COGNITIVE APPRAISALS OF LIFE STRESS AND DEPRESSION IN THE ELDERLY: A CROSS-CULTURAL COMPARISON OF ASIANS AND CAUCASIANS

Cognitive models of depression have not been adequately tested in different cultural settings involving personally relevant events that affect the lives of the elderly. A cross-sectional comparison was made of cognitions obtained from Asian and Caucasian subjects, residing in Canada and the United States. The objective was to determine whether cognitive appraisals of stressful events would differentiate the elderly in the two cultural groups. Results supported the hypotheses that cognitive appraisals of locus of control, uncertainty, self-responsibility, self-confidence in future coping and fear about future recurrence of negative events are strongly associated with the depressive responses of the elderly in general. A comparison of the cognitive appraisals of the elderly in the two cultural groups showed depressed Asians more significantly than depressed Caucasians, reporting more external locus of control and self-blaming attributions. The results have implications for community workers, psychotherapists and social welfare agents concerned with the mental well-being of the elderly and the care of the elderly from different cultures.     

PYRAMIDAL TRAINING: A LARGE-SCALE APPLICATION WITH INSTITUTIONAL STAFF

This study evaluated an indirect method of training 45 institutional direct care staff to conduct behavioral programs. Three supervisors were trained to improve teaching behaviors (instructions, prompts, and consequences) used by the direct care staff while working with severely and profoundly handicapped residents. In addition to training, daily feedback was provided to supervisors regarding performance of their staff. Results of a multiple baseline analysis across teaching behaviors (instructions, prompts, and consequences) and content areas (communication and gross motor skills) showed that providing training and feedback to supervisors resulted in increases in correct teaching behavior by direct care staff. However, teaching behavior newly learned in one content area (communication) did not generalize to the other area (gross motor skills). Data collected on resident behavior showed small but noticeable improvement in terms of correct responses and attending behavior during programming. Results are discussed in terms of the benefits of a pyramidal approach to training institutional staff.     

A PROGRAM FOR INCREASING MANUAL SIGNING BY AUTISTIC AND PROFOUNDLY RETARDED YOUTH WITHIN THE DAILY ENVIRONMENT

A program was implemented to increase the manual signing of five profoundly retarded and four autistic youth within their daily environment. Each participant was nonvocal or minimally vocal. The program was based on modified incidental teaching strategies and was implemented by direct care personnel under supervision in an institutional setting. Specific components included rearranging the physical environment to prompt signing, altering routine staff-resident interactions to prompt, manually guide and/or reinforce signing; and conducting mini-training sessions. Additionally, staff modeled signs intermittently throughout the day. The program was sequentially implemented during two staff work shifts on each of two resident living modules. Observations conducted at four separate time periods during the day indicated that significant increases in signing occurred for all participating youth and that the increases generally maintained during follow-up checks at 5 and 17 weeks. Differential effects of the increased signing on frequency of vocalizations were noted across residents. A staff acceptability survey indicated favorable staff reports on the usefulness of signing to communicate with the youth. Results are discussed regarding the significance of manual signing for seriously developmentally disabled persons and the importance of ensuring that signing skills are used in the daily environment and not exclusively in formal training sessions. Also, areas for continued research are noted in terms of more refined analyses of client skills and subsequent progress in manual communication programs.     

The minimum principle and the perception of absolute,common, and relative motions

Wheel-generated motions have served as a touchstone for discussion of the perception of wholes and parts since the beginning of Gestalt psychology. The reason is that perceived common motions of the whole and the perceived relative motions of the parts are not obviously found in the absolute motion paths of points on a rolling wheel. In general, two types of theories have been proposed as to how common and relative motions are derived from absolute motions: one is that the common motions are extracted from the display first, leaving relative motions as the residual; the other is that relative motions are extracted first leaving common motions as the residual. A minimum principle can be used to defend both positions, but application of the principle seems contingent on the particular class of stimuli chosen. We propose a third view. It seems that there are at least two simultaneous processes—one for common motions and one for relative motions—involved in the perception of these and other stimuli and that a minimum principle is involved in both. However, for stimuli in many domains the minimization of relative motion dominates the perception. In general, we propose that any given stimulus can be organized to minimize the complexity of either its common motions or its relative motions; that which component is minimized depends on which of two processes reaches completion first (that for common or that for relative motions); and that the similarity of any two displays depends on whether common or relative motions are minimized.     

