An Evaluation of the Health Belief Model for Predicting Perceived and Actual Dietary Quality1

The health belief model was evaluated for its ability to predict perceived and actual dietary quality. The assessment relied upon data collected from 1,502 respondents by the US. Department of Agriculture in its 1991 Continuing Survey of Food Intakes by Individuals and the Diet and Health Knowledge Survey. The health belief model provided good prediction of perceived dietary quality, but provided moderate to weak prediction of 7 measures of actual dietary quality that were calculated from food intake records. Implications are suggested for using the health belief model to understand the determinants of dietary quality.     

Empirically defined symptom scales using the DISC 2.3

Empirically defined scales of depressive, attention deficit hyperactivity disorder, oppositional-defiant disorder, and conduct symptoms from the lay-administered National Institute of Mental Health (NIMH) Diagnostic Interview Schedule for Children (DISC), version 2.3, and evidence of their reliability and validity, are presented. The scales were developed using factor analyses of data obtained from an epidemiologic survey of over 1,200 children drawn from four sites across the U.S. and Puerto Rico (the NIMH Methods for the Epidemiology of Child and Adolescent Mental Disorders, or MECA Study). Their psychometric properties were tested in a subsample of children reinterviewed by clinicians. The findings support the use of these continuous measures. The scales are strongly related to the diagnostic categories and show good test-retest reliability. The scales can be used to characterize severity in children with diagnoses and to describe problems and symptoms in children without diagnoses. Because these scales can measure gradations in symptomatology, they may be more useful than categorical measures. Like categorical measures, the scales based on the DISC are greatly influenced by the informant, whether child or parent.This research was supported by grant MH-46732 from the National Institute of Mental Health, Bethesda, Maryland.The MECA Program is an epidemiologic methodology study performed by four independent research teams in collaboration with staff of the Division of Clinical Research, which was reorganized in 1992 with components now in the Division of Epidemiology and Services Research and the Division of Clinical and Treatment Research, of the NIMH, Rockville, Maryland. The NIMH Principal Collaborators are Darrel A. Regier, MD, MPH, Ben Z. Locke, MSPH, Peter S. Jensen, MD, William E. Narrow, MD, MPH, and Donald S. Rae, MA; the NIMH Project Officer was William J. Huber. The Principal Investigators and Coinvestigators from the four sites are as follows: Emory University, Atlanta, Georgia, UO1 MH46725: Mina K. Dulcan, MD, Benjamin B. Lahey, PhD, Donna J. Brogan, PhD, Sherryl Goodman, PhD, and Elaine Flagg, PhD; Research Foundation for Mental Hygiene at New York State Psychiatric Institute (Columbia University), New York, New York, UO1 MH46718: Hector R. Bird, MD, David Shaffer, MD, Myrna Weissman, PhD, Patricia Cohen, PhD, Denise Kandel, PhD, Christina Hoven, PhD, Mark Davies, MPH, Madelyn S. Gould, PhD, and Agnes Whitaker, MD; Yale University, New Haven, Connecticut, UO1MH46717: Mary Schwab-Stone, MD, Philip J. Leaf, PhD, Sarah Horwitz, PhD, and Judith H. Lichtman, MPH; University of Puerto Rico, San Juan, Puerto Rico, UO1 MH46732: Glorisa Canino, PhD, Maritza Rubio-Stipec, MA, Milagros Bravo, PhD, Margarita Alegría, PhD, Julio Ribera, PhD, Sarah Huertas, MD, and Michael Woodbury, MD.The authors gratefully acknowledge Zenaida González and José Martínez who performed the data nalayses, as well as Elizabeth Pastrana, and Felícita Laboy, secretaries, for their valuable contributions to this work.     

An examination of various aspects of auditory processing in clutterers

This study examined auditory processing ability in three school-aged male clutterers who presented concomitant diagnoses of attention deficit disorder (ADD) and three age- and sex-matched normal-speaking control subjects. Subjects underwent a brief central auditory processing (CAP) and auditory event-related potential (AEP) battery. All three clutterers performed below normal test-established performance criteria on at least two of the four CAP measures and exhibited abnormal AEP waveform morphology. All control subjects performed within normal test-established performance criteria on all measures.     

Reflections by a nineteenth‐century convert to Islam on Judaism and Christianity in Ottoman Jerusalem

The Khalidi Library in Jerusalem contains a number of valuable works pertaining to Muslim‐Christian relations during the Ottoman period, and in this paper an effort is made to elucidate one such text, a unique anonymous essay entitled Al‐risala al‐sabi^ciyya fi ibtal al‐diyana al‐yahūdiyya. As the title suggests, the essay presents itself as a work of a Jewish convert to Islam; pressed to justify what he has done, he gives seven reasons for his conversion, and then lists two sets of seven similarities and differences between Islam and Judaism that have also served to encourage his conversion.

