Depressed mood and environmental mastery as potential pathways linking family relationship quality and disease self-management for African Americans with hypertension

African Americans are at significantly greater risk of hypertension and worse cardiovascular outcomes than other racialized groups, yet hypertension intervention effects remain limited. Thus, it is necessary to understand the potential mechanisms whereby interventions may be more effectively targeted to improve health. Supported by prior research evidence and guided by the Biobehavioral Family Model, this study examined associations between family relationship quality, psychological wellbeing, and self-management behaviors for African Americans with hypertension. Data were pooled from three Midlife Development in the U.S. projects, resulting in a sample of 317 African Americans (63.4% female, M_age = 53.32) with self-reported high blood pressure in the past 12 months. We tested four cross-sectional multiple mediator models, with depressed mood and environmental mastery mediating associations between family strain and exercise, smoking, problematic alcohol use, and stress-eating. Environmental mastery mediated the association between greater family strain and decreased odds of achieving recommended exercise levels; greater odds of reporting problematic alcohol use; and greater stress-eating. Though family strain was associated with depressed mood in each model, this variable did not serve as an indirect pathway to self-management behaviors. Family strain, and the potential pathway identified via environmental mastery, may be a meaningful predictor of disease self-management for African Americans with hypertension. Longitudinal studies are needed to examine directionality and to support intervention trials for improving self-management and hypertension outcomes.     

Exploratory study of best friendship dissolution characteristics and psychological difficulties during early adolescence

Few studies have evaluated best friendship dissolutions and especially the circumstances surrounding the dissolutions. In this exploratory study of young adolescents (N = 273, M_age = 11.83 years; 51% boys), we investigate young adolescents' experiences with two types of best friendship dissolution (complete dissolutions, downgrade dissolutions) and two characteristics of such experiences: initiation status (self- versus friend-initiation) and emotional reactions (degree of happiness, anger, sadness, and embarrassment). We also consider whether these characteristics of best friendship dissolutions are related to psychological difficulties (loneliness, depressive symptoms). Results indicated that most young adolescents perceive their friends initiated their recent complete and downgrade dissolutions. When young adolescents did initiate their complete dissolutions, however, they reported less negative (anger) and more positive (happiness) emotional responses. Initiation status was not related to psychological difficulties, but variability in several types of emotional responses (e.g., embarrassment) was related to variability in loneliness and depressive symptoms. Findings underscore the importance of considering not only the type of dissolution, but also the circumstances surrounding dissolutions, during early adolescence.     

A device for the easy administration of volatile anesthetics to rats undergoing stereotaxic surgery

Conventional procedures do not provide a practical method for the administration of volatile anesthetics such as halothane to rats while they are undergoing stereotaxic surgery. This paper describes a device which meets this need and which is easy and inexpensive to construct. A two-piece cylinder cut from the mouth of a polyethylene bottle forms a closed system around the muzzle of a rat and does not interfere with the stereotaxic apparatus or with the operation itself. The cylinder is attached to any standard device for the dispension of volatile anesthetics. The immediate advantage is that behavioral assesaments can be made relatively soon after surgery.     

Cognitive behavior modification: ‘Motivated learning’ reading treatment with subprofessional therapy-technicians

A method of treating reading deficits based upon an extrinsic motivational system previously employed successfully with a single subject was extended to eighteen additional subjects. The junior-high age subjects included retarded children in special classes, several emotionally disturbed children, and culturally deprived children. The method of training used in the original study was designed to be simple to administer and simple to record the performance of the child. Thus, it was hypothesized that subprofessional personnel could be employed to administer the treatment. Adult volunteers and high school seniors were used as the therapy-technicians.

The eighteen Ss were given 38.2 hr of training in daily half-hour sessions, during which period the average reinforcement earned was $22.29. The mean number of single word reading responses was 94,425. The rate of reading accelerated over the period of training even though the reading material became more difficult. This occurred during a period when progressively less (about one-fourth as much) reinforcement was given per reading response. A mean of 593.5 new words were learned and 70.9 per cent of these were retained in a long-term test. The attention, attendance, cooperation, and diligent work behavior of the various children were maintained in good strength throughout the duration of the study. The results suggest that research be conducted to develop methods for treatment of behavioral deficits that can be widely applied by subprofessional therapy-technicians supervised by clinical psychologists.     

