A review of patient outcomes in pharmacological studies from the psychiatric literature, 1966–1993

A literature search was conducted on studies of new drugs used with patients with schizophrenia reported by U.S. and non-U.S. researchers from 1966–1993, yielding 41 U.S., and a total of 24 other non-U.S. studies, among them 11 British studies. Results of the U.S. and non-U.S. studies were pooled separately and compared. Among several comparable conditions discussed, the lack of any data on suicides in the U.S. studies was observed. For a second statistical analysis of suicide rates ‘person-years’ were calculated to adjust for differing washout durations. The results obtained include findings that the percentage of patients relapsing in U.S. studies was slightly lower (37.9%) than in non-U.S. studies (46%); the percentage of patients dropping out in U.S. studies (10.5%) was higher than in non-U.S. studies (7.6%); known location of dropout patients in U.S. studies was 1.7%, compared to 2.6% in non-U.S. studies. The most interesting finding was that no suicides were reported in U.S. studies, compared to 0.6% of patients reported in British studies. Some U.S. studies used ‘challenge doses’, such as amphetamines or L-dopa; no non-U.S. studies reported their use. Compared to U.S. studies, those by non-U.S., and particularly British, researchers appeared to report adverse events in their studies. ‘Challenge’ drugs were not used; suicides were reported. It is estimated that the probability that no patients suicided who participated in the U.S. is small—one in 500.     

A DIALOGUE BETWEEN VIRTUE ETHICS AND CARE ETHICS

A dialogue between virtue and care ethics is formed as a step towards meeting Pellegrino's challenge to create a more comprehensive moral philosophy. It is also a dialogue between nursing and medicine since each practice draws on the Greek Virtue Tradition and the Judeo-Christian Tradition of care differently. In the Greek Virtue Tradition, the point of scrutiny lies in the inner character of the actor, whereas in the Judeo-Christian Tradition the focus is relational, i.e. how virtues are lived out in specific relationships, particularly unequal relationships where vulnerability of one of the members is an issue. In a care ethic relational qualities such as attunement rather than inner qualities are the point of scrutiny. A dialogue between these two traditions makes it possible to consider the relational virtues and skills of openness and responsiveness that are required for a respectful meeting of the other.     

Protestants and Family Planning

There is evidence supporting the hypothesis that the historically favorable views of Protestants regarding the practice of family planning are changing among selected sub-groups. Such an attitudinal shift among Protestants has been rarely investigated by social scientists. This literature review represents an initial step in examining the phenomenon. A profile of Protestants' historical views of family planning will be presented first, followed by a discussion of the recent questioning of this group's favorable attitudes towards the practice. Additionally, research literature on contraceptive behavior and fertility patterns will provide empirical evidence supporting the hypothesis.     

Semantic Organization, Strategy Use, and Productivity in Bilingual Semantic Verbal Fluency

This study of semantic verbal fluency addressed two research questions: (1) What are the between-language similarities and differences in the performance of balanced bilinguals? (2) What is the relationship between productivity and the use of a semantic grouping strategy to organize responses? Forty neurologically normal, bilingual adults were tested twice in each language (French/English), in a 2 (Language) by 2 (Test) by 2 (Group) design. On Test 2, half the 40 subjects were instructed to group items by subcategory, while half simply repeated the test. Results showed (1) many more between-language similarities than differences and (2) no between-group differences in productivity.     

A Comparison of Active Student Response and On-Task Instruction on the Acquisition and Maintenance of Health Facts by Fourth Grade Special Education Students

An alternating treatments design was used to compare the effects of active student response (ASR) and on-task (OT) instruction on the acquisition and maintenance of health facts during small-group lessons. Five students with learning difficulties (4 students identified as developmentally handicapped and 1 student identified as learning disabled) participated in daily instruction on weekly sets of 20 unknown health facts (10 facts assigned to the ASR condition and 10 to the OT condition). During ASR instruction, the teacher modeled the correct response to a health question that was presented visually on a health fact card, and the students immediately repeated the correct response in unison three times. During OT instruction, students attended visually to the health fact card as the teacher modeled the correct response. All 5 students made more correct responses on end-of-day tests on health facts taught with ASR instruction than they did on health facts taught with OT instruction. ASR instruction also produced consistently superior results on maintenance tests administered 2 weeks after instruction.     

Rape Myth Acceptance and Sociodemographic Characteristics: A Multidimensional Analysis

Many myths have been identified surrounding rape, rapists, and rape victims. This study reexamines the acceptance of rape myths across gender role ideologies and selected demographic characteristics to identify core myths. Three myth categories were established and investigated: blaming the woman, excusing the man, and justifications for acquaintance rape. Findings indicate that rape myths remain prevalent and adherence to myths is related to demographic factors and gender role attitudes. Overall, respondents tend to excuse the man more than blame the woman. Males accept rape myths more than females. Racial differences emerged most strongly on the justifications for acquaintance rape dimension. Individuals with a conservative gender role ideology believe rape myths more than those with more liberal ideologies. While core myths did not emerge from the data, the most revealing finding is that summative scaling techniques used in previous studies may mask important differences, between and within the three dimensions, in rape myth acceptance among the groups studied.     

CLASSWIDE PEER TUTORING: AN INTEGRATION STRATEGY TO IMPROVE READING SKILLS AND PROMOTE PEER INTERACTIONS AMONG STUDENTS WITH AUTISM AND GENERAL EDUCATION PEERS

A multiple baseline design across subjects with a reversal was used to examine the effects of classwide peer tutoring relative to traditional reading instruction on reading skills and social interaction time for 3 high-functioning students with autism and their typical peers in integrated, general education classrooms. Traditional reading instruction consisted largely of teacher-led instruction with individual student participation and seat work. Classwide peer tutoring consisted of 25 to 30 min of well-specified instruction in which tutor—learner pairs worked together on a classwide basis on reading fluency and comprehension skills. All students participated in 15- to 20-min unstructured free-time activities immediately following reading instruction. Results of reading assessments demonstrated that classwide peer tutoring increased reading fluency and correct responses to reading comprehension questions for students with autism and their peers. The procedure further increased the total duration of free-time social interactions for students with autism and typical peers, with individual variation in performance.     

Yes,but how?: Development and evaluation of careers education in higher education by careers advisers

Contrasting approaches to the evaluation of careers education activities are outlined, one based on the organisational needs of careers services (an 'accountability' model), the other based on individual needs of careers advisers (a 'developmental' model). The case is considered for adopting educational research methods developed from the ethnographic research tradition, such as action research, to help careers advisers meet the challenges facing them in the development, delivery and evaluation of careers education in higher education. Practical experience is cited, together with some positive outcomes that have arisen from undertaking fieldwork research. The difficulties and dilemmas in carrying out such research are presented.     

VICARIOUS TRAUMA The Effects on Female Counselors of Working with Sexual Violence Survivors

The primary purpose of this study was to assess the effects on counselors of working with sexual violence survivors. Members of a women psychologists' organization and a group of sexual violence counselors completed questionnaires regarding the extent of their work with survivors and their psychological functioning. Counselors who had a higher percentage of survivors in their caseload reported more disrupted beliefs, (particularly about the goodness of other people), more symptoms of post-traumatic stress disorder, and more self-reported vicarious trauma. Symptomatology was not related to counselors' own history of victimization. Qualitative data regarding difficult and enjoyable aspects of working with survivors also were gathered, along with data on the strategies used by counselors to cope with work-related stress. implications for counselor training are discussed.