Adjustment to hemodialysis treatment through behavioral controls

The present study was conducted to examine the hypothesis that compliant chronically ill patients, typically described as adjusted, reinforce more positive social environments using behavioral controls than noncompliant patients, typically described as maladjusted. Specifically, it is hypothesized that diet-compliant chronic hemodialysis patients emit significnatly more active involvement-in-treatment behaviors and more social behaviors than diet-noncompliant chronic hemodialysis patients. Subjects, who ranged in age from 30 to 77 years, were outpatients at a kidney center. Behavioral observations were conducted to assess the occurrence or frequency of (1) four involvement-in-treatment behaviors that are routinely taught to all patients and (2) two social behaviors, which were patient verbalizations and smiles. The results showed that compliant patients emitted significantly more involvement-in-treatment behaviors and smiles than noncompliant patients. Results support the proposed control framework that compliant, in contrast to non-compliant, chronically ill patients have recourse through positive behavioral controls when adjusting to the stresses of illness. It was proposed that through these controls, compliant patients reinforce positive environments rather than simply respond to life circumstances as given.     

Sex-related differences and visual-spatial mental imagery as factors affecting symbolic motor skill acquisition

The ability of males and females to use visual-spatial imagery as a facilitator of symbolic motor skill acquisition was investigated. Subjects, ordered by gender into control and mental imagery groups, performed 15 trials on a mirrored drawing task. The results indicated that, although both male and female mental imagery groups performed the task more skillfully than the control groups, the male mental imagery group scores over the early stages of performance were better as compared to the female mental imagery group scores. This difference was eradicated during the latter stages of performance. The findings, in addition to supporting the positive effects of mental imagery, lend support to the hypothesis that sex-related differences in selected visual-spatial tasks may be amendable through training followed by practice.     

Projective-cognitive assessment of thoughts and feelings and their relationship to adaptive behavior in a dental situation

The purpose of this study is to examine the interrelationships among coping statements, a self-report measure of anxiety and maladaptive overt behavior in a real-life stressful situation. Measures of these variables (interviews using TAT-like cards, State-Trait Anxiety Inventory for Children, Behavior Profile Rating Scale) were taken from 23 adolescents prior to and during their dental visit. Results indicated that as disruptive "in-chair" overt behavior increased, so did the percentage of coping statements. In addition, as self-report levels of anxiety increased, the percentage of coping statements significantly decreased. Interestingly, there was no significant relationship between self-report levels of anxiety and disruptive in-chair behavior. It was also noted that the subjects' self-report levels of anxiety significantly decreased following their opportunity to verbalize their coping/noncoping statements via the TAT-like procedure. The implications of these interrelationships to cognitive-behavioral theory are discussed.