Life or Death of Severely Disabled Infants: A Counseling Issue

Due to the death of a severely disabled infant from Bloomington, Indiana, a series of events set in motion by the U.S. Department of Health and Human Services has resulted in cautions to health care providers. The resulting policies and procedures warn hospital personnel against withholding nutritional sustenance or medical treatment from severely disabled infants. This article presents dimensions that might serve as a background for counselors to assist families in considering options related to disabled infants. These dimensions include the meaning of life, cost to benefit ratio, medical options, legal precedent, and a theological perspective. This issue is related to counseling practice through counselor ethics, values, and the need for information that counselors can provide to parents during the decision process.     

Development of linear measurement in five- and six-year-old children

This study sought to identify the higher level knowledge (e.g., conservation of number) necessary for a child to understand linear measurement and to chart the growth of linear measurement in terms of the development of its components. To assess the presence of these components, a battery of 34 number, length, and distance tasks was developed and administered to 100 children between the ages of 63 and 78 months from kindergarten and Grade 1. Results indicate that there is a substantial delay between acquisition of the necessary components and emergence of a mature grasp of linear measurement. The collection of components for the number and length domains form scaled sets; within each domain, however, the pattern of development is marked by discontinuities. These discontinuities are interpreted as being associated with the need to reorganize number and length concepts. Most elements of the observed sequences of development are predicted by Piagetian theory, although others, such as asynchronies between conservation and transitive inferences of nonequivalence, are more consistent with Gagne's (1968) model of development.     

Profiles of adolescents' clothing practices: purchase, daily selection, and care

The purpose of this study was to examine the clothing practices in the daily selection, care, and purchase of clothing by adolescents in order to determine the extent these practices are performed independently or influenced by others, and to identify the factors involved in the activities. Clothing Practice Profiles were developed for both sexes in the three age groups corresponding to divisions in the Oregon 4-H program. The age group comparison revealed increasing frequency of independent activity in all three clothing practice areas (selection, care, and purchase) as age increased. Parental influence appeared to decrease with increasing age. Siblings' influence was minimal. Peer influence on selection and purchase practices increased. Media influence on daily clothing selection practices and clothing purchase practices in terms of wearing or buying identical or similar clothing was minimal. Media influence in advertisements increased with age, but purchases of advertised clothing items remained about the same. Age group comparisons were also made for selection factors and other care and purchase practices, including responsibilities for care of the member's and family's clothing, planning clothing purchases, sources of funds and methods of paying for clothing, use of clothing label information, and purchase factors.     

Evidence for extending the circumplex model of personality trait language to self-reported moods

We show that self-ratings by 141 undergraduates on 17 items form a circumplex that closely agrees with Conte and Plutchik's (1981) circumplex of personality traits. The order of items on a circumplex, generated by self-ratings following a here-and-now instruction set, scarcely differs from that of a circumplex representing the same ratings averaged over a 2-week period. The configuration becomes more elliptical as one moves from the state-like measures (here-and-now ratings) to pure trait measures (averages), but measurement bias is shown to be the most probable cause of the distortion. Allowing for the limitations of small samples of items and raters, the findings show that the circumplex model represents a valid theoretical construct and does not arise from measurement error or from an illusory implicit personality theory.     

Psychological functioning after severe closed head injury

The residual effects of severe closed head injury on psychological functioning, as determined by data from the Rorschach test, were examined. Thirty-five young adult patients with severe closed head injury were compared to a nonpatient, non-head injured matched group sample of 36 subjects. The utility of the Rorschach test in distinguishing the characteristic psychological functioning of inpatients who have suffered from severe closed head injury was outlined. The apperceptive disturbance, affective/cognitive problems, and interpersonal difficulties were discussed.     

Identification with another person: Manipulated by means of subliminal stimulation

Studied problems of identification, using a meta-contrast design. The first stimulus (A) was always the word ME. In experiment 1 , the second stimulus (B) depicted an aggressor and a victim facing each other. The subliminal A was flashed either on the victim or the aggressor or completely withheld. In experiment 2 , B showed two persons standing against different backgrounds: an open horizon or a closed room. It was assumed that the subject would be "forced" to identify with that figure in B on which A was flashed. Subjects in experiment 1 were 18 psychiatric patients and in experiment 2 , 32 professional artists. The results showed that the subliminal manipulation had been effective: e.g., when led by A to identify with the aggressor, projective-sensitive and borderline subjects were confused and even reported perceptual difficulties; when led to identify with the open side, highly creative artists, as opposed to less creative ones, reported more positive impressions of the B theme.     

Development and validation of the safety locus of control scale

The Safety Locus of Control Scale was designed to predict employees' accidents and injuries. Internal scorers think they should assume personal responsibility for their safety, and they believe they can take preventive steps to avoid accidents. External scorers assume little personal responsibility for prevention of accidents. Instead, they place more blame on factors outside their control, such as luck or chance. This study showed that the safety scale was effective in differentiating between groups with varying accident histories, which supports the criterion-related validity of the scale.     

Antidepressant treatment of children: clinical relapse is unrelated to tricyclic plasma concentrations

Plasma concentrations of imipramine and amitriptyline and their desmethylated metabolites were measured in 20 children being treated for major depressive illness 2 wk. and 5 to 10 wk. after achieving drug dosages of 2.25 mg/kg body weight. At 2 wk. all children had exhibited clinical improvement, but by 10 wk. 4 of the 10 children treated with imipramine and 5 of the 10 children treated with amitriptyline had experienced clinical relapse of depressive symptoms. Tricyclic antidepressant plasma concentrations and ratios were comparable in the subgroups of children who maintained their clinical improvement and those who relapsed. There was no evidence of a systematic decline in plasma tricyclic antidepressant concentrations in those children who relapsed.