Positive Affect: A Neglected Group Treatment Outcome Measure in Assessing Efficacy of Psychosocial Group Interventions in Individuals with Heart Failure

Positive affect has been neglected in evaluation of group treatment efficacy. This pilot study for individuals with heart failure illustrates the contribution of positive affect to change processes. Assessment of positive affect pre- and post-group intervention can yield a better understanding of individuals' adjustment to heart failure, and provide additional information for selection of specific treatments for each individual. In an era characterized by standardized measures of outcome, inclusion of positive affect provides additional opportunity to document contributions in improving health related quality of life (psychosocial and physical functioning) of clients with heart failure.     

Undermining Effects of the Foot-in-the-Door Technique with Extrinsic Rewards

The self-perception explanation of the foot-in-the-door technique suggests that a person who complies with a small request infers that he or she is the kind of generous individual who is more likely to comply with a larger demand. It was hypothesized that individuals who are promised a monetary reward for their compliance with a small request are not more likely to comply with a larger demand because they cannot perceive themselves as generous persons. To test this hypothesis, subjects were presented with a small request (a 5-minute telephone interview) followed, 2 or 3 days later, by a larger demand (a 25-minute telephone interview). Some of the subjects were promised a monetary reward for their compliance with a small request (pay condition) while others were not promised a reward (no-pay condition). Results showed that rate of compliance in the no-pay conditon (64.3%) was significantly higher than rate of compliance in either a no-initial-request control condition (45.0%) or the pay condition (33.3%). The difference in rate of compliance between the control condition and the pay condition was not significant.     

APGA Members' Measured Client and Organizational Commitments and Professional Orientation

The purpose of this study was to explore the issue of which of the counselor's commitments—the client or the employing institution—was given priority when they conflict. Members from four APGA divisions were examined for differences in commitments, and relationships of certain demographics and experiential variables to commitment were determined.     

Factors associated with number of treatment interviews of patients from a barrio neighborhood mental health service: A cross-validation

Demographic and treatment variables were, for a second time, found associated with number of treatment interviews completed by lower socioeconomic patients of a barrio area neighborhood mental health service. Of the eight variables that originally differentiated patients with respect to number of interviews, six remained significant on cross-validation. The longer staying patients were characterized by: young adult age range; disrupted marital status; self-referral; using psychotropic medication; major and secondary problems of anxiety and depression.     

Achievers and underachievers: A comparative study of fear of success,education and career goals,and conception of woman's role among high school senior girls

Two groups of 16 high school senior girls, achievers and underachievers, were compared on the following variables: educational and career goals, conception of woman's role, and fear of success (FOS). Chi-square analyses showed significant differences between groups with regard to their goals. Achievers aspired significantly higher than underachievers in their educational goals. In addition, they were significantly more contemporary in their career goals and more committed to these goals than the underachievers. In contrast to underachievers, achievers also had a more contemporary view of the roles women should assume in society and, on the other hand, showed more FOS in fantasies about women succeeding in contemporary roles, but these differences did not reach statistical significance.     

The effects of intrinsic and extrinsic rewards in a risk-taking situation

This study varied both the intrinsic and extrinsic rewards associated with performing a task in a risk taking situation. When the task performed to win a prize provided little if any intrinsic reward, subjects liked and tried for prizes that were easy to obtain. In contrast, when the task was intrinsically rewarding, subjects liked and tried for those prizes that were somewhat more difficult to obtain. In addition, subjects were more likely to like and try for prizes easier to obtain when the extrinsic reward was high.     

An application of the state-trait concept to the need for achievement

This study concerned relationships between state (situationally defined) n Ach, trait n Ach, and sex of subject in 80 college freshmen. Three standard n Ach tests (the Adjective Check List, Personal Preference Schedule, and TAT measures) and the mean of n Ach states measured under nonarousal conditions were used as trait measures. State measures of n Ach were also obtained in four experimental conditions (Social Ability, Success-Failure, Conventional Arousal, and Extrinsic Competition). There were no significant correlations between the four trait measures. The mean of states in the neutral conditions was highly predictive of states in three of the four arousal conditions, but none of the standard trait tests predicted state arousal to any significant extent.     

Cognitive Heuristics and AIDS Risk Assessment Among Physicians1

Physicians (N= 331) reported perceived risk of HIV exposure, worry about on-the-job HIV exposure, and experience with patients who test seropositive for the HIV. In addition, the use of the availability heuristic was examined by responses to questions about talking and reading about AIDS, and the use of the simulation heuristic was examined by responses to questions about imagining oneself being exposed to HIV on the job. Simulation of the HIV-exposure experience related significantly to perceived risk (p < .001), even after variance attributable to actual experience and use of the availability heuristic was taken into account. Availability of AIDS information related marginally to perceived risk after variance attributable to actual experience and use of the simulation heuristic was taken into account. Simulation related strongly with worry about on-the-job exposure (p < .001), and availability was not significantly related to worry after variance associated with simulation and experience with AIDS was removed. Implications of these results for physician training are discussed.     

A model for group therapy with latency-age boys

This paper describes a model of group therapy with latency-age boys 9 through 12 years old. Usually parents and families are involved in family therapy while a boy is in group therapy. The model described here is appropriate for outpatient or inpatient treatment and has been used extensively by the author in a variety of settings.