Social phobia in disabled workers with chronic musculoskeletal pain

The present study assessed the prevalence and impact of social phobia and other anxiety disorders in disabled workers with chronic musculoskeletal pain. Potential participants were 200 disabled workers consecutively referred to an interdisciplinary tertiary care centre. A two stage screening process was used in which: (a) a self-report battery was given during a pre-admission visit, and (b) preplanned selection criteria were applied to the self-report instruments to select patients for a structured diagnostic interview. Fifty-four of the 146 patients who provided complete responses on the self-report battery met criteria for interview. Twenty-six patients (17.8%) met DSM-IV criteria for a current anxiety disorder and, of these, 16 (11.0%) were diagnosed with social phobia. Subjects with social phobia rated themselves as having less social support than subjects with no psychiatric disorder, but the groups did not differ in pain-related life interference, personal control, or health care utilization. The results suggest that social phobia is over-represented in disabled workers with chronic musculoskeletal pain and should be noted as a comorbid condition that may compound both suffering and disability.     

Family,peer, and neighborhood influences on academic achievement among African-American adolescents: One-year prospective effects

Using a 1-year prospective design, this study examined the influence of family status variables (family income, parental education, family structure), parenting variables (maternal support and restrictive control), peer support, and neighborhood risk on the school performance of 120 African American junior high school students. In addition to main effects of these variables, neighborhood risk was examined as a moderator of the effects of parenting and peer support. Family status variables were not predictive of adolescent school performance as indexed by self-reported grade point average. Maternal support at Time 1 was prospectively related to adolescent grades at Time 2. Neighborhood risk was related to lower grades, while peer support predicted better grades in the prospective analyses. Neighborhood risk also moderated the effects of maternal restrictive control and peer support on adolescent grades in prospective analyses. These findings highlight the importance of an ecological approach to the problem of academic underachievement within the African American community.     

Open live supervision in family therapy

This article reviews changes in models of supervision, resulting from technological developments and reflecting a variety of theoretical approaches. The focus is on open live supervision, conducted in the presence of the family. The supervisor and a therapeutic team join the therapist and the family, creating a complex supra-system that opens up several options for therapeutic intervention. Sessions are videotaped, and therapists use recordings for additional supervision and independent study. Therapists may also show recordings to the family as part of the therapeutic process. The advantages and disadvantages of the model are considered, and examples of some of the therapeutic options are described.This model was developed in the course of the author's work teaching and supervising students at the Counseling Department of the School of Education at the Hebrew University of Jerusalem, and supervising a multi-disciplinary team including physicians, psychologists, and social workers engaged in family therapy at the Municipal Psychological Services for Schools in Jerusalem. A shorter version of this article appeared in Hebrew inSihot 5 1991. Appreciation is expressed to Batya Stein for translating the final version of this article from Hebrew. Reprint requests should be addressed to Katrit Ron, Neve Granot 3-B, Jerusalem 93706, Israel.     

Ethical issues in research on preventing HIV infection among injecting drug users

The ethical issues in conducting research on preventing HIV infection are among the most complex of any area of human subjects research. This article is an update of a 1987 article that addressed potential conflicts between research design and ethics with respect to AIDS prevention among injecting drug users. The present article reviews current ethical issues that arise in the design and conduct of HIV/AIDS prevention research focused on injecting drug users. Disclaimer: The content of this publication is solely the responsibility of the authors and does not necessarily represent the views of the Beth Israel Medical Center or Johns Hopkins University.     

Scientist-administrators at the National Institute of Child Health and Human Development as contributors to the scientific enterprise

At the National Institute of Child Health and Human Development (NICHD), as in other government research supporting agencies, scientist-administrators who are "program staff" work to accomplish their organization's set of research priorities using established mechanisms for supporting research. At the same time, the definition of their work is given to their interpretation, which, in turn, is guided by their understanding of their scientific discipline and their commitment to it. The tension that may arise between the organization-guided role and the science-guided role is more apparent than real because the major responsibility of "program staff" within the Institute is to cultivate a grant portfolio addressing scientific issues relevant to the mission of the Institute and exemplifying the most advanced research concepts and methodologies. When the overlap between the mission of the Institute and the direction of science is small, the push to increase it leads to new and imaginative solutions that benefit both the Institute and the science.     

How Generalizable Are Adolescents' Beliefs About Pro-Drug Pressures and Resistance Self-Efficacy?1

Based on three waves of data from 1261 adolescents, this study examines the nature of resistance self-efficacy vis-a-vis different drugs and social situations, as well as its relationship to perceived pressure to use drugs. We found that both self-efficacy and perceived pressure to use drugs appear to be generalizable across substances (alcohol, cigarettes, and marijuana), but adolescents do tend to distinguish between their capacity to resist drugs in different social situations. Adolescents also discriminate between how much pressure they feel and their ability to resist that pressure, but the great majority report lower levels of self-efficacy in higher pressure situations. This relationship is strongest for alcohol and weakest for marijuana. These results suggest the following implications for prevention programs: (a) adolescents can be taught to resist one or more of the commonly used drugs with a reasonable expectation that the skills will generalize to other drugs; (b) resistance self-efficacy learned in one situation can be expected to have some generalizability to other situations, but it may be important to link resistance training with a range of situations to insure the greatest effectiveness; (c) to be maximally effective, prevention programs may need to help adolescents reduce the amount of pressure experienced as well as develop resistance skills; such efforts are likely to be particularly important for situations involving alcohol.     

Models of integration given multiple sources of information

Several models of information integration are developed and analyzed within the context of a proto-typical pattern-recognition task. The central concerns are whether the models prescribe maximally efficient (optimal) integration and to what extent the models are psychologically valid. Evaluation, integration, and decision processes are specified for each model. Important features are whether evaluation is noisy, whether integration follows Bayes's theorem, and whether decision consists of a criterion rule or a relative goodness rule. Simulations of the models and predictions of the results by the same models are carried out to provide a measure of identifiability or the extent to which the models can be distinguished from one another. The models are also contrasted against empirical results from tasks with 2 and 4 response alternatives and with graded responses.     

New models in research and design: New concepts of unity in planning and policy-making

Van Lohuizen’s ideal of unity, must above all be seen as a challenge to attain the necessary integration of planning, research, and design to meet the requirements of a changing society. Though Van Lohuizen's ideas were influenced strongly by the rational and technical principles of the CIAM, he saw technology as a means to an end in an approach that is primarily based on humans and culture. In the ideas of Van Lohuizen, different dimensions can be traced. New developments in these dimensions are discussed in the article. There is no lack of innovative ideas and methods. Nearly all the ideas and methods discussed were developed in the forties, fifties, or sixties. On the basis of the incubation period required for introduction on a wider scale, it is now time for them to find greater favor with society. Following the years of a no-nonsense policy, it seems that in many fields there is a new need for a wider, more qualitative approach. Ron van Eck studied architecture and management research at the University of Technology of Delft. He is working at the RIW—Research Institute of the Department of Architecture at the University of Technology of Delft, and at the Network for Spatial Organisation in Amsterdam.