Reassurance in Analytic Therapy

The American Journal of Psychoanalysis -     

ACADEMIC EFFECTS OF PROVIDING PEER SUPPORT IN GENERAL EDUCATION CLASSROOMS ON STUDENTS WITHOUT DISABILITIES

We studied the academic effects on peers without disabilities of serving as peer supports for students with disabilities in general education classrooms. Three peers were studied using a range of indicators, including academic engagement, coursework performance, and social validity assessments. Peers assisting a student with disabilities via curricular adaptation, assignment completion, and social facilitation constituted the multicomponent independent variable. We used withdrawal or multiple baseline designs to demonstrate positive benefits for peers for all measures used. In addition, follow-up data for 2 peers indicated that the positive changes associated with serving as a peer support were maintained for up to 2 months. Our results are discussed in relation to the possible academic and social effects of providing peer supports in general education classrooms for students with and without disabilities.     

The Development of a Clinical Rating Scale the McMaster Model of Family Functioning

This article describes the development and validation of the McMaster Clinical Rating Scale (MCRS). The MCRS is a 7-item scale designed to be completed by a trained rater after completion of an in-depth interview of the family. We present data from four new studies and review previously published articles concerning the reliability, validity, and clinical utility of the MCRS. Adequate interrater reliability and rater stability were obtained. The MCRS was found to correlate significantly with the self-report Family Assessment Device and to discriminate between families in different phases of a depressive disorder.     

Stereotypes of Suicide Causes for Three Age/Gender Cohorts

On the basis of open-ended questions and interviews using vignettes of fictitious male and female suicide committers of ages 15, 40, and 60, a list of reasons attributed to their suicides was obtained. From this list, a 45-item (5-point Likert scale) checklist was developed. This checklist was administered to a total of 232 respondents in a factorial design. The subjects were asked to respond to items concerning the fictitious suicide committer of their own age and gender, as well as to items for the other two age/gender cohorts. Thus, two groups of subjects answered the checklist. One group of respondents rated the checklist separately for the 3 age cohorts of fictitious male committers (15-year-old male, 40-year-old male, and 60-year-old male). The other group rated the checklist for the three fictitious female committers. The rank of endorsement for each cause was tabulated separately for age/gender cohorts, and indices of overall agreement were computed. The results indicated high agreement among all respondents on the causes of suicide considered to be most likely for a given cohort, as well as a distinct differentiation among cohorts and gender groups. The findings were discussed with reference to cultural stereotypes about suicide causes, and arguments were elaborated on the contribution of these shared beliefs to an individual's decision to commit suicide.     

Nodality effects during equivalence class formation: An extension to sight-word reading and concept development

Three students with moderate disabilities were taught to read and match-to-sample sight words comprising stimulus sets based upon the four food groups. We taught students conditional discriminations within four four-member sets using a single-sample/four-comparison procedure. Students were taught A-B, B-C, and C-D conditional discriminations for each of the four potential stimulus classes. Subsequent probes tested for relations based upon symmetry and one-node and two-node transitivity. The performances for all students indicated that symmetric relations emerged before one-node transitive relations, and that one-node transitive relations emerged before two-node transitive relations. These results are consistent with a pattern of responding, referred to as a "nodality effect," in which relations with fewer nodes are demonstrated prior to the demonstration of relations with a greater number of nodes. These results extend this area of research to sight-word reading for students with moderate disabilities.     

Burnout in Spurned Medical Caregivers and the Impact of Job Expectancy Training

This study represents an extrapolation to the practical realm of a theoretical model that has been supported thus far only by laboratory studies. The model regards the rejection of help by people in need as being stressful for caregivers partly because it violates their expectations of acceptance and threatens their self-image as competent caregivers. It was hypothesized that high levels of perceived rejection by patients and others at work would contribute to burnout in medical caregivers. It was also predicted that high levels of stress preparation in caregivers' training with regard to job expectancies and patient (non)compliance would lessen burnout and buffer the effects of spurning. Responses to a questionnaire by a sample of physicians and hospital nurses revealed a direct association of perceived spurning, as well as an inverse association of stress preparation with burnout, and gave some indication of buffering, as hypothesized. Expressions of violated expectancies and of job disillusionment were directly associated with burnout and inversely associated with stress preparation. Informal job expectancy shaped by coworkers was found to be directly associated with burnout in physicians, but it was inversely associated with burn out in nurses. The implications of these findings are considered     

