Is the conflict model of decision making applicable to the decision to be screened for cervical cancer? A field study

The present study examined aspects of the conflict model of decision making (Janis and Mann, 1977) in the context of attending for a screening test for cervical cancer. In addition, the ability of decision coping styles as measured by Mann's (1982) Decision Making Questionnaire II (DMQ II) to predict screening status was examined. Three hundred and two women answered a questionnaire operationalizing the constructs in the conflict model about their beliefs and knowledge of cervical cancer and the Pap smear test. Four screening categories were identified: never screened, not screened in the last two years (overdue), screened in last two years and initiated the test, and screened in last two years and recruited to have the test. Differences in the decision processes of these groups were examined. Women who were overdue for their Pap test showed greater decisional conflict and were more likely to adopt a defensive avoidance coping pattern than those who had been screened in the last two years. Regression analyses exploring predictors of decisional stress and defensive avoidance for each group, except the never screen, showed that the model's suggested pathways were evidenced among the Overdue Group. Results failed to find any association between coping styles as measured by the DMQ II and screening status. Implications of these findings are discussed.     

Art and Healing for Native American Indians

This article discusses elements of the Native American Indian healing process and the significance of the arts in therapy. Until recently, most traditional healing practices were illegal in the United States. It is now imperative that counselors and educators of all ethnic backgrounds become aware of the role of the arts in Native healing. Implications for counselors and educators are highlighted.     

Bias in Counselor Hypothesis Testing: Testing the Robustness of Counselor Confirmatory Bias

Explored the issue of confirmatory bias in counselors' clinical hypothesis testing. Recent research suggests that counselors are subject to a confirmatory bias when using information to test a client hypothesis. The current research tested the robustness of this finding by adding realism and accountability to the experimental situation. Two experiments examined the facts that experienced counselors recalled (a) about a coached client in a naturalistic situation, and (b) when they selected information from a client narrative when told that they would later be held accountable for their selection. In Experiment I, experienced counselors recalled more confirmatory than disconfirmatory information from a coached client's live presentation of factors. In Experiment 2, counselors-in-training selected more confirmatoty than disconfirmatory information from a case history despite the accountability implied by the experimental instructions. The authors concluded (a) that the confirmatory bias is a robust one that may be a natural part of any judgment situation and (b) that counselor education should explicitly train counselors to avoid this confirmatory bias.     

Apology mismatch: An experimental approach to Japan's apologies to Korea

Since 1965, Japan has issued numerous apologies to Korea, which however failed to resonate with the Korean public. To investigate this puzzle, this paper analyses the structure of these apologies and empirically examines their reception in Korea. Blatz et al.'s (Political Psychology, 2009, 30, 219) classification of components of political apologies was applied to conduct a qualitative analysis of 63 official apology statements by Japan to Korea and identify the most frequently used components (Study 1). Korean participants (N = 210) were randomly presented with an experimental vignette consisting of a major apology component to examine their psychological responses, and they also ranked the importance of each major apology component (Study 2). Results showed that while Koreans viewed admission of wrongdoing as an essential and the most demanded component of apology, it was paradoxically the least frequent component offered by Japan in reality.     

Risks and Benefits of Pediatric Bone Marrow Donation: A Critical Need for Research

Healthcare providers assume that there are minimal risks and potential psychosocial benefits for children who undergo a bone marrow harvest for the benefit of their critically ill siblings. Ethical justifications for the use of children as donors rely on there being minimal risks since donors receive no direct medical benefits from the intervention. There is little empirical research regarding psychosocial consequences. This article reviews relevant research in three contexts: a) psychosocial outcomes for adults and children who donate tissue and organs; b) psychosocial impacts on a sibling of a pediatric cancer patient; and c) children's decision-making regarding medical decisions. The relevant research literature supports the belief that the psychosocial impact on a child bone marrow donor will be influenced by the survival of the recipient, the age of the donor, and the donor's participation in the decision to donate. In order to empirically validate the actual psychosocial risks (and benefits) for donors, it is argued that direct research is needed so that a donor's well-being can be protected.     

Interrater reliability and coding guide for nonpsychotic formal thought disorder

Reliable and valid assessment of abnormal speech patterns may enable earlier recognition of nonpsychotic disorders through characteristic speech patterns. This study sought to establish interrater reliability using a standardized guide for scoring. A scoring guide defining 27 elements (e.g., inappropriate self-reference, simple loss of goal, circumstantiality) of disordered thought was developed. The seminal work of Andreasen's and Holzman's groups provided 12 elements, and 15 new elements were suggested by clinical literature. Audiotaped interviews with 12 psychiatric inpatients, adults of both sexes and various ages hospitalized for acute management of nonpsychotic psychiatric disorders, provided speech samples for observation of disordered thought by two independent raters. Using the guide's definitions and accompanying examples of elements of disordered thought, reliability in scoring was high (kappa of .85 for agreement on the presence of any abnormal speech element and kappa values from .66 to 1.00 for agreement on the presence of individual elements).     

Sex differences in chronic stress effects on memory in rats

Recent studies in rodent models and in humans have shown that the status of both the gonadal and adrenal axes (hypothalamic-pituitary-gonadal, HPG and hypothalamic-pituitary-adrenal, HPA, respectively) can influence learning and memory function. In this article, the effects of activating the HPA axis (stress) on performance of memory tasks in rats are reviewed. More importantly, results are presented which show that chronic stress has a different impact on performance of these tasks depending upon the sex of the rat. These observations are novel and potentially important since few studies, animal or human, have utilized females as subjects in studies of the stress response. Sex differences in the effects of chronic stress on memory were investigated in rats using an object recognition task and two spatial memory tasks, radial arm maze and object location. Given the same chronic stress--21 days of restraint for 6 h each day--males were impaired in all of the memory tests while females showed enhanced performance of the spatial memory tasks and no changes in object recognition performance. Levels of neurotransmitters and metabolites were measured in brain areas important for cognition in the subjects in order to determine neural systems that may respond to stress and mediate the cognitive responses. These results show that responses of monoamine and amino acid containing neural systems may contribute to or underlie sex differences in stress effects on cognition. Stress decreased dopaminergic activity in the frontal cortex and amygdala of males but not females; whereas, in CA3 of the hippocampus, stress increased levels of 5-HT and norepinephrine in females, but not males, and increased GABA in males, but not females. Finally, a possible role for estradiol in mediating sexually differentiated responses to stress was examined. Behavioral and neurochemical evaluations in ovariectomized, stressed females, with or without estrogen replacement, suggest that sex differences in response to stress are influenced by both the organizing and activating effects of estradiol. A few, recent studies in humans, that show sexually dimorphic relationships between chronic stress and cognition, are also highlighted. These results in humans are consistent with the pattern of results in rats. Clearly, further studies are necessary to substantiate sex differences in stress effects on memory function in humans and to understand mechanisms whereby estrogen may influence the stress response in rats. Nonetheless, recent studies show sexually differentiated cognitive responses to chronic stress and underline the importance of considering the sex/gender of subjects when studying the stress response.