Alleviating the distress of caregivers of Alzheimer's disease patients: A rational-emotive therapy model

Caring for a person with senile dementia of the Alzheimer type places an enormous emotional burden upon the caregiver. Common responses of caregivers include denial, anger, guilt, self-pity and depression. These negative emotions exacerbate the difficulties of caring for the patient, as well as constrict the caregiver's ability to develop appropriate coping skills for his/ her own life. Rational-emotive therapy (RET) specifies the maladaptive cognitions which elicit and sustain maladaptive emotions and behaviors, and provides a model for cognitive, affective and behavioral change. Excerpts from therapy sessions are presented to illustrate the process.Rose Oliver, private practice; Graduate Fellow and Supervisory Faculty, Institute for Rational Emotive Therapy, 45 East 65th Street, New York, NY 10021. Frances A. Bock, private practice; Adjunct Associate Professor, Psychology Department, Hofstra University, Hempstead, NY 11550; Graduate Fellow and Supervisory Faculty, Institute for Rational Emotive Therapy, 45 East 65th Street, New York, NY 10021.     

Images of black women among anglo college students

Previous research on popular images of women and of minority groups has looked almost solely at images of minority men and of white women. This article presents survey data on images of black women among 256 white non-Hispanic college undergraduates, using a modified Katz/Braly scale. The article explores the nature, distribution, correlates, and emotional evaluations of these images and the implications of these images for black women's lives. Images of black women differed substantially from those of American women in general. Most commonly, black women were characterized as loud, talkative, aggressive, intelligent, straightforward, and argumentative. In addition, students rated positive traits less positive and negative traits less negative when exhibited by black women than by American women in general, apparently because of their expectations for black women's behavior.This paper has benefited from the comments of Verna Keith, Wade Smith, and, most especially, Mary Benin. This research was partially supported by Arizona State University Women's Studies Summer Research Awards Program.     

Social Interactions of Obese and Nonobese Women

The stigma associated with obesity is likely to limit the opportunities obese women have to develop social skills. This hypothesis was tested by having obese (n = 15) and nonobese (n = 22) women converse on the telephone with college students who were unaware of the women's weights. Ratings made by judges who listened to the women's contributions to the conversations but who were unaware of their weights showed that obesity was negatively related to judgments about the women's likability, social skills, and physical attractiveness. The telephone partners of obese women rated the women and themselves more negatively than did the partners of nonobese women. Obese and nonobese women generally did not differ in their evaluations of their own and their telephone partners' behavior, and they also did not differ on a measure of social self-esteem. These findings suggest that there are real differences in the social behavior of obese and nonobese women and that these differences affect the impressions formed by those with whom they interact.     

Cholinergic-dopaminergic interactions in cognitive performance

Both acetylcholinergic (ACh) and dopaminergic (DA) systems have been found to be crucial for the maintenance of accurate cognitive performance. In a series of studies examining those aspects of cognitive function revealed by the radial-arm maze, we have found that these two neurotransmitter systems interact in a complex fashion. Choice accuracy deficits in the radial-arm maze can be induced by blockade of either muscarinic- or nicotinic-ACh receptors. The choice accuracy deficit induced by blockade of muscarinic receptors with scopolamine can be reversed by the DA receptor blocker, haloperidol. The specific DA D1 blocker SCH 23390 also has this effect, whereas the specific D2 blocker raclopride does not, implying that it is D1 blockade that is critical for reversing the scopolamine effect. On the other hand, the choice accuracy deficit induced by nicotinic blockade with mecamylamine is potentiated by haloperidol. This effect is also seen with the D2 antagonist raclopride, but not with the D1 antagonist SCH 23390, implying that it is the D2 receptor which is important for the potentiation of the mecamylamine effect. The relevance of the D2 receptor for nicotinic actions on cognitive function is emphasized by the finding that the selective D2 agonist LY 171555 reverses the choice accuracy deficit caused by mecamylamine. Nicotinic and muscarinic blockade are synergistic in the deficit they produce. Antagonist doses subthreshold when given alone produce a pronounced impairment when given together. This latter deficit can be reversed by the D2 agonist LY 171555. These studies have outlined the complex nature of ACh-DA interactions with regard to cognitive function. Possible neural circuits for these interactions are discussed. The effectiveness of these selective DA treatments in reversing cognitive deficits due to ACh underactivation suggests a novel approach to treating cognitive dysfunction in syndromes such as Alzheimer's disease.     

