Denial and Confirmatory Search: Paradoxical Consequences of Medical Diagnosis1

An experiment was conducted to examine the effects of medical diagnostic-test results on illness appraisal and the recall of symptoms and behavior. Subjects were tested for a fictitious enzyme deficiency and were told either that the test result was positive (deficiency present) or that it was negative (deficiency absent). In addition, some of the subjects were told the test was accurate 95% of the time and others were told it was accurate 75% of the time. As predicted, subjects judged the enzyme deficiency as less serious and more prevalent when presented with positive test results. Subjects with positive test results also recalled more behaviors that had been labeled as risk factors. Although positive test subjects tended to report more deficiency-related symptoms, diagnosis did not affect the free recall of general symptoms. In addition, information concerning the reliability of the diagnostic test had no effect on judgments or recall but did affect information seeking. Subjects with positive test results were less likely to request a definitive follow-up test when their results were unreliable. The results are interpreted as evidence for independent confirmatory search and denial processes following medical diagnosis.     

Disarmament Decisions as Social Dilemmas1

The individual deciding on a nuclear weapons production policy is faced with a dilemma in which a choice must be made to support one of several conflicting defense policies. In order to investigate the social-psychological variables that are related to armament policy decision making, a telephone survey was conducted in the City of St. Louis, Missouri. Adult subjects (N= 110) responded to questions concerned with cognitive, attitudinal, and emotional responses to nuclear arms. Participants were also asked to choose a weapons production policy for the United States under conditions of continued and decreased Soviet nuclear arms production. Results indicated that respondents decisions about nuclear weapons production were related to their support for deterrence, the availability of their nuclear-related images, their emotional response to nuclear war, their attributions of responsibility for the prevention of nuclear war, and their political party affiliation. Distinctions between antinuclear decision-makers and pronuclear decision-makers are discussed.     

Conceptions of states and traits: dimensional attributes with ideals as prototypes

Traits and states are concepts that people use to both describe and understand themselves and others. We show that people view these concepts as prototype-based categories that have a graded internal structure and fuzzy boundaries and identify a set of attributes that define the prototypical cores of two categories: traits and states. Prototypical traits are stable, long-lasting, and internally caused. Prototypical states are temporary, brief, and caused by external circumstances. These prototypes are not defined by averages, as the family-resemblance principle would suggest, but by ideal (or extreme) attribute values. Like other ideal-based categories, traits and states serve particular goals. Trait concepts permit people to predict the present from the past; state concepts identify those behaviors that can be controlled by manipulating the situation. These two complementary schemas are part of the extensive theory of psychological causality that is implicit in language. Abstract social concepts differ from object categories in their category standards, the nature of their attributes, and the interrelations among those attributes.     

Drinking and Driving: Perceptions and Evaluations as a Function of Level of Intoxication and Weather

Over the past decade, drinking and driving has been a major social problem causing deaths and injuries. The present study examined factors that may encourage this potentially self-destructive behavior. Three hundred and seventy-eight subjects were presented with scenarios describing a night of drinking with friends. Scenarios differed with respect to three levels of intoxication (not at all, slight, and very) and two levels of weather (clear and rain). Subjects were asked to estimate the proportion of their peers who would drive home or choose an alternative form of transportation. Subjects were also asked to evaluate the target who drove home or took an alternative in terms of likability, cautiousness, skillfulness and independence. Driving home was found to be the most common mode of transportation, regardless of state of drunkenness or weather conditions. Alternatives to driving home were seen as being utilized only under extreme conditions (e.g., very intoxicated and rainy weather). Moreover, persons taking one of the more cautious alternatives were perceived as overly cautious and also low in skillfulness. The practical implications for the findings are discussed with respect to enhancing education efforts.     

Differences Between Personal Estimates of Body Fatness and Measures of Body Fatness in 11- and 12-Year-Old Males and Females

This study was designed to assess the accuracy of perceived levels of body fatness as indicated by 11- and 12-year-old children. Using a rating scale ranging from 1 (extremely lean) through 9 (extremely overweight), 50 males and 50 females estimated personal levels of body fatness. Using a 2 × 2 between-and-within-groups ANOVA, these estimates were compared to individual skinfold sum percentile scores derived from comparisons with national skinfold norms. The results revealed that the females tended to overestimate personal levels of body fatness, whereas estimates given by the male subjects were interpreted as not significantly different from skinfold sum percentile scores.     

