Privileged treatment of toddlers: cultural aspects of individual choice and responsibility

This study examined the idea that toddlers in some communities are accorded a privileged status in which they are allowed what they want, assumed not yet to "understand" how to cooperate. U.S. middle-class and Guatemalan Mayan mothers and 3- to 5-year-old siblings were observed while the siblings and toddlers (14-20 months) both sought access to attractive objects. The Mayan toddlers' desires were usually respected by both the mothers and the siblings, who often voluntarily cooperated without mothers' intervention. In contrast, the U.S. middle-class toddlers seemed to be expected to follow the same rules for sharing (with some leniency) as the older children. The Mayan pattern fits a cultural model prioritizing both responsibility and respect for others' freedom of choice.     

Group interventions for patients with cancer and HIV disease: part IV. Clinical and policy recommendations

Group interventions have assumed a growing role in primary prevention and supportive care for cancer and HIV disease. Earlier sections of this Special Report examined empirical findings for these interventions and provided recommendations for future research. The current section offers brief recommendations for service providers, policymakers, and stakeholders. Group services now occupy an increasingly prominent place in primary prevention programs and medical settings. In previous sections of this Special Report (Sherman, Leszcz et al., 2004; Sherman, Mosier et al., 2004a, 2004b) we examined the efficacy of different group interventions at different phases of cancer or HIV disease, considered characteristics of the intervention and the participants that might influence outcomes, and discussed mechanisms of action. Methodological challenges and priorities for future research were highlighted. In this, the final section, we offer brief recommendations for service providers, policymakers, and other stakeholders. We consider some of the barriers that constrain use of empirically-based group interventions and note how these programs might be implemented more widely and effectively.     

On the reliability of a weighted composite

A general formula for the reliability of a weighted composite has been derived by which that reliability can be estimated from a knowledge of the weights whatever their source, reliabilities, dispersions, and intercorrelations of the components. The Spearman-Brown formula has been shown to be a special case of the general statement. The effect of the internal consistency or intercorrelation of the components has been investigated and the conditions defining the set of weights yielding maximum reliability shown to be that the weight of a component is proportional to the sum of its intercorrelations with the remaining components and inversely proportional to its error variance.     

Methods of item validation and abacs for item-test correlation and critical ratio of upper-lower difference

It is shown that by making the assumption that the knowledge of the test-item and the knowledge of the entire test are both distributed normally, the correlation coefficient between any item and the entire test can be expressed as a function solely of two proportions — the percentage of a high-scoring group passing the item and the percentage of a low-scoring group passing the item. This function is expressed graphically as a family of curves for each of two conditions — where the high-scoring and low-scoring groups are samples of the highest and the lowest quarters respectively, and where they are samples from the upper and lower halves. It is shown, moreover, that two other common measures of item validity, the upper-lower difference and the critical ratio of the upper-lower difference, may be drawn on the same coordinate axes.     

Work in the family and employing organization

Issues involved in the attempts to balance roles in employing organizations and family organizations are discussed. The literature on the causal links between work and family relationships, the variables used in such studies, and the models used to describe the findings are presented. Because attempts to balance the roles in the two environments can lead to conflict and stress, organizations have responded with programs such as maternity and parental leave, child and dependent care, alternative work schedules and work stations, and employee assistance and relocation programs. These programs are reviewed with particular emphasis on their benefits and costs.     

Group interventions for patients with cancer and HIV disease: Part I: Effects on psychosocial and functional outcomes at different phases of illness

Group interventions for individuals facing cancer or HIV disease have drawn considerable attention among researchers and clinicians over the past 20 years. There is growing evidence that group services may be helpful, but which interventions are most effective for participants at which phases in the trajectory of disease has been less clear. Moreover, professionals working in different intervention settings (e.g., primary prevention vs. clinical care) and different disease sites (cancer vs. HIV disease) often have little awareness of relevant advances in other fields. Efforts to integrate findings in the literature may accelerate research and advance the standard of clinical care. The current article, the first in a series of four special reports, critically evaluates the efficacy of group interventions led by professional or trained facilitators for individuals confronted by cancer or HIV, across the spectrum of illness from elevated risk through advanced disease. We examine psychosocial and functional outcomes for different interventions directed toward different patient subgroups, trace common themes, highlight limitations, and offer recommendations for further research.     

Group interventions for patients with cancer and HIV disease: Part II. Effects on immune, endocrine, and disease outcomes at different phases of illness

There has been great interest in the potential impact of group interventions on medical outcomes. This article reviews the effects of professionally-led groups on immune activity, neuroendocrine function, and survival among patients with cancer or HIV disease. We examine findings concerning different types of group services at different phases of illness. Results are mixed, but the most prominent changes in immune and endocrine activity were associated with structured group interventions for patients with early-stage disease. These findings offer provocative illustrations of relevant mind-body interactions, but their clinical importance has yet to be demonstrated empirically. Group interventions have not been tied consistently to improved survival rates for patients with advanced cancer; few studies as yet have focused on survival outcomes among patients with early-stage cancer or HIV disease.     

Group interventions for patients with cancer and HIV disease: Part III. Moderating variables and mechanisms of action

Growing evidence supports the value of group interventions for individuals who are at risk for or have developed cancer or HIV disease. However, information is more limited concerning how these services can be delivered in an optimal manner, and what processes contribute to their benefits. Parts I and II of this review examined the efficacy of different interventions for individuals at different phases of illness, ranging from primary prevention to late-stage disease, in both psychosocial and biological domains. The current paper examines some of the factors other than phase of illness that might influence group treatment effects (e.g., intervention parameters, participant characteristics), and explores mechanisms of action.     

A modification of the method of successive intervals

A modification of the method of successive intervals is presented which yields scale values correlating .995 with those from Thurstone's method described by Saffir. Values yielded by the present method can be obtained in 25 per cent of the time required by the older method and are shown to be, on apriori grounds, more reliable as well.     

Executive Functioning Characteristics Associated with ADHD Comorbidity in Adolescents with Disruptive Behavior Disorders

The nature of executive dysfunction in youth with disruptive behavior disorders (DBD) remains unclear, despite extensive research in samples of children with attention-deficit hyperactivity disorder (ADHD). To determine the relationship between DBD, ADHD, and executive function deficits in aggressive teens, adolescents with DBD and comorbid ADHD (DBD + ADHD; n = 25), DBD without ADHD (DBD-ADHD; n = 23), and healthy controls (HC; n = 25) were compared on neurocognitive tests and questionnaires measuring executive functioning. Teens with DBD + ADHD performed worse on both neurocognitive and questionnaire measures of executive function than the DBD-ADHD and HC groups. Results suggest that subgroups of DBD may exist depending on the presence or absence of comorbid ADHD, which may have implications for the selection and efficacy of treatment strategies.