Coping with AIDS: Psychological and Health Implications1

The current study explored the relationship of coping to both psychological and health parameters in 50 gay men recently (within three months) diagnosed with AIDS. Three methods of coping (active behavioral, active cognitive, and avoidance) and eight different coping strategies (positive involvement, expressive/ information seeking, reliance on others, positive understanding/create meaning, passive/ruminative, distraction, passive resignation, and solitary/passive behaviors) were assessed. Findings indicate that avoidance coping is not protecting these people from distressful feelings, mood disturbance, and concerns. The three coping methods evidenced distinctly different associations with measures of psychological and health variables. Active-behavioral coping was related to lower total mood disturbance and higher self-esteem, while avoidance coping was inversely related to self-esteem and positively correlated with depression. The frequencies of specific coping strategies indicate men in this study were using cognitive strategies most frequently. Suggestions for interventions to help people cope with AIDS are given.     

Attention deficit disorder and age of onset of problem behaviors

In the course of a prospective longitudinal study, we examined age of onset of behavior problems in a group of boys and girls identified with attention deficit disorder (ADD) at age 11. Onset occurred during the preschool years, by the first year of schooling, or by the end of the second year of school. Onset was strongly related to informant source at age 11, pattern of comorbidity of disorder at age 11, and developmental language, perceptual motor, and IQ measures. Onset by the first year of schooling was particularly related to poor reading skills. By age 15, nearly three-quarters of those with onset of problems before age 6 had one or more DSM-III disorders.     

Is science socially constructed—And can it still inform public policy?

This paper addresses, and seeks to correct, some frequent misunderstandings concerning the claim that science is socially constructed. It describes several features of scientific inquiry that have been usefully illuminated by constructivist studies of science, including the mundane or tacit skills involved in research, the social relationships in scientific laboratories, the causes of scientific controversy, and the interconnection of science and culture. Social construction, the paper argues, should be seen not as an alternative to but an enhancement of scientists’ own professional understanding of how science is done. The richer, more finely textured accounts of scientific practice that the constructivist approach provides are potentially of great relevance to public policy. This paper is based on a Topical Lecture presented at AMSIE'96, the 162nd National Meeting of the American Association for the Advancement of Science. Baltimore, Maryland, 8–13 February 1996. The views expressed are those of the author and do not reflect the opinions of the AAAS or its Board of Directors. For permission to cite or quote any part of this paper please refer to the author for permission.     

Instructions, self-instructions and performance

Four semantically equivalent instructions were used for a classification task, in which response was required to the larger of two classes of items. The variables in the instructions were (1) the explicitness of the negative used to define the smaller class, and (2) the order of reference to this class within the sentence. Superior performance was obtained with instructions containing “except” compared with those using “not,” regardless of order. Analysis of the self-instructions generated by the subjects, prior to performance, indicated that their form was largely determined by the given instruction. Speed of performance was related to form of self-instruction elicited prior to the task, but not to that elicited after completion of the task.     

Attributional styles for helplessness and depression: The importance of sex and situational context

Differences between the sexes in attributions for positive and negative outcomes in either affiliative or achievement situations were examined using the Attributional Style Questionnaire (ASQ). Separate regression analyses for each sex related the ASQ to a measure of helplessness and the Beck Depression Inventory. No differences were noted for attributions to internality or stability; however, females attributed more global causality to positive outcome affiliative situations and negative outcome achievement situations. Regression analyses failed to support the helplessness attributional model of depression. No ratings on the ASQ predicted depression for males; furthermore, for females, only the internal/external dimension was relevant, moderated by both outcome and type of situation. Sex differences were discussed in light of the higher incidence of depression among females.     

Systematic Monitoring of the Implementation of a Case Management Model

A systematic approach for monitoring case management service provision and the results obtained when this approach was applied to a program for community-dwelling elders with severe mental illness are presented. A detailed, closed-ended, daily service log was used to collect data on 713 client-contact days. Participants (N = 24) were predominantly female (71%), were White (63%) or African American (37%), and tended to have diagnoses of either schizophrenia (42%) or major depression (21%). Services were delivered most frequently in the client's home (47%), the program office (35%), or by phone (27%); most frequent activities were monitoring psychiatric symptoms/medications (62 %), and monitoring physical symptoms or medications or both (54%). Service characteristics did not differ with regard to demographics but did vary with living situation and psychiatric diagnosis. The findings point to the need for flexible programs capable of meeting diverse service needs as well as the utility of a daily service log in studying case management.     

Discomfort with space and motion: A possible marker of vestibular dysfunction assessed by the situational characteristics questionnaire

Space and motion discomfort (SMD) refers to the situational specificity of symptoms occurring in some patients with vestibular dysfunction, such as those with balance disorders and some with panic disorder. SMD occurs in situations characterized by inadequate visual or kinesthetic information for normal spatial orientation. We report the results of two studies of the construct validity of the Situational Characteristics Questionnaire (SitQ), which has two subscales, both of which measure SMD: the SMD-I and SMD-II. In Study 1, the SitQ was administered to members of a self-help group for balance disorders, a psychiatric sample consisting of patients with panic disorder, nonpanic anxiety disorders, depression, and a sample of normals. SMD levels were the highest in the self-help balance group, next to the highest in the panic groups, and lowest in the remaining groups. In Study 2, the SitQ was administered to otolaryngological patients with vestibular dysfunction and to patients with hearing loss. SMD levels were higher in the vestibular patients. Data on internal consistency, test-retest reliability, and convergent and discriminant validity are presented. The SitQ, particularly the SMD-II, is recommended for quantifying space and motion discomfort in patients with anxiety and/or balance disorders.Study 1 was funded by MH 40757. Study 2 was funded by a grant from the Upjohn Company and MH 19816.     

Applying Research Domain Criteria to the study of emotion dysregulation in infancy and early childhood

Emotion regulation is a principal task of early development. The failure to develop effective emotion regulation skills is associated with behavioural, academic, psychological and socioemotional difficulties. Although researchers have studied emotion regulation for decades, work on emotion dysregulation—defined as the inability to maintain emotional control, engage with the environment or recover from distress in a developmentally appropriate manner—is rare and there are discrepancies in its conceptualisation among very young samples. While some scientists refer to emotion dysregulation as if it were a discrete concept, it may be more accurately depicted as a multidimensional system of developmental processes. The National Institute of Mental Health's Research Domain Criteria (RDoC) is a framework that allows researchers to track dysfunction across multiple areas of analysis and may be an ideal system for exploring the multidimensional nature of infant emotion dysregulation. In this paper, we draw on empirical studies to describe how the RDoC framework can be used to support studies of emotion dysregulation in infancy. This proposed model can also serve as a roadmap for future researchers to follow to generate the evidence base for a multidimensional conceptualisation of infant emotion dysregulation and its underlying mechanisms.