Religious faith and adjustment to long-term hemodialysis

This study examines religious faith as associated with adjustment to end-stage renal failure and its treatment regimen of maintenance hemodialysis. Both quantitative and qualitative data were collected initially and after a three-year interval in order to observe changes over time. The variable of the patient's perception of the import of religious faith was found to be positively related to interactional behavior and sick role behavior and to be inversely associated with alienation. Content analysis of qualitative responses for the item of perceived import of religious faith revealed a pattern of increasingly more positive patient attitudes occurring over time.     

Key distance effects on perceived harmonic structure in music

Two experiments provide convergent evidence for the hypothesis that listeners interpret chords in terms of their harmonic functions in a system of interrelated keys. The perceived associations between chords undergo significant changes depending on the broader tonal framework in which they are embedded. Three independent context effects are identified, and their magnitude is found to be a systematic function of the distance between the context key and the key lot keys) of which the chords are members. In the first experiment, listeners rate how musically related one chord is to a second chord; the chords are those that function within two maximally distant major keys (C major and F# major). All possible chord pairs from this set are presented in each of three context keys: G major which is close to C major and distant from F# major), A major (which is moderately distant from both C major and F# major), and B major (which is close to F# major and distant from C major). The second experiment measures recognition memory for the same chords embedded in tonal sequences in C, G, A, or B major keys, or random sequences. In the two experiments, the distance between the context key and the key of the chords on the circle-of-fifths affects: (1) the probability that a repeated chord is correctly recognized, (2) the strength of association between chords from the same key measured in terms of both confusion errors and direct relatedness judgments, and (3) asymmetries in confusion errors and relatedness judgments when the chords are in different keys. Perceived harmonic relations are thus found to be strongly context dependent, but the context effects are lawful functions of interkey distance. We conclude that listeners possess a highly articulated system of knowledge about the harmonic functions of chords in musical keys and an appreciation of musical structure at the level of abstract tonal centers.     

EVALUATION OF BIOFEEDBACK IN THE TREATMENT OF BORDERLINE ESSENTIAL HYPERTENSION1

Direct biofeedback of blood pressure was compared with frontal EMG biofeedback and with self-instructed relaxation for the treatment of essential hypertension in a controlled group outcome study. Patients were followed up for four months after the end of treatment. Generalization of treatment effects was assessed through pre- and posttreatment measurements of blood pressure under clinical conditions in a physician's office. There were no significant reductions in diastolic blood pressure. The systolic blood pressure (SBP) of the patients receiving blood pressure biofeedback decreased 8.1 mm mercury (p = 0.07) and the SBP of the patients in the relaxation condition decreased 9.5 mm mercury (p = 0.05). In the generalization measures, there were significant reductions in SBP for the relaxation group. The results are discussed in terms of the general lack of replicability within the area of biofeedback treatment of hypertension.     

Hairdressers as caregivers. I. A descriptive profile of interpersonal help-giving involvements

The interpersonal help-giving behaviors of 90 hairdressers were explored in depth in an interview study. On the average, hairdressers saw 55 customers a week, and talked 25 minutes with each. About one-third of the talking time concerned clients' moderate to serious personal problems--particularly problems with children, physical health, marriage, depression, and anxiety. Hairdressers reported that offering sympathy and support, being lighthearted, just listening, and presenting alternatives were among their most frequent response strategies. Although they often enjoyed fielding clients' personal problems, at times they felt perplexed by them. Hairdressers perceived listening to customers' interpersonal problems to be an important part of their everyday function and expressed a need for professional inputs in that domain.     

Handedness and stuttering: A dead horse?

A handedness questionnaire was administered to 446 stutterers and a control group. No significant male/female or stutterer/control effects were found, although both males and stutterers tended to be less right handed. The slight sex effect in handedness is consistent with previously reported studies and with cerebral structural and functional asymmetries.     

Who drops-out? Do measures of risk to self and to others predict unplanned endings in primary care counselling?

Aims: Unplanned endings, where clients unilaterally end therapy, are of concern for psychological therapy services generally as they raise questions about the appropriateness of the treatment and it's delivery for some clients. Limited available data indicates that those who drop-out often have more severe symptoms at entry, and have poorer clinical outcomes. This raises further questions about risk to self and others for those clients who leave therapy prematurely and how these clients might be identified and kept engaged. Method: This paper uses a large dataset of CORE data collected routinely in a primary care counselling service between 2000 and 2003. Logistic regression was utilised to consider different measures of risk and other client characteristics recorded at assessment to predict drop-out from the service. Results: These indicate that younger age, greater psychological distress at assessment, an addiction problem and greater risk to others, are associated with an unplanned ending. However, no reliable logistic regression model could be produced. This may be partly due to data quality issues or important characteristics not being available in the data. Implications for practice: The paper concludes that counsellors should actively seek to minimise unplanned endings, as amongst them may be represented the more distressed and risky clients referred to primary care counselling.