Differential Factors in the Testing of Personality: II. Differences in Maturity

ABSTRACT

The evoking freedom or “but you are free” (BYAF) technique is a social influence tactic that offers recipients the freedom to accept or decline a request. This research tested the effectiveness of the evoking freedom technique in two field experiments. Participants were asked either to complete a survey (Experiment 1) or to allow a stranger to borrow their mobile phone to make a call (Experiment 2) on an urban university campus. Half of the requests involved language that evoked freedom, and half of the requests were direct. In both experiments, results showed significantly greater compliance in the evoking freedom condition. This research extends previous work by demonstrating the effectiveness of the technique using a high-stakes request and in a culture other than that of France, where the majority of evoking freedom studies have been conducted.     

Sequential Requests and Organ Donation

Abstract

The author investigated the effectiveness of the foot-in-the-door technique as a method of increasing participants' intention to become organ donors. The participants who agreed to a 1st request were presented with a larger request either immediately or 3 days later. The 2nd request was presented either by the same requester or by a different requester. Compared with a control group receiving only the 2nd request, a significant foot-in-the-door effect emerged in all conditions except 1 (same requester-immediate request), in which the participants showed neither more nor less intention to become organ donors than did the control group.     

初治肺结核患者服药依从性的相关因素分析

为了了解初治肺结核患者服药依从性状况及影响因素,采用分层整群随机抽样方法抽取样本,利用自制调查表和Morisky依从性量表获取数据信息,并用SPSS 16.0软件进行统计分析.参与调查的578例初治肺结核患者中,依从性低组为194例,占33.6％,依从性正常组为384例,占66.4％.影响服药依从性的主要因素为职业、治疗时期、生活满意度、病情严重程度等（P＜0.05）.可见初治肺结核患者不规则服药受多方面因素影响,应加强各方督导,提高服药依从性.     

Using a Self-Management Intervention to Increase Compliance in Children With ASD

This two-study series examined the effectiveness of self-management in increase compliance with parental requests. Three boys diagnosed with Autism Spectrum Disorder and their parents participated. The intervention involved self-monitoring combined with parent-delivered reinforcement. A multiple baseline design was used. The intervention was successful in increasing rates of compliance and reducing problem behavior in training and generalization settings with each participant. Social validity was high and treatment integrity data indicated that the intervention could be readily implemented by parents. Study 2 also provided evidence of a strong treatment effect for the self-management beyond a small effect for effective instructional delivery.     

Assessing Parental Response Patterns in the Treatment of Noncompliance in Children

Child noncompliance is one of the most frequently reported behavior problems in clinic-referred children. One difficulty with treating noncompliance in the clinic is that the demand characteristics of the situation may alter the rates of child compliance. The observation of parent-child interactions, with an emphasis on parent behaviors, may be a more meaningful way to assess parent training programs. In the current study, the parents of three children each showed a distinctive pattern in their responding to their children's compliant and noncompliant behaviors. An in vivo direct instruction procedure, that involved the therapist working directly with the parent to provide immediate consequences was used. Following training, improvements in correct responding were evident for al parents. Particularly noteworthy was that child compliance was not an accurate indicator when assessing parents' initial skill levels.     

Identification with the aggressor and the ‘normal traumas’: clinical implications

Ferenczi's (1933) surprisingly unknown concept of identification with the aggressor – an abuse victim's ‘eliminating’ her own subjectivity and ‘becoming’ precisely what an attacker needs her to be – has radical implications for our understanding of analytic technique. Its very frequent occurrence also forces us to broaden our understanding of what constitutes trauma. Ferenczi saw the experience of ‘traumatic aloneness’ or ‘emotional abandonment’ as the key element of trauma, since this is what enforces the traumatic responses of dissociation and identification with the aggressor. Identification with the aggressor operates in the analytic relationship in both patient and analyst. This has various consequences, including the structuring of the relationship through unconscious collusions – mutually coordinated, defensive identifications designed to help both participants feel secure. This view of the analytic relationship has clinical implications in at least four areas: the understanding of the patient's free associations, which may reflect the patient's compliance with the analyst's wishes rather than the contents of the patient's own unconscious; the need for some kind of mutuality of analysis; the traumatizing potential of the analyst's authority; and the tendency of some patients to take blame and responsibility reflexively, as a way of protecting the analyst.     

The role of additional information in the compliance,satisfaction, psychological,and emotion responses of non-surgical patients with low back pain: An exploratory investigation

Abstract

Noncompliance and the psychological and emotional states of patients with low back pain are major concerns for health professionals. The current study evaluated whether amount of information available to patients enhanced compliance to a medical regimen and whether it reduced negative emotions in patients with low back pain. Forty-five orthopaedic non-surgical patients with low back pain were randomly assigned to one of three information presentation conditions: 1) Standard, 2) Pre-examination, and 3) Post-examination. Patients were also separated by compensation and noncompensation within each information group. Patients completed questionnaires at their initial visit and at their follow-up which evaluated their: levels of compliance to a prescribed treatment program, psychological, and emotional states. Results indicated that some patients benefitted from receiving additional information as the Pre-examination and Post-examination groups demonstrated superior comprehension and recall as well as higher levels of compliance to a physical therapy program. In addition, compensation patients complained of more negative psychological and emotional behaviors in comparison to noncompensation patients. Implications of the research and future research considerations were discussed.     

Strengthening Voices

SUMMARY

As a therapist I have chosen to work with adolescent girls whose voices are among the weakest in our society. They have been sexually, physically and/or emotionally abused as children. Many have seen their mothers beaten by their boyfriends or husbands. Many have body-perfection obsessions such as anorexia and bulimia. Almost all of them have run away from home, hung out downtown, stolen property, relied on drugs and alcohol, and purposefully hurt themselves to take away their feelings. Many have resorted to selling their bodies on the streets or within their peer groups. They all operate from a self-belief of worthlessness, a belief that has gender socialization and abuse at its core. It is at this core that the therapeutic relationship must begin. This article describes a therapy relationship with a 14-year-old girl. This work with adolescent girls is described as being guided by three main principles, that of relationship, justice and soul work.     

Electronic monitoring and counseling to improve medication adherence

Electronic caps, pill caps that record the date and time of pill bottle opening provide an objective measure of adherence to prescribed medication. A promising intervention to improve adherence, cue-dose training, involves reviewing patients' pill cap-generated reports concerning their medication-taking and offering individualized recommendations for remembering to take medications at specific times of day. In this preliminary study, 79 patients prescribed the antihyperglycemic medication metformin had adherence assessed during a 4-week baseline period. Adherence, defined as proportion of prescribed doses taken within a predetermined 4-h window, was measured using electronic MEMS caps. Those who had less than 80% baseline adherence (n = 33) were randomly assigned to either receive 4 months of cue-dose training (n = 16) or to a control group (n = 17). Cue-dose training was associated with significantly better adherence to metformin (mean improvement of 15%). The effects of cue-dose training on adherence to other antihyperglycemic medication did not reach statistical significance. Glycosylated hemoglobin (a measure of blood sugar control) did not differ between groups. Data from nine patients who reviewed pill cap-generated data with their primary care providers suggested that both patients and providers found the discussion moderately helpful and not at all uncomfortable.