The first 900: a nine-year longitudinal analysis of consecutive adolescent inpatients

Data for the presenting complaints, average age and sex distribution, average length of stay and the discharge diagnosis for 900 consecutive adolescents treated at the Adolescent Center of Houston International Hospital between 1974 and 1982 were reviewed. The number of cases remained fairly constant over the 9 years. As the males and females showed an increase in age, the increase in age for males (13.4 years to 15.2 years) was greater than that for females (14.4 years to 15.0 years). The average age for male admissions during 1974-1976 was significantly lower than 1980-1982 (p less than 0.03). The average length of stay for males during 1980-1982 was significantly greater than 1974-1976 (p less than 0.05). The most frequent presenting symptoms in decreasing order for 1974-1982 were depression, school problems, family problems, threatening behavior, runaway behavior, and suicidal ideation. Depression increased from 15.6% in 1974-1976 to 29.6% of presenting symptoms. Substance abuse increased from 4% (1974-1976) to 8.8% (1980-1982). Suicidal ideation increased three-fold over the same period (3.3% to 10.6%). A significantly greater number of males presented with 1) impulsivity, 2) aggressiveness, 3) withdrawal behavior, 4) stealing, and 5) disruptive behavior. A significantly greater number of females presented with 1) runaway behavior, and 2) suicidal ideation. The 10 most frequent discharge diagnoses are listed. Depression as a diagnosis increased almost four-fold between 1977-1979 and 1980-1982 (7.6% versus 27.5%).     

"Mom and dad": views on the relationship between direct-care staff and therapists in residential, adolescent treatment facilities

Some of the common conflicts that occur between therapists and direct-care staff in residential, adolescent treatment facilities are highlighted. These conflicts often parallel those occurring between an adolescent's parents. Common issues include the amount of time spent with the adolescent patient, questions of authority, and communication difficulties. These conflicts can have positive consequences, if each party recognizes that the other brings a needed perspective to adolescent treatment.     

The cognitive model of depression and mood-induction procedures: A reply to Clark (1983)

In a recent article on mood-induction procedures, Clark (1983) concluded that the Velten Mood Induction Procedure (VMIP; Velten, 1968) produces a good analog state of mild, naturally occurring, retarded depression that is not explicable in terms of experimental demand characteristics. Clark concluded, however, that it is erroneous to view the relative success of the VMIP in simulating the effects of depression as support for cognitive theories of depression. While we agree with the first of Clark's conclusions, we disagree with his second conclusion that the VMIP is not a cognitive manipulation. The purpose of the present article is to argue that his ideas regarding the impact of the VMIP on mood and behavior are not supported by the existing data. Therefore, the VMIP results can be used to support Beck's (1976) cognitive theory of depression.     

The Velten Mood Induction Procedure and cognitive models of depression: A reply to Riskind and Rholes (1985)

In a recent article (Clark, 1983), I concluded that it is invalid to use the success of the Velten Mood Induction Procedure as evidence for cognitive theories of depression. Riskind and Rholes (1985) challenge this conclusion. Their arguments are discussed and critically evaluated.     

Pursuing and distancing: the construct and its measurement

Although the concept of interpersonal pursuing and distancing has been introduced and used clinically, the lack of a reliable and valid measure has deterred its more formal investigation and relevance to personality theory. The Pursuing-Distancing (P-D) Scale, a 92-item measure of the behavioral expression of these characteristics, was developed. Evidence for internal consistency as well as internal support of construct validity is presented and discussed. An 80-item revised scale is available from the authors and is currently being evaluated in a variety of external validation settings.