NEW LOSS FROM AN OLD PROBLEM: HOW COUNSELORS CAN ASSIST PERSONS WITH POSTPOLIO SYNDROME

For many persons who were diagnosed with polio years ago, late effect symptoms were not anticipated. They believed they had gone through the more severe ramifications of the illness and were unaware that additional problems could occur. Currently, there are hundreds of thousands of persons in the United States who are experiencing significant difficulties with old symptoms and are also developing new physical and emotional difficulties. Unfortunately, little research has looked at the ways counselors can assist this population.Therefore, the purposes of this study were to identify the physical and emotional problems confronting persons with postpolio and to help counselors gain an understanding of issues they feel might be most appropriate to address in therapy sessions.     

Neonatal Intensive-Care Unit Graduates Show Persistent Difficulties in an Intradimensional Shift Card Sort

Neonatal intensive-care unit (NICU) graduates, a group at risk for attention problems and attention-deficit hyperactivity disorder, performed an intradimensional shift card sort at 34, 42, 51, and 60 months to assess executive function and to examine effects of individual risk factors. In the “silly” game, children sorted cards (airplanes and dogs) so they were not the same as targets. In the “same” game, they did the opposite. Performance on the “silly” game was poor, especially when it was presented first. Success in following “silly” game rules improved with age and was significantly linked to maternal education and birth weight for gestational age, a measure of intrauterine stress. Degree of central nervous system injury differentiated children who completed the task from children who did not, and it also affected the need to repeat instructions in the “same” game. These results confirm an increased likelihood of impairments in executive function during preschool years in NICU graduates.     

The Founding of Christianity Today Magazine and the Construction of An American Evangelical Identity

The emergence of modern American evangelicalism parallels the rise and development of Christianity Today magazine, a publication that has moved from a position of advocacy for a group of marginalized neo-fundamentalists to a well-established media system with a large evangelical constituency. This paper considers Christianity Today as both an ideological tool and a journalistic enterprise and examines the magazine's role during its founding era, under the editorial leadership of Carl F. H. Henry, in the ascendancy of evangelicalism as a social movement.     

A randomized clinical trial of Behavioral Activation (BA) therapy for improving psychological and physical health in dementia caregivers: Results of the Pleasant Events Program (PEP)

Dementia caregiving is associated with elevations in depressive symptoms and increased risk for cardiovascular diseases (CVD). This study evaluated the efficacy of the Pleasant Events Program (PEP), a 6-week Behavioral Activation intervention designed to reduce CVD risk and depressive symptoms in caregivers. One hundred dementia family caregivers were randomized to either the 6-week PEP intervention (N = 49) or a time-equivalent Information-Support (IS) control condition (N = 51). Assessments were completed pre- and post-intervention and at 1-year follow-up. Biological assessments included CVD risk markers Interleukin-6 (IL-6) and D-dimer. Psychosocial outcomes included depressive symptoms, positive affect, and negative affect. Participants receiving the PEP intervention had significantly greater reductions in IL-6 (p = .040), depressive symptoms (p = .039), and negative affect (p = .021) from pre- to post-treatment. For IL-6, clinically significant improvement was observed in 20.0% of PEP participants and 6.5% of IS participants. For depressive symptoms, clinically significant improvement was found for 32.7% of PEP vs 11.8% of IS participants. Group differences in change from baseline to 1-year follow-up were non-significant for all outcomes. The PEP program decreased depression and improved a measure of physiological health in older dementia caregivers. Future research should examine the efficacy of PEP for improving other CVD biomarkers and seek to sustain the intervention's effects.     

Parents' Perceptions of Children's Worries in a Changing World

The nature and intensity of worries that preadolescent children experience and the extent to which parents are aware of their children's concerns were examined. Questionnaires with three subscales (Physical Harm, Daily Life Matters, and Global Issues) were filled out by 89 6th graders and their parents. Parents underestimated the overall degree to which children worry, and they tended to believe that their children worried most about daily life matters, such as grades and popularity; children were in fact least worried about daily life matters and most worried about global issues, such as pollution and starvation. Both child and parent gender differences were found.     

The Adjective Check List Applied to Older Institutionalized Men

The assessment of the personality of the institutionalized aged presents many difficulties, since not all are capable of responding to the usual inventories. The Adjective Check List (ACL) has been considered a simple, flexible technique overcoming these difficulties. Seventy older men were evaluated on the ACL through self-reports and reports of their supervisors. Residents with disciplinary problems were described on a number of dimensions including aggression and need for change. Intelligence-personality relationships were found that were consistent with those found in children. The method appears capable of eliciting the negative self-perceptions of those who have early institutionalization.     

Normal and Exceptional Children's Attitudes Toward Themselves and one Another

In this study 65 junior high school boys and girls (54 normal and 11 exceptional children) evaluated themselves most favorably, normal children as a group less favorably, and exceptional children as a group least favorably of all on the Personal Attribute Inventory for Children. This was so regardless of whether the respondents were normal or exceptional children. Since data were collected from mainstreamed classrooms, it appears that mainstreaming may not be directly deleterious to exceptional children's self-concepts, but has associated with it a negative stigma for exceptional children as a group for both exceptional and normal children. These findings, plus others reported previously, fail to demonstrate that mainstreaming in its present form may be an elixir for exceptional children's social-emotional difficulties.