An investigation of the effects of comorbid Axis II pathology on outcome of inpatient treatment for unipolar depression

DSM-based research on comorbidity has suggested thatdepression andpersonality disorder frequently occur together and that the combination of syndromes is associated with a poor response to treatment for depression. The present study was designed to explore the effect of comorbid Axis II pathology for a sample of 45 inpatients who received treatment for major depression. Both categorical and dimensional ratings of personality disorder were used in the statistical analysis. Positive categorical diagnosis of Cluster C (anxious-avoidant) disorder, as well as higher dimensional rating of Cluster A (odd-eccentric) pathology, was predictive of a poor response to treatment (p<.05), as measured by change in pre-post clinical ratings on the Montgomery-Asberg Depression Rating Scale. These results were construed as indicative of a significant Axis II comorbidity effect in the context of an inpatient, multimodal treatment setting for depression. The results also spotlight the influence of techniques of measurement in determining the outcome of statistical analysis.     

An investigation of the relationship between self-efficacy and the communication effectiveness of product manual formats

Product manuals have been virtually ignored in published research despite their relevance to consumer satisfaction and marketplace safety. This study examines self-efficacy (perceptions of capabilities related to operating a product) and how it influences the effectiveness of and is also influenced by three safety message formats commonly used in product manuals (i.e., 1. safety messages presented in list format at the front of the manual; 2; safety messages presented by semantic similarity interspersed throughout the manual—chunked format, and 3. safety messages presented in a combined format—both list and chunked). As anticipated, pre-exposure self-efficacy was a significant covariate which was found to be positively related to post-exposure self-efficacy and negatively related to information evaluation. Further, controlling for pre-exposure self-efficacy, post-exposure self-efficacy was significantly lower in the combined (list plus chunked) condition. Findings of this research have important implications for the practice of repeating safety warnings and future research in the consumer information domain.Authors are listed in alphabetical order. This study was supported by an Illinois State University Research Grant.     

Procuring organs from a non-heart-beating cadaver: commentary on a case report

Procurement of organs from non-heart-beating cadaver donors raises concerns. Standards for optimal patient care during withdrawal of life-sustaining therapy are evolving and continue to be debated and studied. Consensus on specific procedures and methods has not been attained, however, and protocols for the procurement of organs from patients following the withdrawal of life-sustaining therapies may compromise the evolving standards and harm the patient and the attendant family. In addition, there is little evidence to suggest that such protocols will significantly increase the number of organs procured. "Non-heart-beating cadaver" protocols that do not give comprehensive attention to optimal patient/family care at the time of withdrawal of life-sustaining therapy ought not to be endorsed.     

An advocacy intervention program for women with abusive partners: Six-month follow-up

Presented the 6-month follow-up findings of an experimental intervention designed to provide postshelter advocacy services to women with abusive partners. The intervention involved randomly assigning half the research participants to receive the free services of an advocate, 4 to 6 hours per week, for the first 10 weeks postshelter. One hundred forty-one battered women were interviewed about their experiences immediately upon their exit from a domestic violence shelter: 95% of the sample were interviewed 10 weeks thereafter (postintervention), and 93% were successfully tracked and interviewed 6 months later. At the 6-month follow-up, participants in both groups reported increased social support, increased quality of life, less depression, less emotional attachment to their assailants, and an increased sense of personal power. Although women in both groups reported some decrease in physical abuse over time, there were no statistically significant differences between those with and those without advocates, and abuse continued to be a problem for many women. Those who were still involved with their assailants continued to experience higher levels of abuse and had been more economically dependent upon the men prior to entering the shelter. Women who had worked with advocates continued to report being more satisfied with their overall quality of life than did the women in the control group. The authors thank the Editor and anonymous reviewers for their helpful comments. Thanks also to all present and past staff of the Community Advocacy Project, who helped in data collection and analyses. This work was supported by National Institute of Mental Health Grant 1R01 MH 44849.     

CHOICE-MAKING TREATMENT OF YOUNG CHILDREN'S SEVERE BEHAVIOR PROBLEMS

The choice-making behavior of 5 young children with developmental disabilities who engaged in aberrant behavior was studied within a concurrent operants framework. Experimental analyses were conducted to identify reinforcers that maintained aberrant behavior, and functional communication training packages were implemented to teach the participants to gain reinforcement using mands. Next, a choice-making analysis, in which the participants chose one of two responses (either a mand or an alternative neutral response) to obtain different durations and qualities of reinforcement, was conducted. Finally, treatment packages involving choice making via manding were implemented to decrease inappropriate behavior and to increase mands. The results extended previous applications of choice making to severe behavior disorders and across behaviors maintained by positive and negative reinforcement.     

Expectations regarding acquaintance sexual aggression among sorority and fraternity members

Among women, college is a high risk period for sexual assault by male acquaintances. Differences in expectations held by men and women may contribute to misinterpretation of social cues and subsequent sexual aggression and may impair women's ability to respond effectively. This paper presents findings from a predominantly Caucasian sample (85.9%) of college sorority (n = 66) and fraternity (n = 34) members regarding the social context within which they interact and their expectations regarding perpetration of and response to sexual aggression. Results showed differences in men's and women's expectations and responses, and in particular highlighted how men's expectations were related to women's resistance of unwanted sex. Understanding the cognitive processes that men and women draw upon in social interactions can be useful for developing sexual aggression prevention and resistance interventions.An earlier version of this paper was presented at the Council on Social Work Education Annual Program Meeting, March 1995, San Diego. The authors would like to thank Robert D. Abbott, Kelly Cue, and Virginia Senechal for their input on earlier versions of this paper.This project was jointly supported by the University of Washington Alcohol and Drug Abuse Institute, School of Social Work, and Addictive Behaviors Research Center. It was also supported in part by grants from NIAAA (AA05591 and AA07271) and NIMH (MH53702).     

Body type preferences and body characteristics associated with attractive and unattractive bodies by african Americans and Anglo Americans

Body type preferences, body characteristics associated with body attractiveness, and personal characteristics associated with unattractive body types (e.g., obese bodies) were examined in African American and Anglo American female and male respondents. African American males preferred larger body types for females, and associated more favorable and fewer unfavorable characteristics with obese females than did Anglo American males. Females of both races preferred a slightly thin body type for males, although African American females associated fewer unfavorable characteristics with obese males than did Anglo American females. Difference between the races in body characteristics associated with attractiveness suggest race-specific prototypes of body attractiveness that correspond to physical differences between the races. Race-specific standards of attractiveness within cultures are discussed.     

The contribution of sex distribution,job content,and occupational classification to job sextyping: Two studies

The distribution of males and females on a job, occupational classification, and job content as defined by the DOT analysis of job activity demands were examined as predictors of job sex stereotypes in two studies. Results indicate that the actual base rate of males and females in the job is the most important predictor of job sextypes, accounting for 48 and 70% of the adjusted variance in sextypes in the two studies. The results lend little support to the proposition that job content makes a significant contribution to the perception of job sextypes.