Clinical Assessment of Adult Abuse and Trauma

This article examines several measures used in the assessment of adult abuse and trauma. These measures include structured clinical interviews, self report measures, screening inventories, symptom checklists, and some measures that include decision-making properties. Specific conditions in the assessment of adult victims of psychological trauma and implications for clinical practice are explored.     

Suicidal Intent/Life Satisfaction: Comparing the Life Stories of Older Women

The purpose of this paper is to examine the Maris hypothesis that some people have relevant biographies and life histories that predispose suicidal careers. Using a life history approach, this paper reports differing themes in the lives of two groups of older women recently relocated to a nursing home—those who are satisfied with their lives and those who are not. Twelve women were selected from a sample of 256 by their scores on a life satisfaction index or suicidal intent scale. Seventy-two hours of transcribed life histories were content-analyzed for dominant themes that contributed to either life satisfaction or suicidal intent. Strong overall themes emerged for both groups under the headings of childhood, families, role models, connectedness, confidantes, life involvement, death experience, and memories. However, the most important correlates to contribute to a suicidal career for ideators were dysfunctional families of origin, poor role models, a feeling of isolation, and a pessimistic outlook.     

Beidler’s theory and human taste stimulation

Beidler’s fundamental taste equation, relating response magnitude and stimulus concentration, was found to be a useful means of expressing data derived from chemoreception experiments with man. Seven L-amino acids and glycine were studied over a wide range in concentration. To a first approximation, the data are in accord with Beidler’s taste equation. Interestingly, the change in free energy (ΔF) for each stimulus was found to be small, in agreement with earlier published conclusions that the initial step in chemoreception is most likely one of adsorption. Several means of depicting these data are evaluated and their contribution to a better understanding of chemoreception is discussed.     

Self-differentiated assistance in older widows' support systems

It was proposed that today's older women, who are a low-fertility cohort, have deficiences in their informal support systems due to small families, and consequently, the absence of either sons or daughters in those families. Respondents (N=225) were recent widows, ages 60–89, who resided in a large metropolitan area in the Midwest. Each widow was personally interviewed regarding 10 areas of support that are provided by adult children, other kin, or friends/neighbors. Findings indicated significant differences in the receipt of traditionally male types of support for widows with sons, as compared to those without sons (p<.01), but no differences in the receipt of traditionally female types of support for widows without daughters. In addition, the extent to which persons other than children perform sex-differentiated types of support was explored. Directions for future research are suggested.This is a revised version of a paper entitled, Comparisons of Widows' Informal Support Networks Using Different Family Configurations, presented at the annual meeting of the Gerontological Society of America, New Orleans, LA, November 22–26, 1985. This study was supported by a grant from AARP Andrus Foundation.     

THE PSYCHOLOGICAL SIGNIFICANCE OF HOME TO OLDER WIDOWS

Elderly widows are increasingly choosing to remain alone in their homes following the deaths of their husbands. For a number of reasons they are a more vulnerable group than married older women, and thus were expected to have less positive attitudes toward being homeowners. In the present study widows (N = 70) who live alone were compared to married women (N = 74) who who lived with only their husbands. Both groups lived in single-family dwellings. Subjects responded to an empirically derived Likert-type scale which measures four factors relating to attachment to hom. Results indicated that widows had significantly higher scores on the Traditional Family Orientation factor and on the Competence in a Familiar Environment factor. One explanation of these findings is that the home may take on new meanings for widows as they reflect on earlier family experiences or as they discover that they can competently manage an independent lifestyle for themselves.     

Can Attention Deficit Hyperactivity Disorder and Fetal Alcohol Spectrum Disorder be differentiated by motor and balance deficits?

There is an ongoing debate regarding the diagnostic overlap between Attention Deficit Hyperactivity Disorder (ADHD) and Fetal Alcohol Spectrum Disorder (FASD). Differential diagnosis is important because of treatment implications. Children aged 7–10 years (47 ADHD, 30 FASD, 39 controls) participated. The Movement Assessment Battery for Children (M-ABC) and the Clinical Observations of Motor and Postural Skills (COMPS) were used. Force plate and electromyography data were collected during static balance and balance perturbation. On the M-ABC both children with ADHD and FASD had more motor problems than controls. The ADHD-Combined and the ADHD-Predominantly Inattentive subgroups were similarly affected in their fine motor skills. On the COMPS, the majority of children in both groups performed in the normal range, but for those children clinically affected, it was the children with ADHD who were more likely to be severely impaired. The children with ADHD were characterized by early onset latencies of the tibialis anterior muscles and increased amplitudes of the gastrocnemius muscles. Difficulty scaling muscle force reflecting medial cerebellar involvement may be the key problem in ADHD. Cerebellar involvement in the postural instability in FASD awaits further study.     

Restraint and Cancellation: Multiple Inhibition Deficits in Attention Deficit Hyperactivity Disorder

We used variations of the stop signal task to study two components of motor response inhibition—the ability to withhold a strong response tendency (restraint) and the ability to cancel an ongoing action (cancellation)—in children with a diagnosis of attention deficit hyperactivity disorder (ADHD) and in non-ADHD controls of similar age (ages 7–14 years). The goal was to determine if restraint and cancellation were related and if both were deficient in ADHD. The stop signal task involved a choice reaction time task (go task) which required a rapid response. The demand for inhibitory control was invoked through the presentation of a stop signal on a subset of go trials which required that the ongoing response be suspended. The stop signal was presented either concurrently with the go signal (restraint version) or after a variable delay (cancellation version). In Study 1, we compared ADHD and control children on the cancellation version of the stop task; in Study 2, we compared ADHD and controls on the restraint version. In Study 3, a subset of ADHD and control participants completed both tasks so that we could examine convergence of these dimensions of inhibition. Compared to control participants, ADHD participants showed a deficit both in the ability to cancel and to restrain a speeded motor response. Performance on the restraint version was significantly correlated with performance on the cancellation version in controls, but not in ADHD participants. We conclude that ADHD is associated with deficits in both restraint and cancellation subcomponents of inhibition.