Interventions with care givers of dementia patients: comparison of two approaches

We compared the effect of two approaches, family counseling and support groups, for relieving the stress and burden experienced by care givers of dementia patients. Both treatments are designed to implement features of a stress-management model that have been identified in prior research with this population: providing information about the patient's disease and its effects on behavior, teaching behavioral problem solving for managing difficult behavior, and identifying potential support for care givers. Subjects were primary care givers of dementia patients living in the community; they included husbands, wives, daughters, and other relatives. Although subjects in the treatment groups made significant gains over time, they did not differ from wait-list subjects who showed similar improvements. One-year follow-up interviews indicated that gains made during the treatment period were maintained.     

Automaticity and the capture of attention by a peripheral display change

The proposal that peripheral visual changes (cues) tend to summon attention automatically was tested by studying the effect of peripheral cueing on simple detection latency. Delay between cue onset and target onset, the contingent relationship between cue location and target location, and instructions to subjects were manipulated. Results showed that a peripheral display change could capture attention even when the target was far more likely to appear at an uncued location. When subjects were explicitly informed that targets were likely to appear away from the cued location they were able to suppress this effect, but were unable completely to reverse it by rapidly orienting attention towards the uncued side. Hence the process appears to be automatic in the sense that it occurs unless there are explicit instructions to the contrary. With explicit instructions the processing operation can be suppressed, but not completely reversed. This work was supported by the U.K. Admiralty Research Establishment (Research Agreement No. 53482).     

THE MEETING OF TWO CULTURES: ETHNIC IDENTITY AND PSYCHOSOCIAL ADJUSTMENT OF ITALIAN-AUSTRALIAN ADOLESCENTS*

The present study was designed to explore both the predictors of ethnic identity and the relationship between ethnic identity and psychosocial adjustment. Perceptions of ethnicity and ethnic identity and measures of psychosocial adjustment were obtained from 82 Italian-Australian adolescents. Parents' maintenance of cultural ties was associated with a strong sense of ethnic identity, however ethnic identity was relatively unimportant in predicting psychosocial adjustment. Cultural variables such as parents' embeddedness in the Italian community, the desire to assimilate into the Australian culture, and the perception of problems arising from minority group membership were of greater significance.     

Autism and Accuracy in Adolescent Perceptions of Friends' Sexual Attitudes and Behavior

This study uses data from adolescents matched with data from their friends to examine whether reference group effects on adolescent sexuality should be thought of as operating through the sharing of norms or the modeling of behavior. We observe that perception of attitudes has such a trivial reality component and such a strong autistic component that it cannot serve as a mechanism of peer influence. Perception of sexual behavior has a reality component which is as large as its autistic component, and large enough to serve as a route of influence. We reach two conclusions: (1) Reference group effects on adolescent sexual behavior probably work through behavior modeling rather than through normative influence. (2) Studies which infer peer influence on sexual behavior using only perception of peers will arrive at erroneous conclusions.     

Lateralization of lexical codes in auditory word recognition

Three experiments examined the lateralization of lexical codes in auditory word recognition. In Experiment 1 a word rhyming with a binaurally presented cue word was detected faster when the cue and target were spelled similarly than when they were spelled differently. This orthography effect was larger when the target was presented to the right ear than when it was presented to the left ear. Experiment 2 replicated the interaction between ear of presentation and orthography effect when the cue and target were spoken in different voices. In Experiment 3, subjects made lexical decisions to pairs of stimuli presented to the left or the right ear. Lexical decision times and the amount of facilitation which obtained when the target stimuli were semantically related words did not differ as a function of ear of presentation. The results suggest that the semantic, phonological, and orthographic codes for a word are represented in each hemisphere; however, orthographic and phonological representations are integrated only in the left hemisphere.     

The Zeigarnik effect and intrinsic motivation: Are they the same?

