Behavioral responses to anxiety: Self-reliance,counterdependence, and overdependence

This article builds on the original foundations of attachment theory and traces the strategies for achieving felt security into the adulthood years. The theoretical case is made for a link between a secure, self-reliant strategy and healthy adulthood functioning. This self-reliant strategy counteracts the health risk factors of social isolation and separation in human relationships. The strategy results in an enduring personality characteristic of self-reliance, a paradoxical pattern of behavior characterized by flexibility and bonding in relationships which appears rather autonomous. This article proposes a work-related measure of self-reliance which also incorporates the two insecure, unhealthy strategies for achieving felt security. These strategies are the dismissing strategy, which results in a counterdependent pattern of behavior, and the preoccupied strategy, which results in an overdependent behavior pattern. Preliminary reliability and validity data concerning the Self-Reliance Inventory are presented.     

The Social and Personal Identities Scale: A Measure of the Differential Importance Ascribed to Social and Personal Self-Categorizations

A new measure sensitive to differences in the importance that people ascribe to their social (group) and personal identities is described. The Social and Personal Identities (SIPI) scale distinguishes between the interpersonal level of self which differentiates the individual as unique from others, and the social identity level of self whereby the individual is identified by his or her group memberships. In contrast to perspectives that emphasize the context-dependence of self-conception, our measure was designed to capture individual differences in participants' readiness to categorize themselves using group and personal self-categories as measured by the degree of importance or centrality assigned to each. Factor and reliability analyses support the scale's stability as a two-factor structure with high internal consistency, and these factors are modestly correlated. Results from six studies substantiate the scale's criterion and construct validity.     

Prospective correlates of early (30 day) readmissions on a Cardiothoracic Surgery Service

Known to vary widely among hospitals for unclear reasons, early readmissions are associated with higher mortality and are suspected to frequently be due to inadequate discharge preparation/planning. It has been previously documented that the strongest and most consistent predictor of early readmissions in CHF patients is chronic cognitive impairment, and compensatory assistance with adherence on discharge improves early readmission rates. Prospective observational study. The present investigation examined multiple putative perioperative predictors of early readmission in a hospitalized Cardiothoracic Surgery Service. A subtest of the Mini-Cog, Short Term Memory, was the strongestunivariate predictor of early readmissions (p < .001), but the overall Mini-Cog (p = .024), Age (p = .045), Number of Admissions over the Preceding Year (p = .036), an Anxiety Scale (p = .035), Years of Education (p = .055) and a Depression Scale (p = .056) also demonstrated covariation. In a Logistic Regression, only Short Term Memory survived as a predictor variable (p = .007), correctly classifying 76% of patients. Chronic cognitive impairment is a predictor of early readmissions in Cardiothoracic patients. A brief bedside exam interpreted in medical context may permit identification of patients requiring familial assistance for adherence on discharge.     

The Effects of Class-Wide Function-Related Intervention Teams (CW-FIT) on Students’ Prosocial Classroom Behaviors

Students with challenging, disruptive behavior have difficulty learning in school, and their behavior adversely impacts the learning of other students and the classroom teacher. Class-Wide Function-related Intervention Teams (CW-FIT) is an evidence-based approach that teachers can use to prevent and reduce problem behavior and increase prosocial classroom behaviors. Previous studies have demonstrated that CW-FIT produced improvements in student appropriate classroom behaviors which led to increased available instruction time. The purpose of this investigation was to systematically replicate CW-FIT adding to the empirical research base supporting it. A novel aspect compared to prior studies was measurement of the student behaviors related to skills taught during CW-FIT (compliance, hand-raising, out-of-seat, and talking out), showing a direct relationship to students’ improvements. Students in four classes and their teachers participated in this study. An ABAB reversal design was used to demonstrate intervention effectiveness and experimental control. Implications for research and practice are discussed.     

