Marital attributions in spouses of depressed patients

Causal attributions (i.e., locus, stability, globality) and responsibility attributions (i.e., bad intent, selfish motivation, blame) were assessed in the spouses of 27 depressed psychiatric inpatients and 30 nondepressed dyads to test predictions derived from Hooley's (1987) symptom-controllability model of marital distress. Results indicated that (1) depressed patients and their spouses were less dyadically adjusted than nondepressed spouses, (2) causal and responsibility attributions about depressive behaviors predicted lower dyadic adjustment, and (3) attributions of causality mediated the relationship between group status (depressed or nondepressed) and dyadic adjustment among spouses who had higher expectations for their partner to change. Results suggest that among spouses with a high expectancy for change, depression may be a risk factor for marital distress.     

An investigation of the effects of comorbid Axis II pathology on outcome of inpatient treatment for unipolar depression

DSM-based research on comorbidity has suggested thatdepression andpersonality disorder frequently occur together and that the combination of syndromes is associated with a poor response to treatment for depression. The present study was designed to explore the effect of comorbid Axis II pathology for a sample of 45 inpatients who received treatment for major depression. Both categorical and dimensional ratings of personality disorder were used in the statistical analysis. Positive categorical diagnosis of Cluster C (anxious-avoidant) disorder, as well as higher dimensional rating of Cluster A (odd-eccentric) pathology, was predictive of a poor response to treatment (p<.05), as measured by change in pre-post clinical ratings on the Montgomery-Asberg Depression Rating Scale. These results were construed as indicative of a significant Axis II comorbidity effect in the context of an inpatient, multimodal treatment setting for depression. The results also spotlight the influence of techniques of measurement in determining the outcome of statistical analysis.     

HOW FAR SHOULD WE GENERALIZE?

Abstract— A conceptual model based on staffing theory was applied to previously collected survey data from a representative sample of American workers The model links organizational size, workload, work experience variables (felt responsibility and involvement, assessments of work associates), and work outcomes (job satisfaction, work self-esteem, stress symptoms) Path analyses indicated that the model fit data from all waged and salaried workers relatively well When the model was applied to subsamples of new and established employees and of employees from two contrasting occupational groups (professional-technical workers and operative workers), somewhat different patterns emerged The study illustrates the benefits of applying psychological theories across subdisciplines, as well as the limitations of generalizing research findings across different categories of workers We suggest that localized theories and fine-grained analyses of workplace events could help to make research more applicable to work settings     

Frame multiplicity and policy fiascoes: Limits to explanation

The dynamics of intractability, frame multiplicity and intense controversy not only characterize policy formation struggles, as described by Schön and Rein, but also affect the evaluation of policies and government action. Policy analysts play an important part in the politics of policy evaluation. This article demonstrates that they tend to produce very different explanations for controversial, failing policies. Such differing explanations imply different causal attributions, different allocations of blame, and different lessons for future policy-making. Such differences are not random occurrences; they are embedded in the analytical frames that evaluators use to reconstruct policy processes and to explain their outcomes. It is shown that at least three deep-rooted frames can be reconstructed: fiascoes as failures of public problem solving, fiascoes as institutional imbalances, and fiascoes as system artefacts. One of the great epistemological challenges is how to deal with multiple analytical frames. The final part of the article discusses various strategies.     

“Not with me you don't”: A story of narrative practice and dissociative disorder

This paper discusses issues relating to therapeutic practice based upon the narrative metaphor. A case of someone suffering the effects of Dissociative Identity disorder is used to illustrate the difficulties that clients can experience with the “expert” knowledge conception of therapy. The value of the “respectful” and “non-expert” emphasis of Narrative Practice emerges even when the therapist believes that he or she lacks expertise in the client's apparent “condition.” Three themes emanating from the case form the basis for the discussion: the client's experience of being recruited into accepting the diagnostic label of Dissociative Identity Disorder; the effects of being forced to accept a contract to eliminate self-abusive behaviour; and the therapist's dealing with a gun in the therapy room.     

Stereotyped movement disorder in an adult following acquired brain injury: Effect of environmental stimulation

In the present study, a naturalistic functional analysis procedure was used to assess the effect of environmental stimulation on the stereotypic behavior (body rocking) of an adult whose stereotypy appeared to be induced by an acquired brain injury. Environmental stimulation, operationalized in terms of both physical and social characteristics, resulted in only minimal changes in the occurrence of body rocking. Body rocking occurred in excess of 50% of the observations in all environmental stimulation conditions and in a naturally occurring baseline condition. To our knowledge, this is the first published report of a functional analysis of stereotypy associated with acquired brain injury.