Assertiveness, social support, and psychological adjustment following spinal cord injury.

Tested predictions that assertiveness and social support would be significantly predictive of psychological adjustment. Furthermore, it was anticipated that assertiveness and certain types of social relationships would differentially interact to predict adjustment, since positive and negative effects of both variables have been noted in prior research. Trained raters interviewed 156 persons receiving either in-patient or out-patient care for cord injuries and administered measures of assertiveness, social support, depression and psychosocial impairment. Persons who reported a keen sense of responsibility for the welfare of another reported more depression and impairment. Persons reporting higher levels of support facilitating social integration and reassuring personal worth were less depressed. Several significant interactions between assertiveness and different social support relationships revealed beneficial and deleterious effects on depressive behavior and impairment secondary to the disability. Results are discussed as they advance theoretical understanding of the effects of assertiveness and social support. Implications for discriminate cue learning in assertion training for persons with physical disability are proposed.     

Cognitive therapy. A 30-year retrospective

Several lines of investigation have evolved from the initial cognitive model of depression and other disorders. A large number of studies have tested the cognitive model using both clinical and laboratory-based strategies. In general, studies that most closely approximate the clinical conditions from which the theory was derived are supportive of the cognitive model of depression. Studies of anxiety and panic, although fewer, generally support the cognitive model of anxiety and panic. The application to the treatment of clinical problems has been promising and supports the concept of cognitive specificity. The cognitive therapy of depression has led to the utilization of specific cognitive strategies based on the specific conceptualizations of a given disorder to a wide variety of disorders. Study of abnormal reactions has also provided clues to the cognitive structure of normal reactions.     

The Mediational Role of Perceived Competence in Psychological Adjustment to Rheumatoid Arthritis1

Chronic illnesses such as rheumatoid arthritis (RA) have been linked to poor psychological adjustment, although individual differences in this relationship have been observed. This study examines the role of perceived competence as a mediator between RA and adjustment. Persons with RA (N= 208) were surveyed three times at 6-month intervals concerning several potential antecedents of adjustment (pain, psychosocial impairment, social support, and control beliefs), self-perceived level of competence, and level of adjustment (life satisfaction and depressive symptomatology). Within each observational period strong evidence was obtained for perceived competence as a mediator of adjustment. Longitudinally (across the year) the data were consistent with a mediational model, but strong evidence establishing mediation was not obtained. Implications of these findings, and the importance of examining the role of perceived competence in adaptation to chronic illness, are discussed.     

TEACHING SELF-ADMINISTRATION OF SUCTIONING TO CHILDREN WITH TRACHEOSTOMIES

We examined the effectiveness of using dolls to teach young children with tracheostomies to self-administer a suctioning procedure. Four children between the ages of 5 and 8 years, who had had tracheostomies for 6 months or longer, participated. After skills were taught via doll-centered simulations, in vivo skills were evaluated. All of the training and probe sessions were conducted in the participants' classrooms or homes. Results of a multiple baseline design across subjects and skill components indicated that the performance of all children improved as a function of training. Skill maintenance was demonstrated by all participants during follow-up assessments conducted 2 to 6 weeks posttraining. Results of a questionnaire completed by caregivers and interviews with the children revealed high levels of satisfaction with the training procedures and outcomes.     

Father-child relationships from the preschool years through mid-adolescence

In this study, we examined variations in fathering and father-child relationships from the children's preschool years through mid-adolescence. One hundred seventy-seven fathers with first-born children ages 4, 8, 12, and 16 years responded to five sets of questionnaires tapping four domains of childrearing: practices, attitudes, parental role involvement, and role satisfaction. A multivariate analysis of variance identified significant variability among the four age groups in fathers' use of acceptance in childrearing practices, role involvement (frequency and task sharing), satisfaction with paternal role performance, and attitudes about the modifiability of child behavior. The results contribute new information about the nature of fathering throughout the childhood years and adolescence and provide additional support for the view of parenting as dynamic and responsive to the developmental level and gender-related characteristics of the child.     

Siblings in dyads: relationships among perceptions and behavior

The ways in which middle-childhood siblings perceive themselves as similar or different was assessed with a sample of 40 pairs of 9- to 11-year-old (younger) and 12- to 14-year-old (older) siblings. Each child was interviewed and completed a card sort procedure and a measure of self-competence. Sibling pairs participated in three behavioral tasks coded for cooperation and conflict. Self-ratings, self-perceptions, and sibling behavior were analyzed for their association with the perceived similarity construct. Siblings perceived themselves as being more like one another than did their mothers. Forty-one percent of the variance in their perceived similarity was accounted for by paired self-cooperation ratings, social competence, and behavioral task scores.     

After-contraction phenomenon: influences on performance and learning

Three experiments investigated the influence of an after-contraction phenomenon on the performance and learning of a dynamic force-production task. The after-contraction effect refers to an involuntary potentiation (induced by a sustained precontraction) that is thought to summate with voluntary motor commands to bias subsequent responding. The precontraction involved a brief (20 s) static contraction. The subsequent influence of the precontraction on a dynamic force-production task was assessed. Experiments 1 and 2 were aimed at demonstrating the direct impact of the precontraction intensity on the magnitude and decay of the after-contraction effect. The results indicated that as the intensity of the precontraction increased, the magnitude of the induced bias increased. In Experiment 3, the indirect influence on subsequent retention of varying the precontraction intensity during acquisition was investigated. The results indicated that the performance of subjects experiencing varying precontraction intensities during acquisition was inferior to that of subjects experiencing a constant precontraction intensity, but the performance of the varied precontraction intensities group was superior on the test of retention. It is noted that the paradoxical reversal from acquisition to retention is similar to that found in contextual interference experiments and may arise from similar mechanisms.     

Teaching cotherapy: Instructional and supervisory processes

A course on cotherapy for mental health practitioners is described. The authors strongly recommend that clinicians from all disciplines be taught and trained to do cotherapy, since it is a highly effective therapeutic modality in treating individuals, families and groups.