Evaluating pediatric psychology consultation services in a medical setting: An example

We examined the nature of referrals to a health center-based pediatric psychology service from 1990 to 1993 and assessed the satisfaction of health professionals with these services. Archival evaluation of 1467 records showed that over half of the consultation requests came from general pediatrics, pediatric neurology, and surgical services and that 70% of the psychological services were delivered on an outpatient basis. The most frequent referrals were for cognitive/neuropsychological evaluation and externalizing behavior problems. Pediatric psychology trainees were involved in 94% of the consultations. Survey of health professionals (n = 143) indicated very high overall satisfaction with the quality of services delivered. Presenting problems yielding the greatest likelihood for future consultation requests were behavior problems, child abuse, coping with illness, and depression/suicide. Results are discussed in the context of previous evaluations of pediatric psychology services and recommendations for future evaluation research.     

The detection and management of mental health disorders in pediatric primary care

We reviewed the literature on the detection and management of mental health disorders within the context of pediatric primary care. Pediatricians have displayed a low sensitivity and high specificity in research investigating the detection of mental health impairment in children. Active management efforts characterize approaches to identified cases with more recently trained primary care pediatricians displaying a wider range of skills in managing mental health disorders. Few efforts have been made by pediatric psychologists to develop strategies for enhancing detection rates and management or to empirically evaluate the integration of pediatric psychology services into the primary care context. A conceptual model of factors influencing detection rates and ongoing management of mental health disorders within pediatric primary care is presented. Recommendations are made for more direct involvement of pediatric psychologists within the primary care context.     

Accreditation Standards for University and College Counseling Centers

The accreditation standards outlined in the article are used by the International Association of Counseling Services, Inc., as the basis for the formal accreditation of college and university counseling programs throughout the United States and Canada. They reflect the program elements and practice standards that are deemed essential in a counseling center that provides high-quality services to students.     

Driving assessment with computer-video scenarios: More is sometimes better

Several factors are critical in designing effective simulator systems for driving research and driver assessment. First, there is cost, in terms of which, less is better. Costly systems are sometimes fine for specific research purposes, but they are impractical for most other purposes. Second, there is realism; in this case, more may be better, but we don’t know how much realism is really necessary for good prediction of actual driving behaviors. Recent evidence suggests that real-world clutter may enhance prediction, but it also makes interpreting research more difficult. More realism may increase cost, but this is not necessarily the case. Third, there is user-friendliness, in terms of which, again, more is better. Systems that are easier to operate require less-highly trained personnel; hence, increasing user-friendliness also decreases cost, especially for assessment. We demonstrated a highly user-friendly, low-cost, moderately realistic, and partly interactive computer-video driving research and assessment system. In recent research, we obtained multipleR values ofA7 for older drivers with only three to four scenarios predicting a real-world crash index.     

The Influence of Outcome Expectancy and Self-Efficacy on the Behavioral Intentions of Novice Exercisers

The present study was based upon self-efficacy (SE) theory (Bandura, 1986). Its purpose was to examine whether incentives, defined as the product of outcome expectancy and outcome value, would help to predict the behavioral intentions of novice exercisers when coupled with SE expectations for a specific form of exercise. Fifty- three volunteers who were novices at weight training for exercise, participated in a 2-day learn-to-weight-train clinic offered at a university. They completed pre- and postclinic measures of SE for weight training, expectancy-value ratings of outcomes primary and secondary to 1 month's weight-training participation, and a strength- of-intention measure of multiple actions consequent to clinic participation. Results indicated that primary physical health outcomes expected of postclinic participation independently predicted the variability in pre- and postclinic future intentions beyond the variance predicted by SE. Further, incentives and SE clearly discriminated between individuals extreme in the strength of their intentions at pre- and postclinic. Discussion concerns the inclusion of measures of incentive in studies using self-efficacy theory in order to examine individuals who begin exercise and then move through various decision stages about exercise adoption and maintenance. Rather than merely assuming the influence of incentives necessary and sufficient to encourage a cognitive or behavioral impact of efficacy, arguments are made for actively examining incentive as manifested through outcome expectations.     

CHOICE-MAKING TREATMENT OF YOUNG CHILDREN'S SEVERE BEHAVIOR PROBLEMS

The choice-making behavior of 5 young children with developmental disabilities who engaged in aberrant behavior was studied within a concurrent operants framework. Experimental analyses were conducted to identify reinforcers that maintained aberrant behavior, and functional communication training packages were implemented to teach the participants to gain reinforcement using mands. Next, a choice-making analysis, in which the participants chose one of two responses (either a mand or an alternative neutral response) to obtain different durations and qualities of reinforcement, was conducted. Finally, treatment packages involving choice making via manding were implemented to decrease inappropriate behavior and to increase mands. The results extended previous applications of choice making to severe behavior disorders and across behaviors maintained by positive and negative reinforcement.     

Confirmation holism and semantic holism

Fodor and Lepore, in their recent book Holism, maintain that if an inference from semantic anatomism to semantic holism is allowed, certain fairly deleterious consequences follow. In Section 1 Fodor and Lepore's terminology is construed and amended where necessary with the result that the aforementioned deleterious consequences are neither so apparent nor straightforward as they had suggested. In Section 2 their Argument A is considered in some detail. In Section 3 their argument attributed to Quine is examined at length and a shorter and more perspicacious argument suggested which avoids their charge that the Quinean argument is guilty of an equivocation on the word statement.     

Stress and strain in blue-collar and white-collar management staff

Previous research has demonstrated the relationship of work stress to indices of job strain, as well as underscoring the importance of moderating variables. In the present study of a mining organization it was hypothesized that personnel associated with actual mining operations would demonstrate stress-strain relationships different from those associated with administrative and staff work. Measures of stress and strain were obtained from management staff of blue-collar and white-collar groups to assess the moderating influence of collar color. Results strongly support collar color as a moderator variable. In particular, the two groups differ significantly with respect to how role conflict, job security, quantitative work load, variation in work load, and utilization of skills impact various strains. The effect of job function on stress and strain and possible practical implications of these results are discussed.     

Sex differences and sex-role stereotyping in clinical psychologists' reports: a research note

This paper presents an empirical study of sex differences and sex-role stereotyping in clinical psychologists' reports. The results of numerous analyses showed no significant evidence at any point of sex differences or sex-role stereotyping in the form or the subject matter of the clinical reports.