PREDICTORS OF SELF‐REPORTED GAINS IN A RELATIONSHIP‐BASED HOME‐VISITING PROJECT FOR MOTHERS AFTER CHILDBIRTH

We assessed mothers’ self‐reported gains from a postpartum home‐visiting (HV) project in which home visitors are volunteer mothers from the community. Hypotheses were that gains are positively related to (a) mothers’ felt‐closeness with their home visitor, (b) mothers’ level of sociodemographic risk, and (c) the home visitors’ preproject training in support services for families or children (Professionalism). One hundred sixty‐four clients returned written evaluations of the HV project. Items assessing gains were reduced to two factors: Improved Well‐Being (“Self”) and Improved Infant Care (“Infant”). Repeated measures general linear models, with Gains (Self, Infant) as the repeated measure, and multiple regression analyses evaluated the hypotheses. Across the sample, gains on both factors were moderate, although gain scores were higher regarding Self than for Infant. Results show that (a) Mothers’ felt‐closeness with their volunteer was strongly related to mothers’ gains; (b) high‐risk mothers gained more from the project than did mothers of lower risk, particularly regarding Infant Care; and (c) mothers visited by volunteers who were professionals reported more substantial gains than did mothers visited by volunteers who were not professionals. Findings can help explain variance in mothers’ gains from such projects and could be useful in improving their efficacy.     

Sensitivity of the Wisconsin Card Sorting Test (64-Card Version) versus the Tower of London (Drexel Version) for detecting executive dysfunction in children with epilepsy

Executive function deficits are common in children and adolescents with epilepsy. Though the Wisconsin Card Sorting Task (WCST) is often considered the “gold standard” for executive function assessment, its sensitivity—particularly in the case of the 64-card version (WCST-64)—is insufficiently established in pediatric samples, including children and adolescents with epilepsy. The present investigation assesses the sensitivity of the WCST-64 in children and adolescents with epilepsy in comparison to another measure: the Tower of London – Drexel Version (TOL-DX). A total of 88 consecutively referred children and adolescents with epilepsy were administered both the WCST-64 and TOL-DX as part of a comprehensive neuropsychological evaluation. The sensitivity of WCST-64 and TOL-DX variables were established and relations with epilepsy severity measures and other executive function measures were assessed. Of the WCST-64 variables, Perseverative Responses is the most sensitive, but detected executive function impairment in only 19% of this clinically referred sample; in contrast, the TOL-DX Rule Violations detected executive function impairment in half of the sample. Further, TOL-DX performances are more strongly related to epilepsy severity variables and other executive function measures in comparison to the WCST-64. Despite its popularity amongst clinicians, the WCST-64 is not as sensitive to executive dysfunction in comparison to other measures of comparable administration time, such as the TOL-DX.     

INCREASING ONE ASPECT OF SELF‐DETERMINATION AMONG ADULTS WITH SEVERE MULTIPLE DISABILITIES IN SUPPORTED WORK

We attempted to increase one aspect of self‐determination among 3 supported workers with multiple disabilities. Following Baer's (1998) self‐determination conceptualization, the workers were exposed to two conditions that involved working more versus less independently based on availability of assistive devices. Next, their condition preferences were assessed and honored. All participants consistently chose the more independent condition. Results reflect how self‐determination may be enhanced by giving workers increased control over work situations.     

Augmenting Hopkins SCL Scales to Measure Dissociative Symptoms: Data From Two Nonclinical Samples

4A 13-item Dissociation scale is introduced, and preliminary data regarding its reliability are presented. Designed to complement the Symptom Checklist (SCL-90; Derogatis, Lipman, & Covi, 1973) and the Hopkins Symptom Checklist (HSCL; Derogatis, Lipman, Rickels, Ulenhuth, & Covi, 1974), this scale may be especially useful in research on the effects of psychological trauma.     

Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder

Self-reported reasons for suicide attempts and nonsuicidal self-injury were examined using the Parasuicide History Interview within a sample of chronically suicidal women meeting criteria for borderline personality disorder (N = 75). Overall, reasons given for suicide attempts differed from reasons for nonsuicidal self-injury. Nonsuicidal acts were more often reported as intended to express anger, punish oneself, generate normal feelings, and distract oneself, whereas suicide attempts were more often reported as intended to make others better off. Almost all participants reported that both types of parasuicide were intended to relieve negative emotions. It is likely that suicidal and nonsuicidal parasuicide have multiple intents and functions.     

The Inventory of Altered Self-Capacities (IASC): a standardized measure of identity,affect regulation,and relationship disturbance

This article describes the Inventory of Altered Self-Capacities (IASC), a 63-item standardized measure of disturbed functioning in relation to self and others. The seven scales of the IASC are Interpersonal Conflicts, Idealization-Disillusionment, Abandonment Concerns, Identity Impairment, Susceptibility to Influence, Affect Dysregulation, and Tension Reduction Activities. The psychometric properties of the IASC were examined in general population, clinical, and university samples. The IASC was found to have internal consistency/reliability and validity in all three samples. Generally as predicted, IASC scales were associated with existing measures tapping borderline and antisocial personality features, depression, suicidality, substance abuse, somatization, and dysfunctional sexual behavior     

Inferential procedures for correlation coefficients corrected for attenuation

A model and computational procedure based on classical test score theory are presented for determination of a correlation coefficient corrected for attenuation due to unreliability. Next, variance-covariance expressions for the sample estimates defined earlier are derived, based on application of the delta method. Results of a Monte Carlo study are presented in which the adequacy of the derived expressions was assessed for a large number of data forms and potential hypotheses encountered in the behavioral sciences. It is shown that, based on the proposed procedures, confidence intervals for single coefficients are reasonably precise. Two-sample hypothesis tests, for both independent and dependent samples, are also accurate. However, for hypothesis tests involving a larger number of coefficients than two—both independent and dependent—the proposed procedures require largens for adequate precision. Results of a preliminary power analysis reveal no serious loss in efficiency resulting from correction for attenuation. Implications for practice are discussed.Support for the research reported in this article was provided by the Natural Sciences and Engineering Research Council of Canada. The authors acknowledge with thanks the constructive comments of the editor and three anonymous reviewers.     

Group building: Developing protocols for psychoeducational groups

Short-term, focused and targeted groups have become a staple in the mental health field and in the general cultural intervention milieu. This paper presents a model for group building aimed at guiding the group leader in constructing, organizing and ordering such psychoeducational groups. This model is applicable to a range of themecentered groups, addressing a variety of specific symptoms, habits, developmental milestones, organizational problems, or normative life crises. First, the defining characteristics of psychoeducational groups will be discussed. Subsequently, the steps in building group protocols will be outlined, including the use of phase-specific group dynamics and curative variables. To demonstrate the utility and generalizability of the model, two populations with extremely diverse thematic foci, a latency incest and a smoking cessation group, will be used to illustrate the ordering of the group protocol and the building of appropriate didactic structures. This paper is intended as a companion to an earlier one in this journal (Ettin et al., 1987), which considered the management of group process in just these types of nonprocess groups.