Cluttering and stuttering exhibited in a young professional

S 18, a young adult professional, was self-referred for stuttering. Assessment indicated deficits consistent with both stuttering and cluttering, including prolongations, syllable repetitions, secondary escape behaviors, rapid speech rate, and poor expressive language. The client had no awareness of cluttering characteristics. Therapy goals included improved breath control, slowed rate, easier onset of articulation, and increased awareness of speech. Progress toward therapeutic goals was consistent. However, his motivation decreased as therapy progressed. He was discharged from direct treatment after 13 months, at which time he could employ therapeutic techniques to improve his fluency and intelligibility when speech was disordered.     

Addressing women's breast cancer risk and perceptions of control in medical settings

Many women with family histories of breast cancer deal with two distinct but related issues: their objective physical risk and the emotions this risk engenders. Studies indicate that approximately 70% of African American and white women are concerned about their chances of developing breast cancer someday and perceive themselves to be at risk. Health care providers, including psychologists, need to be aware of the special needs and psychosocial concerns of high-risk women with family histories of breast cancer, since perceptions of breast cancer risk influence screening practices. Providers need training in understanding the significance of specific family patterns of breast cancer, screening guidelines appropriate for women at risk, and the benefits and risks of available prevention options, including genetic screening. Delivering accurate information about both established risk factors known to elevate personal risk, such as age and family history, and factors which women associate with breast cancer, such as bumping and bruising a breast, smoking, and oral contraceptive use, is essential for promoting accurate risk perceptions and appropriate screening schedules.     

Fully proportional actigraphy: A new instrument

The relevance of activity measurement is reviewed. Technical information regarding a new, small, lightweight, fully proportional accelerometer-based activity monitor suited for a wide range of wrist, waist, and ankle activity measurements over extended time periods in free-ranging persons is presented. Calibration data demonstrating within- and between-device reliability and validity are presented. Field trial data are presented showing that wrist and waist actigraphs can predict kilocalories of energy expended. The issue of how activity monitors should be validated is discussed. Instrument reliability is distinguished from clinical repeatability. Recommendations are provided to assist investigators with instrument selection.     

Childhood depression and reading ability: Is there a relationship?

Vincenzi (Journal of School Psychology, 25, 155–160, 1987) reported an association between childhood depression and reading ability. An examination of the methodology of this report does not support such a conclusion. We extend this examination to the general literature on depression and cognitive impairment and argue that a clear association has yet to be demonstrated.     

Detecting fake-bad MMPI-A profiles

This study examined the extent to which the validity scales of the Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A; Butcher et al., 1992) could identify adolescents who were faking-bad. This study also examined the extent to which the validity scales could differentiate between nonclinical adolescents instructed to fake-bad and both clinical and nonclinical adolescents who received standard instructions. Participants were 58 male and 80 female high school students and 58 male and 80 female adolescents from clinical settings. Results indicated that the mean profiles resembled those previously reported for adults on the MMPI (Graham, 1987) and MMPI-2 (Graham, Watts, & Timbrook, 1991) and for adolescents on the original MMPI (Archer, Gordon, & Kirchner, 1987). Accurate identification of students who were faking-bad was achieved. It was possible to differentiate between the clinical adolescents and nonclinical adolescents who were faking, and it was possible to differentiate between nonclinical adolescents who were faking and nonclinical adolescents with standard instructions; however, different cutoff scores were needed for these two discriminations. Optimal cutoff scores were presented.     

Experience of group work in counsellor training and preferred learning styles

Not all those experiencing group work as part of counsellor training appear to like or benefit from it. Here an attempt is ma& to identity individuals, categorized by preferred learning style, that might not make effective use of this learning opportunity. Questionnaires measuring preferences for learning styles and experience of group work were received from 37 students on a postgraduate counselling course. Significant differences in perception of group work were found to be correlated with preferred learning style.     

Book Reviews

A rne N aess : Scepticism
L auri R auhuala : Intentionality and the problem of the unconscious
R oy S chafer : Aspects of internalization
C. A. M eier : Die Empirie des Unbewussten
J olande J acobi : Vom Bilderreich der Seele—Wege und Umwege zu sich selbst
H onor M atthews : The hard journey: the myth of man's rebirth
R uth P orter (Ed.): The role of learning in psychotherapy
B. M. F oss (Ed.): Determinants of infant behaviour IV     

Book Reviews

M arion M ilner : The hands of the living God
L eonard P eonard : Death and dying
G ertrud H ess : Biology—psychology: two ways of research into life
G erald H andel (Ed.): The psychosocial interior of the family
H ans Z ulliger : The Zulliger individual and group test