The present study focused on delineating the parameters under which intrinsic motivation leads an individual to reengage an activity from those that result in the Zeigarnik effect. In a posttask free-choice period, participants not completing the experimental task displayed more reengagement behavior than participants completing the task (the Zeigarnik effect). When participants were also provided self-efficacious performance feedback via a prearranged competitive outcome manipulation, there was no evidence of the Zeigarnik effect, while there was support for intrinsic motivation from competent self-efficacious performance feedback. Results were discussed in terms of distinguishing between intrinsic motivation and the Zeigarnik effect as sources of reengagement motivation. It was concluded that, in the presence of self-efficacious performance feedback, the competent-incompetent impression was more salient than task-completion feedback.Preparation of this article was supported by Texas Christian University grant TCU/RF 5-23757.     

Social adjustment in the offspring of parents with bipolar affective disorder

The social adjustment of the adolescent offspring of parents with bipolar affective disorder (n=41) was compared to that of the offspring of parents with nonaffective psychiatric disorders (n=22) and the offspring of normal controls (n=26). In addition, the relationship between social adjustment and cyclothymia in offspring was determined. Social adjustment was assessed using the Life Activities Inventory, a new measure developed to assess social functioning in adolescents and young adults. Cyclothymia was assessed with the General Behavior Inventory. As a group, the offspring of bipolar parents did not differ significantly from either control group on social adjustment. However, the cyclothymic offspring of bipolar parents exhibited significantly poorer social adjustment than the noncyclothymic offspring of bipolars and the offspring of psychiatric and normal controls. These findings suggest that poor social functioning in the adolescent offspring of parents with bipolar illness may be associated with the early manifestations of affective disorder. In addition, these data indicate that despite its subsyndromal intensity, cyclothymia can result in significant social impairment.This study was supported in part by National Institute of Mental Health (NIMH) Research Grant MH-39782 to Daniel N. Klein and NIMH Grants MH-33083 and MH-37195 to Richard A. Depue.     

Marital dissolution and distress in a psychiatric population: A longitudinal design

There has been interest in recent years in the relationship between marital distress and psychopathology. It has been rare, however, for investigators to follow patients after their release from the hospital and observe the course of their marital relationships. The present study included patients meeting criteria for three DSM III DISORDERS (MAjor depressive, bipolar, and schizophrenic) and a normal control sample, all of whom are participants in an ongoing longitudinal study of children at risk for psychopathology (Stony Brook High-Risk Project; Weintraub & Neale, 1984). Marital Adjustment Test (MAT; Locke & Wallace, 1959) scores were collected on patients at entry into the project (Phase I) and at a three year follow-up (Phase II). Course of marriage was defined as negative if the couple's marital adjustment was rated as poor at Phase II or resulted in divorce or separation at Phase II. It was found that only the depressed group differed from the normal group in having significantly worse course of marital relationship; 84% of the depressive couples showed a “negative” course of marital change over time. However, all three patient groups had significantly higher rates of divorce by Phase II. MAT scores at Phase I successfully predicted course of marital relationship for all diagnostic groups. Implications for aftercare of psychiatric inpatients are discussed.     

Self-reported assessment practices of school psychologists: Implications for training and practice

This study reports the results of an investigation of the assessment views and practices of school psychologists in the United States. Results of the investigation indicated that respondents are predominantly behavioral and cognitive behavioral in orientation; spend most of their professional time in the public schools; and engage in a great deal of assessment. Behavioral assessment and projective testing occupies the greatest amount of their social-emotional assessment time. Behavioral interviewing is the most used behavioral technique, followed by behavioral observation, which is reportedly used by approximately one third of the respondents with from 41% to 100% of clients. Although most of the respondents report a preference for continuing to do approximately the same amount of the various social-emotional assessment activities as they are presently doing, very high percentages of respondents indicate that their use of behavioral assessment strategies would increase with development of published instrumentation, normative standards, and standardized out-of-setting behavioral procedures.