Social support and immune function among spouses of cancer patients

This study investigated whether social support was related to immune function among spouses of cancer patients. Effects of depression and negative life events were examined as potential mediators. Results showed evidence of greater immunocompetence on 2 of 3 dynamic measures: natural killer cytotoxicity and proliferation response to phytohemagglutinin among spouses who reported high levels of social support. All six components of social support assessed by the Social Provisions Scale (Cutrona & Russell, 1987) were strongly related to these indices of immune function. No evidence was found for mediation by either life events or depression.     

Are hyperactive children deficient in attentional capacity?

A dual task was used to study attentional capcity in three groups: in 6- to 12- year- old boys with attention deficit disorder plus hyperactivity (ADDH) or with ADDH and conduct disorder, and in normal children. Subjects performed a primary-choice reaction-time task first without and then with a secondary task that also required a response. Our prediction that the reaction time of ADDH subjects to the secondary task would increase more with increasing temporal overlap of the primary and secondary stimuli, if they were deficient in capacity, was not supported. However, the performance of ADDH subjects on the primary task deteriorated more than that of control subjects with the introduction of the secondary task, indicating a greater concurrence cost or a different allocation policy. Moreover, ADDH subjects had longer reaction times to the secondary task, indicating greater refractory effects or difficulty shifting capacity from primary- to secondary-task processes.The authors would like to acknowledge the support of the Ontario Mental Health Foundation and the assistance of Diane Chajczyk. This paper was prepared with the assistance of Medical Publications, The Hospital for Sick Children, Toronto, Ontario.     

Interpersonal loss and self-mutilation

Self-mutilation was hypothesized to increase in frequency during periods of interpersonal loss in a treatment program for seriously disturbed adolescents. The study examined changes in the frequency of acts of self-mutilation, aggression, and running away for 32 teenagers who experienced interpersonal loss when staff members left employment. Data were collected for a 4-year period. Statistical findings indicated that the frequency of self-mutilation increased significantly during the time period of anticipated loss, 2 weeks prior to staff terminations. There was no significant increase in the frequency of self-mutilation immediately following the staff terminations. Also, there was no significant change in the rates of aggression or running away either before or after the loss events. It was concluded that the time of anticipated loss was the period of highest risk for these adolescents in terms of self-mutilative behavior.     

Supervisor-Subordinate Work Value Congruence and Subordinate Performance: A Pilot Study

The relationship of superior-subordinate work value congruence to subordinate performance was examined in a retail setting. Additionally, because of on-going interest in the role of justice or fairness in the performance appraisal process, the relationship between the supervisor's value of fairness and subordinate performance was examined. Superior-subordinate value congruence was not related to subordinate performance. The supervisor's level of the value of fairness was related to supervisor-rated dimensions of performance, but not to sales and profits. Implications for future research are presented.     

Assessment of Supervisee Developmental Level and Supervision Environment Across Supervisor Experience

Supervisors representing different levels of experience viewed videotape vignettes of counselors demonstrating the first three developmental levels of Stoltenberg's (1981) Counselor Complexity Model. Supervisors assessed each counselor on his or her developmental level and on the supervision environment he or she would provide for the trainee. Results indicated that supervisor experience did not influence the assessment of developmental level or the ability to make accurate environmental matches. Nevertheless, supervisors had the most difficulty accurately assessing counselors representing Level 2 in Stoltenberg's model and tended to make relative judgments about counselor developmental level. Implications for training and further research are discussed.     

Evaluating pediatric psychology consultation services in a medical setting: An example

We examined the nature of referrals to a health center-based pediatric psychology service from 1990 to 1993 and assessed the satisfaction of health professionals with these services. Archival evaluation of 1467 records showed that over half of the consultation requests came from general pediatrics, pediatric neurology, and surgical services and that 70% of the psychological services were delivered on an outpatient basis. The most frequent referrals were for cognitive/neuropsychological evaluation and externalizing behavior problems. Pediatric psychology trainees were involved in 94% of the consultations. Survey of health professionals (n = 143) indicated very high overall satisfaction with the quality of services delivered. Presenting problems yielding the greatest likelihood for future consultation requests were behavior problems, child abuse, coping with illness, and depression/suicide. Results are discussed in the context of previous evaluations of pediatric psychology services and recommendations for future evaluation research.     

COSMOLOGY FROM ALPHA TO OMEGA

Abstract. This paper focuses on four passages in the journey of the universe from beginning to end: its origin in the Big Bang, the production of heavy elements in first generation stars, the buzzing symphony of life on earth, and the distant future of the cosmos. As a physicist and a Christian theologian, I will ask how each of these passages casts light on the deepest questions of existence and our relation to God, and in turn how these questions are being explored through ongoing research into the interaction between Christian theology and the natural sciences.     

Psychosocial knowledge and allopathic medicine: Points of convergence and departure

The past 15 years have witnessed a call for allopathic medicine to incorporate psychosocial perspectives into education and clinical practice. While a biopsychosocial perspective has influenced academic medicine in areas such as primary care and psychiatry, its direct impact on clinical medicine has been questionable. One barrier to the incorporation of psychosocial information into medicine which has only recently received attention has been different cultural assumptions which govern medicine versus the social-behavioral sciences. These assumptions are examined in the context of four issues: knowledge paradigms, models of education, acculturation of psychosocial knowledge into medicine, and patient autonomy. This cultural analysis provides a vantage point for understanding similarities as well as points of divergence between psychosocial and biomedical knowledge and practice.     

The influence of parents and family context on children's involvement in household tasks

To determine the relative impact of a number of family variables on children's performance of gender-typed household tasks, this study took account of the gender of the child, the gender of a sibling within the same age range (8–14 years), whether a first or second child and three parental variables: the degree of encouragement given to perform masculineand femininetasks, parental involvement in the same tasks, and parents' general egalitarianism. The sample consisted of 191 white, mainly Anglo Australian two-parent families, with the two oldest children in a boy—boy, girl—girl, boy—girl, or girl—boy sequence. To check on the robustness of effects, measures were taken on two occasions, on average 16 months apart. Among the family context variables, the gender of the child was the strongest contributing variable, with girls doing more feminine tasks than boys and boys doing more masculine tasks than girls. There was limited support for the proposition that first children do more housework than second children of the same gender, while the results for gender of sibling were small and inconsistent. Among the parental variables, encouragement had strong positive effects for feminine tasks (i.e., more encouragement by parents corresponded to more involvement by children). In contrast, parental involvement in the same tasks (modeling) and parental egalitarianism predicted only the performance of masculine tasks, and the direction of the effects was mostly negative (e.g., the more a father was involved in masculine tasks, the less a child did of those tasks). The results point to involvement in gender-typed activities being influenced by multiple factors, with parental encouragement and gender of child being most prominent among these. They also point to the value of sampling on more than one occasion and of considering separately the performance of feminine and masculine tasks. This research was financially supported by the Australian Research Council. We are happy to acknowledge that support, together with the essential assistance of the Department of Education and the many parents and children who participated in the study.