Intensive follow-up does not decrease the risk of repeat suicide attempts.

We carried out a randomized controlled trial to determine whether an intensive intervention after a suicide attempt could decrease by half the risk of a repeat attempt in the following two years. After initial assessment and randomization, experimental subjects attended 18 therapy appointments over one year, including one home visit, and measures to improve attendance. Control subjects received the usual care. Of 63 experimental subjects, 35% made a repeat attempt, and so did 30% of 63 control subjects. The study had a 99% power to detect the desired decrease of risk (30% to 15%). Clearly, the intervention did not achieve its objective.     

The long-term evaluation of a behavioral treatment program for child molesters

Recidivism data derived from various sources over a follow-up period of 1–11 yr, provided the basis for appraising the effectiveness of a comprehensive cognitive-behavioral treatment program for familial and nonfamilial child molesters. Unofficial records held by police and Children's Aid Societies proved to be the best data for estimating recidivism. These data revealed increases in recidivism with longer follow-up periods, but there were consistent advantages for the treated over the untreated patients. Men who had sexually abused the daughters of other people demonstrated the clearest treatment benefits. The younger offenders and those who had engaged in genital-genital contact with their victims were more likely to reoffend even if they were treated. Contrary to the expectations of behavior therapists, indices of deviant sexual preferences did not predict outcome.     

Selective impairment of phonation: A case study

A 47-year-old right-handed man underwent craniotomy for clipping of an aneurism at the trifurcation of the left middle cerebral artery. Subsequently, he suffered a left hemisphere CVA after which his speech and language resembled that of Broca's aphasia with accompanying apraxia of speech. Medical, behavioral, and acoustical data amassed over a period of several months indicated numerous contraindications to traditional diagnoses of Broca's aphasia, apraxia of speech, and dysarthria. Ultimately, it was determined that the patient had a selective impairement of phonation or laryngeal apraxia. This was illustrated dramatically when he was taught to use an electrolarynx which allowed him to bypass his disrupted phonatory system. Speaking with the electrolarynx, the patient communicated normally. Any semblance of Broca's aphasia disappeared. Supralaryngeal articulation was normal; apraxia of speech behaviors were absent. This case report indicates that dissociation of oral and laryngeal gestures due to brain injury is possible. Mechanisms underlying such a dissociation for this case are reviewed. The possibility of discrete center lesions in the frontal motor association area causing different types of apraxia of speech is discussed.     

The Personality of Young Adult Couples and Wives'' Work Patterns

The influence of personality in 63 couples at the time of family formation on wives' work patterns 15 years later was examined in variable-centered and person/couple-centered ways. Four factor dimensions on the Adjective Check List assessed personality. Work patterns were assessed with measures of type, amount, and status of work and with schematic work narratives describing characters and plots abstracted from wives' mid-life data. Hierarchical regression analyses showed individuality of husbands to affect work outcomes after wives' college-age goals, their young adult personality, and the duration of marriages were taken into account. Conjoint high-low patterns of individuality in 34 couples were associated with different schematic work stories. These stories show distinctive personality and relational correlates at age 27. They flesh out and qualify hypotheses that individualistic partners would be open to women's careers and would show revealing strategies of combining self- and other interests in the transition to parenthood.     

Job experiences over time, multiple roles, and women's mental health: a longitudinal study.

Are changes over time in the quality of a woman's job associated with changes in her psychological distress? Do family roles moderate these relationships? We addressed these questions using longitudinal data from a 2-year 3-wave study of a stratified random sample of 403 employed women who varied in occupation, race, partnership, and parental status. After estimating individual rates of change for each woman on each of the predictors and the outcome, we modeled the relationships between family role occupancy and change in job-role quality on the one hand, and change in psychological distress on the other. Among single women and women without children, as job-role quality declined, levels of psychological distress increased. Among partnered women and women with children, change in job-role quality was unrelated to change in psychological distress.     

Elementary categorial logic,predicates of variable degree,and theory of quantity

Developing some suggestions of Ramsey (1925), elementary logic is formulated with respect to an arbitrary categorial system rather than the categorial system of Logical Atomism which is retained in standard elementary logic. Among the many types of non-standard categorial systems allowed by this formalism, it is argued that elementary logic with predicates of variable degree occupies a distinguished position, both for formal reasons and because of its potential value for application of formal logic to natural language and natural science. This is illustrated by use of such a logic to construct a theory of quantity which is argued to be scientifically superior to existing theories of quantity based on standard categorial systems, since it yields realvalued scales without the need for unrealistic existence assumptions. This provides empirical evidence for the hypothesis that the categorial structure of the physical world itself is non-standard in this sense.I would like to thank my collegue Mark Brown and an anonymous referee for helpful comments on an earlier draft of this paper.     

Spatial location judgments as a function of intention to learn, and mood state: an evaluation of an alleged automatic encoding operation

An assessment of the Hasher and Zacks (1979) conceptualization of the automatic nature of the acquisition of spatial location information was made in the context of manipulations of subjects' intention to learn and mood state. The Velten (1968) mood induction procedure was used to establish depressed and nondepressed subjects. Half of each group was then presented with a matrix of geometric forms under instructions to learn the location of the forms (intentional) or to evaluate the pleasantness of the array (incidental). Subsequent tests of spatial location performance found no differences as a function of subjects' mood state, but did find a strong effect for instructional condition. The superior performance of the intentional subjects raises questions about the automatic nature of the encoding of spatial location.     

Shape constancy and polar perspective

The distortion of polar perspective depends on the depth of the tridimensional shape and on the observation distance. In four experiments using 54 undergraduates as subjects, we found that a compensation process which takes depth and observation distance into account corrects for such distortions. Compensation was demonstrated in experiments in which deceptive information on depth and on observation distance was provided. The result was distortions of the perceived shapes that would be expected if compensation were based on the deceptive information.     

Generalization of treatment effects in training public speakers

Three studies compared the efficacy of various treatments for public-speaking incompetence. These effects were evaluated for the target behavior as well as for generalization effects across situations (conversations), settings (different sizes and types of audiences) and time (6-month follow-up). The first study showed that Self-instructional Training, either alone or in combination with other procedures, produced little or no benefits. The second study demonstrated the superiority of a Skills Training program over flooding therapy, while the final study failed to detect any enhancement of treatment benefits for the addition of home-practice to the Skills Training. In the first two studies generalization occurred across the three dimensions (settings, situations and time), while in the final study it was shown that the program was effective for a clinical population as well as recruited volunteers.