Patients' perceptions of treatment for kidney failure: The impact of personal experience on population predictions

Estimates of the probability of various outcomes associated with treatment for kidney failure were made by chronic dialysis patients, dialysis patients awaiting transplant, successful transplant patients, and unsuccessful transplant patients back on dialysis. The latter two groups can be considered a natural experiment testing the impact of personal experience on population predictions. Consistent with the law of small numbers and the availability heuristic, successful transplant patients gave higher estimates of the population success rate for transplantation than unsuccessful transplant patients gave.     

Stressful events and coping responses among older adults in two sociocultural groups

In this study of the way 32 men and women between the ages of 60 to 90 coped with stressful situations, two instruments were used: the Life Experiences Survey and the Ways of Coping Checklist. Overall, health-related concerns were more frequently reported by older adults than any other stressful event. When coping responses were categorized according to four modes--intrapsychic, inaction, direct action, and information seeking--the Appalachian group was found to use the information-seeking mode; the Cherokee group, the intrapsychic mode. Significant differences were found between males and females in coping modes and life-stress categories. When groups were combined, significant correlations were noted between life stress, particularly health-related stress, and the coping modes of intrapsychic and information seeking.     

Training and Research in Counselling

Formal counselling training in Britain began with the preparation of school counsellors in universities and relied largely upon American models. Early courses were highly didactic but over the last decade practical and experiential aspects have taken precedence. Basic counselling training has now been extended into the preparation of many workers, voluntary and professional. Counselling research also had academic origins, but has broadened to include many different work settings. Much of the published research has been in the form of surveys of counselling services, but some detailed studies of process are noted. There is a need for research to be increased, and the gap between research and practice shortened, if counselling is to demonstrate its relevance to contemporary needs.     

The Attitudes Toward Women Scale for Adolescents (AWSA): A study of reliability and validity

This study describes the development of the Attitudes Toward Women Scale for Adolescents (AWSA), an instrument based on the short form of the Spence-Helmreich Attitudes Toward Women Scale (AWS). The AWSA has been tested in four samples of adolescents. Internal consistency estimates and test-retest stability indicated high reliability. Hypotheses formulated to test the construct validity of the scale were largely supported. AWSA permits the examination of how boys' and girls' attitudes toward women influence the life paths that adolescent girls begin to pursue.This research was supported by grants to A. Petersen from the Spencer Foundation, the National Institute of Mental health (MH 30252/38142), and the Judith Baskin Offer Fund.     

Gender roles,biological sex,and predisposition to conflict management

The Bem Sex-Role Inventory and the Communication-Conflict Instrument were administered to 182 husbands and wives. Results suggest that gender-role classification is a more significant discriminator of communication behavior than is biological sex. Androgynous spouses, more than feminine though not significantly more so than masculine spouses, reported themselves to be the most disposed to handle conflict constructively. On the subscales of the conflict instrument, androgynous persons had significantly more positive feelings scores than either masculine or feminine persons, plus higher task energy and desire-for-control scores than feminine persons. Similarly, masculine persons reported a significantly greater predisposition to manage conflict constructively than did feminine persons, having higher task energy and desire-for-control scores. Undifferentiated persons reported the lowest scores for conflict management.     

Heart-rate responses of infant rats and guinea pigs to stimulus onset and offset: tests of the generality of a bidirectional effect

To test the generality, across modality and across species, of a bidirectional effect of photic stimulation in infant rats found in previous experiments, two experiments examined the effects on heart rate (HR) of onset and offset of auditory stimulation in rats and of photic stimulation in guinea pigs. Experiment 1 demonstrated a unidirectional, decelerative response in rats 17 and 21 days of age to the onset and offset of a 1-kHz tone, at both low (80 dB) and high (100 dB) intensity levels and at 14 days to the onset of the high-intensity tone. Experiment 2 demonstrated that infant guinea pigs, which unlike infant rats are precocial and not nocturnal, responded to the offset but not to the onset of light, and that this response was decelerative. These results indicated a lack of generality of the bidirectional HR effect, and were discussed in terms of the orienting/defensive reflex distinction.     

The inequivalence of self-reports of Type A behavior: Differential relationships of the Jenkins Activity Survey and the Framingham cale with affect,stress, and control

The Jenkins Activity Survey (JAS) and the Framingham Type A Scale (FTAS) have been found to have different psychological correlates. The JAS is typically unrelated to anxiety, while the FTAS is consistently correlated with trait anxiety. The present study of 200 male and female college students clarifies further the psychological heterogeneity of these measures. Enhanced motivation to control the environment has been suggested as an underlying psychological component of Type A behavior (Glass, 1977). Dysphoric emotions and the perception of more environmental stresses, on the other hand, are typical of neuroticism or negative affectivity (Watson & Clark, 1984). Although the results indicate that the JAS and FTAS are highly correlated, the JAS is more closely related to control motivation than is the FTAS. Further, compared to the JAS, the FTAS is more closely correlated with dysphoric emotions and perceived daily stresses. Thus, the results indicate that the JAS is closely correlated with core psychological components of the Type A pattern, while the FTAS has a relatively unique association with general emotional distress. Such differences may account for the fact that these measures are related to different disease end points.     

Color discrimination on Mangaia

Bornstein’s hypothesis that there is a loss of color discrimination in tropical areas was not supported in earlier research in the Cook Islands. Using a more sensitive color vision test (the Farnsworth-Munsell 100-Hue Test), a loss of color discrimination in the red-purple and blue-green regions of the spectrum was found. The lack of sex differences in this color discrimination loss supports a physiological rather than a genetic explanation of the observed decrement.     

Life or Death of Severely Disabled Infants: A Counseling Issue

Due to the death of a severely disabled infant from Bloomington, Indiana, a series of events set in motion by the U.S. Department of Health and Human Services has resulted in cautions to health care providers. The resulting policies and procedures warn hospital personnel against withholding nutritional sustenance or medical treatment from severely disabled infants. This article presents dimensions that might serve as a background for counselors to assist families in considering options related to disabled infants. These dimensions include the meaning of life, cost to benefit ratio, medical options, legal precedent, and a theological perspective. This issue is related to counseling practice through counselor ethics, values, and the need for information that counselors can provide to parents during the decision process.