The perception of available social support is related to reduced cardiovascular reactivity in Phase II cardiac rehabilitation patients.

OBJECTIVE: Numerous studies have observed a relationship between social support (SS) and post coronary event survival. Laboratory research suggests one mechanism regulating this relationship may be exaggerated cardiovascular reactivity (CVR). What has not been as well explored is (1) whether the SS-CVR relationship holds up for a heart diseased sample, and (2) whether this relationship is evidenced only in supportive environments or can be found as a function of generalized perception of being socially supported. Thus, the purpose of this study was to examine the relationship of perceived SS and a locally supportive presence to CVR to a speech-induced stressor in post coronary event patients. METHOD: Forty-one Phase II cardiac rehabilitation patients participated in a research protocol that consisted of BP and HR measurement during two identical affective stress interviews where local support was systematically varied by presence or absence of a friendly small pet dog. Perception of SS was assessed by completion of psychosocial questionnaire packet that included measures of SS, anger expression and pet attachment. RESULTS: Repeated measures ANCOVAs revealed that patients who believed they had greater SS available to them during difficult times exhibited significantly less CVR for MAP (p<.007) and DBP (p<.024). No significant main effects for local support (pet presence) and no interactions between local and perceived support were found. CONCLUSIONS: These findings are of interest as they: (a) demonstrate an association between reduced CVR and higher (amounts of) SS in a clinical sample; (b) demonstrate this effect in a sample medicated to dampen CV levels and surges; (c) suggest that perceived amount of SS provides an ameliorative influence on CVR independent of situational support; (d) suggest that for certain conditions pet-models of support may be ineffective at establishing an local support presence.     

Predictive Testing of Eighteen Year Olds: Counseling Challenges

Genetic counseling of teenagers is challenging and complex. The ability to think abstractly, a sense of self and independence from family all develop during adolescence. Predictive genetic testing counseling protocols presuppose that these qualities exist, requiring the at-risk individual to consider the short and long term consequences of testing as well as their motivations. Eighteen year olds are in transition from adolescence to adulthood; eligible for predictive genetic testing, they may not yet be independent of their family or able to articulate their feelings. This paper presents case studies from the authors' clinical practice to illustrate some of the difficulties faced by genetic counselors when 18 year olds request predictive testing for Hereditary Non-Polyposis Colorectal Cancer. By reflecting upon their experiences with these young adults and their families, the authors' intention is to generate discussion about genetic counseling strategies, particularly for predictive genetic testing, that are both age-appropriate and family-sensitive.     

Figure Preferences in Two Generations of Men: The Use of Figure Drawings Illustrating Differences in Muscle Mass

Using a new set of male figure drawings which(unlike the Stunkard, Sorensen, & Schulsinger, 1983figures) illustrate differing degrees of muscle massrather than body fat, college men and adult men selected their current figure, ideal figure,figure they thought most attractive to women and figurethat they thought would be the ideal for other men.Adult men's choices indicated satisfaction with their current bodies, but college men's selectionsindicated a desire to be larger (partly because theybelieve that a much larger body is what everybody {menand women} finds most attractive). The male body college women find most attractive is largerthan what college men indicate they currently have butsmaller than what the college men want to look like.Adult women chose an ideal male figure which is the same as that which the adult men indicate theyhave. Thus, selections using the new figure drawingsshow a desire for more muscle mass in college men andsatisfaction in adult men, while selections using the Stunkard et al. (1983) figuredrawings indicated satisfaction in college men and adesire for less body fat in the adult men (Rozin &Fallon, 1988). Both sets of figures provide valuableinformation.     

Gender Differences in Depression: The Role Played by Paternal Attitudes of Male Superiority and Maternal Modeling of Gender-Related Limitations

A reanalysis of a large multi-generational,predominantly Caucasian sample of adults found a largegender difference in self-reported depression involvinganxiety, appetite and sleep disturbance, and fatigue (anxious somatic depression) butnot in pure depression unaccompanied bymany of these other symptoms, replicating earlierfindings on high school and college samples. Anxioussomatic depression was prevalent among women whosefathers reported attitudes of male superiority and amongwomen whose mothers reported emphasizing the importanceof professional success but feeling that the jobs they held were not respected by others. Anxioussomatic depression, but not pure depression, was foundto be prevalent among women who did not attend collegeand among those who attended college but felt that the jobs they held were not respected byothers.     

Counselling and the dislocation of representation and reality

Counselling theories have typically assumed a nomenclaturist view of language. This has been subject to increasing criticism in this century. Two alternative views of language and reality to nomenclaturism are discussed as a basis for post-modern therapeutic practice. It is argued that a post-modem view of counselling should recognise both the value and limitations of language, and in doing so should recognise the value and limitations of counselling as a means of therapy.     

Tall is typical: Central tendency, ideal dimensions, and graded category structure among tree experts and novices

Many accounts of categorization equate goodness-of-example with central tendency for common taxonomic categories; the best examples of a category are average members--those that are most similar to most other category members. In the present study, we asked 24 tree experts and 20 novices to rate goodness-of-example for a sample of 48 trees and found (1) that the internal structure of the category tree differed between novices and experts and (2) that central tendency did not determine goodness-of-example ratings for either group. For novices, familiarity determined goodness-of-example ratings. For experts, the "ideal" dimensions of height and weediness, rather than average similarity to other trees, were the primary predictors of goodness-of-example ratings for experts. The best examples of tree were not species of average height, but of extreme height. The worst examples were the weediest trees. We also found systematic differences in predictors of goodness-of-example as a function of type of expertise. We argue that the internal structure of taxonomic categories can be shaped by goal-related experience and is not necessarily a reflection of the attributional structure of the environment. Implications for models of category structure and category learning are discussed.