PHYSICAL AND PSYCHIATRIC CORRELATES OF GENDER DISCRIMINATION

We tested the model that sexist discrimination, measured by the Schedule of Sexist Events (SSE), would account for additional variance in women's physical and psychiatric symptoms, above and beyond that accounted for by generic stressors. A series of hierarchical regression analyses, predicting symptoms on 10 different symptom outcome measures from generic stress and sexist stress (discrimination) were conducted, with the generic stressors entered on the first step and sexist discrimination on the second. Results revealed that sexist discrimination contributed significantly to the variance in women's symptoms, accounting for additional variance in those symptoms. Furthermore, sexist discrimination accounted for more of the variance than did generic stressors in premenstrual, depressive, obsessive-compulsive, somatic, and total psychiatric and physical symptoms. These findings varied with the age and ethnicity of the women and with the symptom measure used, but nonetheless suggest that sexist discrimination plays a significant role in women's most prevalent symptoms.     

A balance theory explanation of challenges confronting cross-sex friendships

This study was part of an ongoing investigation into four of the potential challenges confronting women and men in cross-sex fiendships (O’Meara, 1989). Unlike previous research, which explored the perspective of only one member of each cross-sex fnendship, this study examined the perspectives of both individuals in cross-sex fienhhips. The levels of actual and perceived agreement and understanding were investigated through utilization of a variation of Heiderian Balance Theory and Laing’s Interpersonal Perception Method. Seventy three pairs of cross-sex fiends completed a survey examining direct perspectives, metaperspectives, and meta-metaperspectives, on the four challenges. Over 92% of the participants were heterosexual, 68% were Caucasian, 10% were Afican American, 10% were Hispanic, 3% were Asian, 4% were Native American, and 5% indicated “other.” Results indicate that cross-sex fiends generally agree that O’Meara’s four challenges present only minimal problems in their individual relationships, and that balance theory provides a viable explanation of how perceived agreement and understanding concerning challenges are arrived at within cross-sex fnendships. Additionally, results illustrating disagreements and misunderstandings within cross-sex friendships highlight the importance of looking at the perspectives of both individuals within a dyad.     

Resistance to extinction following habituation to behaviourally disruptive novel stimuli

Three experiments tested the prediction, derived from generalized frustration theory (Amsel, 1972), that habituation to behaviourally disruptive stimuli increases resistance to extinction in the runway. In each experiment, rats received initial consistent reinforcement (CRF) training and then either continued CRF (Groups C), partial reinforcement (PRF) training (Groups P), or CRF accompanied by presentations of a novel tactile, tone, or obstacle stimulus (Groups D) in Experiments 1-3, respectively. PRF increased resistance to extinction whether non-reinforcement disrupted behaviour (Experiment 1) or not (Experiments 2 and 3). The tactile and obstacle stimuli very substantially disrupted behaviour, and the tone produced a modest disruption of behaviour. All subjects habituated to the disruptive effects of these stimuli, but Group D was not more resistant to extinction than Group C in any experiment. The results suggest that non-reinforcement has unique stimulus properties, a consequence of which is that habituation to other sources of disruptive stimulation does not promote responding to non-reinforcement in extinction.     

Comparison of Telephone and Televideo Modes for Delivery of Genetic Counseling: a Randomized Trial

Telephone and televideo have yielded equivalent patient satisfaction and psychosocial outcomes when compared to in-person genetic counseling, yet little is known about how they compare to one another. In this randomized controlled trial, veterans received genetic counseling via telephone or traveled to a clinic to participate via encrypted televideo. Knowledge and visit satisfaction were assessed 2 weeks later. Travel time, mileage, and out-of-pocket costs were calculated for videoconferencing. Qualitative interviews were conducted with patients and counselors to assess acceptability. Of the 20 male patients randomized to telephone, 90% received counseling and provided outcomes; of the 18 randomized to televideo, 67% received counseling and 50% provided outcomes. Telephone patients answered a mean of 4.4 of eight questions correctly at baseline and 4.7 at follow-up; televideo means were 5.6 and 6.5, respectively. Satisfaction was 25.2 out of 30 for telephone and 26.9 for televideo. Televideo patients incurred a median of 2.8 h of travel time, 40 roundtrip miles, and $67.29 in costs. Patients and counselors found both modes acceptable for providing education and answering questions. Although patients liked the flexibility of telephone, counselors felt patients missed more appointments and were distracted when using telephone. A noted advantage of videoconferencing was reading body language. Further evaluation of alternative delivery modes is needed.     

Exploring Genetic Counseling Communication Patterns: The Role of Teaching and Counseling Approaches

The educational and counseling models are often touted as the two primary professional approaches to genetic counseling practice. Yet, research has not been conducted to examine how these approaches are used in practice. In the present study, we conducted quantitative communication analyses of BRCA1 genetic counseling sessions. We measured communication variables that represent content (e.g., a biomedical focus) and process (e.g., passive listening) to explore whether genetic counselor approaches are consistent with prevailing professional models. The Roter Interaction Analysis System (RIAS) was used to code 167 pre-test genetic counseling sessions of members of a large kindred with an identified BRCA1 mutation. Three experienced genetic counselors conducted the sessions. Creating composite categories from the RIAS codes, we found the sessions to be largely educational in nature with the counselors and clients devoting the majority of their dialogue to providing biomedical information (62 and 40%, respectively). We used cluster analytic techniques, entering the composite communication variables and identified four patterns of session communication: Client-focused psychosocial, biomedical question and answer, counselor-driven psychosocial, and client-focused biomedical. Moreover, we found that the counselors had unique styles in which they combined the use of education and counseling approaches. We discuss the importance of understanding the variation in counselor communication to advance the field and expand prevailing assumptions.     

Some normative data on mental health professionals' attitudes about racial minorities and women

Although codes of ethics of the mental health professions and the recently developed race- and gender-specific models of counseling and psychotherapy stipulate positive and accepting attitudes toward racial minorities and women, formal assessment of these attitudes has been hindered by the absence of appropriate measurement tools and generalizable data. This study provides some normative data by reporting responses of 705 psychologists and social workers to the Quick Discrimination Index, a psychometrically sound 23-item self-report measure previously administered to several different professional groups. Analysis indicated psychologists and social workers reported particularly positive attitudes toward racial minorities and women but expressed the same racial and sex contradictions, ambivalences, and vulnerabilities reported by the general public.     

Disclosure of HIV Status Among Female Youth With HIV

Minority female youth are significantly affected by the HIV epidemic. The purpose of this pilot study was to explore sexual behavior practices, disclosure of HIV status, attitudes about disclosure, and knowledge of HIV disclosure laws among female youth with HIV (YWH). Findings suggest that the majority of YWH studied have been sexually active since their HIV diagnosis, although the nature and extent of sexual activity varied. Rates of nondisclosure to sexual partners varied based on the type of question asked, but at least some of the YWH in this sample reported sexual activity with a partner who was unaware of the participant’s HIV status. YWH appear to be more likely to disclose before, as opposed to after, sexual activity. Although most YWH believe disclosure to sexual partners is important for a variety of reasons, many reasons exist for nondisclosure, including fear of rejection and limited communication skills. The majority of YWH in this sample were aware of the potential legal ramifications of nondisclosure although fear of legal repercussions was not the most important factor related to disclosure. These findings favor the implementation of HIV disclosure interventions over the enactment of HIV criminalization laws as a strategy for reducing HIV transmission.