Developmental effects of typicality and superordinate property dominance on sentence verification

Second graders (mean age, 8 years 3 months), fourth graders (mean age, 10 years 4 months), and adults verified telegraphic sentences with typical or atypical subject nouns and high or low dominant property predicates. The hypothesis tested was that the similarity in the attribute structures of category members to their superordinate prototype should be related to degree of typicality. Adult reaction time and error data supported the prototype model of semantic category structure. Second and fourth graders showed comparable property knowledge to adults, but evidenced different organizational patterns than predicted by the adult model. The results suggest that with development children learn to simultaneously use many attribute dimensions and to abstract the family resemblance structure and relative importance of category properties.     

EVALUATING A SUPERVISION PROGRAM FOR DEVELOPING AND MAINTAINING THERAPEUTIC STAFF-RESIDENT INTERACTIONS DURING INSTITUTIONAL CARE ROUTINES

This study evaluated a program to teach and maintain language training interactions between institutional staff and profoundly handicapped children during a routine care task. Following baseline observations of bath sessions, staff were sequentially taught in multiple baseline fashion to vocalize more during the bath, praise child vocalizations, imitate sounds, and provide sound prompts. Procedures included a brief in-service meeting followed by a series of supervisory prompts and feedback. Results indicated that staff acquired the interaction skills in the bath sessions and that the skills generalized to another direct care task, dressing. The number of days on which components of supervision were implemented decreased from 47% of all days during the experimental conditions to 19% of the days during a 19-week maintenance period with no decrease in staff behavior. The interactions were shown not to interfere with the quality of the direct care task nor to increase the amount of time necessary to complete it. Also, some increases were noted for child vocalization frequencies. The advantages of providing therapeutic interactions during care routines are discussed along with the need for staff management techniques with long-term maintenance value.     

INVOLVING INSTITUTIONAL STAFF IN THE DEVELOPMENT AND MAINTENANCE OF SIGN LANGUAGE SKILLS WITH PROFOUNDLY RETARDED PERSONS

A program to involve institutional staff in developing manual sign language skills with profoundly retarded persons was evaluated. In Experiment 1, six direct care staff, with close supervision, taught a small repertoire of signs to six profoundly retarded residents who had not benefited from previous training in vocal language. Training was conducted in a group format using instructions, modeling, manual guidance, contingent reinforcers, and feedback. During training, all residents learned to identify pictures of objects with manual signs. Generalization observations during unstructured times on the residents' living unit indicated that staff used their signing skills with the residents in addition to their vocal interactions but the residents did not increase their signing or vocalizing. In Experiment 2, the residents' skills in signing with real objects on their living unit as opposed to pictures of objects were evaluated and provided with additional training where necessary. Results indicated that all participating residents learned to communicate with signing during structured interactions on their living unit, and the skills maintained during follow-up assessments ranging from 39 to 49 weeks. Results are discussed regarding the variable generalization effects noted as well as the general benefits and disadvantages of teaching manual signing skills to profoundly retarded persons.     

Changing Contraceptive Usage Intentions: A Test of the Fishbein Model of Intention1

The Fishbein model of intention suggests that intention may change as a consequence of change in either a related attitudinal or normative component. This hypothesis was tested on intention to use contraceptives. Users and nonusers of contraceptives were exposed to a message designed to change contraceptive-usage attitude, to a message directed toward changing the normative beliefs associated with using contraceptives, or to a no-message control. The messages advocated one of three contraceptive techniques: (a) males were advised to use condoms, (b) males were advised to rely on their partner's use of oral contraceptives, or (c) females were advised to use oral contraceptives. Contraceptive-usage intention changed only in the two conditions where the model's requirements for change were present. Thus, the pattern of change agreed with Fishbein's suggestions and provided moderate support for the intention model and its application to intention change in health care settings.     

Finding lung nodules with and without comparative visual scanning

The effect of a pretarget (TS1) masked by a noise mask (MS) upon the recognition of a posttarget (TS2) was examined in a TS1-MS-TS2 paradigm. The results clearly showed that the presentation of TS1 masked completely by MS reduced the recognition of a subsequent TS2 to a much greater extent if TS2 was the same as TS1 than when it was not. The results suggest that a TS1 that is perceptually masked by an MS nevertheless continues to have an effect within the visual system. A possible explanation of this reductive effect is described briefly.