U.S.- and Mexico-born Hispanic teen mothers: a descriptive study of factors that relate to postpartum compliance

Compliance with postpartum visits after teenage births in the US was examined among 289 Hispanic teenagers, of whom 127 were born in Mexico or border towns, who delivered at Harris County Hospital District and scheduled postpartum appointments at the Teen Health Clinic. The mean age was 17.31 years for mothers and 21.95 years for fathers. 56.7% (164) were married. 49.8% lived with husbands, 25.8% with parents, 22.3% with friends/relatives, and 2.1% alone. 74.7% stated that they had no social supports. 88.9% had a term delivery, 8.3% a preterm delivery, and 2.8% a fetal loss. 67.5% were first births, 5.5% had a previous abortion, and 3.1% had a previous miscarriage. 23.2% had a previous child, and 0.7% had a previous preterm delivery. Some form of prenatal care was received by 85.1%. 34.3% reported no further educational plans. 17.3% (50) returned for a scheduled postpartum visit. Mothers with a prior history of a premature birth or miscarriage were more likely to return postpartum compared to mothers with a first or prior birth. The differences are marginally significant. None of the mothers with a prior abortion returned. 34.9% of the returning teen mothers were more likely to have had prenatal care. Returning mothers also were a larger percentage of those with no future educational plans. 13.4% of returning mothers had an available social support system. Country of origin was not associated with support systems, prenatal care, return status, educational plans, pregnancy history, or current birth outcome. Out of the 50 returning, 20 were Mexican-born and married. Only Mexican marital status was found to be a significant variable explaining differences. Marital status had no effect on the 26 US native-born returnees. 92% of the Mexican-born teens were married and had a support system. The most dramatic feature of this study is the high level of noncompliance among both US-born and Mexican-born adolescents. There were few distinguishing features between these two groups. Return status was affected by very few features and was achieved by a very small percentage of the study population. The suggestion is made that poverty, a lack of health insurance, and poor knowledge of English, as representative of cultural dissimilarity, may be responsible for poor use of preventive care.     

The Relationship Between Racism and Racial Identity Among White Americans: A Replication and Extension

The purpose of this investigation was to assess the influence of White racial identity attitudes on racism. A total of 234 White undergraduate students participated in this investigation. The students completed the White Racial Identity Attitude Scale (Helms & Carter, 1990) and the New Racism Scale (Jacobson, 1985). Consistent with findings in previous research, White racial identity attitudes were predictive of racism. We also found gender and age differences in White racial identity attitudes. Implications of these findings are discussed in terms of the role of counselors in addressing racial awareness on college campuses.     

Showing Clients What Their Profiles Mean

This article suggests that counselors might profitably investigate new graphic approaches to showing clients what their multivariate profiles mean. An illustration is given in terms of Holland's RIASEC (Realistic, Investigative, Artistic, Social, Enterprising, Conventional; 1985) model of vocational interests.     

Promotion and employee turnover: Critique,meta-analysis,and implications

Qualitative reviews of the withdrawal literature have reached inconsistent conclusions regarding the strength of the relationship between promotion and turnover. Several issues were addressed in this study which may account for these inconsistencies. First, we differentiate among three distinct operationalizations of promotion: (1) promotion satisfaction; (2) perceptions of promotional opportunity; and (3) actual promotion. We then conduct quantitative reviews using meta-analytic procedures on turnover and the three operationalizations of promotion. We found no significant relationships between promotion satisfaction and turnoveror between perceived promotional opportunities and turnover. However, a significant negative relationship was found between actual promotion and turnover. Theoretical implication of these findings are presented.     

The evaluation of stress management services by Canadian organizations

Although there is a recognition that evaluation plays an important role in organizational programs to manage stress in the workplace, the literature shows that few evaluations are conducted and that many suffer from serious methodological inadequacies. A mail survey was conducted with a random sample of 500 Canadian organizations having at least 500 employees. Results from the 210 responding organizations revealed that only about 16% of organizations evaluate such programs and services and even at that major methodological weaknesses are apparent. Results are also presented by industry group and organizational size. Finally, several recommendations are offered to enhance the evaluation role in organizations.This study was supported by a grant from the Social Sciences and Humanities Research Council of Canada. An earlier version of the paper was presented at the annual conference of the Canadian Psychological Association in Calgary, June 1991.     

Taking an individualized approach to the assessment of self-efficacy and the prediction of alcoholic relapse

The present study reports on a clinical instrument designed for assessing self-efficacy in alcoholics. In contrast to studies that construct general measures, it was proposed that taking an individualized approach to assessment might offer an effective methodology. Thirty-four alcoholics in an outpatient, behaviorally oriented treatment program participated as subjects. During therapy, an Individualized Self-Efficacy Survey (ISS) was developed for each subject. The ISS was developed by (a) administering the Drinking Patterns Questionnaire (DPQ) to identify important problem areas (e.g., work, children, marital) and specific drinking antecedents and (b) constructing a 15-item scale using each drinker's most important cues. The utility of having clients choose their own items was supported by finding a significant relationship between problem areas identified as important on the DPQ and the areas reported as surrounding relapse. ISS ratings were reflective of efficacy changes during treatment, while posttreatment ISS scores were predictive of subsequent relapse. Situation-specific prediction of relapse was not found. The advantages of this methodology for clinical use are discussed, while general directions for future research are suggested.     

CONSTRUCT ACCESSIBILITY AND THE MISATTRIBUTION OF AROUSAL:

Abstract— Schachter and Singer (1962) showed that people search the immediate environment for emotionally relevant cues to label and interpret unexplained physiological arousal We investigated how unobtrusively activated cognitions and physiological arousal interact to produce emotional experience when the immediate environment is devoid of relevant cues Subjects were primed with positive, negative, or neutral concepts They then either exercised or sat still and, either immediately or after a delay, rated their emotional state Consistent with what Schachter and Singer found, subjects in the exercise, delayed-rating condition, who lacked an obvious explanation for their arousal, made the most extreme affective self-ratings, which were consistent with the valence of the primed concepts These subjects apparently interpreted their residual arousal in terms of the primed concepts Subjects in the exercise, immediate-rating condition, who had an explanation for their arousal (i e, the exercise), were not influenced by the primes Subjects in the no-exercise condition showed typical priming effects, with prime-consistent self-ratings that decayed over time Implications for emotion formation, misattnbution of arousal, and cognition are discussed     

SPEECH PERCEPTION AS A TALKER-CONTINGENT PROCESS

Abstract— To determine how familiarity with a talker's voice affects perception of spoken words, we trained two groups of subjects to recognize a set of voices over a 9-day period One group then identified novel words produced by the same set of talkers at four signal-to-noise ratios Control subjects identified the same words produced by a different set of talkers The results showed that the ability to identify a talker's voice improved intelligibility of novel words produced by that talker The results suggest that speech perception may involve talker-contingent processes whereby perceptual learning of aspects of the vocal source facilitates the subsequent phonetic analysis of the acoustic signal     

Accreditation Standards for University and College Counseling Centers

The accreditation standards outlined in the article are used by the International Association of Counseling Services, Inc., as the basis for the formal accreditation of college and university counseling programs throughout the United States and Canada. They reflect the program elements and practice standards that are deemed essential in a counseling center that provides high-quality services to students.