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.     

Excuse inference modification in children and adults

The ability of first- and third-grade children and college adults to make excuse inferences about a speaker's use of an utterance and to modify those inferences appropriately upon receiving later information was examined in four experiments. Short stories containing an utterance by a speaker were read aloud. Utterances in the story were preceded by contextual information that suggested either that the speaker was truthful or making an excuse. Utterances were followed by information that confirmed or disconfirmed the excuse interpretation. The results of Experiment 1 indicated that even first and third graders can make excuse inferences, but these children rarely modify these interpretations upon receiving disconfirming information. In Experiments 2–4 possible reasons for the children's interpretive inflexibility were examined by varying the difficulty of relating the excuse interpretation and succeeding information. Results suggested processing difficulty, as well as an interpretive “set,” contributed to the children's inflexibility.     

Sex roles, gender, and fear

Male and female college students classified as masculine, feminine, androgynous, or undifferentiated on the Bem (1974) Sex Role Inventory (N = 199) were given the Wolpe (1969) Fear Inventory. Significant differences in average fear scores were seen between men and women and between the four sex-role categories, with sex role and gender contributing equally to the variability. The argument is raised here that excessive fearfulness or fearlessness might be as much a product of sex-role conditioning as a product of gender.     

Perceived somatotype and stereotypes of physique among Nigerian schoolchildren

The influence of perceived somatotype on stereotypes of behavior associated with body build was investigated among 160 male and 140 female Nigerian children in secondary school. In both groups, the perception of subjects' own physiques and discrepancy between their perceived and preferred physiques significantly explained the variance in the character trait scores attributed to body types. In general, the subjects attributed positive character traits to their perceived somatotypes and undesirable traits to the physiques with which they were dissatisfied. Thus, the perception of somatotype and discrepancy between perceived and preferred physique could significantly differentiate the character traits attributed to body build among male and female children.     

Spiritual support for caregivers of dementia patients

Dementia is considered the major psychiatric disorder of old age and affects over 4 million people in the United States. As Alzheimer's disease and other dementias progress, the patient can become increasingly dependent on the family for care. This dependency can place the caregiver in a role that is both difficult and demanding. In this study coping strategies used by family caregivers of dementia patients and caregivers' sense of burden were assessed. Burden scores were significantly correlated with spiritual support, an external coping strategy. When spiritual well-being is integrated with medical and psychosocial needs, the clergy and spiritual community can play an integral role in the care for families and dementia patients.     

Characteristics of dropouts, remainers, and refusers at a psychosocial rehabilitation program for the chronically mentally disabled

Thirty-eight chronically mentally disabled patients who were invited to join a newly established, vocationally oriented, day treatment program in Raleigh, North Carolina, served as subjects. We attempted to determine whether demographic and psychosocial characteristics significantly differed among groups of clients who dropped out of, remained in, or refused membership in this community-support program. A variety of demographic, expectancy, psychological, and psychosocial measures were administered to each subject. Most significant was the finding that the subjects' perceived level of help and support from friends was a significant determinant of the level of program participation. Those subjects who refused to participate (refusers) perceived themselves as receiving proportionately less support than did members of the other two groups (dropouts and remainers).     

A supervision approach for teaching structural/strategic therapy in a limited setting

Many counselors are currently undergoing a Kuhnian paradigm shift from linear models of behavioral problem conceptualization to systemic conceptual models. As a result, it has become incumbent on counselor-educators to introduce the systems concept of family therapy to their students within a framework that renders it meaningful not only intellectually but also practically. This paper presents one way of doing this successfully with master's level counselors-in-training who have no live families on which to practice. An overview of systems approaches to family therapy is presented along with a seven-stage supervision approach for teaching structural/strategic therapy in limited situations where the supervision of live families is not practical or possible.     

Probability and delay of reinforcement as factors in discrete-trial choice.

Pigeons chose between two alternatives that differed in the probability of reinforcement and the delay to reinforcement. A peck on the red key always produced a delay of 5 s and then a possible reinforcer. The probability of reinforcement for responding on this key varied from .05 to 1.0 in different conditions. A response on the green key produced a delay of adjustable duration and then a possible reinforcer, with the probability of reinforcement ranging from .25 to 1.0 in different conditions. The green-key delay was increased or decreased many times per session, depending on a subject's previous choices. The purpose of these adjustments was to estimate an indifference point, or a delay that resulted in a subject's choosing each alternative about equally often. In conditions where the probability of reinforcement was five times higher on the green key, the green-key delay averaged about 12 s at the indifference point. In conditions where the probability of reinforcement was twice as high on the green key, the green-key delay at the indifference point was about 8 s with high probabilities and about 6 s with low probabilities. An analysis based on these results and those from studies on delay of reinforcement suggests that pigeons' choices are relatively insensitive to variations in the probability of reinforcement between .2 and 1.0, but quite sensitive to variations in probability between .2 and 0.