Noncompliance in hemodialysis patients as measured with the MBHI

Abstract

Fifteen patients beginning maintenance hemodialysis due to renal failure were administered the Millon Behavioral Health Inventory, the Family Environment Scale and Beck Depression Inventory at the outset of treatment. They were then followed regarding their compliance with fluid, diet and medication, using weight change and serum potassium and phosphorus levels. Statistically significant differences were found on independence/dependence conflicts and between patients showing at least moderate noncompliance with weight and/or phosphorus limitations. Significantly higher levels of depression were associated with consistently poorer compliance patterns.     

Three dimensions of expertise

Psychologists and philosophers tend to treat expertise as a property of special individuals. These are individuals who have devoted much more time than the general population to the acquisition of their specific expertises. They are often said to pass through stages as they move toward becoming experts, for example, passing from an early stage, in which they follow self-conscious rules, to an expert stage in which skills are executed unconsciously. This approach is ‘one-dimensional’. Here, two extra dimensions are added. They are drawn from the programme known as Studies of Expertise and Experience (SEE) and its ‘Periodic Table of Expertises’. SEE, which is sociological, and/or Wittgensteinian, in inspiration, takes expertise to be the property of groups; there are ‘domains’ of expertise. Under SEE, level of expertise grows with embedding in the society of domain experts; the key is the transmission of domain-specific tacit knowledge. Thus, one extra dimension is degree of exposure to tacit knowledge. Under SEE, domains can be big or small so there can be ‘ubiquitous tacit knowledge’, such as natural-language-speaking or other elements of general social behaviour, which belong to every member of a society. The second extra dimension is, therefore, ‘esotericity’. The resulting three-dimensional ‘expertise-space’ can be explored in a number of ways which reveal the narrowness of the analysis and the mistakes that have been made under the one-dimensional model.     

The development of same and different judgments

Junior kindergarten children, third-grade children, and college students were given a simultaneous pattern discrimination task, with simple and complex patterns, under either unlimited or limited (150 msec) viewing time. Under unlimited viewing, RTs to same patterns were faster than to different patterns for younger children and older males. Under limited viewing, same and different RTs were equivalent, but more errors were made in judging different patterns by all age groups. The RTs were longer to complex than to simple patterns, but the increase was differentially less for the youngest Ss, especially on same pairs. Since this age difference was found under both limited and unlimited viewing, it was not attributable to age differences in perceptual scanning strategies. The same-different asymmetry in RT under unlimited viewing and in error rate under limited viewing confirms across a wide age range previous findings with adults using codable stimuli. A two-process model for same and different judgments appears to be required, although young children may have had a response bias for same in Expt II.     

Extensions of factorial solutions

A method is developed for extending any type of factor solution to new tests. The theoretical basis for this approximating scheme is thoroughly investigated, and then a simplification in the technique is introduced for practical purposes. An example is presented which illustrates the procedure of extending a factor solution to three new tests simultaneously.     

The effects of verbal reinforcement of intrinsic motivation for sex-linked tasks

Recent studies have demonstrated that positive verbal feedback enhances males' intrinsic motivation for a task, while decreasing that of females. This result has been attributed to differential socialization forces which make the controlling aspects of rewards more salient for females as opposed to males, for whom the informational aspects are prepotent. A weakness in this conclusion stems from the use of a masculine sex-linked task in prior experiments, producing a result which may be due to gender congruence/incongruence rather than to socialization differences. Two laboratory experiments were performed to examine the effects of verbal praise on intrinsic motivation, controlling for sex-typing of the experimental activity. Experiment I found that verbal praise increased females' and males' intrinsic motivation on both a feminine and masculine task, and intrinsic motivation was higher for sex-appropriate than sex-inappropriate tasks. The sexes did not show a differential pattern of response to praise. In Experiment 2, verbal praise also enhanced sex-role traditional females' intrinsic motivation on the same activity used in prior research. These results suggest that socialization content has changed sufficiently to make concerns about competence and self-determination equally salient for females and males.