BEHAVIORAL ASSESSMENT FOR PEDIATRIC INTENSIVE CARE UNITS1

Two studies were conducted to analyze behaviors of staff and patients on a Pediatric Intensive Care Unit (PICU). In the first study, behavioral observation procedures were employed to assess patient state, physical position, affect, verbal behaviors, visual attention and activity engagement, and staff verbal behavior. On the average, one-third of the patients were judged to be conscious and alert but markedly nonengaged with their environment. In the second study, a member of the hospital staff provided alert patients with individual activities to determine whether a simple environmental manipulation could positively affect behavior of children in intensive care. Employing a reversal design, the activity intervention was found to increase attention and engagement and positive affect, and to decrease inappropriate behavior. Both studies demonstrate that behavioral assessment procedures can provide an empirical basis for designing PICU routines affecting children's psychosocial status, and, thus, complement current procedures designed to provide quality medical care.     

Role of contextual imagery in associative recall

The advantage of interactive over separation imagery in associative recall was markedly diminished when a unique imaginary context was provided for each imaged pair of words. Separation imagery was much more sensitive to contextual redundancy than was interactive imagery. Context was viewed as facilitating organization at encoding as well as affecting cue loading at retrieval. A three-element associative model is described.     

Some effects of positive life events on community mental health

Measures of positive and negative events were derived from a life-event inventory to test the predictions of an equilibrium model and a positive mental health model of psychological well-being. These measures were related to indicators of individual and community well-being with data obtained through a household survey of 454 residents. Residents who reported more negative events also reported more psychological distress and less positive adjustment. Positive events were associated with reports of positive adjustment. An analysis of census tract scores on life events revealed that the relative absence of positive events in census tracts was associated with higher service utilization rates to the community mental health center serving those tracts. The number of negative events was unrelated to service rates for census tracts but was related to several demographic indicators of well-being.     

Semantic congruity effects in judgments of loudness

This research uses comparative judgments of the relative loudness of sounds to make a critical test of one theory of the mental representation of continuous physical attributes. The first two experiments find a semantic congruity effect, which is an interaction such that subjects can pick the louder of two loud sounds faster than the softer, and the softer of two quiet sounds faster than the louder. According to the theory under test, physical quantities are stored as points on a representational continuum, with a variance as well as a mean placement on it. The theory predicts the semantic congruity effect by assuming that the variance of placement of intensities on the representational continuum is a function of the direction of judgment: a soft sound will have less variance than a loud one when judged for softness and more when judged for loudness. Since the speed of making a judgment increases as variance decreases, the theory predicts a semantic congruity effect. However, for loudness, it can be shown that variance does not change in the manner assumed. The finding of a semantic congruity effect therefore disconfirms the theory. Alternative models are discussed. This research was supported by NSF Grant BNS 78-17442.     

Short-term memory in deaf and hearing children in relation to stimulus characteristics

Experiment 1 examined short-term memory with a serial probe task in 20 younger (mean age: 6 years, 3 months) and 20 older (mean age: 8 years, 8 months) deaf children. Four sets of stimuli were used: familiar animals, unfamiliar nonsense forms, fingerspelled letters, and lower-case print. In contrast to earlier research with hearing children, strong primacy effects were found with all stimuli at both ages, with frequent gestural and/or oral labeling but little cumulative rehearsal evident. To determine whether results were uniquely tied to deafness, identical procedures were used in Experiment 2 with 20 younger (4 years, 9 months) and 20 older (5 years, 10 months) hearing children. Again, overt activity was common, with strong primacy effects on animals and nonsense forms in the older group and on animals in the younger group. Contrasts between present and earlier findings suggest the need to consider the degree to which stimulus labels are overlearned, the role of nonverbal mediators in rehearsal, and the effects of changing educational experiences.     

Cross-cultural model testing: toward a solution of the etic-emic dilemma

A model for the prediction of behavior from attitudinal components, developed by Triandis, was tested with samples of U.S. and Mexican women, and with fertility relevant behaviors. The elements of the model are etic, but the operationalizations of the various variables were done emically. Results support the model in both cultures. While the predictive utility of the model is equivalent in two cultures, there are social class differences on which component of the model is most emphasized. The U.S. upper-middle-class sample and the Mexican upper-middle-class sample emphasized the person's attitude toward the act, while the Mexican lower SES (socio-economic status) sample emphasized the person's normative beliefs (moral obligations).