The Community Response to Rape: Victims' Experiences with the Legal, Medical, and Mental Health Systems

This research examined how the legal, medical, and mental health systems respond to the needs of rape victims. A national random sample of rape victim advocates (N = 168) participated in a phone interview that assessed the resources available to victims in their communities. as well as the specific experiences of the most recent rape victim with which they had completed work. Results from hierarchical and iterative cluster analysis revealed three patterns in victims' experiences with the legal, medical, and mental health systems. One group of victims had relatively positive experiences with all three systems, a second group had beneficial outcomes with only the medical systems, and the final group had difficult encounters with all three systems. Multinominal logistic regression was then used to evaluate an ecological model predicting cluster membership. Community-level factors as well as features of the assault and characteristics of the victims predicted unique variance in victims' outcomes with the legal, medical, and mental health systems. These findings provide empirical support for a basic tenet of ecological theory: environmental structures and practices influence individual outcomes. Implications for ecological theory and interventions to improve the community response to rape victims' needs are discussed.     

Parent Satisfaction with Case Managed Systems of Care for Children and Youth with Severe Emotional Disturbance

Case management has emerged as an integral component of current efforts to reform the delivery of mental health services to children and youth with Severe Emotional Disturbance (SED). We examined parental satisfaction with one program's case management system for SED children. In order to validly address parental satisfaction, the program first turned to a group of its parents to develop a satisfaction measure, the Family Satisfaction Survey (FSS). Of the 51 parents who returned an FSS, 74% of the parents were generally satisfied while 26% indicated that they were dissatisfied with their families' case management services. Multivariate regression analyses were employed to examine the role played by client, service, and outcome variables in predicting parental satisfaction. After controlling for child diagnoses, severity of impairment, and levels of psychosocial stress, parent satisfaction with case management services was best predicted by the frequency of monthly contact and fewer days is a psychiatric hospital proportional to length of service. Our results suggest that parent satisfaction is based not only on what case managers do but on how this service impacts SED children's ability to remain at home and in their communities.     

The Client Cultural Competence Inventory: An Instrument for Assessing Cultural Competence in Behavioral Managed Care Organizations

The rapid growth in Behavioral Managed Care Organizations has led to increasing concern about the future availability of culturally competent mental health services for ethnic minorities. Prior efforts to assess cultural competence of mental health services have focused exclusively on agency providers and individual mental health professionals rather than on clients' perceptions of care. We introduce the Client Cultural Competence Inventory, which has several advantages over other cultural competence measures including its (a) lower susceptibility to social desirability bias, (b) ability to assess attitudes concerning a broader range of therapists, providers and plans, and (c) focus on clients rather than the psychiatric community as the central force in determining cultural competence. Preliminary psychometric analyses of the inventory are presented from data gathered in a group of parents with children who are severely emotionally disturbed.     

Diminishing Solidarity

Cases of acts of solidarity can be divided into at least two groups. Solidarity in a narrow sense of the term refers to what I label project-related solidarity; it is prevalent in the modern world at least as much as it was found in past worlds. In contrast, the philosophical discussions of "solidarity" refer to the altruism and mutuality typically found in close human relationships. This concept of "solidarity" is theoretically unfruitful and even misleading. I propose to abandon the term "solidarity" in order to regain sight of the individual phenomena. When these are taken into consideration, a return to the community is no longer called for. I rather argue that modern societies are perfectly capable of inspiring feelings of loyalty and civic virtues, though not by resorting to the old sources of "solidarity". Modern forms such as free associations, participation and, not least, the existence of a liberal society itself are sufficient. Public discussions of solidarity are additionally distorted by frequent appeals to a normative sense of the term. The argument put forward in this collectivist context that an obligation of solidarity results from gratefulness to the community is not found to be convincing. Individuals are not obliged to be grateful to a nation in a way that would be normatively binding.     

中学生心理健康量表编制研究

本文阐述了正常人心理健康的内涵,提出以认知正常、情感协调、意志健全、个性完整和适应良好等五个心理健康维度来衡量中学生的心理健康水平。采用自陈量表编制原理和问卷调查分析法,编制了具有较高效度和信度的中学生心理健康量表,并随机抽取有代表性的中学生样本（ｎ＝１２４８）,制定了上海常模。对开展中学生心理健康与素质教育具有理论和实践上的指导意义。     

高中生心理健康水平及其影响因素的研究

采用ＳＣＬ－９０量表评定了５００名高中生的心理健康状况,运用因素分析的方法探讨了影响高中生心理健康的主要因素。结果表明：有１０．８％的高中生存在着各种明显的心理健康问题;高中生的心理健康问题主要表现为强迫、敌对、偏执、人际关系敏感和忧郁等症状;影响高中生心理健康的主要因素为学校教育、家庭环境、社会文化及学生自身等方面的生活事件;高中生不同的心理健康问题有其不同的影响因素。     

Infant food refusal and parental social support

The purpose of this study was to examine the relations between various aspects of social support and maternal and infant outcome variables in a group of families having infants showing food refusal compared to a control group. In the case of early food refusal, the results indicated that access to emotional support and satisfaction with support were related to maternal psychosomatic health. The relationships were interpreted as showing that social support has moderating effects on negative outcomes of food refusal.     

TEACHING RETARDED WOMEN A CLOTHING SELECTION SKILL USING COMMUNITY NORMS

Five institutionalized retarded women were taught a clothing selection skill to coincide with popular fashion. Normative data concerning popular styles of color-coordinated clothing were collected through observations of women's apparel in a local community. Using a puzzle simulation of a woman with alternative pieces of colored clothing, color coordination training was conducted using modelling, instructions, practice, praise, and feedback to teach popular selections of color combinations. A generalization training component with actual clothing was also included. Training was accompanied by large increases in percentage of popular color selections with the puzzle and actual clothing. The increases maintained over a seven- to 14-week followup period. Time efficiency measures supported the use of the simulation procedure as opposed to total reliance on actual clothing. The results underscore the utility of local norms in community preparation programs and the efficacy of instructional procedures for severely and profoundly retarded persons as part of their participation in the deinstitutionalization movement.     

Teaching self-protection to young children

Self-protective behaviors were taught to three preschool children in order to prevent the opportunity for abduction. An analogue measure of self-protection was developed in which confederate adults approached and verbally attempted to lure each child from the setting, before, during, and after training. A multiple baseline design across subjects was used. During baseline, all the children displayed susceptibility to the lures. Training procedures included modeling, behavior rehearsal, and social reinforcement. Within 1 week after training began, all children displayed appropriate responses to all of the lures both in the training setting and in the community.