Coping strategies and psychological distress in cancer patients before autologous bone marrow transplant

The increased use of bone marrow transplantation (BMT) to treat a variety of cancers has led researchers to study psychological functioning of BMT patients. The majority of studies conducted, however, has focused on adjustment after transplantation. Cancer patients' use of coping strategies before undergoing this procedure may also relate to levels of psychological distress. Our aims were (1) to provide normative coping data, controlling for situation-specific variables with a homogeneous sample, targeted stressor, and fixed time point, using the Ways of Coping Questionnaire; and (2) to identify coping strategies associated with distress before high-dose chemotherapy. Subjects were 49 patients scheduled to receive high-dose chemotherapy and an autologous bone marrow transplant. Consistent with previous coping research, we found that escape-avoidance was related to psychological distress on several measures. Item endorsement analyses of the escape-avoidance subscale suggest that patients may have used more passive than active avoidance strategies. Subsequent participation in a longitudinal study was not affected by initial levels of avoidant coping.     

THE EFFECTS OF MEAL SCHEDULE AND QUANTITY ON PROBLEMATIC BEHAVIOR

We present 2 case examples that illustrate the effects of meal schedule and quantity on displays of problematic behavior. In the first example, self-injury displayed by a toddler with severe developmental delays was maintained by parent attention, but only when he was satiated for food. When he was food deprived, self-injury decreased but did not appear to be differentiated across low or high social conditions. In the second example, crying and self-injury displayed by an elementary-aged girl with severe disabilities were correlated: Both behaviors were associated with food quantity, and neither behavior was responsive to social stimuli. These results replicate and extend previous findings demonstrating that meal schedule or food quantity can affect problematic behavior. In the present studies, brief functional analyses of aberrant behavior provided useful information for interpreting distinct patterns of behavior displayed by each child. We discuss these results in terms of the concept of establishing operations.     

Hermeneutic listening: An approach to understanding in multicultural conversations

Listening is crucial to reaching multicultural understanding. Borrowing from the work of Hans-Georg Gadamer we develop a hermeneutics of listening. To listen we must risk our prejudices, but these prejudices constitute our very identity. In this paper we attempt to answer the question, “Why Listen?” if listening is such a potentially dangerous activity.     

Preschoolers' responses to ongoing interadult conflict: The role of prior exposure to resolved versus unresolved arguments

Children's past experiences with interadult conflict are likely to influence their responses to ongoing arguments. Preschoolers' (4- to 5-year-olds) responses to interadult conflict were examined as a function of experimentally manipulated histories of exposure to resolved and unresolved arguments. Children were presented with two live arguments that were either resolved or unresolved, then they were presented with a third argument that was interrupted in progress (i.e., unresolved), and they were interviewed next. Children's overt-behavioral responses were videotaped and coded for distress level. The results support the notion that past experiences with conflict resolution ameliorate children's distress responses to ongoing arguments. In comparison to children previously exposed to unresolvedconflict, those exposed to a history of resolveddisputes were morelikely to (a) exhibit lowered behavioral distress, (b) predict a lower likelihood of a conflictual outcome for the couple's argument, (c) report less negative perceptions of the arguing adults, and were lesslikely to (d) endorse intervention in conflict through attempts to stop the disputes; (c) and (d) pertained only to girls. This research was supported in part by a Research Grant-in-Aid Award from Auburn University to the first author. We wish to thank the families for contributing their time and effort to this project and Jennifer Gibson and Linda Nicolotti for coding the overt-behavioral data.     

ACCURACY AND DISTORTION IN MEMORY FOR HIGH SCHOOL GRADES

Abstract— The relation between accuracy and distortion of autobiographical memory content was examined by verifying 3,220 high school grades recalled by 99 college students. Accuracy of recall declined monotonically with letter grade, from 89% for grades of A to 29% for grades of D. The positive correlation between achievement and accuracy of recall is attributed to more frequent rehearsals of affectively positive content and to greater accuracy of reconstructive inferences based on homogeneous, generic memories. Most errors inflated the verified grade, and the degree of asymmetry of the error distribution is used as an index of the degree of distortion. Distortions are attributed to reconstructions in a positive, emotionally gratifying direction. Contrary to expectation, the percentage of accurate recall and the degree of asymmetry of the error distribution were uncorrelated. This finding indicates that the process of distortion does not cause forgetting of the veridical content Rather, distortion reflects bias in reconstructive inferences that occur after the veridical content has been forgotten for other reasons     

Analytical competence and language impairment in aphasia

Matched groups of Broca's and Wernicke's aphasics, brain-damaged patients without aphasia and chronic schizophrenics were tested in a nonverbal matching task where the subject had to indicate which of two pictures was more closely linked to a clue picture. Eight additional verbal and nonverbal reference tasks were administered. Both aphasic groups performed worse than brain-damaged controls when the identification of individual attributes or actions shared by clue and referent was required, but were unimpaired when the two had a set of referential-situational associations in common. Factor analyses resulted for both groups in two factors, one of which represents general Language Impairment. For the Broca's aphasics this factor was closely related to general organic deficit as measured by the Trail Making Test; for the Wernicke's aphasics it was associated with tasks which might be considered illustrative of analytical competence in isolating and comparing individual features of objects or concepts.     

The selection of homograph meaning: Word association when context changes

In a study of lexical ambiguity processing, responses to homographs were examined in a word association task. The context of repeated exposures of a homograph was manipulated by requiring a response to a word related to a meaning of the homograph on the trial prior to homograph presentation. A change of that relationship reduced the effectiveness of the contextual item as a prime on the second occurrence of the homograph. In response to a third unprimed occurrence of the homograph, associations were consistent with a conclusion that when semantic contexts are opposed, a "primacy effect" is obtained. The overall effects in the studies reported are seen as consistent with the theoretical view of Simpson and Kang (1994) that processing and responding to one meaning of a homograph result in the inhibition of alternative meanings. A mechanism to account for that inhibition is proposed.