The relationship of appraisal and coping to chronic illness adjustment

There is evidence that adaptation to chronic illness may be affected by psychological factors, especially how patients appraise and cope with the stress of their illness. The purpose of the present study was to examine the relationship of stress appraisal and coping responses to multiple behavioral indices of illness adjustment among patients with diverse chronic medical conditions. One hundred and one patients admitted to a multidisciplinary medicine/psychiatry unit completed measures of functional impairment, depression, symptom severity, and the Ways of Coping Checklist--Revised. Hierarchical regression analyses indicated that emotion-focused coping was positively related to poor psychosocial adjustment and depression after controlling for physician rated disease severity. Appraising chronic illness as holding one back predicted greater emotion-focused coping responses and poorer adjustment to illness. The use of problem-focused coping strategies was generally unrelated to illness adjustment. These findings suggest the presence of an emotion-focused coping triad consisting of wishful thinking, self blame, and avoidance, all of which appear to be maladaptive strategies when coping with chronic medical conditions. Implications for coping skills training and the need for longitudinal research is discussed.     

Hume's Utilitarian Theory of Right Action

A theory of right action is implicit in Hume's delineation of the virtues. It gives qualified priority to 'rules of justice' as Hume's remarks on 'that species of utility which attends this virtue' require. It is a useful actual-rule, not an ideal possible-rule, purely utilitarian theory that discounts rules of justice in 'extraordinary cases', has a problem when rules conflict, and invites the question 'Why not hark directly to the supreme law of utility in every case?'. It does not reflect contractarian considerations of mutuality of interests evident in Hume's texts, which while sometimes relevant to what is reasonable, are in his view never also relevant to what is moral.     

The distribution postulate in Bohm's theory

On Bohm's formulation of quantum mechanics particles always have determinate positions and follow continuous trajectories. Bohm's theory, however, requires a postulate that says that particles are initially distributed in a special way: particles are randomly distributed so that the probability of their positions being represented by a point in any regionR in configuration space is equal to the square of the wave-function integrated overR. If the distribution postulate were false, then the theory would generally fail to make the right statistical predictions. Further, if it were false, then there would at least in principle be situations where a particle would approach an eigenstate of having one position but in fact always be somewhere very different. Indeed, we will see how this might happen even if the distribution postulate were true. This will help to show how loose the connection is between the wave-function and the positions of particles in Bohm's theory and what the precise role of the distribution postulate is. Finally, we will briefly consider two attempts to formulate a version of Bohm's theory without the distribution postulate.     

Assessing Multicultural Counseling Competence: A Review of Instrumentation

The authors review four new instruments designed to assess multicultural counseling competence in trainees and practicing professionals. The Cross-Cultural Counseling Inventory—Revised (CCCI-R), the Multicultural Counseling Awareness Scale—Form B (MCAS:B), the Multicultural Counseling Inventory (MCI), and the Multicultural Awareness-Knowledge-and Skills Survey (MAKSS) were each critically reviewed in terms of item development, psychometric properties, and pragmatic utility. Specific research suggestions for continued empirical validation on the instruments are posited, and strong cautions regarding their current use in training are leveled.     

Pascalian wagers

A person who does not have good intellectual reasons for believing in God can, depending on his probabilities and values for consequences of believing, have good practical reasons. Pascalian wagers founded on a variety of possible probability/value profiles are examined from a Bayesian perspective central to which is the idea that states and options are pragmatically reasonable only if they maximize subjective expected value. Attention is paid to problems posed by representations of values by Cantorian infinities. An appendix attends to Robinsonian hyperreals. Another appendix presents for comparison Newcomb's Problem and a problem in some ways like it suggested, I think, by ideas of John Calvin.     

Social attitudes of schizophrenics

The Wilson-Patterson Conservatism Scale was given to 34 schizophrenic and 34 non-schizophrenic patients in a Dutch mental hospital. The absence of liberal-scoring schizophrenics was interpreted as consistent with the theory that the social withdrawal seen in chronic schizophrenia represents a strategy for coping with stimulus overload. Internal consistency analysis of C scale performance indicated that this test might be used to assess thought disorder in much the same way as the Bannister and Fransella Grid Test, but a great deal more economically. Furthermore, the questionnaire permits a more detailed examination of the source of inconsistency than does the repertory grid method.     

Age differences in visual and kinesthetic short-term memory

30 elderly subjects were matched with 30 young subjects and tested on a kinesthetic short-term memory task which required the replication of criterion moves after a variable retention interval under conditions of either rest, differing interpolated movement tasks, or mental activity. A visual control condition was used. Differing interference and temporal decrements were observed. Both old and young subjects differed significantly between sighted and blindfold conditions; however, there was no difference between the performance of the old and the young in the blindfold (kinesthetic) condition. These findings were discussed with respect to practical implications for the retraining of old subjects on certain motor tasks.     

Note on preference for stimulus complexity across the life-span

Preference for stimulus complexity across the life-span was investigated with 175 females ranging in age from 17 to 72 yr. of age. Preference for complexity appeared to be age-invariant and monotonic function. Relationships to previous findings are discussed.     

The location of superfactors P, E and N within an unexplored personality factor space

Two questionnaires designed by Howarth (HPQ, APF2) whose factor space in unexplored and the EPQ (Eysenck) were jointly scale factored on 79 subjects, under the hypothesis that Eysenck's superfactors of P, E, and N should be represented as major influences in the resultant factor structure. A prinicipal component analysis yielded 7 factors from 24 by the Kaiser-Guttman and Scree Test, these 7 being rotated to a maximum simple structure by the Direct Oblimin procedure. Although failing to satisfy Bargmann's test of simple structure, this solution was accepted as adequate, noting the deficiencies og Bargmann's test and the efficiencies of the rotation method used. Within the 7 factor solution, P, E, and N were seen to be located as factor numbers 2, 3 and 1, respectively. One interesting detail is that a sociability primary loaded with an impulsivity primary on the Extraversion factor contrary to Guilford's (1977) arguments for the independence of these primaries. It is concluded that Eysenck's assertion of the enduring stability and breadth of the PEN factor triad has been upheld.