Differential effects of manual assisted cognitive behavior therapy in the treatment of recurrent deliberate self-harm and personality disturbance: the POPMACT study

A total of 480 patients were treated in a large, multicenter randomized trial of a brief form of cognitive therapy, manual-assisted cognitive behavior therapy (MACT) versus treatment as usual (TAU) for recurrent deliberate self-harm. Each patient was randomized after a self-harm episode assessed at an accident and emergency center and followed up over 1 year. The main hypothesis tested was that those allocated to MACT would have a lower proportion of self-harm episodes in the succeeding year. A total of 60% of those allocated to MACT had face-to-face treatment and 430 (90%) of all patients had self-harm data recorded after 1 year. Although the results showed no significant difference between those repeating self-harm in the MACT group (39%) compared with the TAU group (46%) (P = 0.20), the treatment was cost effective (10% cheaper than TAU) and the frequency of self-harm episodes was fewer (50%) in the MACT group. A total of nine of 10 patients had some personality disturbance (42% of these with disorder), and for those where information on parasuicide events was collected, the proportion having a repeat episode ranged from 33% to 63% for different personality disorders. Those with BPD were most likely to repeat episodes quickly (mean 89 days for 25% to repeat) with dissocial personality disorder (equivalent mean 384 days) the slowest to repeat. Total costs were significantly greater in those with personality disorder and were reduced in those allocated to MACT; this saving was reversed in those with borderline disorder. On average, MACT appeared to increase the cost of those patients with BPD (BPD) and reduce the cost of those with other personality disorders. It is concluded that MACT has value in preventing self-harm cost effectively but this appears to be confined mainly to those who do not have BPD.     

TRAINING AND GENERALIZATION OF SEXUAL ABUSE PREVENTION SKILLS FOR WOMEN WITH MENTAL RETARDATION

Previous research has shown that behavioral skills training to teach sexual abuse prevention skills to women with mental retardation results in skill acquisition but poor generalization. In this investigation we evaluated procedures for enhancing generalization following training. Five women with mental retardation received 10 behavioral skills training sessions followed by in situ training when the skills did not fully generalize. Behavioral skills training resulted in skill acquisition and in situ training produced generalized responding during naturalistic assessments.     

Estimating the Organizational Costs of Sexual Harassment: The Case of the U.S. Army

A general model for estimating the organizational costs of sexual harassment in the workplace is proposed along with model-specific costing formulas. A partial implementation of the model is applied to sexual harassment incidence data for the Army gathered as part of a large-scale survey of the U.S. military services. Results indicate that the total annual cost of sexual harassment in the U.S. Army in 1988 was over $250,000,000. Organizational implications are discussed.     

Ambiguity seeking in multi-attribute decisions: Effects of optimism and message framing

This paper investigates the influence of message framing and personality variables on preferences over ambiguity in the context of multi-attribute decision scenarios. Undergraduate subjects responded to scenarios in which one of two medical treatments was associated with ambiguous probabilities of treatment effects. Probabilities were either positively or negatively framed. Subjects indicated their degree of preference for one treatment over the other. Subjects' optimism, trait anxiety, health locus of control, need for cognitive structure, and current mood were measured. In two separate studies, subjects preferred ambiguity when probabilities were positively framed, and were neutral toward ambiguity when probabilities were negatively framed. Also, in both studies the preference for ambiguity in positively framed scenarios was greater for more optimistic subjects. The unexpected finding of ambiguity seeking may be associated with the use of different decision strategies in multi-attribute versus single-attribute decisions.     

Perceived social structure,role, and communication patterns in an organization

Relationships among organizational roles, perceptions of the structure of the organization, and communications were studied in a university psychology department. Fifty-five members, representing five status groups (e.g., faculty, graduate students, etc.) and four sections of the department (e.g., Counseling, Experimental, etc.), judged the similarity of 16 faculty stimuli, rated the faculty on their interests and activities, and reported on their own communications. Individual Differences Multidimensional Scaling analysis of the similarities data revealed four dimensions of the perceptions of the organization: Section Affiliation, Teaching versus Research, Interest in Industrial Psychology, and Orthodoxy of Life-Style. Section groups differed significantly both in their communications and in the way the Orthodoxy of Life-Style dimension was weighted in their perceptions of the organization. Perceptions of the organization were related to communication behavior.     

