Primary prevention of secondary disorders: A proposal and agenda

This paper calls for consideration of a new class of preventive interventions designed explicitly to prevent comorbidity of psychiatric disorders. Epidemiologic data show that successful interventions of this type could be extremely valuable, as up to half of lifetime psychiatric disorders and an even larger percent of chronic and seriously impairing disorders occur to people with a prior history of some other disorder. Furthermore, a review of etiologic hypotheses concerning the causes of comorbidity suggests that interventions aimed at primary prevention of secondary disorders might be feasible. However, more basic risk factor research is needed on the causes of comorbidity before we can make a clear assessment of feasibility and discover promising intervention targets. A number of methodological problems arise in carrying out this type of formative research. These problems are reviewed and suggestions are offered for solutions involving innovations in measurement, design, and data analysis.     

Learning Styles of Mexican American and Anglo-American Elementary School Students

The learning style characteristics of Mexican American and Anglo-American elementary school children are identified and the implications for counseling and learning are discussed.     

Rational selective exploitation and distress: employee reactions to performance-based and mobility-based reward allocations

Prior research has demonstrated that allocators frequently distribute greater rewards to persons with high professional and geographic mobility than to persons with constrained mobility, especially among the very competent. This phenomenon has been termed rational selective exploitation. Do the recipients of such allocations actually experience this distribution rule as unjust and distressing, or is it a misnomer to refer to this phenomenon as exploitation? Two studies were conducted to explore this question. Study 1 was a laboratory experiment in which we manipulated relative performance level, relative mobility level, and allocation standard: performance based versus mobility based. Study 2 was a cross-sectional survey of actual employees in which subjects reported the degree to which performance and mobility were the basis for pay decisions at their places of employment, as well as the degree to which they perceived each standard to be fair. Both studies demonstrated that people regard mobility-based allocations as less fair and more distressing than performance-based allocations. Furthermore, the degree of distress resulting from mobility-based allocations is greater among persons who are disadvantaged by that standard: among people with constrained mobility, especially those who perform at high levels. These findings provide good support for the assertion that so-called rational selective exploitation is indeed distressing to employees. Reactions to this form of distress are also explored, and the implications of these findings for the allocation process are discussed.     

Event frequency and children's suggestibility: a study of cued recall responses

Research examining the effect of repeated experience on children's suggestibility for particular kinds of information has produced differing results. In one study, responses to recognition questions revealed heightened suggestibility for variable details in children who repeatedly experienced an event compared to children who experienced an event once. In other studies, no such effect was found with cued recall. In this study, 4–5‐year old children engaged in one or four play sessions. Children were later given a biasing interview wherein half of the details were incorrectly represented. Children were then given a final memory test using free and cued recall prompts that was preceded by one of three instruction types: no special instructions, moderate instructions, or opposition instructions. Children in the repeated‐event condition were more suggestible than those in the single‐event condition, regardless of instructions. No significant differences in suggestibility were found across instructions conditions. Copyright © 2004 John Wiley & Sons, Ltd.     

Multiple studies and weak evidential defeat

When a study shows statistically significant correlation between an exposure and an outcome, the credence of a real connection between the two increases. Should that credence remain the same when it is discovered that further independent studies between the exposure and other independent outcomes were conducted? Matthew Kotzen argues that it should remain the same, even if the results of those further studies are discovered. However, we argue that it can differ dependent upon the results of the studies.     

Reliability of the Child and Adolescent Needs and Strengths-Mental Health (CANS-MH) Scale

We examined the interrater reliability of the Child and Adolescent Needs and Strengths-Mental Health (CANS-MH) scale among researchers and between researchers and clinicians. All children presenting to a treatment facility for either protective or mental health needs were eligible to be included in the study. As part of standard assessment procedure, all children entering the facility were described by caseworkers using the CANS-MH. A random sample of 60 cases was selected and researchers made retrospective assessments using the CANS-MH based on chart review. Results of the interrater reliability support previous findings that the CANS-MH is a reliable measure of clinical and psychosocial needs and strengths. Results also suggest that ratings on the CANS-MH based on medical record abstraction by researchers relate to ratings performed by clinical staff, demonstrating the clinical and research utility of the CANS-MH. The CANS-MH can be used reliably to assess the type and severity of problem presentation, risk behaviors, functioning, care intensity and organization, caregiver capacity and strengths among children with protective and mental health needs. In addition, items of the CANS-MH appear to be reliable supporting the use of these items individually. Findings are relevant to the ongoing delivery of clinical services, monitoring of quality assurance, and outcomes.     

Effective Assertive Behavior in the Workplace: Responding to Unfair Criticism

A social rules perspective was employed to identify the elements of socially appropriate responses to unfair criticism in the workplace. Women generally endorsed for themselves response strategies based on stronger obligation and softer rights components, while men endorsed responses based on stronger personal rights expression and weaker obligation components. In support of the utility of a social rules approach to operationalizing context-specific expectations, behavioral responses based on gender and status-specific rules were evaluated as more effective on task, relationship, and self-respect dimensions than were rights-only, rights-plus-empathy, or submissive strategies. Results are discussed in terms of the development of a context-specific model of interpersonal competence and implications for interpersonal skills and assertion training.     

Islam and Human Rights: A Case of Deceptive First Appearances

It is a common belief that Islamic-based government, when serving as an ideological foundation for government, facilitates the poor protection of human rights. However, most studies of the relationship between Islam and individual rights have been at the theoretical and anecdotal levels. In this article, I test the relationship between Islam and human rights across a sample of 23 predominately Muslim countries and a control group of non-Muslim developing nations, while controlling for other factors that have been shown to affect human rights practices. I found that the influence of Islamic political culture on government has a statistically insignificant relationship with the protection of human rights.     

Greater Expectations: Using Hierarchical Linear Modeling to Examine Expectancy for Treatment Outcome as a Predictor of Treatment Response

A client's expectation that therapy will be beneficial has long been considered an important factor contributing to therapeutic outcomes, but recent empirical work examining this hypothesis has primarily yielded null findings. The present study examined the contribution of expectancies for treatment outcome to actual treatment outcome from the start of therapy through 12-month follow-up in a clinical sample of individuals (n = 72) treated for fear of flying with either in vivo exposure or virtual reality exposure therapy. Using a piecewise hierarchical linear model, outcome expectancy predicted treatment gains made during therapy but not during follow-up. Compared to lower levels, higher expectations for treatment outcome yielded stronger rates of symptom reduction from the beginning to the end of treatment on 2 standardized self-report questionnaires on fear of flying. The analytic approach of the current study is one potential reason that findings contrast with prior literature. The advantages of using hierarchical linear modeling to assess interindividual differences in longitudinal data are discussed.