The Patient Self-Determination Act and Advance Directives: Snapshots of Activities in a Tertiary Health Care Center

This study describes the results of a retrospective review of patients' charts who had an advanced directive (AD) and who were hospitalized in a tertiary, acute care teaching hospital. The purpose of the review was to understand from clinical, sociological, ethical and legal perspectives the nature and utility of ADs. Findings and implications of the review are discussed in terms of: patient demographics; diagnoses; quality of ADs; influence of ADs on clinical decisions; and legal aspects of ADs.     

Perceived fairness of biodata as a function of the purpose of the request for information and gender of the applicant

Using a 2×2 experimental design and data from 86 business students, the present study examined the main and interactive effects of the purpose of the request (personnel selection vs. career tracking), and applicant gender (male vs. female) on the perceived fairness of biodata. Results revealed a significant main effect for purpose and a purpose x gender interaction. Implications for the collection of biodata in the personnel selection process are discussed.     

Social Values and Relationships with Parents among American College Women of Chinese and European Descent

This study compared social values and relationships with parents among American college women of Chinese and European descent. Chinese-American women scored higher on a measure of practicality and pragmatism (mastery), hierarchy, and traditionality. The Euro-American women showed a greater interest in voluntary prosocial behaviour and philanthropy. Both groups of women reported having a sense of self, autonomous of their parents. Within the Chinese-American group, ethnic identification and religion, but not generation, moderated scores on a measure of traditionality of outlook regarding issues of law and order and social equality. We discuss the implications of our findings for recent debates in cross-cultural psychology, including the growing challenge to the individualism-collectivism dimension.     

A PRELIMINARY COMPARISON OF REINFORCER ASSESSMENT METHODS FOR CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER

We evaluated the relative treatment utility of a verbal forced-choice questionnaire, child nomination, and direct observation for identifying the most potent reinforcers for children with attention deficit hyperactivity disorder. Results demonstrated that all three methods were more likely to disagree than to agree, that a forced-choice format may enhance verbal reinforcer assessment, and that further development and evaluation of verbal reinforcer-assessment methods are needed.     

Organizational factors in the effect of irrelevant speech: The role of spatial location and timing

Typically, hearing a repeated syllable produces minimal disruption of serial recall of visual lists, but a sequence of different syllables impairs performance markedly. Two conditions for presenting anidentical sequence of three syllables are compared: one, in which, by means of stereophony, each syllable is assigned to the left, center, or right auditory locus (three streamsnot changing in state), and another, in which the same syllable sequence occurs in one location only (one streamwith changing state). Disruption was significantly less in the stereophonic than in the monophonic condition. There was a joint effect of changing state and location, not an effect of the number of locations alone. In Experiment 2, temporal predictability was used to manipulate changing state. The disruptive effect ofregular presentation of a repeated syllable was markedly increased when it was presentedirregularly. The results are discussed in the context of organizational factors in short-term memory.     

Features Resembling Tourette''s Syndrome in Developmental Stutterers

Developmental stuttering (DS) may be related to the extrapyramidal motor system and shares many clinical similarities with Tourette's syndrome (TS), which is widely believed to be associated with extrapyramidal dysfunction. Twenty-two stutterers were examined for neuropsychiatric features commonly seen in TS, including tics, obsessive-compulsive behaviors (OCB), and attention deficit disorders. Eleven stutterers displayed motor tics, and symptoms of OCB were observed at rates similar to those seen in persons with TS. Few stutterers demonstrated significant attentional deficits. Findings are consistent with models suggesting extrapyramidal involvement in DS and raise the possibility that DS and TS are pathogenetically related.     

Embedding instructive feedback into teacher-student interactions during independent seat work

The effects of embedding a constant time delay procedure into an independent seat work activity and using instructive feedback were evaluated in this study. Seven students with mild disabilities participated in the study that occurred in their special education classroom. A multiple probe design across sets of target behaviors was used, and students' responses to instructive feedback stimuli were evaluated during each probe condition. The procedures were implemented with a high degree of fidelity, and the results indicate that (a) the students acquired the target behaviors taught with the constant time delay procedure that was embedded into independent seat work, and (b) the students acquired some but not all of the responses to the instructive feedback stimuli. These findings are discussed in terms of using instructive feedback in classrooms and future research on instructive feedback.     

Lightness contrast in CRT and paper-and-illuminant displays

The increased use of CRT monitors for displaying and controlling stimuli in studies of surface color poses problems of comparability with data obtained with traditional paper-and-illuminant methods. A review of comparable studies using the two methodologies revealed that CRT studies tend to report larger contrast effects. To investigate factors that may be responsible for this difference, simultaneous lightness contrast was measured using both CRT and paper-and-illuminant presentations. The spatial distribution of luminance in the whole field of view and the visual angles subtended by the displays were controlled. The CRT presentation yielded contrast effects twice as big as those measured for a paper surface in a homogeneously illuminated room. However, a paper display under Gelb lighting yielded almost exactly the same effect size as that measured in the CRT presentation. These results demonstrate that contrast effects in both modes of presentation are affected by the spatial distribution of luminance beyond the basic experimental stimuli.     

Black-white personality differences: another look.

Investigated the meaning of Black-White differences typically discovered on personality instruments by administering a pool of items derived from both the MMPI and California Psychological Inventory, as well as a group form of the Embedded Figures Test, to a sample of 226 black and white junior college students. A cluster analysis of the unexpectedly large number of inventory items significantly differentiating the two races produced reliable and meaningful configurations. Interpretations of race differences on these clusters and the EFT provide a new perspective on the meaning of Black-White personality differences.