Denial and Confirmatory Search: Paradoxical Consequences of Medical Diagnosis1

An experiment was conducted to examine the effects of medical diagnostic-test results on illness appraisal and the recall of symptoms and behavior. Subjects were tested for a fictitious enzyme deficiency and were told either that the test result was positive (deficiency present) or that it was negative (deficiency absent). In addition, some of the subjects were told the test was accurate 95% of the time and others were told it was accurate 75% of the time. As predicted, subjects judged the enzyme deficiency as less serious and more prevalent when presented with positive test results. Subjects with positive test results also recalled more behaviors that had been labeled as risk factors. Although positive test subjects tended to report more deficiency-related symptoms, diagnosis did not affect the free recall of general symptoms. In addition, information concerning the reliability of the diagnostic test had no effect on judgments or recall but did affect information seeking. Subjects with positive test results were less likely to request a definitive follow-up test when their results were unreliable. The results are interpreted as evidence for independent confirmatory search and denial processes following medical diagnosis.     

Conceptions of states and traits: dimensional attributes with ideals as prototypes

Traits and states are concepts that people use to both describe and understand themselves and others. We show that people view these concepts as prototype-based categories that have a graded internal structure and fuzzy boundaries and identify a set of attributes that define the prototypical cores of two categories: traits and states. Prototypical traits are stable, long-lasting, and internally caused. Prototypical states are temporary, brief, and caused by external circumstances. These prototypes are not defined by averages, as the family-resemblance principle would suggest, but by ideal (or extreme) attribute values. Like other ideal-based categories, traits and states serve particular goals. Trait concepts permit people to predict the present from the past; state concepts identify those behaviors that can be controlled by manipulating the situation. These two complementary schemas are part of the extensive theory of psychological causality that is implicit in language. Abstract social concepts differ from object categories in their category standards, the nature of their attributes, and the interrelations among those attributes.     

Drinking and Driving: Perceptions and Evaluations as a Function of Level of Intoxication and Weather

Over the past decade, drinking and driving has been a major social problem causing deaths and injuries. The present study examined factors that may encourage this potentially self-destructive behavior. Three hundred and seventy-eight subjects were presented with scenarios describing a night of drinking with friends. Scenarios differed with respect to three levels of intoxication (not at all, slight, and very) and two levels of weather (clear and rain). Subjects were asked to estimate the proportion of their peers who would drive home or choose an alternative form of transportation. Subjects were also asked to evaluate the target who drove home or took an alternative in terms of likability, cautiousness, skillfulness and independence. Driving home was found to be the most common mode of transportation, regardless of state of drunkenness or weather conditions. Alternatives to driving home were seen as being utilized only under extreme conditions (e.g., very intoxicated and rainy weather). Moreover, persons taking one of the more cautious alternatives were perceived as overly cautious and also low in skillfulness. The practical implications for the findings are discussed with respect to enhancing education efforts.     

Differences Between Personal Estimates of Body Fatness and Measures of Body Fatness in 11- and 12-Year-Old Males and Females

This study was designed to assess the accuracy of perceived levels of body fatness as indicated by 11- and 12-year-old children. Using a rating scale ranging from 1 (extremely lean) through 9 (extremely overweight), 50 males and 50 females estimated personal levels of body fatness. Using a 2 × 2 between-and-within-groups ANOVA, these estimates were compared to individual skinfold sum percentile scores derived from comparisons with national skinfold norms. The results revealed that the females tended to overestimate personal levels of body fatness, whereas estimates given by the male subjects were interpreted as not significantly different from skinfold sum percentile scores.     

DIMENSIONS COGNITIVES ET COMPORTEMENTALES CHEZ LES JOUEURS RÉGULIERS ET OCCASIONNELS AU BLACKJACK

Empirical studies in the psychology of gambling have revealed at least two well supported findings: (1) irrational cognitions outnumber rational cognitions during gambling (Gaboury and Ladouceur, 1987; Ladouceur, Gaboury, Dumont and Rochette 1988); (2) risk-taking behavior increases as a function to exposure to gambling activities (Ladouceur, Mayrand and Tourigny 1987; Ladouceur, Tourigny and Mayrand 1986). The present study compared regular and occasional gamblers on cognitive and behavioral measures during a blackjack session using the thinking aloud method. The results confirmed that regular players emitted more irrational thoughts than occasional gamblers. The theoretical and practical implications of those results are discussed within the general context of the psychology of gambling.     

The assessment of child abuse potential and the prevention of child abuse and neglect: A policy analysis

A frequently advocated strategy for increasing the efficiency of child abuse prevention programs is to deliver prevention services to "high-risk" populations. This article critically reviews procedures for the reliable and valid assessment of child abuse potential within an ecological perspective. Factors that limit the usefulness of child abuse risk assessment are discussed. These factors include the uncertain criteria of child abuse and neglect, the low base rate of the phenomenon, and the financial and social costs of such procedures. Finally, the prevention implications of the current and future state of the art in child abuse risk assessment are considered and preventive interventions that do not depend on individual case risk screening are advocated.     

The social supports of suicide attempters: The different roles of family and friends

The social support patterns of a sample of 101 suicide attempters were compared with the patterns of a control sample on the basis of structured interview data. Network characteristics and the extent of support in different functional categories were examined as to their absolute and relative power to discriminate between the suicide attempters and the controls. A clear separation of the functions of kin and of friends/acquaintances emerged. The crucial difference between the attempters and the controls lay in the number of friends with whom the subjects had agreeable everyday interactions and in the number of kin that provided crisis support, both psychological and instrumental. Other support differences between the two groups were of secondary importance. While there was no overall difference in the frequency of social interactions between the two groups, the size of the social network differed greatly. Consequences for the conceptualization and measurement of social support as well as for the prevention of suicidal behavior are discussed.     

Does nondirectional signalization of target distance contribute to navigation in the Morris water maze?

The possibility that rats can navigate in the Morris water maze by reducing the difference between the memorized platform scene and the current sensory input was tested in nine blind rats. A computerized videosystem monitored the rats' movements in the pool and converted the rat-target distance into tones the frequency of which increased in 64 equal steps from 120 Hz at 128 cm to 7680 Hz at 0 cm. During 15 days of training to find a fixed platform position from different starting points (12 trials per day) average escape latencies decreased from 39.0 to 25.4 s. The performance significantly deteriorated when the acoustic distance signalization was omitted and/or when the target position was changed form trial to trial. It is concluded that blind rats solved the task by simultaneously employing search strategy based on position responses, mapping using acoustic background beacons, and distance reduction navigation. It is argued that the various strategies are additive and that their relative significance depends of the conditions of the experiment.