Analysis of long-term stress reactions in emergency room patients: An initial study

The psychological stress reactions of 44 family medicine patients who were treated in the emergency room were examined approximately a year after the event. Patients were assessed on several psychological measures, including one for posttraumatic stress disorder (PTSD), and on their perception of how stressful the event was initially and now. Results show continuing stress reactions related to the emergency room event. Three patients endorsed symptoms indicating full PTSD and 13 appeared to have at least partial PTSD. Age appeared to be a factor in the presence of stress symptoms and in degree of perceived communication with the physician.     

Infants' sensitivity to arbitrary object-odor pairings

The ability of 4-month-old infants to learn the arbitrary relationship between an object and a distinctive odor was assessed. Infants were familiarized with two objects while one of them was paired with a cherry odor. Results indicated that only female subjects showed evidence of matching. They increased their looking to the target object in the presence of the odor but not in the absence of the odor, relative to baseline levels.     

Genetic counseling for pregnant adolescents

The genetic counseling literature has a paucity of information on how to provide genetic counseling services to adolescents, especially those who are pregnant. The adolescent population should be viewed as a separate culture, complete with their own beliefs and viewpoints, which are dependent upon the developmental growth tasks of puberty. The completion of these tasks is complicated by pregnancy, which has its own set of developmental goals. The adolescent struggle with developmental goals interferes with the ability to identify consequences, predict future outcomes, and communicate self-revealing statements or decisions effectively. Instead, the adolescent has an egocentric frame of reference and seeks peer approval. The genetic counseling dilemmas presented by pregnant adolescents are illustrated through two case reports. A model based on our own experience and a literature review for successful counseling of adolescents is presented, and utilizes the foundation of trust, patience, and nonjudgmental behavior. Techniques that address the adolescent's concern for autonomy and peer approval are important, and can be achieved through nonthreatening, open-ended questions that promote self-expression. Incorporation of these techniques in genetic counseling and in graduate training will enhance genetic counseling services to the adolescent population.     

The advantages of 16-bit microcomputers

Microcomputers have great applicability for psychological laboratories. While it is usual to limit discussions of microcomputers to 8-bit equipment, 16-bit machines have several advantages. In many situations, these systems prove to be more efficient and cost effective.     

The effect of representations of binary variables on judgment of influence

Studies concerned with judgments of contingency between binary variables have often ignored what the variables stand for. The two values of a binary variable can be represented as a prevailing state (nonevent) or as an active state (event). Judgments under the four conditions resulting from the combination of a binary input variable that can be represented as event-nonevent or event-event with an outcome variable that can be represented in the same way were obtained. It is shown in Experiment 1, that judgments of data sets which exhibit the same degree of covariation depend upon how the input and output variables are represented. In Experiment 2 the case where both the input and output variables are represented as event-nonevent is examined. Judgments were higher when the pairing of the input event was with the output event and the input nonevent with the output nonevent that when the pairing was of event with nonevent, suggesting a causal compatibility of event-event pairings and a causal incompatibility of event-nonevent pairings. Experiment 3 demonstrates that judgments of the strength of the relation between binary input and output variables is not based on the appropriate statistical measure, the difference between two conditional probabilities. The overall pattern of judgments in the three experiments is mainly explicable on the basis of two principles: (1) judgments tend to be based on the difference between confirming and disconfirming cases and (2) causal compatibility in the representation of the input and output variables plays a critical role.     

Does reward depletion influence spatial memory performance?

If spatial memory tasks are considered as foraging problems, it can be predicted that rats' difficulty in learning a win-stay task—revisiting part of a maze where food has recently been found—should be partly overcome if the food is not fully consumed at the first visit (nondepleted reward) rather than being all eaten (depleted reward). Three experiments confirmed and further analysed this result. Experiments 1 and 2 showed that it does not depend on the amount of food initially found; nor is win-stay performance affected by the amount of food actually eaten. Experiment 3 suggested that the effects of nondepleted reward are mainly due to the animals' being interrupted while eating, and very little to the fact that uneaten food is left behind. The results are discussed with regard to their implications for learning theory, and for the application of foraging theory to learning and memory experiments.     

Selective attention to multidimensional auditory stimuli

Event-related brain potentials (ERPs) elicited by multidimensional auditory stimuli were recorded from the scalp in a selective-attention task. Subjects listened to tone pips varying orthogonally between two levels each of pitch, location, and duration and responded to longer duration target stimuli having specific values of pitch and location. The discriminability of the pitch and location attributes was varied between groups. By examining the ERPs to tones that shared pitch and/or locational cues with the designated target, we inferred interrelationships among the processing of these attributes. In all groups, stimuli that failed to match the target tone in an easily discriminable cue elicited only transitory ERP signs of selective processing. Tones sharing the "easy" but not the "hard" cue with the target elicited ERPs that indicated more extensive processing, but not as extensive as stimuli sharing both cues. In addition, reaction times and ERP latencies to the designated targets were not influenced by variations in the discriminability of pitch and location. This pattern of results is consistent with parallel, self-terminating models and holistic models of processing and contradicts models specifying either serial or exhaustive parallel processing of these dimensions. Both the parallel, self-terminating models and the holistic models provide a generalized mechanism for hierarchical stimulus selections that achieve an economy of processing, an underlying goal of classic, multiple-stage theories of selective attention.     

Social influence processes affecting adolescent substance use

Social influence is central to models of adolescent substance use. Nonetheless, researchers fail to delineate the various forms of social influence. A framework that distinguishes between active (explicit drug offers) and passive (social modeling and overestimation of friends' use) social pressure was tested. The effect of these processes on alcohol and cigarette use was examined with 526 seventh graders taking part in an alcohol prevention program. Hierarchical regression analyses demonstrated that pretest measures of alcohol use, offers, modeling, and overestimation each accounted for unique variance in posttest alcohol use. Similar results were obtained for cigarette smoking. The general model was not significantly different for boys and girls, or for prior users and prior nonusers, supporting the generalizability of the framework. Implications for intervention programs are discussed.     

A systemic belief approach to epileptic seizures: A case of being spellbound

A systemic treatment approach, namely systemic belief therapy, has been found to be useful when dealing with families constraining beliefs when experiencing physical health problems. Two interventions which facilitate the altering of constraining beliefs are the externalization of physical symptoms and therapeutic letters. Epileptic seizures are examined in the context of the interaction between families and health care professionals. A case example is presented which highlights the use of this systemic approach to assist a young couple in challenging their beliefs about their ability to control and monitor epileptic seizures.