Completeness of instruction and strategy transfer

Three experiments assessed the effects on strategy transfer of supplements to keyword method instruction. One supplement consisted of more comprehensive instructions regarding how, when, why, and where to apply the strategy. A second supplement involved additional practice with the strategy during instruction. The combined effects of more elaborate directions and practice were also examined. With grade-school children, the supplements generally increased transfer of the keyword strategy, but transfer was most successful when training included comprehensive information about the strategy. In contrast, with adults high transfer was obtained regardless of keyword instructional variation. The results are related to other developmental data and are particularly germane to claims that with more complete instruction younger children are capable of intellectual feats carried out by older individuals given minimal prompting.     

Development of a model for spiritual assessment and intervention

A multidisciplinary model for making spiritual assessments and interventions is described. The practitioner bases these assessments and interventions upon knowledge gained from philosophy, theology, physiology, psychology, and sociology. Specific assessments are made in the areas of spiritual development and seven practical dimensions of spiritual care. The patient's life experiences, events, and questions shape the nature of spiritual care as the practitioner works toward assisting the patient to maintain or expand the level of spiritual functioning.She is a recipient of a National Institute of Mental Health Academic Award. This award provided funding during the time this article was written.     

Nonparticipation in Huntington's Disease Predictive Testing: Reasons for Caution in Interpreting Findings

When given the opportunity to clarify their genetic status, most individuals at risk for Huntington's disease (HD) currently show a preference not to know. Our understanding of the characteristics of those who do not request HD predictive testing, and the factors influencing their decision, lags behind our knowledge of test applicants. In the light of our experience with interviewing a random sample of nonparticipants in an ongoing study, we critically analyze research concerning the differences between participants and nonparticipants in HD predictive testing programs and the interpretive characterization of these two groups. The findings concerning nonparticipants are limited to a small sample of the at-risk population, with the problems of biased samples and low response rates. We discuss this and other aspects of research in this area, notably the context and timing of data collection and the predominantly questionnaire-based methodology, that lead us to interpret the conclusions drawn about these two groups with caution.     

Sustained attention in combat-related posttraumatic stress disorder

There is substantial evidence that PTSD patients have information processing abnormalities for stimuli that are highly relevant to the traumas they have endured. The goal of the present study was to examine whether this extends to neutral stimuli as well. Twenty-four male Vietnam combat veterans with PTSD were compared to fifteen normal male comparison subjects on their performance on a sensitive measure of sustained attention, the Continuous Performance Test-Identical Pairs version (CPT-IP). PTSD subjects did not differ from controls in their ability to discriminate target stimuli from background noise on the CPT. Additionally they performed as well as controls, even in the presence of external distraction. Thus, this study did not find a generalized deficit in attention associated with PTSD on the CPT-IP. Nevertheless, further clarification of the nature of the information processing disturbance in PTSD is warranted.     

Mixed Messages: Co-Worker Responses to the Pregnant Employee

American organizations have been actively implementing work and family programs to meet employees' family demands. However, few comprehensive efforts to include the specific needs of pregnant employees into work and family programs have been taken. According to women who are or have been pregnant while employed, organizations must provide greater understanding and flexibility to pregnant employees. Women report mixed messages received from both co-workers and company policies. Based on the reports of pregnant women, recommendations are given which will guide co-workers on maintaining appropriate interactions with pregnant peers and help companies to better incorporate the concerns of pregnant employees into work and family initiatives.     

Prediction of school attendance problems

Predictions of school attendance problems were made for 262 14-yr-old school children on the basis of intelligence, social class and personality (extraversion-introversion) differences. The overall success of prediction was highly significant, though this was achieved largely by one school group alone. The results are discussed in terms of future early identification and therefore prevention of problems.     

The hidden grief of abortion

This article explores the possibility of dealing with grief reaction when counseling a woman who has undergone an abortion. It first defines what is meant by a grief reaction in this context, then proposes a model for understanding various degrees of grief reaction, and finally examines some of the factors which determine the severity of a grief reaction in the case of abortion.