The token economy has been the primary model for the behavioral management of inpatient populations. However, this basically operant approach seldom emphasizes the development of cognitive-coping skills to help patients more effectively manage stressors that result in hospitalization. The Therapeutic Contract Program (TCP) is described as an inpatient-treatment strategy that is designed to help foster such cognitive-coping and self-control skills. While external structure is provided by components of this program, subprograms of the TCP have as their goal the development of internally-attributed coping skills and self-perceptions of competence. This preliminary report describes the structure of the TCP, as well as planned and in-progress measures of program participation and treatment outcome. 相似文献
We measured the relationship between earthquake concern and preparation in a community with high seismic risk. Five samples of approximately 800 people were interviewed by telephone about their earthquake concern, but this study focuses on the last two samples in which respondents reported their preparatory behaviors. The findings were consistent in showing greater likelihood of concern for those who had experienced an earthquake, were female, younger, and non-Anglo and a greater likelihood of preparation for those who had more concern, were married, and had lived longer at their present address. In a nonrecursive causal model, no evidence was found for a reciprocal effect of preparation on concern. These results were discussed in terms of health belief models including the self-efficacy and “stages of change” perspectives. Implications were drawn for interventions to increase preparation in ready-to-change groups and compensate for the resistance of those less willing or able to prepare. 相似文献
One of the possible adaptive costs of coping with stress is diminished capacity to respond to subsequent adaptive demands. This paper examined the complex interplay between major life events and one source of chronic strain. Residents of the greater Los Angeles metropolitan area exposed to higher levels of smog, who had also experienced a recent stressful life event, exhibited poorer mental health than those exposed to pollution who had not experienced a recent stressful life event. There were, however, no direct effects of smog levels on mental health. These patterns of results were replicated in both a cross-sectional and a longitudinal study. The interplay of psychosocial vulnerability and environmental conditions is discussed. 相似文献
Studies that have found an association between unemployment and psychological depression often fail to establish the direction
of causal influence. Analyses of Epidemiologic Catchment Area panel data revealed that of employed respondents not diagnosed
with major depression at first interview, those who became unemployed had over twice the risk of increased depressive symptoms
and of becoming clinically depressed as those who continued employed. Although the increase in symptoms was statistically
significant, the effect on clinical depression was not, possibly because of the low power of the test. The reverse causal
path from clinical depression at Time 1 to becoming unemployed by Time 2 was not supported. The unemployment rate in the respondent's
community at time of interview was not related directly to psychological depression but appeared associated indirectly with
depression via its impact on the risk of becoming unemployed. Implications for policy and further research were discussed.
The research described in this paper was supported by Grant #5 RO1 AA08379-02 from the National Institute of Alcohol Abuse
and Alcoholism. The authors appreciate the suggestions provided by members of the Consortium for Research Involving Stress
Processes sponsored by the W. T. Grant Foundation and by two anonymous journal reviewers. 相似文献
Attentional biases for threat stimuli were assessed in high and low trait anxious subjects (n = 66) using a probe detection task. To examine the effects of trait anxiety and situational stressors, each subject was tested three times: Under no stress, laboratory-induced stress, and examination-induced stress. To evaluate the role of awareness, half the word stimuli were presented very briefly (14 msec) and masked, and the other half were presented for 500 msec without a mask. Results showed that high trait anxious subjects under exam stress showed an attentional bias towards unmasked threat stimuli compared with low trait subjects. This effect was not found under lab-induced stress, suggesting that the attentional bias for unmasked threat in high trait subjects may be a function of a prolonged stressor, rather than a transient increase in state anxiety. The results from the masked exposure condition were not predicted; high trait anxious subjects shifted attention towards the spatial location of threat words despite lack of awareness of their lexical content, but this bias was only apparent in the no-stress condition. The results are discussed in relation to recent cognitive theories of anxiety. 相似文献
Male business leaders responded to 3 instruments, the Leadership Practices Inventory (LPI-SELF), the Kirton Adaption-Innovation Inventory (KAI), and a measure of optimism and pessimism (O/P). Approximately 5 to 6 (range = 3 to 9) of each of the 48 leaders' direct reports rated their leaders on the LPI (LPI-OBSERVER) and also responded to the O/P instrument. As predicted, both the leaders and their direct reports had lower mean scores on pessimism than a normative group; neither group differed from the norm on optimism. The leader KAI scores were negatively correlated with pessimism, and positively, though not significantly so, with optimism. Optimism was positively correlated with 2 factors of the LPI-OBSERVER, but pessimism was not correlated with any of the five LPI factors. 相似文献
The purpose of the present research was to assess the relative influence of instigation or inhibition in mediating retaliation after arbitrary or non-arbitrary frustration. Sixty-four men were asked to learn a concept that was being taught by a peer. Although all men were frustrated, half were deliberately frustrated while the other half were not deliberately frustrated by the teacher. Following the task, the learner was given the opportunity to prevent the teacher from gaining employment under conditions where his evaluation was either anonymous or to be made public. The results of a 2 × 2 analysis of variance yielded several significant effects. The data revealed that subjects rejected the teacher more when the frustration was arbitrary than when it was non-arbitrary. Moreover, when the evaluation was anonymous, subjects rejected the teacher more than when the evaluation was to be made public. Furthermore, the difference in the amount of rejection expressed between arbitrary and non-arbitrary conditions was greater when the evaluation was anonymous than when it was public. These results were interpreted as demonstrating the greater contribution of instigatory rather than inhibitory factors in expressing aggression following deliberate or non-deliberate frustration. 相似文献
Hypotheses linking a negative recall bias (or negative self-schema) with vulnerability to depression were tested using an experimental mood-induction task. Extent of bias in student subjects was found to be unstable over a 4-month period, but different measures of memory bias within one session were highly correlated. Marginally significant correlations in the expected direction were found between estimates of recall bias and mood state, whether measured at the same or at different times. Change in mood following induction did not relate to change in bias, suggesting that the observed differences in recall are not a simple function of transient mood state alone. Equally, the initial recall bias did not predict the extent of mood shift following induction, as would be expected if a negative self-schema determined ease of mood shift in a negative direction. However, significant correlations were found between negative recall bias and self-reported frequency and severity of depression, lending equivocal support to the negative self-schema model. 相似文献
The metaphor of scaffolding has become current in discussions of the cognitive help we get from artefacts, environmental affordances and each other. Consideration of mathematical tools and representations indicates that in these cases at least (and plausibly for others), scaffolding is the wrong picture, because scaffolding in good order is immobile, temporary and crude. Mathematical representations can be manipulated, are not temporary structures to aid development, and are refined. Reflection on examples from elementary algebra indicates that Menary is on the right track with his ‘enculturation’ view of mathematical cognition. Moreover, these examples allow us to elaborate his remarks on the uniqueness of mathematical representations and their role in the emergence of new thoughts.