The Patient Self-Determination Act and Advance Directives: Snapshots of Activities in a Tertiary Health Care Center

This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs.     

Perceived fairness of biodata as a function of the purpose of the request for information and gender of the applicant

Using a 2×2 experimental design and data from 86 business students, the present study examined the main and interactive effects of the purpose of the request (personnel selection vs. career tracking), and applicant gender (male vs. female) on the perceived fairness of biodata. Results revealed a significant main effect for purpose and a purpose x gender interaction. Implications for the collection of biodata in the personnel selection process are discussed.     

Social Values and Relationships with Parents among American College Women of Chinese and European Descent

This study compared social values and relationships with parents among American college women of Chinese and European descent. Chinese-American women scored higher on a measure of practicality and pragmatism (mastery), hierarchy, and traditionality. The Euro-American women showed a greater interest in voluntary prosocial behaviour and philanthropy. Both groups of women reported having a sense of self, autonomous of their parents. Within the Chinese-American group, ethnic identification and religion, but not generation, moderated scores on a measure of traditionality of outlook regarding issues of law and order and social equality. We discuss the implications of our findings for recent debates in cross-cultural psychology, including the growing challenge to the individualism-collectivism dimension.     

A PRELIMINARY COMPARISON OF REINFORCER ASSESSMENT METHODS FOR CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER

We evaluated the relative treatment utility of a verbal forced-choice questionnaire, child nomination, and direct observation for identifying the most potent reinforcers for children with attention deficit hyperactivity disorder. Results demonstrated that all three methods were more likely to disagree than to agree, that a forced-choice format may enhance verbal reinforcer assessment, and that further development and evaluation of verbal reinforcer-assessment methods are needed.     

Organizational factors in the effect of irrelevant speech: The role of spatial location and timing

Typically, hearing a repeated syllable produces minimal disruption of serial recall of visual lists, but a sequence of different syllables impairs performance markedly. Two conditions for presenting anidentical sequence of three syllables are compared: one, in which, by means of stereophony, each syllable is assigned to the left, center, or right auditory locus (three streamsnot changing in state), and another, in which the same syllable sequence occurs in one location only (one streamwith changing state). Disruption was significantly less in the stereophonic than in the monophonic condition. There was a joint effect of changing state and location, not an effect of the number of locations alone. In Experiment 2, temporal predictability was used to manipulate changing state. The disruptive effect ofregular presentation of a repeated syllable was markedly increased when it was presentedirregularly. The results are discussed in the context of organizational factors in short-term memory.     

Features Resembling Tourette''s Syndrome in Developmental Stutterers

Developmental stuttering (DS) may be related to the extrapyramidal motor system and shares many clinical similarities with Tourette's syndrome (TS), which is widely believed to be associated with extrapyramidal dysfunction. Twenty-two stutterers were examined for neuropsychiatric features commonly seen in TS, including tics, obsessive-compulsive behaviors (OCB), and attention deficit disorders. Eleven stutterers displayed motor tics, and symptoms of OCB were observed at rates similar to those seen in persons with TS. Few stutterers demonstrated significant attentional deficits. Findings are consistent with models suggesting extrapyramidal involvement in DS and raise the possibility that DS and TS are pathogenetically related.     

Black-white personality differences: another look.

Investigated the meaning of Black-White differences typically discovered on personality instruments by administering a pool of items derived from both the MMPI and California Psychological Inventory, as well as a group form of the Embedded Figures Test, to a sample of 226 black and white junior college students. A cluster analysis of the unexpectedly large number of inventory items significantly differentiating the two races produced reliable and meaningful configurations. Interpretations of race differences on these clusters and the EFT provide a new perspective on the meaning of Black-White personality differences.     

Sequential precession and diminishing returns in the acquisition of a motor skill

As students progress to higher and higher levels in the acquisition of a skill their number gets smaller and smaller. This article concerns the average length of time it takes the members of these successively smaller groups to complete earlier stages of skill acquisition. In the data presented, which concern Red Cross swimming, the more advanced a group is the less time its members take on the average to complete a preceding stage (sequential precession). The discussion section brings out a second relation in the same data: Namely, the further the same students advance in skill acquisition the smaller the advantage they enjoy over other students at the same level (diminishing returns).     

Augmentation of in vivo exposure treatment for agoraphobia by the formation of neighbourhood self-help groups

The advantages of selecting agoraphobic patients for treatment by group exposure according to their residential geographic neighbourhood were evaluated in terms of facilitation of ‘homework’ practice and increased social contact. Both ‘zoned’ and ‘unzoned’ groups showed gains in ability to perform hierarchy items after 11 sessions of exposure, relative to a no-treatment control group. However only zoned subjects showed significant reductions in experienced anxiety when executing such items. Self-ratings of overall phobic severity also suggested a zoned group was superior to unzoned while assessors' ratings indicated both groups as equally improved. Only zoned subjects showed a significant increase in social range. Improvements were maintained at 3-months follow-up. No effect of treatment was found on either the Zung measure of anxious mood or on social integration.These results suggest that, where practical, zoning might offer the means for desirable continuation of intensive clinic-based group treatment as well as the benefit of extending treatment into the patients' environment as in home-based treatments. Crucial levels of group cohesion might also be increased although therapists should be prepared to negotiate resistance to a socially demanding programme from patients with significant additional social phobias.