Innovations in Family Support: What Are We Learning?

As family support programs develop across the United States through grassroots efforts by families, state demonstration projects, and local initiatives, new opportunities have become available to examine the experiences of families with service delivery systems. In this study, the research team examined key principles of innovative family support and their effects on families with children at high risk for out-of-home placements. The research team used a multi-case study design with indepth participant observation and semi-structured interviews with a purposeful sample of families. The findings on agency implementation and the families' perspectives are described, together with implications for agency change in family support. The findings point to the need for a re-examination of the emerging approaches to family support innovations, including in the context of national policy reform and the agency-based, service delivery system.     

Correlates of Regimen Adherence in Cystic Fibrosis

The present investigation studied psychological and familial factors associated with self-care adherence in a sample of 50 children (ages 9 to 17 years) with cystic fibrosis (CF). Children and their parents were recruited through an outpatient pediatric pulmonary medicine clinic at a metropolitan children's hospital. Participants were interviewed and administered measures of family behavior and child psychological variables. Regimen adherence was measured using a telephone interview approach across three occasions per participant. Hierarchical multiple regression with age, perceived family behaviors, health locus of control, and self-competency as predictors, accounted for 53.8% of the variance in regimen adherence. Findings suggest that higher self-esteem and younger age are related to higher rates of regimen adherence among children with CF.     

The Motivated Expression of Embarrassment Following a Self-Presentational Predicament

ABSTRACT Two experiments tested hypotheses derived from an interpersonal model of embarrassment. According to this model, people who have suffered a self-presentational predicament are motivated to convey to others that they feel embarrassed as a way of repairing their social image and lowering subjective embarrassment in such situations. In Experiment 1, participants who performed an embarrassing task subsequently expressed greater embarrassment if the researcher did not already know that they were embarrassed than if she was aware of their embarrassment. Experiment 2 showed that embarrassed participants who thought that the researcher did not interpret their blushing as a sign of embarrassment subsequently engaged in alternative self-presentational tactics to improve their damaged social image.     

USE OF A TOKEN ECONOMY TO INCREASE COMPLIANCE DURING HEMODIALYSIS

We report the effects of using a token economy to treat noncompliant behavior in a 10-year-old male hemodialysis patient. The results of an ABAB design indicated that the intervention increased compliant behavior during both treatment phases and that compliance was maintained at 3- and 6-month follow-up observations.     

University Student Attitudes Toward American Indians

This study measured racial attitudes of 201 students toward American Indians in a variety of social-interpersonal and educational situations. Student's racial attitudes were generally positive except in a situation involving an American Indian student receiving free health care. Results are discussed in the context of the current sociopolitical climate.     

Presupposition and Implication of Truth: Linguistic Deficits following Early Brain Lesions

Twenty-four children (4–17 years) with unilateral left (N = 14) or right (N = 10) hemisphere damage and 24 age-matched controls were tested on their ability to presuppose the truth of factive sentences e.g., “Max knew that he locked the door,” and to infer the truth or falsity of implicative sentences “Max remembered to lock the door.” Experimental sentence types varied according to the type of inference, the semantic features of the verb (factive vs. implicative), the presence and type of negation (lexical or syntactic), and the syntax of the complement (tensed or infinitive). Relative to age-matched controls, left lesion subjects were deficient in both their presupposition and implication performance, particularly when such inferences required the computation of negation scope. Right lesion subjects exhibited a somewhat more selective deficit; one limited to implication, but not presupposition, and one limited to lexical but not syntactic forms of negation.     

Research as a counselling activity?: A discussion of some uses of counselling within the context of research on sensitive issues

The relationship between counselling and research strategies is examined tvithin the context of a qualitative study of people coping with the aftermath of child sexual abuse. Complementary aspects of both processes are explored within this context, and comparisons are made. The counselling potential of the research situation is identified. This is linked to the need for both researcher and research supervisor to develop additional skills.     

The measurement of shared care and its effects in a sample of non-working mothers with young children

Interview data from a sample of non-working mothers of young children indicated that most of them left their child with one or two other caretakers on a regular basis. Children averaged about five hours per week with non-maternal caretakers. Most mothers rated children as being always well settled with these caretakers. Those caretakers with whom children were noted as not always well settled tended to be those who spent little time jointly with the mother and the child, and this tendency was stronger if in addition they were solely responsible for the child less than once a month. Interview data were also compared with diary data kept over a complete week. This suggested that interview data tended to underestimate the amount of waking time children spent in non-maternal care, but was reasonably accurate regarding the number and identity of non-maternal caretakers.