Clinician attitudes toward stuttering: A decade of change (1973–1983)

The attitudes of 674 speech-language pathologists toward stuttering, stutterers, stuttering therapy, parents of stutterers, and related issues were studied during the years 1973–1983. During that period, clinician attitudes were found to shift away from support of the John-sonian concepts, which suggest parental causality and dangers in early intervention. In addition, clinicians became less likely to perceive stutterers as possessing psychologic disorders and misperceptions of their problem and of their interpersonal relationships. However, a significant number of clinician's were found to continue to hold unsubstantiated beliefs regarding the personality of stutterers, their parents, and the efficacy of early intervention with very young stutterers. The results of the study were interpreted as suggesting the need to educate fluency specialists.     

The impact of high school on social development

In reviewing the literature on the social impact of high school, six themes were identified: (1) students perceive strong norms for conformity to school rules, (2) the emphasis on conformity and control influences the quality of student/teacher relations which tend to be role bound and inflexible, (3) paths to social status continue to emphasize athletic competence, (4) peer group identification has an impact on social relations within the larger community as well as in the school setting, (5) powerlessness is felt as a result of the authoritarian approach to decision making, and (6) the overall high school environment does not enhance students' beliefs in the Bill of Rights. It was concluded that high school students have limited opportunities for flexible self-definition. As a result of the way they are treated by authority figures and the strong pressures toward conformity, many adolescents fail to learn the extent of their rights or effective strategies for the exercise of power.     

Young adults' contraceptive practices: an investigation of influences

This study investigated young adults' contraceptive behaviors and attitudes through application of a comprehensive, theoretical framework. Specifically, a social-psychological approach to understanding preventive behaviors (e.g., contraceptive practices), was developed, incorporating the Health Belief Model and other factors, which offered a means for evaluating the extent to which contraceptive behaviors were influenced by individual and group characteristics. The study group consisted of 283 unmarried students at several schools who were, on average, 19 years of age. Results suggested that effective contraceptive behavior associated most strongly with respondents' perceiving relatively few barriers to their use of contraception, their maintenance of extensive interpersonal skills, and their regarding peer norms as consistent with effective contraceptive behavior. Findings also underlined a need for continuing education about sexuality and contraception. Dangerous misinformation prevailed regarding respondents' knowledge of areas that include anatomy, physiology, and appropriate use of effective contraceptive methods. Finally, results implied a need to consider broad behavioral, social, and interpersonal issues as they relate to young adults' effective contraceptive behavior. Future studies of contraceptive risk taking are encouraged to examine both individual and social factors affecting sexual and contraceptive practices if unplanned pregnancy is to be minimized, if not eliminated.     

Validity and reliability of the EOM-EIS for early adolescents

The Extended Objective Measure of Ego Identity Status (EOM-EIS) was examined for reliability and validity among early/middle adolescent subjects. The EOM-EIS represents a combination of the Objective Measure of Ego Identity Status and a structured interview of identity status. The instrument was designed to measure ego identity with regard to occupational, religious, political, philosophical, and social contexts along ideological and interpersonal dimensions. A total of 467 students aged 12 to 18 (median = 15.73) responded to the instrument. In general the results from the analyses of reliability, validity, demographic characteristics, and psychosocial maturity yielded results which parallel the theoretical framework and the results from college-aged subjects.     

An intervention program for adolescents with behavior problems

Adolescents with behavior problems (aged 12 to 14) attending a regular public high school were in need of an intervention program. The purpose was to enhance their personal and interpersonal functioning as well as to structure a stimulating learning environment. In order to improve their social, educational, and psychological functioning, program objectives were established to help students develop the ability to listen to one another, respect others as well as their opinions, become aware of their own emotions and those of their peers, and recognize and minimize derogatory remarks toward one another. To attain these objectives, relaxation sessions, magic circle activities, art sessions, future planning groups, and decision-making groups were used. Meetings with teachers enabled them to examine and improve their attitudes and relationship with students. Upon completion of the program, the adolescents manifested less disruptive classroom behavior, increased their class participation, and displayed a more positive attitude toward school. The achievement of these behavioral changes indicates that a psychologically oriented intervention program is a feasible addition to a conventional curriculum. Teachers learned the basic skills of program formation, implementation, and evaluation, and most importantly, revitalized their attitude toward troubled students and their profession.     

Redundancy: a similar principle in independent adaptation techniques

The present study examined the similarities between four auditory adaptation techniques to determine whether the effects were correlated. The four adaptation techniques compared were: Simultaneous Dichotic Loudness Balance technique (SDLB; Hood, 1950), Magnitude Estimated Binaural technique (MEB; Botté, Canévet, & Scharf, 1982), Magnitude Estimated Monaural technique, (MEM; Weiler, Sandman, & Pederson, 1981), and the Monaural Reaction Time technique (RT; Davis & Weiler, 1976). Results did not show significant correlations between the four techniques, except (r = 0.39) between MEB and MEM procedures. This correlation was much less than the reliability of the measures would allow (r = 0.98 and r = 0.99, respectively). Thus, it appears that the different methods either produced different adaptation effects or measured different aspects of auditory adaptation. The normal ear apparently shows several forms of adaptation, which reduces the perceptual strength of a continuing stimulus, in favor of an intermittent, less redundant one.     

Family reconciliation as a response to adolescent crises

Concern for adolescents who act in dangerous, life-threatening ways has heightened dramatically in recent years. Many of these adolescents appear to come from nuclear families isolated from their kinship systems. Without the mediating effects of kin, the adolescent transition can become a major crisis. Kinship systems remain cohesive when members can reconcile their beliefs about essential aspects of family functioning with the demands for adaptation during major life transitions. Reconciliation is lost when members believe that kin can no longer be trusted to insure their well-being. Kinship fragmentation ensues as family members leave the field or are excluded. Isolated nuclear families then rapidly lose the resilience to respond to life transitions without resorting to extreme, maladaptive solutions. The Systemic Crisis Intervention Program (SCIP) uses the opportunity of the crisis precipitated by the adolescent's life-threatening behavior to alter family myths that have led to network fragmentation. Crisis teams mobilize and meet with kin in four-hour gatherings to foster reconciliation and kinship system reintegration.     

Chronic Illness and the Life Cycle:A Conceptual Framework

This article provides a conceptual framework for thinking about the system created at the interface of chronic illness with the family life cycle. First, a psychosocial typology and time phases of illness schema is described as a necessary, preliminary step to create a common language that bridges the worlds of illness, individual, and family development. This schema organizes similarities and differences between diseases in a manner useful to psychosocial-developmental rather than biomedical inquiry. Then, drawing on several major life-cycle theories in the literature, key concepts (periods of transition, life-structure building and maintaining, centripetality, and centrifugality) are used in a complementary fashion to link these three lines of development. Equipped with these psychosocial languages, consideration is given to transgenerational aspects of illness, loss, and crisis, and the interwoven threads of illness, family, and individual development. Clinical vignettes are provided to highlight this conceptual framework.