Quality of Life in Heart Transplant Candidates

Research on quality of life with heart transplant patients is complicated by the physical and psychological variables associated with heart failure. This study examined quality of life with several instruments in order to sample more general and more idiosyncratic aspects of quality of life in this particular patient population. We also examined the relationship between various aspects of quality of life and several psychosocial variables, including sensitivity to social desirability effects. The quality of life measures used in this study were found to be significantly correlated with each other and with measures of psychological distress. Implications of these findings are discussed.     

Parental interrater reliability as a function of situational specificity and familiarity of target child

Child behavior ratings were made by 17 mothers and fathers of the same child. Agreement was computed for each parent pair under the following experimental conditions: (1) Ratings of their own child's behavior in general (CBC); (2) ratings of own child based on observations of him/her in a videotaped sample; (3) ratings of an unknown child based on observations of him/her in a videotaped sample; and (4) ratings of the videotaped sample of own child and unknown child using a one minute time-sampling procedure. Parents achieved higher rates of agreement (X=.81) than have previously been reported. Increasing the specificity of the behavior being rated did not significantly affect agreement. Those parent pairs who agreed the most did not necessarily spend a large amount of time in the same kind of situations with their child. Agreement was significantly greater when parents rated their own children's videotaped behavior sample as opposed to that of an unknown child.     

Facilitating sexual arousal via anger,aggression, or dominance

The hypothesis that either an angry emotional state or the expression of aggressive behavior facilitates sexual arousal has been the subject of considerable speculation but relatively little research. In a series of studies, Barclay found that anger increased sexual arousal as measured by the amount of sexual imagery produced in response to TAT-like stimuli that depicted males and females in dominant and submissive roles. In the present research, a series of experiments was conducted to determine whether such facilitation can be generalized beyond the specific procedures used by Barclay. Subjects (151 males and 136 females) in three experiments were angered by being negatively evaluated by a confederate identified as a fellow subject. Some subjects were subsequently given an opportunity to aggress; additionally, some subjects were exposed to male- and female-dominant pictorial stimuli. Results indicated that neither anger instigation nor the opportunity to engage in aggressive acts influenced self-reported sexual arousal. There was consistent evidence, however, that portrayals of dominance influenced perceptions of the stimulus person's sexuality. Though anger and aggression do not seem to facilitate sexual arousal, dominance cues (which can be confounded with anger manipulation) clearly elicit perceptions of sexuality.     

Conspecific aggression in the laboratory rat.

Attacks by dominant colony males of a domesticated rat strain on conspecific strangers introduced into the colony include both a full range of threat displays and actual biting attack. These dominant males attack and bite both anesthetized and unanesthetized strangers, but threat displays and bites to anesthetized rats are limited. Lesions resulting from these bites are nonrandomly distributed, with most damage to the head and upper back and very few bites to ventral surfaces. When introduced strangers were left in the colonies for several days, 66% were killed, indicating that domesticated rats are capable of lethal attacks on conspecifics without external provocation.     

Play desensitization of fear of darkness in preschool children.

Systematic desensitization therapy (SDT) is considered to be a technique of established effectiveness in reducing monosymptomatic fears (Paul, 1969a, 1969b), yet little systematic research has been done to investigate the merit of desensitization procedures in modifying children's behavior. The few available controlled studies (Miller et al., 1972; Obler and Terwilliger, 1970; Oliver, 1971) on desensitization with children have produced equivocal results. Although imagery and relaxation have been reported of benefit when used separately (Graziano and Kean, 1971; Lazarus and Abramovitz, 1962), evidence suggests that the usual combination of imagery and relaxation is not effective in reducing children's fears (Miller et al., 1972). Investigators in this area have often modified traditional SDT to include alternatives to imagery such as pictures, drawings, play (Cassell, 1965; Lazarus, 1960; Obler and Terwilliger, 1970; Patterson, 1965), or in vivo exposure to the feared stimulus (Obler and Terwilliger, 1970). Relaxation has often been replaced with other responses thought to be incompatible with anxiety such as eating (Jones, 1924). Another deviation from traditional SDT has been the delivery of positive reinforcement (food, praise, or toys) contingent upon the child's approaching the feared object (Obler and Terwilliger, 1970; Patterson, 1965). On the basis of such varied techniques, it is impossible to determine which of these procedures constitutes an effective treatment method for children. In the following study, three desensitization procedures involving graded exposure to the feared stimulus (darkness) through symbolic play, were compared to no-treatment and placebo control groups under differing instructional sets. Treatments were designed to determine the therapeutic efficacy of play as a method of stimulus presentation with children, and to determine whether reciprocal inhibition, extinction, operant reinforcement, or instructional set contribute to fear reduction in desensitization with children.     

Reflections on deliberative coherence

This paper treats two problem cases in decision theory, the Newcomb problem and Reed Richter's Button III. Although I argue that, contrary to Richter, the latter case does not constitute a genuine counterexample to a standard general proposition of (causal) decision theory, I agree with and undertake to amplify his solution to the decision problem in Button III. I then apply the conclusions and distinctions in the foregoing treatment of Button III to the Newcomb problem and argue that a familiar version of the dominance argument for taking both boxes runs afoul of plausible general constraints on rational agency. The underlying theme of the paper is that basic considerations of epistemic coherence play an important role in dealing with problem cases in decision theory.     

Racial bias in prediction with the MMPI for a juvenile delinquent population

Relationships between MMPI scales and criteria were evaluated to determine if the MMPI is racially biased with a juvenile delinquent population. The MMPI was administered to 333 white and 107 black male juvenile delinquents, and criterion data were collected. The regression equations developed for Blacks and whites resulted in similar accuracies. However, the weights of the regression equations tended to differ for the two races. How they differed depended on the criterion predicted by the equations. Consequently, it was impossible to state unconditionally that the use of the MMPI with Black delinquents will have an adverse impact. In fact, one interpretation of the results suggested that the MMPI may not be racially biased for predictions with juvenile delinquents because the amount of constant error in prediction for a racial group decreased toward zero as the apparent objectivity of the criteria increased.     

Group aversion by imaginal, vicarious and shared recipient-observer shocks

Sixty college students completed waiting control or alternative group aversion conditions, matched for severity and chronicity of nail-biting. Treatments spanned four sessions. Imaginai aversion (covert sensitization) clients visualized shocks to themselves. Vicarious aversion clients observed shocks to a trained model. A ‘hotseat’ format randomized a few actual shocks to each client with observing peers shocked on remaining trials. The predominant pattern of outcome and subjective impact results was as follows: Hotseat consistently best; vicarious typically second; imaginal usually third; controls worst. Clinical and conceptual issues are raised.     

Sex differences in comments made during conflict within close heterosexual pairs

Questionnaires were used to investigate (1) stereotypes about what young couples do and say during their conflicts and (2) reports (by actual young couples) of what each one is likely to do or say. The two sets of data yielded much the same pattern of results. The female is expected and reported to cry and sulk and to criticize the male for lack of consideration of her feelings and for insensitivity to his effect on her. The male is expected and reported to show anger, to reject the female's tears, to call for a logical and less emotional approach to the problem, and to give reasons for delaying the discussion. The Study I expectations for sex differences during conflict are held to about the same degree by the female and male respondents. In both studies, the differences were found to depend primarily on sex of the person and not on the particular problem involved in the conflict. The results are interpreted in terms of the interaction between a conflict-avoidant person (the male) and his partner (the female), who is frustrated by the avoidance and asks that the problem and the feelings associated with it be confronted.