Social Dominance Orientation, Hierarchy Attenuators and Hierarchy Enhancers: Social Dominance Theory and the Criminal Justice System

This study investigated differences in social dominance orientation between incumbents of different social roles (police officers vs. public defenders) and ethnic groups known to differ in general social status (i.e., whites vs. blacks and Hispanics). Consistent with theoretical expectations: (a) Police were significantly more social-dominance oriented than either jurors or public defenders. (b) Public defenders tended to be less social-dominance oriented than jurors. (c) Euro-Americans were significantly more social dominance oriented than Afro- and Hispanic-Americans, (d) Euro-American police officers had, by far, the highest levels of social dominance orientation. Furthermore, all of the effects above held even when controlling for demographic factors such as gender, social class, age, education, and ethnic group. The theoretical implications of these findings are discussed.     

Loomingness and the Fear of AIDS: Perceptions of Motion and Menace

The authors examined the role of "perceived loomingness" in fear of HIV. Perceived loomingness refers to perceptions of rapid forward movement and instantaneous changes in the distance and danger of a potential threat (Riskind, 1992). One hundred and twenty undergraduates rated vignettes of two public encounters with an HIV-positive stranger. High-HIV fear subjects perceived greater loomingness and danger in these vignettes than did low-HIV fear subjects. Regression analyses that tested for a mediated model confirmed that the perceptions of loomingness may spark threat cognitions (such as the probability and imminence of harm), which, in turn, lead to fear. As predicted by the harm-looming model, loomingness also had some effects on fear that were not mediated by such standard threat cognitions.     

ANALYZING ALERTNESS AMONG PEOPLE WITH PROFOUND MULTIPLE DISABILITIES: IMPLICATIONS FOR PROVISION OF TRAINING

We investigated whether variations in alertness among individuals with profound multiple disabilities affected subsequent responsiveness to training programs. Three experiments were conducted involving 5 people. In Experiment 1, results indicated that alertness of 3 individuals increased with provision of skill-acquisition training programs. Results also indicated no predictive relationship between alertness levels prior to training and subsequent responsiveness to training. Experiment 2 replicated results of Experiment 1 with 2 participants from Experiment 1 and an additional participant. Results of Experiment 2 also indicated that the increased alertness levels accompanying provision of training were not a function of the participants simply being in an inactive environment prior to training. Results of Experiment 3 indicated that alertness of an additional participant increased through provision of another training intervention, involving a systematic preference assessment. Responses during the preference assessment appeared to be unrelated to previously existing alertness levels. These findings suggest the need for caution when considering the withholding of scheduled training because an individual appears to be nonalert.     

Practice and Persuasive Frame: Effects on Beliefs,Intention, and Performance of a Cancer Self-Examination1

Many behaviors are performed less frequently than intended because they require knowledge and skill to overcome behavioral barriers. This experiment tested effects of two factors, direct experience and message frame, that were hypothesized to affect men's intention to perform the testicle self-exam for cancer (TSE) and their actual exam performance, in part by affecting their knowledge and beliefs about overcoming TSE performance barriers. Men's experience performing the TSE on a life-like model and the frame (negative, positive, or neutral) of the recommendation promoting the exam were manipulated factorially. Consistent with prediction, men who practiced (vs. did not practice) the self-exam: (a) endorsed stronger beliefs about behavior-specific knowledge (e.g., ability to imagine a lump), (b) held more positive intention, and (c) translated that intention more consistently into self-reported action, in part because their behavior-specific knowledge increased their tendency to act on their intention. Consistent with action phase theory (Gollwitzer, 1990), intention related more strongly to behavior-specific beliefs than to general, long-term beliefs, and more strongly than attitude related to behavior-specific beliefs. These findings have practical and theoretical implications for promoting healthful and other intended behaviors.