levels (M = 37.3%).     

Does object modeling elicit imitative-like gestures from young infants?

One interpretation of the evidence for early imitative-like matching of facial gestures is that the acts are elicited by stimulus properties, rather than constructed by the infant. Verification of this possibility requires presentation of object models to determine whether infants reliably respond to them with movement-matching gestures. Two object models, one simulating tongue movements and the other mouth opening/closing, were presented to younger infants (median age = 5 weeks) and to older ones (median age = 12 weeks) under systematically varied movement conditions. Additionally, a live model presented tongue protrusion and mouth opening gestures to the same infants. Findings of two studies were similar. At neither age was there reliable elicitation of facial gestures by either object model, which suggests that most infants were not imitating the object movements or responding to them in a way that verifies elicitation of facial matches by object presentation. Live modeling of tongue extensions, however, did increase the incidence of partial tongue protrusions among infants at 5 weeks, which supports previous research.     

The Effects of Measurement Strategy on Attributions for Marital Problems and Behaviors1

The present study examined the relation of attributions for spouse behaviors, attributions for global conjugal conflict, and marital adjustment. The sample consisted of 74 French-Canadian couples who completed the Marital Attribution Style Questionnaire, the Conflict Rating Scale, and the Dyadic Adjustment Scale. Results showed that the relation between attribution and marital satisfaction is stable across culture. In addition, specific and general attribution measures were low to moderately correlated. However, multiple regression analyses demonstrated that attributions for global conjugal conflict entered the regression equations more often than attributions for hypothetical spouse behaviors. These findings suggest that the comparability of marital attribution measures should not be taken for granted. The need to develop standardized measures is underlined.     

Predicting the Everyday Life Events of Older Adults

Predicting the everyday life events of people is a relatively unexplored topic, although several major theoretical approaches deal with related issues. The dispositional approach would assign a causal role to personality, while the situational approach would locate causation in the person's environment. Variations on these two extreme themes invoke an interactionist interpretation. Beyond this, a genuinely transactional approach focuses on the enduring person-environment relationship established as people deal with major and everyday life events. This study investigated a wide range of predictors of daily positive, negative, and ill-health events over time in a sample of 206 older adults. Results showed that personality variables played only a minor role in predicting daily events, although an interaction between extraversion and social network size was significant. Background demographic variables and the major stressors of recent conjugal bereavement and physical disability played a role in daily event occurrences. Overall, the strongest degree of predictability of events came from the events themselves: The high degree of event stability over time indicated the value of a genuinely transactional model in understanding the occurrence of everyday events.     

A multidimensional analysis of internal health locus of control beliefs: separating the wheat from the chaff?

The current study examined the hypotheses that internal health locus of control comprises multiple dimensions and that these dimensions are differentially associated with physical health status. As expected, using covariance structure modeling of data derived from 181 medical outpatients, internal health locus of control was found to be multidimensional. Predicted dimensions included recognition that illness prevention is contingent on successful execution of potential health actions, recognition that illness management is contingent on successful execution of potential health actions, and self-mastery over health outcomes (i.e., the perceived capacity to achieve desired health outcomes). A 4th dimension (i.e., self-blame for negative health outcomes) also emerged. Moreover, as predicted, only perceptions of self-mastery were independently associated with indexes of physical health and well-being.     

Social relationships, personality, and anxiety during a major stressful event

Although it is commonly believed that social relationships buffer the effects of stress on mental health, these apparent buffering effects may be spurious reflections of personality or prior mental health. This possibility was investigated in a prospective study of a medical school entrance examination. Five weeks before the examination, Ss (N = 56) rated their personality (extraversion and neuroticism) and social relationships (number of social contacts and perceived support). They then rated their anxiety for 35 days surrounding the examination. Controlling for personality and prior anxiety, social contacts buffered against increases in anxiety, whereas perceived support did not. Further analyses revealed that discretionary social contacts were beneficial whereas obligatory contacts were not.     

Confusing one person with another: what errors reveal about the elementary forms of social relations

Seven studies investigated the cognitive structure of social relationships exhibited in the patterns of substitutions that occur when people confuse a person with another. The studies investigated natural errors in which people called a familiar person by the wrong name, misremembered with whom they had interacted, or mistakenly directed an action at an inappropriate person. These studies tested the relational-models theory of A. P. Fiske (1990b, 1991) that people use 4 basic models for social relationships. All 7 studies provide support for the theory; Ss tend to confuse people with whom they interact in the same basic relationship mode. In addition, Ss confuse people of the same gender. Other factors (age, race, role term, similarity of names) generally have smaller, less reliable effects, indicating that the 4 elementary modes of relationships are among the most salient schemata in everyday social cognition.