A short version of a spatial activity questionnaire

Newcombe, Bandura, and Taylor developed a questionnaire measuring participation in space-related activities. The activities were classified as masculine, feminine, or neutral in gender stereotyping. A short version of this questionnaire was developed based on an item analysis of the responses by 485 introductory psychology students (236 women and 249 men). The 10 masculine, 10 feminine, and 10 neutral items chosen for the short form were given to 60 subjects (28 women and 32 men), along with a measure of spatial performance (Piaget's water-level task). Reliabilities (by coefficient alpha) were .79, .77, and .75, for the masculine, feminine, and neutral activity subscales, respectively. As with the original scale, women had a greater preference than men for feminine activities, men had a greater preference than women for masculine activities, and women and men had an equal preference for neutral activities. Masculine activity preference was associated with better water-level performance, with the relationship significantly stronger for women (r=.50) than for men (r=.10). Uses for the questionnaire in research on sex-related differences in spatial performance are suggested.     

AUGMENTING SIMPLIFIED HABIT REVERSAL WITH AN AWARENESS ENHANCEMENT DEVICE: PRELIMINARY FINDINGS

The chronic hair pulling of a 36-year-old woman with moderate mental retardation was initially treated with a simplified habit-reversal (SHR) procedure that consisted of awareness training, competing response training, and social support. When SHR did not produce large and sustained reductions in hair pulling, an awareness enhancement device was added, and it reduced hair pulling to near-zero levels in two settings. The results are discussed, and directions for future research with this device are provided.     

Reality orientation with psychogeriatric patients

To date, all empirical studies of Reality Orientation have been carried out as part of a ward or group programme in which, in addition to the orientation procedure, patients have been exposed to a variety of other physical and social activities. It is argued that the efficacy of providing information about time, place and person alone, and its generalization to other forms of behaviour, remain unknown. Results of three single case studies suggest that providing such information can increase orientation and that generalization to other forms of behaviour does occur.     

AUGMENTING SIMPLIFIED HABIT REVERSAL IN THE TREATMENT OF ORAL-DIGITAL HABITS EXHIBITED BY INDIVIDUALS WITH MENTAL RETARDATION

We investigated whether a simplified habit reversal treatment eliminates fingernail biting and related oral-digital habits exhibited by individuals with mild to moderate mental retardation. Although simplified habit reversal did little to decrease the target behaviors for 3 of 4 participants, simplified habit reversal plus additional treatment procedures decreased the behavior to near-zero levels for all participants. These procedures included remote prompting, remote contingencies involving differential reinforcement plus response cost, and differential reinforcement of nail growth. Limitations of habit reversal for individuals with mental retardation along with directions for future research involving therapist-mediated treatment procedures, particularly those involving remote prompting and remote contingencies, are discussed.     

Integrating Pain Management in Clinical Practice

There is much evidence to suggest that psychological and social issues are predictive of pain severity, emotional distress, work disability, and response to medical treatments among persons with chronic pain. Psychologists can play an important role in the identification of psychological and social dysfunction and in matching personal characteristics to effective interventions as part of a multidisciplinary approach to pain management, leading to a greater likelihood of treatment success. The assessment of different domains using semi-structured clinical interviews and standardized self-report measures permits identification of somatosensory, emotional, cognitive, behavioral and social issues in order to facilitate treatment planning. In this paper, we briefly describe measures to assess constructs related to pain and intervention strategies for the behavioral treatment of chronic pain and discuss related psychiatric and substance abuse issues. Finally, we offer a future look at the role of integrating pain management in clinical practice in the psychological assessment and treatment for persons with chronic pain.