A Gender-role Perspective of Coping and Burnout

Cette étude explore la relation entre la dépression, le stress professionnel et les réactions positives chez du personnel scolaire des deux sexes. Les résultats indiquent que les hommes présentent un score significativement plus élevé que celui des femmes à l'échelle de dépersonnalisation du "Mas-lach Burnout Inventory". Alors que les hommes sont plus que les femmes victimes de stress au travail et cela de façon significative, ils ont aussi une plus faible probabilité de faire appel à des techniques de compensation en particulier dans la qualité de Ieur vie quotidienne (les investissements dans les relations amicales et les activités culturelles). D'autres données suggèrent que les femmes sont plus que les hommes capables d'utiliser des stratégies susceptibles de contrecarrer l'effondrement. Chez les hommes, la dépression reléve à la fois du stress professionnel et des enfants: la présence d'enfants élève significativement le niveau de dépression d'un homme.
This study examines the relationship between burnout, work stress, and coping in female and male school personnel. Results indicated that men, compared to women, scored significantly higher on depersonalisation, one of the subscales of the Maslach Burnout Inventory. Men were experiencing significantly greater work stress than women, but were less likely than their female counterparts to employ coping techniques, particularly with regard to their quality of daily life, investment in friends, and cultural activities. Further results suggested that women were better able to use coping strategies to reduce burnout than men. In men, burnout appeared to be a joint function of work stress and children, with the presence of children significantly raising a man's level of burnout.     

The selfobject as immortal self

This paper begins by defining the selfobject and elucidating its role in the structuring of the self for each unique individual. The self becomes a repository of the memory images of emotional experiences with significant others. This process of internalization through which the self is continually nourished, and which enables it to grow, goes on throughout life. However, as a case example illustrates, the ability to internalize a selfobject depends on the ability to receive and to give love. Once the selfobject is incorporated into the self of “an other” it is perpetuated in another, is perpetuated, analogous to the transmission of genetic material. Each individual carries others within himself or herself and has the potentiality for continuing to live within the self of another. This is a kind of immortality. She is the author of many articles and books, most recentlyAppointment in Vienna (St. Martin's Press).     

Anxious attachment and psychological distress in cardiac rehabilitation patients

This study investigated the relevance of anxious attachment to the differentiation of psychologically distressed and non-psychologically distressed cardiac patients. Attachment is a biologically based behavioral system in which proximity to a special other is sought or maintained to achieve a sense of safety and security. Anxious attachment, as the name denotes, fails to achieve the function of attachment in the sense of individuals having little or no confidence in the availability of their attachment figures. Empirically, three scales (feared loss of the attachment figure, proximity seeking and separation protest) capture the features of anxious attachment as elaborated by Bowlby. These scales were administered to 178 cardiac rehabilitation patients drawn from the cardiac rehabilitation program of the Calgary General Hospital. The results indicate that feared loss and proximity seeking differentiated psychologically distressed from non-psychologically distressed patients. The implications of this finding for the understanding of psychologically distressed cardiac patients are discussed.     

Content validity: A neglected strategy for developing managerial selection tests?

There is a lack of quick, valid, and cost effective methods for selection of low-and mid-level managerial personnel. Using content-valid methods to develop managerial selection instruments may reap substantial benefits for applicants as well as for the organizations using such tools. To this end, based upon extensive job analysis, a content-valid managerial selection test was developed. Criterion-based validity collected on the new instrument suggested that an instrument developed using content-valid procedures can also show acceptable levels of criterion validity.