In this paper it is argued that the essay is actually the work of a Christian convert, probably one who wrote in Jerusalem in the late nineteenth century. Seeking to justify his conversion, but hesitant to reject openly the central doctrines of Christianity, he pretends to be a Jewish convert and argues for the superior position of Islam among the three monotheistic faiths. This tactic, while uncommon, is known from other parts of the Near East, and a convert in Jerusalem would have been in an excellent position to become aware of such writings.

While most of his arguments are familiar from the arsenal deployed in disputations of the past, this author's essay is valuable for its illustration of the hesitation and doubt that must have accompanied most acts of conversion, and for the way in which it draws attention to the fact that Christian—Muslim relations—especially in Jerusalem—have always proceeded within the broader context of relations. among the three great monotheistic religions in general.     

Boundary regulation in family and personal systems: Perceptions of late adolescents

Examination of boundary regulation can provide family therapists with a framework to describe both the functioning of family systems and personal systems (i.e., the intrapsychic functioning of individual family members). In the present study, late adolescents' perceptions of boundary regulation within their family systems (i.e., ratings of family health, communication, leadership, expressiveness, cohesion, and family conflict) were related to regulation of their personal boundaries (i.e., self-reported personal competence, distress, and patterns of defense mechanism use). In addition, personal system variables reliably discriminated between adolescents who described their families as psychologically healthy versus psychologically unhealthy.     

Should a criminal receive a heart transplant? Medical Justice vs. Societal Justice

Should the nation provide expensive care and scarce organs to convicted felons? We distinguish between two fields of justice: Medical Justice and Societal Justice. Although there is general acceptance within the medical profession that physicians may distribute limited treatments based solely on potential medical benefits without regard to nonmedical factors, that does not mean that society cannot impose limits based on societal factors. If a society considers the convicted felon to be a full member, then that person would be entitled to at least a “decent minimum” level of care — which might include access to scarce life-saving organs. However, if criminals forfeit their entitlement to the same level of medical care afforded to all members of society, they still would be entitled to a kind of “rudimentary decent minimum” granted to all persons on simple humanitarian grounds. Almost certainly this entitlement would not include access to organ transplants.     

How much woe when we go: A quantitative method for predicting culture shock

Culture shock is defined as the confusion and discomfort caused by the conflict in perceived motives and expected behaviors between the home culture and the foreign culture. Several quantitative and graphical methods employing techniques of cluster analysis and similarity mapping are offered for predicting the magnitude of culture shock between pairs of countries using data extracted from Hofstede's 1980–83 studies of national cultural values. Implications for business, politics, and personal stress management are discussed.     

Types produce types—Especially fathers

Employing a larger sample and a more stringent statistical criterion, this study replicated an attempt by T. G. Grandy and R. F. Stahmann (Journal of Vocational Behavior, 1974, 5, 231–239.) to test Holland's hypothesis that parents' personality types foster similar offspring personality development. The relationships between paternal and offspring personality types were consonant with the findings of Grandy and Stahmann but the role of maternal personalities remained unclear. An explanation was offered that fathers' personality types carry more weight in the development of offspring types.     

CULTURAL VARIATION IN PROBABILISTIC THINKING: ALTERNATIVE WAYS OF DEALING WITH UNCERTAINTY*

This study reviews research on cultural differences in “probabilistic thinking” and presents some intra- and inter-cultural findings. Strong differences are shown to exist between people raised under Asian and British cultures on measures of this ability. These differences were found to out-weigh any influence of subculture, religion, occupation, arts/science orientation and sex. Generally, Asians were found to adopt a less finely differentiated view of uncertainty both numerically and verbally than did the British sample. Numerical probabilities assessed by the Asians were more extreme and less realistic than those assessed by the British sample. Possible antecedents of these differences are outlined, and cultural differences in probabilistic thinking are shown to be compatible with decriptions of cultural differences in business decision making. It is argued that there are qualitative cultural differences in ways of dealing with uncertainty.     

Incidental learning,attention, and curiosity in squirrel monkeys calorie deprived as infants

The long-term effects of infantile malnutrition on information processing were studied in squirrel monkeys. From 2 through 8 weeks of age, four low-calorie infants were fed reduced amounts of a high protein diet, limiting their mean body weight gain to 23% of that of four well-fed controls, with all of this gain occurring during the first 2 weeks on the low-calorie diet. Thereafter, both groups received the standard diet ad libitum. At 68 weeks of age, incidental learning was tested by introducing shape cues that were redundant to the solution of a previously learned, two-choice, color discrimination. Removal of the color cues showed that the low-calorie monkeys had learned significantly less about the shape cues than had the controls. The basis for this incidental learning failure was then examined with an embedded-figures dicrimination, to measure attentional ability, and a novel stimulus substitution task, to measure curiosity. The groups did not differ in detecting embedded figures, but the low-calorie monkeys were significantly less likely than controls to select or handle novel stimuli that had been substituted for previously learned discriminative cues. It was concluded that undernutrition in infancy may induce a long-term strategy of only learning information which leads to an immediate reward, while suppressing the acquisition of information due to intrinsic curiosity.