Toward a therapeutic jurisprudence analysis of medication refusal in the court review model

A therapeutic jurisprudence analysis attempts to discern the role of legal proceedings, lawyers and judges in producing therapeutic or anti-therapeutic consequences. This paper will attempt to use the therapeutic jurisprudence framework to analyze the legal and administrative aspects of court review as it was reported during a one year epidemiologic study of drug refusal. Characteristics of the review process, the effect on patient refusal, and the attitudes of treating psychiatrists are presented. To broaden the clinical context of the administrative findings, selected clinical characteristics of refusing patients, their attitudes toward mental illness, reasons for refusing medication and satisfaction with court review will be described. The discussion attempts to show how the initial administrative study findings may be interpreted in the broader context of their relationship to the achievement of therapeutic outcomes.     

Bulimia: A case study with mediating cognitions and notes on a cognitive-behavioral analysis of eating disorders

A case study of a young woman who was following a complex bulimic chain is described. Her emotional-behavioral sequence involved (1) feeling upset, (2) feeling more upset and taking a high dose of laxatives, (3) hinging, (4) taking additional laxatives, (5) feeling depressed, guilty, and angry, and then (6) starving herself for days on end. This paper lists the selfdefeating cognitions mediating the above sequence of emotions and behaviors and reports on a successful disputation of them through a Rational-Emotive Therapy approach. She resumed a normal eating pattern; her menstrual cycle returned in 2 months after having been absent for 13 months; and at followup, 15 months after termination of therapy, disclosed normal weight with no regression to any bulimic behavior. The case study concludes with preliminary notes on a cognitive-behavioral analysis of eating disorders. A model for eating disorders is proposed based upon the study and treatment of other selfindulgent disorders.Paul J. Woods, Ph.D., Co-Editor of thisJournal, is a Fellow of the Institute for Rational-Emotive Therapy in New York City, a Professor Emeritus of Psychology at Hollins College, and a Licensed Psychologist in independent practice in Roanoke, Virginia.Russell M. Grieger, Ph.D., Co-Editor of thisJournal, is a Fellow of the Institute for Rational-Emotive Therapy in New York City, and a Licensed Clinical Psychologist in independent practice in Charlottesville, Virginia.     

Distractor clustering enhances detection speed and accuracy during selective listening

The effects of distractor clustering on target detection were examined in two experiments in which subjects attended to binaural tone bursts of one frequency while ignoring distracting tones of two competing frequencies. The subjects pressed a button in response to occasional target tones of longer duration (Experiment 1) or increased loudness (Experiment 2). In evenly spaced conditions, attended and distractor frequencies differed by 6 and 12 semitones, respectively (e.g., 2096-Hz targets vs. 1482- and 1048-Hz distractors). In clustered conditions, distractor frequencies were grouped; attended tones differed from the distractors by 6 and 7 semitones, respectively (e.g., 2096-Hz targets vs. 1482- and 1400-Hz distractors). The tones were presented in randomized sequences at fixed or random stimulus onset asynchronies (SOAs). In both experiments, clustering of the unattended frequencies improved the detectability of targets and speeded target reaction times, Similar effects were found at fixed and variable SO As. Results from the analysis of stimulus sequence suggest that clustering improved performance primarily by reducing the interference caused by distractors that immediately preceded the target.     

The Determinants of Mock Jurors' Verdicts in a Rape Case1

The determinants of verdicts in a rape case were examined. Pretrial attitudes (rape empathy, juror bias, belief in a just world, and authoritarianism) were measured to ascertain both the intercorrelations among the attitudes and their predictive value of verdicts. The eye contact (staring, avoiding, or random) of the alleged rape victim with the defendant was also examined. Results showed that rape empathy was predictive of verdict. The eye contact of the alleged victim with the defendant also affected verdicts of female mock jurors. Specifically, when eye contact was avoided, more guilty verdicts were rendered. Furthermore, interpretation of eye contact was found to be a function of mock jurors' reported rape empathy. Specifically, subjects who reported empathy with the victim tended to interpret the victim's behavior as consistent with being raped. Finally, differences were found between high and low empathizers for the rape victim in what aspects of the trial were important to mock jurors' decisions.     

Emerging images of severely battered women and the criminal justice system

The research literature of the 1970s and 1980s created a rather singular image of the battered woman. This image functioned as a standard to be met by battered women who attributed their own acts of violence or their failures to protect their children to the violence they endured. Three severely battered women, Hedda Nussbaum, Frances McMillian and Damian Pizarro illustrate the real diversity that exists. Each woman coped differently with her fear of her abuser's violence and domination. Nonetheless, the experiences of all three were unified by the intensity of their fear and by the fact that their acts (or failures to act) were so serious that they led to these women's involvement with the criminal justice system. The psychological consequences of extraordinary violence and the criminal justice system responses are discussed specifically, in relation to each case. The woman's social class and race are emphasized as important mediators of the criminal justice system response. In the final, general section, questions are addressed about society's role in idealizing the f d y and in silencing, ignoring, acknowledging, and/or solving the problems of severely battered women in desperately violent families.