Evaluation of an intervention designed to improve patients' hospital experience.

The influence of a videotape, shown in a hospital admitting room, on patients' state anxiety and concerns about hospitalization was assessed in a preliminary study. For both state anxiety and specific concerns regarding hospitalization the pretest scores on each variable accounted for the preponderance of the variance in the posttest scores. In both instances, the intervention and the interaction of the intervention with the pretest scores accounted for less than 1% of variance in the outcome. While finding small effects to be significant for such a small sample (N = 93) is unlikely, the sample size was adequate to detect medium to large effects. More important was the fact that 73.33% of the videotape intervention group indicated that they did not watch the video, which leads us to the conclusion that this intervention as tested is not worthwhile.     

Validity of the Threat Index.

The validity of the Threat Index was examined in a study of 42 students and 15 HIV+ clients. When completing the Threat Index, subjects rate the self and death on 30 bipolar adjectives. A count is made of the number of times the same adjective poles are used to describe the self and death. Uses of the same poles are called matches, while uses of different poles are called splits. The Threat Index is based on the assumption that splits indicate threat. Analysis showed that neither splits nor matches were usually threatening and that neither was necessary or sufficient for the experience of threat. These results did not support the validity of the Threat Index.     

Type A behavior, job satisfaction, and stress among black professionals.

Most studies of work-related Type A behavior have been conducted with samples of white men. Using a mail questionnaire to assess Type A behavior, job satisfaction, and daily stress and tension among 250 black men and 233 black women public accountants, the prevalence of Type A behavior and its relationship with satisfaction and stress were highly consistent with those reported for other samples of white men and women.     

Interpretation style and reactance in counselor's social influence.

This study compared two different interpretation styles (tentative and absolute), two levels of subjects' reactance (high and low), and gender on the counselor's social influence, willingness to see the counselor, willingness to help, ability to help, and subjects' anger. No significant main effects or interaction were found for the counselor's social influence, but men in contrast to women perceived the counselor as more willing to help and indicated that they were more willing to see the portrayed counselor. Highly reactant subjects were more willing to see the counselor when absolute interpretations were used; they also thought the counselor was more willing to help when absolute interpretations were used, whereas low reactant subjects thought the counselor was more willing to help when tentative interpretations were used. Mixed results were found for subjects' anger.     

Beliefs about how to reduce anger.

To learn more about people's beliefs about how to reduce anger, 416 college students were asked what they thought would be the effects of various responses to feeling angry. In general, they thought that behaving aggressively would make them feel worse and that distracting themselves and doing something nice for another would make them feel better. However, males, younger subjects, and those who had behaved more aggressively in the past were more likely to feel that behaving aggressively would elevate their mood. These observations are consistent with theories emphasizing the importance of cognitive variables in the experiences of anger and aggression.     

Demographic and intellectual correlates of the Short-term Memory Test.

This study examined the effect of demographic variables and intellectual factors on the Short-term Memory Test. Subjects were 20 patients neurologically diagnosed as brain-damaged. There was only one significant correlation between Verbal IQ and the Short-term Memory Test. Demographic variables of age, education, and sex did not correlate significantly with scores of the Short-term Memory Test.     

Depression, suicide ideation, and aggression among high school students whose parents are divorced and use alcohol at home.

106 high school students from a small rural high school completed the Children of Alcoholics Scale, Zaks and Walters' Aggression Scale, Beck Depression Scale, and a modified version of the Beck Scale of Suicide Ideation. Analyses of variance showed boys were not experiencing suicide ideation any more than girls; suicide ideation was similar across the four grades, but on aggression alcohol-dependent boys scored significantly higher than girls, and in Grade 9 boys' scores were significantly higher than those in Grade 10. The sophomores' scores on alcohol dependency were significantly lower than the freshmen's scores. Boys and children from divorced homes had higher scores on aggression than girls and children from nondivorced homes. Children from homes in which alcohol was used had higher depression scores than children from nonalcoholic homes. Freshman girls and sophomore boys had higher depression scores than senior boys and girls. A Pearson r of 0.28 between scores on alcohol dependency and suicide ideation was significant, but research is needed to understand better the associations of thoughts of suicide and drug-alcohol dependency among these high school students so strategies for prevention and intervention can be focused.     

Personal recollections of the revival of psychoanalysis in West Germany during the first post-war decades]

National Socialism destroyed the integrity and substance of Psychoanalysis in Germany for a long time to come. The author was among those responsible for the reintroduction of psychoanalytic knowledge and in the organization of psychoanalytic institutions. In this article she tells about the difficulties in reestablishing psychoanalysis in the new Federal Republic, where it met considerable resistance and obstacles. In particular the author gives credit to the significant contribution of German and Austrian emigrants as well as that of psychoanalysis in Anglosaxon countries, especially the London "Schools" of Anna Freud and Melanie Klein.     

The wish to be soothed as a resistance.

As the analyst makes the correct interpretations of resistance in the opening phase of an analysis, the patient begins to feel understood, often for the first time. This feeling allays anxiety and depressive affects, and the patient comes to experience the analyst as a soother. These initial exchanges may lay the foundation for a positive transference which acts as a buffer against turbulent transferences. In some patients this positive transference develops rapidly, often with prompt symptom remission. In others--children as well as adults--the analyst must persistently interpret defensive regressions before a stable, positive transference can emerge. In either case, in order to avoid the analysis of conflict, some patients become resistant to the analysis of the wish to be soothed. Many of these patients have had a childhood filled with traumatic parental stimulation or rejection. Two clinical accounts illustrate these contentions.     

Validity and clinical scale comparisons between the MMPI and MMPI-2 with psychiatric inpatients.

This study was designed to investigate the comparability of the original MMPI (1950) and the MMPI-2 (1989) with a psychiatric patient population. 34 male and 3 female patients, shortly after admission to one of two acute psychiatry units, completed the old and revised versions of the MMPI. Paired t tests indicated but scant differences for raw scores, while many more differences were found among T scores for validity, clinical, and supplemental scales. Analyses, however, showed all scales on the two forms to be highly correlated. Analysis of the high-point and two-point codes across the two administrations also showed relative stability, although the proportion of Scales 2 (Depression) and 8 (Schizophrenia) decreased, while those for Scales 6 (Paranoia) and 7 (Psychasthenia) increased markedly in the MMPI-2 protocols. Examination of each version's discriminability among mood- and thought-disordered subsamples suggested that the MMPI provides slightly better delineation between diagnostic classes. Discriminant function analyses showed that there were essentially no differences between the two forms in the accurate classification of clinical and nonclinical groups. The findings reported here provide support for the MMPI-2; despite modification, the newer form retains the advantages of the original MMPI. Differences found here may be unique to psychiatric patients and their patterns of MMPI/MMPI-2 equivalence and may not generalize to other special populations.