Introduction to the special section on Resources for Enhancing Alzheimer's Caregiver Health (REACH)

This article provides background information and an overview on Resources for Enhancing Alzheimer's Caregiver Health (REACH) a multisite intervention trial for caregivers of persons with Alzheimer's disease designed to reduce caregiver burden and depression. REACH is the largest randomized controlled clinical trial to date, involving 1,222 caregiver and care recipient dyads recruited from 6 different sites in the United States. The authors describe the design of the study, summarize the interventions implemented at each site, and provide an overview of the 4 articles in this special section.     

The Resources for Enhancing Alzheimer's Caregiver Health (REACH): project design and baseline characteristics

The Resources for Enhancing Alzheimer's Cargiver Health (REACH) project was designed to test promising interventions for enhancing family caregiving for persons with dementia. The purpose of this article is to describe the research design, interventions, and outcome measures used in REACH and to characterize the sample recruited for the study. Nine interventions and 2 control conditions were implemented at 6 sites; 1,222 dyads were randomly assigned to an intervention or a control condition. The caregiver sample was 18.6% male with an average age of 62.3 years (56% Caucasian, 24% Black, and 19% Hispanic). Caregivers reported high levels of depressive symptoms and moderate burden. Care recipients were older, with a mean age of 79, and were moderately to severely impaired with mean Mini-Mental State Exam scores of 13/30.     

Horney,Zen, and the Real Self

The American Journal of Psychoanalysis -     

Generativity-Stagnation: A Five-Category Model

The main task of generativity–stagnation, Erik Erikson's seventh stage of normative psychosocial development, is to establish and guide the next generation through one's acts of care. Five statuses, or prototypic styles of resolving the issues of this stage, determined using a new, semistructured interview measure, are defined using combinations of (1) an individual's level of involvement, or active concern for the growth of the self and others; and (2) an individual's inclusivity, or scope of caregiving concern. Construct validation efforts sought concurrent validity using two different scale measures of generativity, and discrimination between status profiles using the NEO Personality Inventory and Loevinger's Sentence Completion Test of ego development. Results generally support the new status model and point to areas of conceptual convergence and divergence between this approach and other generativity measures.     

Self-Efficacy,Decision-Making,and Stages of Change: An Integrative Model of Physical Exercise1

Exercise has important health benefits but a large proportion of the population is physically inactive. We examined the stages of readiness to exercise and their relationship to self-efficacy, the costs and benefits of exercising, and self-report of physical activity in a sample of Rhode Island worksites. Using a three-step model-building approach, exploratory principal components analyses were followed by an examination of the stages of change model with confirmatory structural equation modeling procedures. The model was then examined with longitudinal data. Confirmatory and longitudinal analyses showed an excellent tit between the model and the data. Results indicated that the costs and benefits of exercise and self-efficacy for exercise were related to physical activity only indirectly, through the mediation of stage of readiness to exercise. Structural modeling fit indices revealed that much of the variation and covariation in physical activity was explained by the model. There is the potential to enhance the impact of exercise interventions, by targeting them so as to address factors related to these different stages of readiness.     

Care-oriented moral reasoning and prosocial behavior: A question of gender or sex role orientation

Sex Roles - The possibility that sex role orientation was a better predictor of care-oriented moral development than gender for both men and women was investigated in this study. Also, the...     

Marriage Between Jews and Non-Jews: Counseling Implications

This article considers the problems arising from cultural and religious differences in Jewish-non-Jewish marriage, briefly reviews the literature, and offers suggestions for assessment and treatment. Treatment requires dealing with family systems dynamics while educating the couple about the role of cultural difference in their relationship. The goal of treatment is to assist the couple to view their differences flexibly and use them to their advantage while they develop a blended culture that satisfies their individual and partnership needs, including the religious and spiritual.     

Effects of chronic ethanol consumption on gestation and lactation in rats

Chronic consumption of ethanol during pregnancy and lactation may lead to abnormalities in the fetus or infant. A group of female Wistar rats was submitted to ethanol treatment over a period of a month. A pair-fed control group received sucrose solution isocaloric to ethanol and the control group received water “ad libitum.” Afterward, the females were mated with males over a period of 20 days. At birth, each litter was maximized to eight pups and the remaining ones were decapitated to remove the fetal blood and brains. No significant difference was observed in fetal body and brain weight at birth. During lactation the ethanol and pair-fed groups gained less weight than the control group. After weaning, their weight became similar. Fetal blood glucose levels were decreased in the ethanol-treated group. One hundred percent of the pair-fed and control females delivered live fetuses at term and all survived; only 40% of the females in the ethanol group delivered, and one pup did not survive. Chronic ethanol treatment pointed to a possible reduction in the fertility. It seems likely that the change in body weight of ethanol-fed dams was caused by undernutrition.     

The effects of unequal competence and sex on achievement and self-presentation

Female and male college students were divided into high ability and low ability groups on the basis of scores on a problem-solving task. In a second problem-solving session, they worked with a same- or opposite-sex partner whose performance they were accurately informed had been much more or much less competent than their own at the first session. The achievement of highly competent females was higher when their partner was a less competent female than a less competent male. The performance of less competent males and females was lower when their partner was a highly competent female rather than a highly competent male. Results suggested that self-presentation concerns aroused by sex of partner and relative ability can inhibit achievement.This article is based on the first author's master's thesis, submitted to Department of Educational Psychology at Pennsylvania State University. Parts of this study were presented at the American Psychological Association Convention, San Francisco, August 1977. The authors thank Nora Newcombe and Nancy Thurshwell for their helpful comments on an earlier draft of this article.