Billing for Medical Genetics and Genetic Counseling Services: A National Survey

In January 2007 the American Medical Association added a new Current Procedural Terminology® (CPT) code, 96040, for “Medical Genetics and Genetic Counseling Services.” In order to identify the impact of having this new code and to identify issues with implementation of the code, the National Society of Genetic Counselors (NSGC) CPT® Working Group surveyed NSGC members using an internet-based survey tool. The majority of respondents (94%) reported being aware of the new code and over half of the respondents (69%) said they were billing for genetic counseling. Approximately 24% of those billing reported using 96040. Many facilities are not using this code and the reported success of billing using 96040 is highly varied. Continued education may be beneficial to encourage reimbursement for 96040 and follow up is needed to assess the ongoing implementation and impact of the new CPT® code.     

Increased hedonic differences despite increases in hedonic range

Viewing hedonically negative paintings increased the hedonic ratings of subsequently viewed test paintings (positive hedonic contrast; Experiment 1) and also increased the degree of preference between the test paintings (Experiments 2 and 3). This result differs from the reduction in hedonic preference (hedonic condensation) that accompanies negative hedonic contrast. It also differs from the reduction in perceived differences that usually accompanies expansion of stimulus range and that is predicted by numerous theories.     

Understanding Anti‐Arab Reactions Post‐9/11: The Role of Threats,Social Categories,and Personal Ideologies1

This study examined social psychological processes associated with anti‐Arab reactions (prejudice, stereotypes, and discrimination) following the September 11 terrorist attacks. Participants (N= 201) responded to an online survey. Perceived threats, self‐categorization, social dominance orientation, and just‐world beliefs were tested for their effectiveness in predicting anti‐Arab reactions. The results reveal that self‐categorization and social dominance orientation each individually accounted for a substantial percentage of the variance, while perceived threats accounted for a relatively small amount of the variance in anti‐Arab responses. However, an integrated model demonstrated that social dominance orientation, threats, self‐categorization, and a threat by self‐categorization interaction provided the best prediction of anti‐Arab reactions. Results are discussed in terms of the theoretical and practical applications for understanding out‐group derogation following political‐cultural world events.     

Applying Social Empowerment Strategies as Tools for Self‐Advocacy in Counseling Lesbian and Gay Male Clients

Social empowerment is designed to prepare individuals to reconstruct their political, economic, psychological, and social environments. Addressing empowerment for lesbian and gay male populations is critical because of the numerous stereotypical situations that result in their powerlessness. The application of social empowerment strategies as tools for self‐advocacy with lesbian and gay male populations is presented as a consideration for counseling.     

The relation of personality types to physiological,behavioural, and cognitive processes

Three personality types, labeled resilient, over‐controlled, and under‐controlled, were identified through cluster analysis of classroom observations of 63 children, and used to understand biological, cognitive, and behavioural processes that influence academic achievement and aggression. Resilient children were found to be high in trait cortisol and high in academic achievement. Under‐controlled and over‐controlled children showed the greatest change in cortisol levels under stress, low levels of academic achievement, and attributed hostility to others in ambiguous situations. Under‐controlled children also exhibited high levels of externalizing behaviour in the classroom. The findings suggest that the single processes or traits assessed in this study do not mediate the associations of personality types to academic achievement and behaviour. The implications of the findings for the personality type construct and for personality processes are discussed. Copyright © 2005 John Wiley & Sons, Ltd.     

Adapting Manualized Treatments: Treating Anxiety Disorders Among Native Americans

Although there is a small but growing body of literature examining the psychopathology of anxiety among Native Americans, no data are available regarding the efficacy of empirically supported treatments for anxiety disorders among Native Americans. Moreover, exceptional challenges arise in adapting mainstream approaches to Native Americans, such as language barriers, contrasting beliefs about the cause and treatment of emotional illness between mainstream and traditional Native American culture, problems with homework compliance, allowing extra time for rapport building, and the need for a spiritual component in the treatment of anxiety disorders. Native Americans also confront the challenges of rural living and low socioeconomic status. The focus of this article is largely conceptual in nature, informed by the limited psychopathology data and the first author’s experience with cognitive behavioral treatment protocols for anxiety disorders and the provision of mental health services to Native Americans. In this article we highlight the unique challenges of adapting manualized anxiety treatments for Native American clients.