An application of DSM-IV's outline for cultural formulation: Understanding conduct disorder in Latino adolescents

In the established guidelines for providers of services to ethnic, linguistic, and culturally diverse populations, the American Psychological Association addressed the need for practitioners to consider the role that culture and ethnicity plays in the psychosocial development of culturally diverse populations. Currently, there are over 24 million Latinos in the United States, and this population is expected to quadruple in size to over 81 million in the year 2050. This discussion of a case example highlights the appropriateness of utilizing the outline for cultural formulation in working with Latino adolescents diagnosed with Conduct Disorder. As indicated by the DSM-IV's outline for cultural formulation, this discussion addresses the importance of assessing the following: 1) Cultural identity of the individual; 2) Cultural explanations of the individual's illness; 3) Cultural factors related to psychosocial environment and levels of functioning; 4) Cultural elements of the relationship between the individual and the clinician; 5) Overall cultural assessment for diagnosis and care. In particular, the discussion focuses on specific reasons why the utilization of the outline for cultural formulation can greatly assist the clinician in understanding many psychosocial elements unique to treating Conduct Disorder in the Latino adolescent.     

Endorsement of proactively aggressive caregiving strategies moderates the relation between caregiver mental health and potentially harmful caregiving behavior

This research tested the proposition that the oft-reported relation between caregiver mental health outcomes (i.e., resentment, depression) and potentially harmful caregiver behavior (PHB) would be mediated or moderated by caregiver endorsement of proactively aggressive caregiving strategies (PA). Caregiver resentment was the strongest predictor of PHB in the sample of 417 informal caregivers who resided with their care recipients; in fact, resentment mediated the impact of caregiver depression, thus suggesting that depressed affect was associated with PHB only if depressed caregivers resented their caregiving burdens. As predicted, caregiver endorsement of PA moderated the relation between resentment and PHB, such that links between these two constructs were strongest when caregivers were high in both resentment and PA. Endorsement of PA also mediated the relations between demographic or contextual variables (i.e., income, care recipient dementia) and PHB. Implications of these results for research and intervention are discussed.     

Optimally matching support and perceived spousal sensitivity.

Partner sensitivity is an important antecedent of both intimacy (H. T. Reis & P. Shaver, 1988) and attachment (M. D. S. Ainsworth, 1989). On the basis of the optimal matching model of social support (C. E. Cutrona & D. Russell, 1990), support behaviors that "matched" the support goals of the stressed individual were predicted to lead to the perception of partner sensitivity. Predictions were tested with 59 married couples, who engaged in a videotaped self-disclosure task. Matching support was defined as the disclosure of emotions followed by emotional support or a request for information followed by informational support. Partial evidence was found for the predictions. Matching support following the disclosure of emotions was predictive of perceived partner sensitivity. Mismatched support following the disclosure of emotions predicted lower marital satisfaction, through the mediation of partner sensitivity. Matching support following a request for information was not predictive of perceived partner sensitivity, but negative partner responses (e.g., criticism or sarcasm) following a request for information negatively predicted perceptions of partner sensitivity. The importance of considering the context of support transactions is discussed.     

Toward international normative reference data for the comprehensive system

We build on the work of all the authors contributing to this Special Supplement by summarizing findings across their samples of data, and we also draw on samples published elsewhere. Using 21 samples of adult data from 17 countries we create a composite set of internationally-based reference means and standard deviations from which we compute T-scores for each sample. Figures illustrate how the scores in each sample are distributed and how the samples compare across variables in eight Rorschach Comprehensive System (CS; Exner, 2003) clusters. The adult samples from around the world are generally quite similar, and thus we encourage clinicians to integrate the composite international reference values into their clinical interpretation of protocols. However, the 31 child and adolescent samples from 5 countries produce unstable and often quite extreme values on many scores. Until the factors contributing to the variability among these samples are more fully understood, we discourage clinicians from using many CS scores to make nomothetic, score-based inferences about psychopathology in children and adolescents.     

Introduction to the JPA special supplement on International Reference Samples for the Rorschach Comprehensive System

This Introduction provides an overview to the JPA Special Supplement on International Reference Samples for the Rorschach Comprehensive System (CS; Exner, 2001). It contains a history of this project and a table including all of the lead authors, their country and the type and size of their sample. Suggestions for conducting this type of research are offered, including information on normative vs. nonpatient samples, inclusion/exclusion criteria, the use of collateral instruments, and concerns relative to representativeness. Reliability and coding concerns are addressed, and information on the Popular response in Japan are reviewed. Finally, trends within and across the data are highlighted.     

Rorschach Comprehensive System data for a sample of 37 nonpatient/nondelinquent adolescents from the United States

This study is composed of 37 American adolescents, ages 15 to 17 years of age, all from the United States. The principal author was the sole examiner. Inclusion criteria are described. Interrater reliability statistics at the response level are presented along with scores for the Rorschach Comprehensive System (CS; Exner, 2003). The results revealed differences from the published norms on variables that reflect poor form quality, fewer popular responses, more attention to detail, more poor human relationship responses, and a more simplistic, affective-free approach to the environment, among others.     

Skilled typing performance and keyboard design

This article discusses the major control principles of fluent typing and their relevance to the design of keyboards. This research was supported by a grant (C00232213) from the U.K. Economic and Social Research Council.     

Effects of positive and negative moods on helping tasks having pleasant or unpleasant consequences

A field study investigated the effects of positive and negative moods on subjects' willingness to perform helping tasks having pleasant or unpleasant consequences. Results indicated that procedures designed to induce either positive or negative moods facilitate helping when the task has pleasant consequences, but tend to inhibit helping when the task is likely to be unpleasant. The findings are consistent with the notion that many everyday acts of kindness (altruism) are interpretable as a form of hedonism. The implications of these outcomes for an activation model of mood-induced altruism are discussed.     

Intervention in the Library: The Effect of Increased Responsibility on Bystanders' Willingness To Prevent a Theft

Two field experiments tested the hypothesis that a bystander's increased responsibility to act increases the likelihood of his helping the victim of an emergency. In Experiment 1, an individual asked or did not ask the bystander to protect his property in his absence. In Experiment 2, the presence/absence of an unattentive confederate was varied orthogonally to the request/no request manipulation. The results of both experiments indicated that bystanders who received a prior request for protective assistance felt more personally responsible for protecting the individual's property and were more likely to prevent a theft of that property than were bystanders who received no request. The presence of a confederate in Experiment 2 decreased bystanders' felt responsibility and their willingness to intervene on the victim's behalf. The results were interpreted as support for the "felt responsibility" proposition of the Latané and Darley (1970) model of bystander intervention.