A naturalistic longitudinal evaluation of counselling in primary care

This study evaluated the effectiveness of generic counselling in a primary healthcare setting during three months of counselling and followed up the patients' progress after counselling had finished for the next twenty-one months. Questionnaires were completed by patients within the Dorset Primary Care counselling service on referral to counselling and at set points afterwards. A naturally occurring waiting-list group was compared with patients receiving counselling at baseline and three months. Measurements were taken of patients' psychiatric symptomatology, quality of life (QOL) and self-esteem. Patients who received counselling made highly significant improvements compared with those on the waiting list. These improvements were maintained throughout the long-term follow-up. This would indicate that generic counselling has positive effects that can be maintained for a long period of time after counselling has been completed.     

Encoding and output order processes in short-term order recall of distinctive items.

Adults recalled the order of the letters in one of two four-letter segments following a distractor task. They knew in advance the identity of the letters in each segment. A letter was made distinctive by replacing it with a red dash. This unusual form of distinctiveness generally had negative effects on recall of both the segment containing the missing letter and the absent letter within the segment. Encoding and output processes were manipulated by varying precue information and recall order instructions, respectively. Informing participants in advance whether or not a trial would contain a distinctive (i.e., missing) letter depressed recall. Constraining output order eliminated the disadvantage for the absent letter. The results are discussed in terms of encoding and output order processes in short-term recall of order information.     

Overcoming Barriers to Collaboration Between Basic Behavioral Scientists and Public Health Scientists in Research on Mental Disorders

The behavioral and public health sciences both have a long and rich history supporting basic, translational, and applied research aimed at improving human lives and reducing human suffering. Through the complementary expertise of these disciplines, investigators have contributed to significant, worldwide improvements in mental and physical health. Further gains can be achieved through collaborative research among scientists in these 2 fields. Unfortunately, there are a number of barriers to such collaboration originating in different intellectual traditions, research methods, and the structure and values of academia. We identify these barriers and potential strategies for overcoming them. Several areas for future collaborative research appear promising, especially comorbid mental and physical disorders, adherence to interventions, stigma, and emotional processes. Theory-guided preventive interventions may represent especially fertile areas of collaborative effort.     

Crones, Dirty Old Men, Sexy Seniors: Representations of the Sexuality of Older Persons

The representations of the sexuality of older persons in American society are neither flattering nor accurate. Often what is presented is filled with confusion, uncertainty, and contradictions. Sexuality of old people, like sexuality of adolescents, frightens most adults in between. Evidence suggests hope that in popular culture, conventional representations of sexless older people are finally undergoing a change. The popular literature aimed at elderly or midlife audiences increasingly portrays older persons as healthy, vigorous, and not unattractive. Since in the popular mind attractiveness and sexuality are believed to be closely linked, this change signals an increased willingness to credit old people who are aging well (i.e., who look and act young) with being sexually interested and probably active.     

On-line Homework/Quiz/Exam applet: Freely available Java software for evaluating performance on line

The Homework/Quiz/Exam applet is a freely available Java program that can be used to evaluate student performance on line for any content authored by a teacher. It has database connectivity so that student scores are automatically recorded. It allows several different types of questions. Each question can be linked to images and detailed story problems. Three levels of feedback are provided to student responses. It allows teachers to randomize the sequence of questions and to randomize which of several options is the correct answer in multiple-choice questions. The creation and editing of questions involves menu selections, buttonpresses, and the typing of content; no programming knowledge is required. The code is open source in order to encourage modifications that will meet individual pedagogical needs.     

The Nazi Heritage and Gender Identity

This paper explores the impact of Nazi ideas and values from education in Napola schools of the National Socialist regime on the development of gender identity during late childhood and adolescence. Difficulties in this realm are illustrated by means of biographical material from a study performed at the Sigmund-Freud Institut in Frankfurt. In this study, interviews were conducted with former Napola students, their children, and grandchildren. A clinical example focuses on the theme of haircutting typical of Napola trainees and the impact this had on the development of a man's gender identity. The examination of two further generations showed that the haircut played an important role in their lives and caused difficulties in the development of masculinity, as well as femininity.     

Anxiety and Depression in Children and Adolescents: A Factor-Analytic Examination of the Tripartite Model

The tripartite model of Clark and Watson (1981) suggests that the oft-observed covariation between anxiety and depression can best be understood by examining three related yet distinct constructs: negative affectivity, positive affectivity, and elevated physiological arousal. In the present study, 510 boys and girls in the 4th, 7th, and 10th grades completed the Children's Depression Inventory and the Revised Children's Manifest Anxiety Scale. Confirmatory factor analyses were conducted to determine the goodness of fit of single-factor (i.e., negative affectivity), two-factor (i.e., anxiety and depression), and three-factor models (i.e., negative affectivity, positive affectivity, and physiological arousal). Analyses were conducted by examining each of the models in the whole sample first and then separately for boys and girls and for fourth, seventh, and tenth grade youths. Results failed to support the tripartite theory; rather, the findings supported a two-factor model in all cases. These factors represented the general constructs of anxiety and depression, and these factors remained significantly interrelated. Consistent with previous findings, the strength of these relations was stronger for boys than girls and for children than adolescents.     

A Self-Management Program for Adolescents and Children with Renal Transplantation

This paper describes the development and implementation of a self-management program designed to address noncompliance in adolescents with renal transplants. Transplantation provides the best treatment alternative for End-Stage Renal Disease (ESRD), but is a procedure that subsequently demands recipients follow a life-long medication regimen. Nonadherance to medical therapy is a serious problem for adolescents; it is one of the most common causes of chronic graft rejection in this population. To improve compliance rates for this population, a self-management program was designed: (1) to provide social support; (2) to review information about medications and transplant management; and (3) to both teach and provide transplantation patients the opportunity to practice self-management skills. Details about the program, including recruitment issues and session content, are provided. Evaluations by participants indicated that the program was effective in creating a supportive environment for both patients and their parents, and in addressing health-related concerns.     

Predictors of Satisfaction Among College-Educated African American Women in Midlife

There has been little theorizing or empirical research on satisfaction among African American women at midlife. This study addresses this gap by examining predictors of satisfaction in 3 cohorts (N = 202) of midlife college-educated African American women. Specifically, 3 domains of satisfaction were examined: overall life satisfaction, personal satisfaction, and work satisfaction. Results revealed that the women were highly satisfied with their work situation, their personal life, and generally with how their life had turned out so far. Overall life satisfaction was predicted by the women's perceptions of personal control, role quality, household burden, and their cohort status. Work satisfaction was best predicted by the women's sense of personal control and role quality. Lastly, household burden and physical well-being emerged as significant predictors of personal satisfaction. Implications of the findings and recommendations for future research are offered.