HIV Disease: Current Concepts

The human immunodeficiency virus (HIV) causes a chronic, progressive, immune deficiency disease, the most severe phase of which is Acquired Immune Deficiency Syndrome (AIDS). HIV is a newly characterized human retrovirus transmitted only by direct exposure to blood or blood derivatives, certain acts of sexual intercourse, or transfer from infected mother to fetus or infant. In this article the author reviews the most important current epidemiologic, clinical, and virologic information about HIV and HIV disease and provides a factual framework for understanding the issues created by the epidemic.     

Assessing Adolescent and Adult Attachment: A Review of Current Self-Report Measures

Increased interest in attachment theory among counseling researchers and practitioners has led to the development of several measures of attachment-related constructs. Following a brief overview of the theoretical foundations of attachment theory as conceptualized by Ainsworth (1989) and Bowlby (1988), the authors of this article review four self-report measures of adolescent and adult attachment. Many considerations for the selection and use of these instruments in future counseling research and assessment are discussed.     

We have a prejudice against ourselves—Sentiment,ethics, and reason

Briefly stated my point is that the well-being of each person in a community conceived abstractly may be all too easily sacrificed for the sake of the abstraction. Physicians may offer critically ill patients places in programs of experimental treatment, but there is commonly a catch to the offer. To take part in a program of clinical experiment a patient must not only risk a possible failure of a fresh drug and the chance of destructive side effects from the drug, but the patients must risk only getting the traditional treatment along with a placebo rather than the experimental drug. Placebo control, double blind critical protocols for testing effects of fresh drugs on critically ill patients are a commonplace. I question the scientific objectivity of the protocols and the underlying ethic, and suggest use of alternate protocols. Experimental tests in the treatment gram-negative bacteria blood infections, muscular dystrophy, and AIDS and AIDS-related diseases are examples.     

Contextual effects on the ability of divers to use decompression tables

The present study compared the ability of novice divers to apply decompression tables having learnt how to use them in either the same or a different environment. Those subjects who had learnt how to use the tables in a different environment (i. e. had learnt on dry land and were tested underwater or vice-versa) performed on average 64 percent worse than those who had the same environment for both learning and test. This effect could not be ascribed to the disruption brought about by changing environments. The results show that contextual effects on memory extend beyond the recall of word lists (Godden and Baddeley, 1975) to the ability to implement potentially important instructions.     

Predictors of stress in adolescents: an exploratory study of pregnant and of parenting females

A study of 152 adolescents enrolled in school-based programs for pregnant and parenting youth in Colorado in 1987-88 found no differences in overall stress levels between these two groups; however, salient predictors of stressful life events for pregnant teens were not the same as those for teen mothers. The mean age of study subjects was 16.5 years (range 14-19 years); most were living with a parent rather than the child's father. The dependent variable, level of stress, was measured through use of an abbreviated Life Events Questionnaire. Independent variables were assessed through administration of the Inventory of Social Supportive Behaviors, Rosenberg Self-Esteem Scale, and the Adolescent Coping Orientation for Problem Experiences scale. Of the 5 sources of stress measured (family, accidents, autonomy, deviance, relocation, and distress), only stress related to accidents differed significantly between pregnant and parenting adolescents. For pregnant adolescents, self-esteem was the only significant predictor of the overall level of stress; among parents, the only significant predictor was objective social support. Among adolescents, self-esteem was associated with more frequent use of social support and coping strategies. For parenting adolescents, self-esteem was correlated with the frequency of use of social support, satisfaction resulting from such use, and frequent use of coping strategies. Overall, the independent variables of social support, self-esteem, coping, and age were stronger predictors of stress in pregnant than in parenting adolescent females. This finding suggests that parenting teens may have successfully negotiated the multiple transitions involved in this new stage of the life-cycle. An important implication of this study is the need to design separate counseling components of school-based programs for pregnant versus parenting adolescents rather than to use a single curriculum.     

An alternative procedure for analyzing job analysis results for content-oriented test development

Content-oriented test development requires information derived from a comprehensive job analysis. The job data typically consist of task and skill statements identified by subject matter experts. These statements characterize a target job and are then used to develop the test plan and item budget. The predominant practice for combining data from the task and job skill domains to facilitate preparation of a test plan and item budget is an impressionistic approach. This study reports variations and extensions of an alternative quantitative procedure for linking task and job skill data (Hughes & Prien, 1989) using results obtained in field studies. The results indicate that the procedure reported by Hughes and Prien (1989) yields consistent results. Also, modifications to the procedure result in more detailed solutions.Dr. Charles Lawshe graciously contributed three sets of job analysis data to this research project. Dr. Lawshe also provided a very thoughtful and cogent critique of our attempts to express these thoughts to a user audience and for this we are grateful.     

Cross-Cultural Counseling and Neurolinguistic Mirroring With Native American Adolescents

This study examined the effects of neurolinguistic mirroring versus nonmirroring of selected nonverbal behaviors on empathy, trustworthiness, and positive interaction in a cross-cultural setting among 60 Choctaw adolecents and Caucasian female counselors. Results indicated significant mirroring effects on the empathy scale of the Barrett-Lennard Relationship Inventory.     

Group analytic therapy with schizophrenic outpatients

This paper describes a model for group analytic psychotherapy with patients who have been psychotic, namely, schizophrenics and manic depressives. The groups are run on the group centered principles of S. H. Foulkes. They are continuous, slow-open groups, in line with these patients' needs for long-term therapy. A theory is proposed which justifies treating these patients in group-centered groups despite their great dependency needs. The paper also describes the task of the therapist in building and running such a group.Acknowledgments to Geoffrey Elkan, Marcia Levene, Noa Rotem, Aya Levi-Posnanski, Yossi Ezrati, S. Littman, Tamar Sternberg, E. Danilowitz, and C. Kauffman.