Psychological distress and well-being in advanced cancer: The effects of optimism and coping

This study examined the relations among optimism, coping, functional status, and psychological adjustment in 75 adults diagnosed with cancer. Both the positive and the negative aspects of psychological adjustment were assessed. All participants had been diagnosed with advanced stages of cancer (i.e., Stages II, III, and IV). Participants completed three assessments across a 4-month time period. Both optimism and coping were associated with psychological adjustment, even after controlling for functional status and prior adjustment. Additionally, optimism and coping were differentially related to distress and well-being. Optimism was strongly and positively associated with well-being and inversely related to distress. Escape-Avoidance coping was positively associated with distress and Accepting Responsibility coping was negatively associated with well-being. Comparisons between the current and prior studies indicated that individuals who are diagnosed with more advanced stages of cancer or who have survived bone marrow transplantation exhibit higher levels of optimism than do healthy individuals and individuals with early-stage disease.     

Anencephalics as organ sources

In recent years, the need for infant organs for transplantation has increased. There is a growing recognition of the potential use of anencephalics as sources of organs. Prevalent arguments defending the use of live anencephalics for organ sources are identified and criticized. I argue that attempts to deny the applicability of the “dead-donor rule” are either question-begging or based on false premises and that attempts to skirt the Kantian dictum against treating others as a means only are not successful. I contend that the apparent utilitarian justification for live anencephalics as organ sources is unsatisfactory for two reasons: first, because it ignores the undermining effect the policy would have on parental values and sentiments central to social welfare; and second, because attempts to respond adequately to the slippery slope argument against live anencephalic use are unconvincing.     

Black and white adolescent males' perceptions of ideal body size

A stratified random sample of 496 white (n =337) and black (n =159) adolescent males participated in a survey of ideal body size beliefs. Responses to the questionnaire and a series of nine female and male body size drawings were analyzed using the General Linear Model Analysis of Variance and Categorical Modeling. Using SES and race as independent variables and BMI (kg/m ²)as a covariate, black males were found to prefer a significantly heavier ideal female body size than whites (p <.0001) and also perceived that their parents, female friends, and male friends would select as ideal a significantly heavier female body size than white subjects. Black subjects were 1.9 times (O.R. = 1.88, 95% C.I. = 1.44, 2.47) more likely to select a larger ideal female hip/buttocks size and 1.7 times (O.R. = 1.72, 95% C.I. = 1.25, 2.37) more likely to choose a larger ideal female thigh size than white subjects. Our findings seem to point toward a greater approval and social acceptance of a larger body size for black females by black males. This study was conducted by the University of South Carolina School of Public Health and funded in part by ASPH-CDC Cooperative Agreement, Center for Disease Prevention and Health Promotion, Centers for Disease Control, Atlanta, Georgia.     

Family process and child anxiety and aggression: An observational analysis

Barrett, Rapee, Dadds, and Ryan (1996) described a phenomenon whereby family discussions magnified the style of children's problem solving in a way characteristic of their particular clinical diagnosis. That is, anxious children became more avoidant, aggressive children more aggressive, and nonclinic children more prosocial, after discussing ambiguous hypothetical situations with their parents. This study examined specific sequences of communications exchanged between parents and children hypothesized to underlie this family exacerbation of child cognitive style. Family discussions were videotaped and categorized for groups of anxious, aggressive, and nonclinic children and their parents. Results revealed differences between groups of parents in frequency of agreeing with and listening to their child and the frequency of pointing out positive consequences. Conditional probability analyses showed that parents of anxious children were more likely to reciprocate avoidance, while parents of nonclinic children were more likely to agree with and listen to prosocial plans from their child. Differences in parent behaviors observed during the family discussions were reliably associated with the child's response to the ambiguous situation proposed after the family discussion. Results support a model of developmental anxiety and aggression that emphasizes the interaction of family processes and social-cognitive development in the child.This research was supported by grants from The National Health and Medical Research Council of Australia, The University of Queensland, and The Myer Foundation of Australia.     

Students' perceived closeness to professors: The effects of school,professor gender,and student gender

The present study is a replication and expansion of F. J. Crosby and L. M. Reinardy's 1993 study, which found that female college students felt closer to female professors than to male professors. While the original study was conducted at a women's college, the present study includes students at a women's college, a coed college that was previously a women's college, a coed college that was previously a men's college, and a large university. Seventy-four percent of students were Caucasian, 7% Asian, 5.5% African American, 3% Latino/Latina, 0.5% Native American, 5.5% Mixed Race, and 4% Other. Feelings of closeness were examined as a function of institution, professor gender, and student gender. It was again found that students at the women's college felt closer to female professors than to male professors. This affinity for female professors held true for both male and female students at the other three institutions. Additionally, students at the previously women's college felt closer to their professors than did students at either the university or the previously men's college. The importance of female professors in higher education are considered.     

General Education Participation Improves the Social Contacts and Friendship Networks of Students with Severe Disabilities

One desired outcome of inclusive education is the enhanced social development of students with disabilities. Some have suggested that planned and systematic support of students with severe disabilities in general education environments may lead to greater social interaction between these students and their peers without disabilities. In an effort to analyze this proposition, we studied two students with severe disabilities as they began participating in general education classrooms. Using within-student multiple baseline designs across class periods, the effects of participating in general education were studied across a range of social participation indicator variables. Our results suggest that planned and systematic efforts to include students with severe disabilities into general education courses can have positive effects on their social contacts and friendship networks. Our findings are discussed in relation to policy efforts to establish inclusive education in public schools, strategies for structuring general education participation, and the potential effects such efforts can have on the social inclusion of students with disabilities.     

Between Two Worlds: Counseling South Asian Americans

This article examines some of the mental health issues associated with counseling South Asian immigrants in the United States. A profile of the South Asian family is developed. Its structure and values are examined in relation to those of the American counseling community.     

The transition from expectancy to parenthood: Impact of the firstborn child on men and women

In this short-term longitudinal study, 31 middle-class primigravidae and their husbands were seen once during the last trimester of pregnancy and again when their infants were 6 months old. At both times, a common core of self-assessment instruments was administered: mood scales, social change ratings, anticipation/experience of parenthood, and a modified Bem satisfaction scale. Some additional items were given at parenthood. For both men and women, expectancy was marked by optimism and contentment, despite some emotional and physical strain. Similarly, as parents of an infant, subjects rated the experience as highly positive. However, the transition to parenthood involved major role upheaval with both more positive and more negative changes reported by women than men. Despite these changes, women displayed considerable stability in mood and self-satisfaction over time and situation. In contrast, measures of the anticipation and self-reported experience of parenthood revealed no consistency for women; the types of mothers they turned out to be were unrelated to their expectations. Men successfully predicted their parenting behavior on more than half of the dimensions measured. The results were discussed in terms of the stresses inherent in role changes encountered during transitions from one stage of life to the next.This research was supported by funds from the Boystown Center for the Study of Youth Development at Stanford University. Special thanks to Barbara Aschenbrenner for her assistance in all phases of the research.