Depression and coping in candidates for kidney transplantation: Racial and ethnic differences

Subjects were 288 adolescents and adults with end-stage renal disease who were candidates for kidney transplantation, a group identified at risk for noncompliance. The purpose was to examine racial and ethnic variations in coping—variables that may underlie noncompliance and impact upon health outcome. Secondarily, the relationship between depression and particular styles of coping was investigated. Race/Ethnicity was divided into three categories: Black/Non-Hispanic, White/Non-Hispanic, and Hispanic. Coping and depression were assessed using the COPE and Beck Depression Inventory, respectively. Results indicated that Hispanic and Black subjects were more likely to use maladaptive styles of coping and less likely to use adaptive coping than were White subjects and that Black subjects reported more physical symptoms of depression. These findings point to possible mechanisms underlying the occurrence of noncompliance and resulting poorer health outcome for individuals of different racial and ethnic groups.     

Control across the life span: A model for understanding self-direction

A comprehensive four-factor interactive model on physical, psychological, and environmental processes related to the sense of control is presented for adult development with an emphasis on later life. The four experienced components are (1) control from within oneself, (2) control over oneself, (3) control over the environment, and (4) control from the environment. Control over oneself and over the environment measure self-directed control, while control from within oneself and from the environment measure nonself-directed control. Coping (a bidimensional control scale) measures control from powerlessness and suicide to overcontrolling. Findings confirm a significant loss of coping in an older cohort group from a white, rural sample composed primarily of single subjects with low coping representing a significant drop in self-directed behavior. A discussion of the relationship between self-direction and health in the older cohort group follows.     

MACHINES, BRAINS, AND PERSONS

Abstract. This paper explores the suggestion that our conscious experience is embodied in, rather than interactive with, our brain activity, and that the distinctive brain correlate of conscious experience lies at the level of global functional organization. To speak of either brains or computers as thinking is categorically inept, but whether stochastic mechanisms using internal experimentation rather than rule-following to determine behavior could embody conscious agency is argued to be an open question, even in light of the Christian doctrine of man. Mechanistic brain science does nothing to discredit Christian experience in dialogue with God or the Christian hope of eternal life.     

The curative fantasy in group psychotherapy

The concept of a curative fantasy includes patient's conscious and unconscious hopes and expectations of what is necessary for their relief of suffering. On entering group psychotherapy these elements emerge in the treatment matrix. This paper describes how patients with significant deficits in their intrapsychic organization express their curative fantasies through the development of selfobject transferences. The concept illuminates aspects of patients entering and forming a group as well as some elements in unanticipated terminations.     

Acquisition-test interactions between

The effects of changes in context on recognition memory were investigated in two experiments. In Experiment 1 target items were embedded in congruous or incongruous sentence frames and then tested in the original, new congruous, or new incongruous contexts. Experiment 2 included a third encoding condition; targets were also embedded in abstract definitional sentences. Both experiments revealed a reliable crossover interaction between the initial encoding condition and the mode of the changed context. Congruous items were recognized better in new congruous contexts, whereas incongruous items were recognized better in new incongruous contexts. Recognition of definitional items was equally impaired by both context changes. The results suggest the importance of the symmetry between acquisition and test encoding dimensions. These experiments also point out the need to distinguish between different ways in which the concept “integration” is used in current research.     

Semantic facilitation and lexical access during sentence processing

An experiment was conducted testing predictions derived from context-dependent and context-independent models of lexical access. Four types of unambiguous test sentences were constructed. The direct object of each test sentence was preceded by a verb that was either semantically related or unrelated to it, and by an adjective that was semantically related or unrelated. Context-dependent models predict that the speed with which the object noun is retrieved from the mental lexicon will be faster when the verb and/or the adjective is semantically related; context-independent models predict no such facilitation. Forty-four subjects each heard 32 test sentences and were asked to monitor within the sentence for a word-initial target phoneme. The target phoneme occurred on the word following the object noun. Reaction times to detect the targets were obtained. According to context-dependent models, these times should be shorter when related words precede the object noun, and that is what was found. It was also observed that the facilitation effects due to the related verbs and adjectives were additive. Implications of these results were discussed.     

Differentiation of brain damage among low IQ subjects with three projective techniques.

Using a battery of three projective techniques (Rorschach, Hand Test, Bender-Gestalt) only slight discrimination was found between low IQ subjects classified according to the presence or absence of brain trauma (exogenous vs endogenous), while substantial discrimination was obtained between the same subjects categorized in terms of "lower" (60-74) and "higher" (75-89) FS WAIS IQ. All four groups used in this study had been first equated on sex and age. Results were interpreted as supporting the position that some sort of brain impairment underlies most or all retardation. Question was raised concerning the efficacy of projective techniques for diagnosing organicity in subjects of average or better intelligence.