Attitudes of African Americans Toward Participation in Medical Research

The underrepresentation of African Americans in medical research is problematic for several reasons, including disparities in health outcomes, differences in metabolism of pharmacological agents, and accurate assessment of health needs and costs. This paper investigates factors contributing to African Americans' lower likelihood of consenting to participation in medical research. In Study 1, three focus groups were conducted to assess concerns about research participation and to generate further hypotheses for questionnaire development. Study 2 presented a hypothetical clinical trial and collected questionnaire data on attitudes about participation. Both studies revealed a greater likelihood to mistrust the medical establishment among African American students. However, suspicion did not contribute to a decreased likelihood of participation. Several recommendations are offered regarding the recruitment of African Americans in research.     

Utilizing ret for effective treatment of adult children of alcoholics

Adult Children of Alcoholics (ACOAs) are a recognized clinical population that includes approximately one of every eight Americans. Although there has been a great deal of interest in this population, studies indicate that only 5% of ACOAs receive effective treatment. The authors assert that Rational-Emotive Therapy can provide ACOAs the education, expression of suppressed feelings, and cognitive restructuring that research indicates is necessary for recovery. This paper discusses issues associated with ACOAs and methods of using RET with this population.Marjorie E. Ferstein, M.S., is an Advisor in the Judicial Program of the University of Georgia.Susan C. Whiston is an Assistant Professor at the University of Nevada, Las Vegas.     

Classes and collections: Principles of organization in the learning of hierarchical relations

This study demonstrates that children tend to distort class inclusion relations (e.g., the relation of oaks to trees) into the part-whole structure of collections (e.g., the relations of oaks to a forest). Children aged 6 to 17 were taught novel class inclusion hierarchies, analogous to the relation between oaks, pines, and trees. In one condition, the class inclusion relations were taught by ostensive definition alone, e.g., stating “These are trees” while pointing to trees and, “These are oaks” while pointing to oaks. in the second condition, children were additionally told what would be analogous to “Oaks and pines are two kinds of trees”. With this additional information to constrain their interpretation, even the youngest children correctly interpreted the relation as class inclusion. In contrast, with limited information, children as old as 14 erroneously imposed a collection structure on the inclusion hierarchies. They would deny, for example, that any single tree was a tree (as they should of they thought “tree” meant “forest”), and would pick up several trees despite being asked for a tree. The results indicated that the part-whole structure of collections is simpler to establish and maintain than the structure of inclusion.     

Youth suicide risk factors and attitudes in New York and Vienna: a cross-cultural comparison

The prevalence of suicide risk factors and attitudes about suicide and help-seeking among New York and Viennese adolescents were compared in order to explore possible cross-cultural differences. Viennese adolescents exhibited higher rates of depressive symptomatology than their New York counterparts and had more first-hand experience with suicidal peers. More attribution of suicide to mental illness was reported in Vienna; yet Viennese youth were less likely than New York adolescents to recognize the seriousness of suicide threats. Help-seeking patterns of Viennese adolescents were influenced by their setting a high value on confidentiality. These cross-cultural differences may reflect the limited exposure of Austrian youth to school-based suicide prevention programs. The findings highlight the need of taking the sociocultural context into consideration in the planning of youth suicide prevention strategies.     

Behavioral assessment of impulsivity: a comparison of children with and without attention deficit hyperactivity disorder

We conducted a brief computer-based assessment involving choices of concurrently presented arithmetic problems associated with competing reinforcer dimensions to assess impulsivity (choices controlled primarily by reinforcer immediacy) as well as the relative influence of other dimensions (reinforcer rate, quality, and response effort), with 58 children. Results were compared for children with attention deficit hyperactivity disorder (ADHD) who were and were not receiving medication, and with typically developing children without ADHD. Within-subject and between-groups analyses of the ordinal influence of each of the reinforcer dimensions were conducted using both time- and response-allocation measures. In general, the choices of children with ADHD were most influenced by reinforcer immediacy and quality and least by rate and effort, suggesting impulsivity. The choices of children in the non-ADHD group were most influenced by reinforcer quality, and the influence of immediacy relative to the other dimensions was not statistically significant. Results are discussed with respect to the implications for assessment and treatment of ADHD.     

Improved picture naming in chronic aphasia after TMS to part of right Broca's area: an open-protocol study

Functional imaging studies with nonfluent aphasia patients have observed "over-activation" in right (R) language homologues. This may represent a maladaptive strategy; suppression may result in language improvement. We applied slow, 1 Hz repetitive transcranial magnetic stimulation (rTMS) to an anterior portion of R Broca's homologue daily, for 10 days in four aphasia patients who were 5-11 years poststroke. Significant improvement was observed in picture naming at 2 months post-rTMS, with lasting benefit at 8 months in three patients. This preliminary, open trial suggests that rTMS may provide a novel treatment approach for aphasia by possibly modulating the distributed, bi-hemispheric language network.     

Overcoming the Problems of ‘Difference’ in Education: Empathy as ‘Intercorporeality’

In this paper I am concerned with the notion of empathy and its capacity for overcoming the problem of difference in social life. The concept of empathy has a long history in the Western philosophic tradition but has become discursively submerged in recent times. I am particularly interested in what philosophies of the body may contribute to our understanding of empathy. Psychoanalytic feminism provides some insights. However I identify Merleau-Ponty's conception of body-subject and the intersubjective encounter as offering a potentially more fruitful account of empathy.     

Sources of Intertrial Proactive Interference in Rats’ Short-Term Memory in a Delayed Successive Matching-to-Sample Modality Discrimination

Rats were trained on a delayed successive matching-to-stimulus modality task consisting of onset of chamber lights or a tone for the sample stimulus, S1, and a comparison stimulus, S2. Lever pressing to S1 was reinforced as was lever pressing to its matching S2 (light–light or tone–tone pairs) but not to its mismatching S2 (light–tone, tone–light pairs). The interval between S1 and S2 within a trial, the retention interval (RI), was varied between 1 and 6 s within sessions while the interval between S2 and the next S1, the intertrial interval (ITI), was reduced from 24 to 12 s and finally to 6 s over blocks of sessions. In Experiment 1, where S1 was kept at 2 s and S2 at 10 s, rats’ matching accuracy declined over the longer RI, was slightly disrupted as ITIs were reduced to 6 s only over 1-s RIs, and was generally poorer to the tone than light S1. In Experiment 2, where both stimuli were 10 s increasing RIs caused steeper declines in matching accuracy to the tone S1 than light S1 and decreasing ITIs to 6 s disrupted rats performance over both RIs. Matching accuracy to the tone but not to the light S1 was also poorer when a preceding trial's S2 was a light S2 than when it was a tone S2 only during Experiment 2. Thisintertrial stimulus disagreementeffect was not influenced by ITI duration. These results suggest that intertrial proactive interference in delayed matching tasks consists of two separate and independent processes in rats similar to those found in pigeons (Edhouse & White, 1988).