Two Important Distinctions in Social Support: Kind of Support and Perceived Versus Received1

The present study was conducted to examine the effects of social support on adjustment to a first cardiac event. There were two goals: (a) to determine which function of support best facilitated adjustment and (b) to determine whether perceived or received support had a greater impact on psychological health. Sixty-four patients and their spouses were interviewed shortly before hospital discharge and 3 months following discharge. The results indicated that perceived support has a greater impact on adjustment than received support and that received support does not necessarily indicate that needs are being met. The most helpful form of support was best understood by considering the stressor phase, patient and spouse needs, and the adjustment outcome. Consistent with previous research, however, the negative aspects of social relationships were more robust predictors of well-being than the positive aspects of social relationships.     

Judgments of men's and women's feelings during hypothetical social interactions

We studied college students' perceptions of how good/bad and how powerful/powerless men and women feel during hypothetical social interactions. Stimuli were constructed by combining each of 16 behaviors that fell into four categories (negative, low power, sexual, and help) with each of four dyads (male-male, male-female, female-male, female-female). Subjects made judgments about the likelihood of each behavior occurring, and about how actors and recipients felt when engaging in each of 16 behaviors. Three themes pervaded the results. First, subjects perceived men to feel more powerful than women whether behaving as actors or recipients—especially during interactions with women. Second, subjects perceived behaviors to be more likely, and actors and recipients to feel better and more powerful when the interaction pattern was consistent with gender role norms. Third, subjects perceived recipients' affective responses as being more polarized in opposite-sex than in same-sex dyads. Results from this research show that subjects' perceptions about feelings are largely consistent with the literature on social interaction and sex role stereotypes, and are similar for male and female subjects. In addition, our results provide a rich set of hypotheses concerning whether perceptions of feelings reflect actual feelings and are related to interaction participants' actual behavior.     

Gender-Role Cognition in Three-Year-Old Boys and Girls

Although the multidimensionality of gender roles has been well established, few researchers have investigated male and female roles separately. Because of the substantial differences in the ways male and female roles are portrayed in our culture, boys and girls may think and learn about these roles differently. The male role is more clearly defined, more highly valued, and more salient than the female role; thus, children's cognitions about these two roles may be expected to differ. The present study addressed the question of whether there is sex-typical variation in gender labeling, gender-role knowledge, and schematicity. Participants were 120 families; 15% were from minority ethnic groups, and 17% were single-parent families; 25% of the parents had a high school education or less. Results indicated that at 36 months of age, boys were less able to label gender and less knowledgeable about gender roles than were girls. Boys' knew more about male stereotypes than female stereotypes, whereas girls knew considerably more than boys about the female role and as much as boys about the male role. Boys and girls were found to be similar in gender schematicity. Traditionality of parental attitudes regarding child-rearing and maternal employment were not strongly related to children's gender cognition.     

Narcissism, Pride, and Humility

It is theorized by the author that Post-Biblical Jewish Religious Text should contain many practical psychological insights, given the fact that the authors of such literature were expected to be involved in the life of their communities, to be married with children, and be engaged in an occupation in order to function as religious authorities who were to be taken seriously. Many were physicians. As an exploration of this idea, some of the writings regarding the subjects of pride and humility are explored. A picture of a Jewish religious approach to pathological narcissism appears to emerge from this examination.     

Evaluating the independence of sex and expression in judgments of faces

Face recognition models suggest independent processing for functionally different types of information, such as identity, expression, sex, and facial speech. Interference between sex and expression information was tested using both a rating study and Garner's selective attention paradigm using speeded sex and expression decisions. When participants were asked to assess the masculinity of male and female angry and surprised faces, they found surprised faces to be more feminine than angry ones (Experiment 1). However, in a speeded-classification situation in the laboratory in which the sex decision was either "easy" relative to the expression decision (Experiment 2) or of more equivalent difficulty (Experiment 3), it was possible for participants to attend selectively to either dimension without interference from the other. Qualified support is offered for independent processing routes.