Adolescent suicide attempters presenting to a pediatric facility

This study profiles the characteristics of adolescent suicide attempters and the treatment they received in a pediatric emergency room (ER). A retrospective chart review of 4,072 adolescents seen in the ER at a children's hospital (CH) from July 1984 to June 1985 was undertaken. Twenty-seven adolescents who had deliberately injured themselves were identified. The average age was 14 years 7 months (range 11-19 years). Fifty-two percent of the patients were white and 78% were female. Ingestion was the most common method (78%), followed by attempted hanging (11%), and wrist laceration (7%). After evaluation by a pediatrician in the ER, 30% of the patients were treated and released, 11% were transferred directly to a psychiatric hospital, and 59% were admitted to the CH, with an average hospital stay of 1.88 days. Once hospitalized, consultations from psychiatry (81%), social service (50%), psychology (19%), and neurology (6%) were obtained. At the time of discharge from either the ER or CH, the patients had a variety of plans for ongoing care, with 52% being referred to outpatient counseling, 37% being transferred to a psychiatric hospital, and 11% having no documented plan for ongoing care. These results demonstrate that the evaluation of suicidal adolescents cared for in a pediatric facility may be episodic and suggest the need for a comprehensive program to approach the problem.     

Identifying the psychopath: The relation of Cleckley's criteria to the interpersonal domain

The relationship between interpersonal behaviour variables has been shown to be defined by a circular ordering, or circumplex, within the framework of a two-dimensional space. It is proposed that Cleckley's criteria of psychopathy represent one axis of this system, hostility vs warmth. It is also proposed that these criteria alone are not sufficient to identify a homogeneous group of deviant persons. Observer ratings of the behaviour of institutionalized mentally-disordered offenders were obtained for Cleckley's criteria and for behavioural dimensions of impulsive aggression and sociability. Cleckley's criteria were found to describe a unitary dimension whose relationship to other variables was consistent with the circumplex model. Cluster analysis of the ratings identified two distinct groups of high scorers on Cleckey's criteria, who were also significantly differentiated by self-report personality variables. Only one of these groups showed the combination of lack of warmth or affection and lack of behavioural control which several investigators consider necessary to define psychopathy. Relationships among individual rating items and some of the personality variables closely approximated the expected circular ordering. Reference to this interpersonal circumplex appears to reconcile some of the differences in current conceptualizations of psychopathic personality.     

The borderline hypertensive rat (BHR): A new model for the study of environmental factors in the development of hypertension

While many studies have attempted to produce hypertension through the use of various environmental Stressors, few have succeeded in producing chronic elevations in blood pressure beyond levels considered to be borderline hypertensive (140–160 mm Hg systolic). The problem with most studies stems from the use of genetically normotensive animals and the selection of Stressors to which animals readily adapt. A new approach is suggested, which recognizes the role of genetics in human essential hypertension. Animals with one hypertensive parent do not develop spontaneous hypertension but show a more sensitive cardiovascular response to environmental Stressors than animals with normotensive parents. Preliminary studies revealed that animals with a mixed genetic history of hypertension develop spontaneous borderline hypertension. When subjected to shock-shock conflict, these borderline hypertensive rats (BHR) developed permanent hypertension that failed to abate even after a ten-week, shock-free recovery period. The hypertension was accompanied by elevated heart weight to body weight ratios and by significant cardiac pathology. Subsequent work has demonstrated that these animals also become hypertensive when fed a high-sodium diet. Finally, in a series of exercise studies, we found that BHRs subjected to a shock stressor were protected against stress-induced hypertension if they exercised daily. The potential of this model for studies of the mechanisms by which environmental variables produce permanent hypertension is discussed.     

The perceived support network inventory

The development and psychometric investigation of the Perceived Support Network Inventory (PSNI), a measure of perceived social support, is described. A group of 146 introductory psychology students participated in a test-retest study design that collected reliability, internal consistency, and construct, convergent, and discriminant validity data on the scale. In addition, a contrast group of 28 Counseling Center clients was administered the PSNI. Test-retest reliability of the PSNI total score and subscale scores ranged from .72 to .88. Internal consistency for the PSNI was .77. Construct validity estimates ranged from .21 to .57. Convergent validity estimates varied from -.25 to .20. Discriminant validity estimates varied from -.11 to .19. Sample differences between introductory psychology student mean PSNI total and subscale scores and Counseling Center client mean PSNI total and subscale scores proved significant. Recommendations for subsequent research and future application are offered.     

The logical status of metacognitive training

It is argued that knowing-how (to perform) is not dependent on knowing that (knowing propositions about performance). Existing evidence allows any benefits from metacognitive training to be attributed to generalization training, not to the announcement of rules. Rules may encourage the subject to learn new tasks, but these tasks must be learned in the contexts of eventual application.     

Vocal frequency and person perception: Effects of perceptual salience and nonverbal sensitivity

Previous research has demonstrated that changes in vocal frequency (pitch) influence judgments made about a speaker, although there is some question as to the relative importance of frequency to message content in person perception. Moreover, these studies have failed to examine the possible joint effect of frequency and individual differences in nonverbal sensitivity on person perception. The purpose of the present investigation was to examine the independent and joint effects of vocal frequency, perceptual salience, and nonverbal sensitivity (assessed by the Profile of Nonverbal Sensitivity) on person perception. Participants were assigned to one of nine experimental conditions and were asked to rate two male and two female speakers on seven unipolar adjective scales. The nine conditions were produced by factorially combining three levels each of salience (content, voice, control) and vocal frequency (decreased, increased, unmanipulated). The results of hierarchical multiple regression analyses indicated that variations in frequency did influence evaluative judgments of the speakers (competent, honest, persuasive), but that the magnitude of the influence varied as a function of the participants' levels of nonverbal sensitivity. The analyses, however, yielded no significant effects for participants' affective judgments, nor any significant effects involving perceptual salience.     

THE CREATIONISTS

Abstract. As the crusade to outlaw the teaching of evolution changed to a battle for equal time for creationism, the ideological defenses of that doctrine also shifted from primarily biblical to more scientific grounds. This essay describes the historical development of "scientific creationism" from a variety of late–nineteenth– and early–twentieth–century creationist reactions to Charles Darwin's theory of evolution, through the Scopes trial and the 1960s revival of creationism, to the current spread of strict creationism around the world.     

Effects of voir dire variations in capital trials: A replication and extension

With a sample of 18 capital cases tried in Kentucky, South Carolina, and California, we attempted to replicate an earlier study which showed that significantly more defense challenges for cause were granted under conditions of sequestered, individual voir dire than when voir dire was conducted under less enhanced conditions. In the current sample, sequestered, individual voir dire again resulted in more defense removals for cause than obtained with less extensive voir dire. We present data on the defense removals for cause partitioned into five categories according to the reason for the challenge and analyze the effects of jury selection consultants on the various indices of voir dire as well as final sentence.     

Skid-row rescue missions: A religious approach to alcoholism

The focus of this study is on the religious service at which many skid-row rescue missions require attendance to receive benefits. Data were obtained from an observation study of thirty-seven skid-row rescue missions in Los Angeles and Seattle, interviews with ten mission directors, and mission newsletters. The missions use material benefits to attract potential converts. The theme of spiritual conversion is predominant in the mission service (sermons, songs, testimonies). Mission personnel feel they have been called by God, often have backgrounds similar to the people they serve, and view the skid rowers' problems as primarily personal and spiritual. Skid rowers resent the use of religion as bait, view their problems as primarily structural, and use the missions only as a last resort. The missions need to be compared to other alcoholism rehabilitation and religious institutions. A key component to their continued existence is outside Christian supporters.