Formation of food aversions in cancer patients receiving repeated infusions of chemotherapy

Patients receiving emetogenic chemotherapy for cancer have been found to develop aversions to normal dietary items consumed in close temporal relation to treatment administrations. These aversions are presumed to develop via conditioning processes as demonstrated in experimental studies of food aversion learning. The present study used a prospective, longitudinal design to evaluate the possible role of conditioning in the formation of aversions to normal dietary items in women receiving adjuvant chemotherapy for breast cancer. Patients were monitored for the development of aversions to foods and beverages consumed in the 24 hr periods before and after each of eight consecutive chemotherapy infusions beginning with the initial infusion. Data on the prevalence, course, and prediction of aversions to normal dietary items are reported. These results pointed to similarities and differences between aversions formed to normal dietary items during chemotherapy treatment and aversions formed to taste stimuli during experimental conditioning studies. In addition to their theoretical significance, results also suggest possible strategies for preventing the clinical problem of aversions to normal dietary items in chemotherapy patients.     

Validity Evidence for Measures of Procedural/Distributive Justice and Pay/Benefit Satisfaction

A brief review reveals confusion regarding relationships among constructs of pay and benefits satisfaction and distributive and procedural justice. Nonetheless, the literature yields measures for each of these variables that show promise for future theoretical development. A validation study for four of these scales involved 154 working adults across a variety of organizations and industries.Data were analyzed via interitem and interscale correlations and confirmatory factor analysis. Analytical products provide evidence of scale reliability, homogeneity, and convergent and discriminant validity. Correlations were also calculated between the satisfaction and justice variables, income, and other attitudinal constructs, including organizational commitment, job satisfaction, propensity to resign, and work effort. The resulting pattern of relationships not only provides evidence of construct validity, but also suggests that the reward satisfaction and fairness variables, although related, contribute uniquely to several aspects of organizational life.     

Burnout in counseling psychologists: Type of practice setting and pertinent demographics

Extent of burnout experienced by conseling psychologists and the relationship between levels of burnout and different types of practice settings, selected demographic and work-related variables were investigated in this study. Burnout was defind in terms of the Maslach Burnout Inventory (MBI) subsxales. Multiple regression anslyses were perforned on the data (n = 521). Counseling psychologists in private practice reported the lowest levels of burnout, while those employed in hospital settings reported the highest levels of Burnout. A positive relationship was found between hours of client contact per week and sense of personal accomplishment. Finally, an inverse relationship was reported between age and burnout, and males experienced greater depersonalization of clients than females.     

Mental Health and Incarcerated Youth. II: Service Utilization

The incarceration of mentally ill youth is a serious problem not receiving the same attention as in adults. In this study, we examine the level of prior service utilization in incarcerated youth versus youth receiving community mental health services. We randomly recruited youth from middle South Carolina served by a local community mental health center (CMHC; n = 60), hospitalized in the state adolescent inpatient program (n = 50), and incarcerated in the S.C. Dept. of Juvenile Justice facilities (n = 75). We used a Services History to evaluate episodes of prior utilization of mental health, social service, educational, residential, and volunteer services, as well as the DISC-PC 2.3 to evaluate DSM-III-R diagnoses and symptoms and the CBCL and YSR to evaluate behavioral symptomatology. Incarcerated, hospitalized, and CMHC youth utilized similar levels of educational services and social services. Incarcerated youth had a significantly lower lifetime utilization of outpatient and acute mental health services and significantly higher utilization of out-of-home residential services than the other groups. These services utilization variables, along with gender and age, significantly distinguish incarcerated youth from the clinical groups, with clinical variables not serving to significantly distinguish them. Our results indicate the need to develop programs to prevent the entry of mentally ill/emotionally disturbed youth into the juvenile justice system. Youth who are at risk for incarcenation may benefit from intensive mental health services to prevent out-of-home placement and later incarceration.     

A demonstration of a token economy for the real world

Token economies are rarely used in real-world psychiatric settings because of barriers to their implementation, such an institutional constraints and insufficient collegial support. The line-level treatment team at Elgin Mental Health Center was able to overcome these contraints and develop a user-friendly token economy. This article describes Elgin's simple yet effective token economy and the process used to develop it.     

Alcohol First Use and Attitudes Among Young Children

We describe the attitudes and first use of alcohol by children, grades 3-6, who participated in the Bogalusa Heart Study, 1993-94. Questionnaire data reflected that more than one-third of the children had experimented with alcohol at the time of the study. The dominant environmental factor in experimentation was family modeling, and the dominant personal factor was curiosity, regardless of race, gender, or grade. Most children believed that alcohol use can lead to accidents, that drinking has negative social consequences, and that alcohol use hurts only if done to excess. Indications are that young children generally have negative attitudes regarding alcohol use, and that public and family alcohol education efforts need to be more specific about deleterious effects of even low levels of alcohol use in the young.     

Even cowboys sing the blues: Difficulties experienced by men trying to adopt nontraditional sex roles and how clinicians can be helpful to them

Difficulties clinicians experience in appropriately treating men attempting to adopt nontraditional sex roles are discussed and suggestions made to ameliorate these difficulties. While the impact of the women's movement has made therapists more sensitive to societal influences on the behavior of women, comparable attention has not been paid to societal influences on the sex-role stereotypical behavior or to the price paid by men who violate stereotypical sex-role expectations. Further, clinicians who have been socialized into dominant societal values may have difficulty tolerating men who are trying to abandon higher status traditional masculine values for nontraditional ones; such clinicians are unlikely to provide decent treatment for males espousing new sex roles.     

Parental — Offspring similarity on jealousy and related personality dimensions

The degree of similarity between undergraduate students and their parents on jealousy was evaluated for data collected through questionnaires. In addition, the relationships between jealousy and two personality dimensions (repression-sensitization and screening-nonscreening) were examined within individuals and within families. Results showed that jealous persons are more likely to be sensitizers and nonscreeners. Similarity between parents and offspring was found for dispositional jealousy and jealous feelings. In addition, familial similarity for jealousy and personality dimensions was found most frequently between parents and female offspring. The developmental origins of jealousy are discussed.     

Morality and our self-concept

Conclusion One of the most important aspects of our lives is the conception which we have of ourselves. For the way in which we view ourselves fundamentally affects how we interact among others and, most importantly perhaps, how we think others should treat us. For instance, one will not expect others to regard one as having a high mathematical acumen if one. realizes that one's mathematical skills are very minimal. Again, one will not expect others to regard one as a talented artist if one realizes that one is not. And so on. What is more, not every person can rightly take him-or herself to be talented in this or that area. And given that this is so, what inevitably follows is that the self-esteem of some will be lower than the self-esteem of others, and rightly so. But if I have argued soundly in this essay, we have seen that there is a respect in which no person rightly thinks less of him-or herself vis à vis any other person. For each person, it has been shown, is deserving of fair treatment in virtue of the fact that he or she is a person. I have called the sense of worth which corresponds with having this conviction self-respect. Whatever a person's abilities are, whatever a person's moral character is like, he should not lose sight of the fact that he is deserving of fair treatment in any case. The social institutions of a society are fairly arranged, I have argued, when they are conducive to persons having this conviction.Little has been said on the connection between morality and our self-concept. And if anything, I have only touched the surface of what needs to be said.

---