The pain behavior scale: Modification and validation for outpatient use

The present study investigated the validity of an inpatient pain behavior rating scale modified for outpatient use. A series of 43 consecutive outpatients referred for evaluation of chronic pain was examined using the Pain Behavior Scale (PBS) and other psychometric instruments. Analyses revealed significantly higher Pain Behavior Scale scores for low back and multiple pain-site groups. The results also indicated a high degree of internal consistency of the scale. A multiple regression analysis, predicting observed pain behavior from reported pain behavior, indicated that decreased activity accounted for 32% of the variance in the PBS score. A similar regression for pain experience found that the pain level and the sensory scale score on the McGill Pain Questionnaire accounted for 39% of the PBS variance. Psychological characteristics including disease conviction, self-control, depression, and anxiety explained 45% of the variability in the PBS score. Thus, the scale is related to pain intensity, interference with activities, and a variety of psychological characteristics. The scale provides a measure of observable pain behavior that is also relatively independent of these clinical data sources. The Pain Behavior Scale as modified for outpatient use provides a brief index of pain behavior with potential use in the comprehensive evaluation of the pain patient.     

When not to choose: A case study

Life situations often seem to require dualistic, either or decision making, but this common method does not always clarify moral decisions. To show this, standard arguments on why to choose or not to choose the sex or ones child are presented. Then, our feminist thinking, which regards clusters of values, and which reframes questions rather than choosing between desirable alternatives, suggests another possibility, in a gynandrous world vision.     

Circadian factors during sustained performance: Background and methodology

Cornell University Medical College, Westchester Division, The New York Hospital, White Plains, New York It is well established that there is a complex timekeeping mechanism in the human brain. This mechanism is associated with a variety of physiological and psychological rhythms having a period of about a day, and thus referred to as circadian rhythms. The circadian system has recently been modeled in terms of two underlying oscillators, one much more resistant to changes in routine than the other. These oscillators are considered to be endogenous, that is, internal to the organism, and not reliant for their existence upon changes in the person’s environment or general behavior. They thus continue to run even when the sleep/wake cycle is suspended, as in sustained operations. Thus, by their very nature, sustained operations require the individual to override the inputs that are coming from his or her circadian system (especially the indication that sleep is required). The aim of this paper is to provide a background to the area of circadian rhythms research, including a section on the methodology, so that the impact of the circadian system on sustained operations can be better understood.     

Experimental evidence for the similarity of personality and attitude item responding

The process of responding to attitude items was broken down into a series of cognitive stages and a model offered. To test this model, subjects responded to attitude items varying in Extremity under two or five response alternative formats. By measuring response times, and applying Sternberg's (1969) additive factor method, the model was supported. The results were discussed in terms of previous process work involving personality items and sentence verification tasks.     

Remembering the levels of information in words

The qualitative nature of the incidental memory trace produced by perceptual and conceptual processing within a speeded inference task was examined. Performance on recall and auditory recognition tests replicated the general finding that semantic processing leads to better retention of words than does nonsemantic processing. This pattern of results was reversed on a visual recognition test designed to measure the amount of perceptual information remembered. These data suggest that different types of processing result in different aspects of the stimulus being encoded, with conceptual processing resulting primarily in the encoding of semantic information and perceptual processing resulting primarily in the encoding of physical information. Thus, the effectiveness of a particular kind of processing for good memory performance depends on the kind of information being tested.     

The effects of memory load and the contrast of the rod signal on partial report superiority in a Sperling task

Subjects participated in a Sperling task. The independent variables included delay of report cue, dark background field vs. a light background field intense enough to nearly saturate the rod system (duration of rod icon), and whether or not subjects were required to retain a list of letters or words (memory load) while performing in the Sperling task. Partial report superiority is normally taken as an indication of iconic memory. However, the main result was that memory load, which presumably does not affect the duration of the icon, increased partial report superiority. The effect of luminance of the background field was to reduce the partial report superiority. The results show that the existence of a partial report superiority and/or a decaying partial report curve does not necessarily imply the existence of an icon or visual storage.     

The children of Mexican-American migrant workers: A population at risk?

The present study assessed intellectual, academic, and emotional strengths and weaknesses for a group of Mexican-American children of migrant farm workers. In order to test the vulnerability hypothesis, the test profiles of these children were contrasted with those of two groups of black children with similar demographic makeup. The children of one group (Clinical Black) had been referred previously for a psychological consultation while the children of the other (Nonreferred Black) had not. Across dependent measures, between-groups contrasts tended to describe the scores of the Migrant children as similar to those of the Clinical Black children and significantly below those of the Nonreferred Black children. The findings suggested specific intellectual, academic, and emotional vulnerabilities of the Migrant children and demonstrated the need to develop ameliorative programs for these children.The authors wish to thank the staff of C & Y, University of Virginia Hospital, especially Ms. Deborah Johnson and Ms. Suzanne Canale, whose cooperation and assistance made this project possible.