Negative social interactions,distress, and depression among those caring for a seriously and persistently mentally III relative

Investigated both positive and negative social interactions and their effect on mental health for 106 individuals caring for a seriously mentally ill family member. Results from mixed-model (hierarchial and stepwise) multiple regression analyses in which caregiver age, socioeconomic status, caregiving demand, and severity of patient symptoms was controlled showed that negative social interaction accounted for a significant portion of variance in the caregivers' feelings of distress and depression. Moderated multiple regression analyses showed that under conditions of high negative interaction, the relationship between demand and distress was intensified. Implications of these findings for the conceptualization and measurement of negative social interaction as well as its clinical implications were discussed. The research for this paper was supported by funds from the Provost's office, University of Pittsburgh, School of Social Work. The authors thank the Pennsylvania Alliance for the Mentally Ill for their support of, and participation in, the study.     

The effect of IQ level on the degree of cognitive deterioration experienced during acute hypoglycemia in normal humans

Acute hypoglycemia provokes a deterioration in cognitive function both in normal individuals and patients with Type 1 diabetes. A large interindividual variation is observed in the magnitude of the cognitive dysfunction observed during hypoglycemia, the reasons for which are not apparent. This study examines whether IQ level exerts a differential effect on the impairment of cognitive performance induced during acute hypoglycemia. Twenty-four nondiabetic participants were divided into high and average IQ groups according to their results on the Alice Heim 4 test and the National Adult Reading Test. Cognitive function was assessed during hypoglycemia using the following cognitive test battery: Paced Auditory Serial Addition Test (PASAT), Rapid Visual Information Processing (RVIP), Trail-Making B (TMB), Digit Symbol Substitution Test (DSST), and Four-Choice Reaction Time (CRT). In Condition A (the placebo condition), the participants' blood glucose was maintained at 4.5 mmol/1 throughout. On two occasions (Conditions B and C), the blood glucose was stabilized at 4.5 mmol/1 for 30 min, lowered to 2.5 mmol/1 (hypoglycemia) for 60 min, and restored to 4.5 mmol/1 for 30 min. Under each condition, the cognitive test battery was performed immediately after stabilization of blood glucose at 4.5 mmol/1, and the battery was repeated as follows: Condition A—after a further 40 min of euglycemia; Condition B—after 5 min of hypoglycemia; Condition C—after 40 min of hypoglycemia. Multivariate analysis of variance demonstrated a detoriation in cognitive performance as a result of hypoglycemia irrespective of IQ group (p< .005). Acute hypoglycemia induced a significant deterioration in cognitive function in all tests except TMB (p< .05). No overall effect of IQ on deterioration in cognitive performance could be ascertained, although univariate analysis of variance revealed an IQ effect on two of the test: The avergae IQ group deteriorated significantly less than the higher IQ group during hypoglycemia in the 4-s PASAT task (p = .03) and tended to have higher false alarm rates in the RVIP (p = .06). In conclusion, individuals with a higher IQ do not appear to be protected from tge adverse effects of acute hypoglycemia on cognitive function.     

Sexual coercion in high school dating

Retrospective data from a survey of Australian undergraduate university students indicated that sexual coercion leading to sex play and sexual intercourse is a feature of dating behavior in high school. Fifty-three percent of 217 females reported that a boy had overestimated the level of sexual intimacydesired, while 45 percent of 72 males reported that a girl had underestimated the level of sexual intimacydesired. While data was not gathered on ethnic origin, the majority of students were Australian born, although family of origin would have been culturally varied. The data illustrate sexual coercion leading to both sex play and intercourse, with a number of factors being implicated in its occurrence, including alcohol and drugs and males saying things they didn't really mean, through to threat and use of force. They support that the existence of sexual coercion among high school students, a population that has received little research attention in this area, is comparable to its existence in the college/university years.     

Gender knowledge in egalitarian and traditional families

In the present paper, a small sample of 27 two-parent families who were self-identified as sharing parenting equally are compared with a more traditional set of 42 two-parent families. Both samples were primarily Caucasian. Children from the egalitarian families adopted gender labels later during the second year of life and showed less sex role knowledge at age 4 than the children in the more traditional families. Fathers in the egalitarian sample were more liberal on the Attitudes Toward Women Scale than fathers in the F-L study. Fathers in the egalitarian sample interacted with their child 50% of the time (on an equal basis with the mothers), while fathers in the F-L sample contributed only 25% of the parent—child interaction. Boys in the F-L sample received more negative reactions, but this was not true in the egalitarian families. The point is made that it is fathers who are behaving differently in the egalitarian sample; the mothers in both samples were very similar in both attitudes and behaviors.The research reported in this paper was supported in part by the following grants: HD 17571 from the National Institute of Child Development, MH 37911 from the National Institute of Mental Health, and a grant from the Center for the Study of Women in Society at the University of Oregon awarded to the first author.We would like to thank Rachel Robertson and Jennifer Strayer for their help in collecting the data from the Shared Parenting families.     

Resolving the justice dilemma by improving the outcomes: The case of employee drug screening

In this paper we seek to accomplish two objectives. First, we review and describe a phenomenon we call the justice dilemma. We argue that workers often perceive valid assessment practices to be unfair. By using these techniques, employers risk incurring hidden costs that are associated with perceived injustice. Thus, it is sometimes impractical to utilize an assessment technique even though the procedure has good validity evidence. Our second purpose is to propose and test one way that organizations can resolve the justice dilemma. We do this in the context of workplace drug screening We argue that employees are often more tolerant of controversial assessment techniques to the extent that these procedures do not result in particularly negative outcomes. In a field study examining employee reactions to a drug screening program, this proposition was generally supported.     

Ethical and legal issues in group counseling

Legal and ethical issues involved in group work are reviewed and discussed. Variations in different professional ethics codes are discussed. Recommendations for consideration by group leaders are made.     

Crisis for community mental health: The use of groups in the struggle for survival

The task of community mental health is to provide quality services to clients despite funding cutbacks. This paper describes the recent evolution in conceptualization and service delivery in one center. The outcomes are a philosophy that is customer oriented, and treatment that draws upon brief techniques, in group and long term contexts.