Evaluating pediatric psychology consultation services in a medical setting: An example

We examined the nature of referrals to a health center-based pediatric psychology service from 1990 to 1993 and assessed the satisfaction of health professionals with these services. Archival evaluation of 1467 records showed that over half of the consultation requests came from general pediatrics, pediatric neurology, and surgical services and that 70% of the psychological services were delivered on an outpatient basis. The most frequent referrals were for cognitive/neuropsychological evaluation and externalizing behavior problems. Pediatric psychology trainees were involved in 94% of the consultations. Survey of health professionals (n = 143) indicated very high overall satisfaction with the quality of services delivered. Presenting problems yielding the greatest likelihood for future consultation requests were behavior problems, child abuse, coping with illness, and depression/suicide. Results are discussed in the context of previous evaluations of pediatric psychology services and recommendations for future evaluation research.     

Self-concept of African-American male youth: Self-esteem and ethnic identity

The role of perceived efficacy, parent support, and community involvement in the self-esteem and ethnic identity of 68 African-American male youth were investigated in this research. The results provided support for the distinctiveness of ethnic identity and self-esteem. A sense of mastery was positively associated with both self-esteem and ethnic identity. Parent support was associated with self-esteem, while community involvement and an appreciation of African-American heritage were positively related to ethnic identity. Implications for future research and the evaluation of prevention and support programs for youth are discussed.     

Psychological and educational characteristics of instruction for people with severe disabilities: Interacting systems of responding

This paper presents a behavioral model which proposes that operants are organized and regulated into systems of responding. Multi-operant theory proposes that operants are organized into response systems that interact to adapt behavior to the complexities of the environment. The operant is the interaction between behavior and the environment which includes the conditions under which responses may occur, the class of behavior that is likely to be effective in producing outcomes, and the antecedent conditions that define the context of behavior. A central feature of this theory is that operants within a repertoire are organized into regulated systems of responding. The mechanisms of regulation are themselves operants that are learned and controlled by processes that are the same as those that govern more overt behavior. Operants stand in relationship to each other in coordinated response systems with some operants directly affecting and organizing the performance of other operants. An important implication of the systemic nature of behavioral repertoires is that bringing some aspect of a behavior class under control of new variables may demonstrate a spread throughout the entire operant system depending on past histories linking the classes.deceased     

Coping with threatened identities: Unemployed people’s self-categorizations

This article presents a theoretical argument to explain the way in which unemployed people react to and cope with threats to their identities that derive from perceptions ofstigma and low self-worth. It is argued here that strategies used by unemployed people to cope with such threats are influenced by whether the individuals categorize themselves as “unemployed” or adopt some other categorization (e.g., housewife, retired coal-miner). It is also proposed that the concept of self-categorization can be framed within Folkman and Lazarus’s (1980, 1985) coping model of distress in order to provide a more general framework for understanding these issues. The study reviews literature about stigma and coping with threatened identities with reference to these integrated frameworks, and concludes with a general model for predicting the way in which unemployed people self-categorize and cope with stigma and low self-esteem. This takes into account the role played by situational and individual factors, and suggests that individuals recategorize themselves in order to cope better during different phases of their unemployment.     

The Fire Chief microworld generating program: An illustration of computer-simulated microworlds as an experimental paradigm for studying complex decision-making behavior

Computer-simulated microworlds bridge the gap between the complexity of field investigations and the rigor of laboratory studies. The purpose of this paper is to draw attention to the major methodological issues involved in developing and using computer-simulated microworlds for the psychological study of complex decision-making behavior. These issues comprise flexibility and generality in the microworlds that can be created, adequate psychological validity, automatic trial administration and data logging, capacity to interface simulations of psychological processes, and adequate testing and documentation. Each of these issues is illustrated by indicating how it has been addressed in Fire Chief, a microworld generating program specifically designed for creating realistic, yet controllable, decision-making task environments in the psychology laboratory. Fire Chief (Omodei & Wearing, 1993a) is introduced as both fully portable to other research teams and suitable for use in many different contexts requiring a complex task situation.     

Individual differences in preschoolers' physiological and verbal responses to videotaped angry interactions

Individual differences in selection of intensity of angry interactions and physiological and self-reported responses to interadult anger were examined in preschoolers (N=34). Children watched two videotaped angry interactions between adults, while their heart rates and skin conductance responses and levels were monitored; then they were interviewed. Before the second argument, children were given the perceived choice of watching an intense or mild angry exchange. Individual differences in responding to the angry interactions were found. Both (a) children with relatively higher externalizing behavior problems and (b) boys who chose to watch intense anger had lower tonic heart rates; 80% of boys with externalizing problems chose to watch intense anger. Further, children who chose to watch intense anger (a) exhibited lower declines in heart rates upon the presentation of the argument, (b) perceived the actors as more angry, and (c) reported lower amounts of distress during the argument than those who chose mild anger.     

Enhancing possible selves in Mexican American students

This project assessed the modifiability of possible selves in young Mexican American children. Three intervention conditions were compared in a pre- and posttest design: child-only intervention, parent and child intervention, and a no-intervention control. Following eight intervention sessions, children in the two intervention groups showed significant gains in understanding the characteristics associated with becoming a good student and in recognizing the value of education in bringing about future occupational goals. Children in the intervention conditions also reported greater interest in becoming a physician, judge, or pilot — occupations they had directly experienced during training. The parent intervention phase contributed little to augmenting the positive results attributable to the child intervention component.This research was conducted under the auspices of NIH Grant HD-24003. We wish to thank Maritza Robles and the staff of the Bilingual program of the South Bend, IN, Corporation for their support.