THE EFFECTIVENESS OF A CONSTANT TIME-DELAY PROCEDURE TO TEACH CHAINED RESPONSES TO ADOLESCENTS WITH MENTAL RETARDATION

The effectiveness of a 5-s constant time-delay procedure to teach three chained food preparation behaviors to four moderately retarded adolescent students was evaluated within a multiple probe design across behaviors. Results indicate that the procedure was effective in teaching all four students to make a sandwich, boil a boil-in-bag item, and bake canned biscuits. The skills maintained with at least 85% accuracy over a 3-month period. Training generalized from the school to the home setting for the 2 subjects that completed generalization probe sessions. The percentage of errors across all skills and students was less than 9%.     

The relationship of undershooting (anticipation) error in space localization to spatial dimension and spatial category width

In this study I explored whether the degree of anticipation/habituation (undershooting/overshooting) varies with the dimension to be localized, when the method of adjustment is used in space localization. In this study, undershooting occurred for both the vertical (Group 1) and the horizontal (Group 2) dimensions, but was significant only for verticality. The magnitude of undershooting observed for verticality was significantly greater than that for horizontality. A secondary issue regarding the possible relationship between spatial category width and undershooting/overshooting was examined. It was hypothesized that greater degree of spatial category width would be associated with greater undershooting. The opposite was found: Spatial category width was negatively related to undershooting. Finally, within each group, very high consistency of magnitude of spatial category width was observed (rs greater than .90), despite the fact that spatial category width showed shrinkage over the course of the study.     

DIMENSIONS COGNITIVES ET COMPORTEMENTALES CHEZ LES JOUEURS RÉGULIERS ET OCCASIONNELS AU BLACKJACK

Empirical studies in the psychology of gambling have revealed at least two well supported findings: (1) irrational cognitions outnumber rational cognitions during gambling (Gaboury and Ladouceur, 1987; Ladouceur, Gaboury, Dumont and Rochette 1988); (2) risk-taking behavior increases as a function to exposure to gambling activities (Ladouceur, Mayrand and Tourigny 1987; Ladouceur, Tourigny and Mayrand 1986). The present study compared regular and occasional gamblers on cognitive and behavioral measures during a blackjack session using the thinking aloud method. The results confirmed that regular players emitted more irrational thoughts than occasional gamblers. The theoretical and practical implications of those results are discussed within the general context of the psychology of gambling.     

The capacity to forgive: An object relations perspective

Forgiveness is commended by Christianity, as well as other religious traditions, as one of the most central of virtues, so central that the New Testament links man's very salvation to his ability to forgive. However, mental health professionals have correctly pointed out that the mandate to forgive is often used by religious patients in the service of defenses such as reaction formation, undoing, and denial. The forgiveness ideal is often misunderstood as a command not to experience aggressive feelings.It is the thesis of this paper that the capacity for genuine forgiveness is central not only to spiritual development but to psychological development as well. It is suggested that Kernberg's object relations theory provides the best model for understanding the nature and importance of forgiveness. Mature forgiveness does not involve the elimination of negative feelings toward others (or oneself) but the integration of negative and positive self-object representations and their connected affect. Anger at the offending persons must then be tempered by appreciation for their concomitant good qualities and motivations or, at the very least, empathy for the flaws which prompted them to behave destructively. The result is a more realistic and balanced view of others (and oneself), a more genuine relationship to the full range of one's own inner experience, and a greater ability to respond constructively to frustrating persons and situations.This paper was presented at the Annual Meeting of the American Psychological Association in New York in August 1987. The author wishes to thank Mark Finn, Ph.D., and David Hamblin, Ph.D., for their valuable discussions in the development of the ideas in the paper. Address requests for reprints to Dr. Gartner, Dept. of Pastoral Counseling, Loyola College, 7135 Mistrel Way, Columbia, MD 21045.     

The assessment of child abuse potential and the prevention of child abuse and neglect: A policy analysis

A frequently advocated strategy for increasing the efficiency of child abuse prevention programs is to deliver prevention services to "high-risk" populations. This article critically reviews procedures for the reliable and valid assessment of child abuse potential within an ecological perspective. Factors that limit the usefulness of child abuse risk assessment are discussed. These factors include the uncertain criteria of child abuse and neglect, the low base rate of the phenomenon, and the financial and social costs of such procedures. Finally, the prevention implications of the current and future state of the art in child abuse risk assessment are considered and preventive interventions that do not depend on individual case risk screening are advocated.