Cognitive motivation and drug use: a 9-year longitudinal study.

The predictive precedence of expectancy constructs, operationally defined as cognitive motivations, and drug use was investigated over a 9-year period from adolescence to adulthood. Alternative predictions from three different classes of theories of expectancy-behavior relations, including expectancy theory, a Skinnerian approach, and a reciprocal determinism perspective, were evaluated. The results are most consistent with the notion based in expectancy theory that cognitive motivations are nonspurious and possibly functionally autonomous influences on the use and abuse of drugs. More limited support is found for the view that drug use leads to cognitive motivations, as postulated in other theoretical perspectives. Other findings reveal the presence of expectancy generalization processes consistent with Rotter's (1954) expectancy theory, as well as the unique status of cognitive motivations for alcohol as an independent predictor of problem drug use.     

How do group meetings make a community Therapeutic?

Summary Following an abrupt shift from a therapeutic community with emphasis on group meetings to a hierarchical medical model on a mental hospital floor, disturbed patients required extensive individual nursing care. This increased work load for the nursing staff resulted in admissions having to be limited to the rare cases who needed little or no nursing care. As patients were discharged, the vacancy rate went up to approximately 20% for a week and remained high for another two weeks. Nursing staff-patient relations deteriorated.Subsequently, it was possible to resume the emphasis on the groups of a therapeutic community and to observe the contrast. The experience showed how groups can effect and support a therapeutic community. It clarified some of the mechanisms by which groups positively affected disturbed patients. Some mechanisms by which the staff, community, and group meetings favorably influenced the nursing staff-patient relationship and intrastaff communications became clear also.     

Grade Expectations as a Function of Sex, Academic Discipline, and Sex of Instructor

Twelve hundred and fifty college students starting introductory courses in thirteen academic disciplines were asked to predict their grade in the course. Results showed that overall, males predicted higher grades for themselves than did females (p <.001). This held true for entering freshmen as well as for those with previous college experience. The phenomena was noted in 26 of 37 classes tested, including 7 of 9 in the natural sciences, 11 of 13 in the social sciences, but only 8 of 15 in the humanities. Sex of the instructor was irrelevant, raising the question of whether female instructors as role models have the positive effect upon women students that has been claimed. The differences found were slight, but persistent. Both sexes predicted very high grades. The data suggest that sex differences in prediction were not based on a female sense of incompetence, but upon a greater willingness among males to make highly positive predictions.     

Neurocognitive Function and Suicide in U.S. Army Soldiers

This prospective cohort study used administrative data from the Army Study to Assess Risk and Resilience in Servicemembers to examine associations between neurocognitive functioning and subsequent suicidal events among Regular Army enlisted soldiers during the years 2004–2009. Cases were all soldiers who completed the Army's Automated Neuropsychological Assessment Metrics (ANAM) computerized testing battery prior to documented suicide attempt (n = 607), ideation (n = 955), or death (n = 57). Controls were an equal‐probability sample of 9,893 person‐months from other soldiers. Exploratory factor analysis of five ANAM tests identified a general neurocognitive factor that excluded the mathematic processing test (MTH). When examined separately in logistic regression analyses that controlled for sociodemographics and prior mental health diagnosis, both the general neurocognitive factor (logit [β] = ?.197 to ?.521; p < .01) and MTH (β = ?.024 to ?.064; p < .05) were associated with all outcomes. When both predictors were examined simultaneously, the general neurocognitive factor continued to be associated with all outcomes (β = ?.164 to ?.417; p < .05) and MTH continued to be associated with suicide attempt (β = ?.015; p = .046) and ideation (β = ?.014; p = .018). These small but robust associations suggest that future research must continue to examine the extent to which objective neurocognitive tests may enhance understanding and prediction of suicide risk.