Adolescent suicide attempters presenting to a pediatric facility

This study profiles the characteristics of adolescent suicide attempters and the treatment they received in a pediatric emergency room (ER). A retrospective chart review of 4,072 adolescents seen in the ER at a children's hospital (CH) from July 1984 to June 1985 was undertaken. Twenty-seven adolescents who had deliberately injured themselves were identified. The average age was 14 years 7 months (range 11-19 years). Fifty-two percent of the patients were white and 78% were female. Ingestion was the most common method (78%), followed by attempted hanging (11%), and wrist laceration (7%). After evaluation by a pediatrician in the ER, 30% of the patients were treated and released, 11% were transferred directly to a psychiatric hospital, and 59% were admitted to the CH, with an average hospital stay of 1.88 days. Once hospitalized, consultations from psychiatry (81%), social service (50%), psychology (19%), and neurology (6%) were obtained. At the time of discharge from either the ER or CH, the patients had a variety of plans for ongoing care, with 52% being referred to outpatient counseling, 37% being transferred to a psychiatric hospital, and 11% having no documented plan for ongoing care. These results demonstrate that the evaluation of suicidal adolescents cared for in a pediatric facility may be episodic and suggest the need for a comprehensive program to approach the problem.     

Contextual mood priming following left and right hemisphere damage

This research examined the influence of mood-congruent and mood-incongruent contexts on recognizing affective prosody after brain damage. Predictions stemmed from an associative network theory of learning and memory. Thirty-three male subjects, 11 each in right hemisphere damaged (RHD), left hemisphere damaged (LHD), and normal control groups judged moods from the prosody of semantically neutral phrases. In one task, the prosodic stimulus phrases were judged in isolation. In another task, the phrases were preceded by short paragraphs which were either congruent or incongruent in emotional tone with the prosodic stimuli. These paragraphs were designed to prime specific mood choices. As anticipated, LHD subjects' prosodic mood recognition was more accurate when given congruent rather than incongruent affective contexts. Congruent contexts facilitated, and incongruent contexts disrupted, their prosodic mood judgments to the same extent as normals. RHD subjects showed a partial context decrement. They were less accurate than normal or LHD subjects in the congruent condition, and were unaffected by incongruent contexts. When given congruent biasing paragraphs, however, RHD subjects did experience facilitation on a par with that found for the other groups, indicating spared sensitivity to certain contextual factors. The distinction between automatic and effortful processes is offered as a potential explanation for the RHD group's pattern of performance.     

Withholding medical care for religious reasons

Stimulated by publicity over lawsuits involving parents of children who had died from deprivation of medical care, this article is a survey of the beliefs of religious groups that refuse medical care on theological grounds and the legal principles designed to protect children from such abuse. Particular attention is given to whether or not child-neglect laws that carve out exceptions for spiritual healing groups are constitutional under the establishment clause of the First Amendment. Very recent cases, including some still in progress, are used for illustration.     

Aesthetic preference and DSM-IIIR personality disorders

This report tested whether those individuals with a cluster B DSM-IIIR personality disorder (narcissistic, borderline, antisocial or histrionic) had higher scores for aesthetic preference for visually complex drawings using the Barron-Welch Art Scale. In a sample of 141 patients and controls, the 56 subjects who met the criteria for one of the cluster B personality disorder diagnoses displayed higher Barron-Welch Art Scale Scores. A multiple regression analysis showed that narcissistic and borderline personality disorder contributed positively, while dependent personality disorder, negatively to preference for complexity. The findings support the notion that aesthetic choices and values reflected through the dimension of openness to experience may contribute to the behavioral manifestations of the personality disorders.     

The Cost of Client Transfer

Clients undergoing transfer from one counselor to another were compared on the Generalized Contentment Scale and a DSM-III-R measure with clients staying with the same counselor over the same length of treatment. In three 12-week blocks, the clients with the same counselor made the greatest progress in the first 12 weeks, making less progress in each successive block. The clients who were transferred in the middle of the second 12-week block also made the greatest progress in the first time block, lost some of the progress in the transfer block, and made significant progress with the new counselor in the third time block, ending with no significant differences in either generalized contentment or DSM-III-R outcome from clients who had not been transferred.     

The effects of task demands on the equivalence of visual and auditory representations of periodic numerical data

The equivalence of visual and auditory graphical displays was examined in two experiments. In Experiment 1, multidimensional scaling techniques were applied to paired comparison similarity judgments of both auditory and visual displays of simple periodic wave forms. In Experiment 2, a subset of perceptually similar pairs of wave forms was selected as the stimulus set for an AB-X discrimination task in both auditory and visual modalities. Results suggest much greater apparent visual-auditory equivalence for the similarity rating task than for the more difficult discrimination task, implying that one should consider the demands of the task when deciding whether auditory graphic displays are suitable alternatives to more traditional visual displays.     

Personal computers and behavioral observation: An introduction

Some fundamental aspects of observational data are outlined, and some basic issues in implementation of small computers in observational research are discussed.     

Some simple Apple II software for the collection and analysis of observational data

Two general-purpose software packages for collecting and analyzing observational data from a variety of settings are discussed. One package is designed for coding mutually exclusive behavioral states using the Apple’s keyboard as an input device. The other is designed to monitor temporally overlapping behaviors, and it makes use of the Apple II’s built-in game-control button inputs to indicate up to three behavioral states that may occur simultaneously.     

The effect of flanking context on visual classification: The joint contribution of interactions at different processing levels

Flanking characters that surround a target character may cause either facilitation of or interference with target classification, depending on experimental context. In three different experiments, the patterns of facilitative priming and interference were shown to change systematically as a function of onset asynchrony between flankers and target, illustrating differing time courses of the overlapping processes that each contributes to overall reaction time performance.     

Response and encoding factors in “ignoring” irrelevant information

Subjects classified either the numerosity or numeric value of elements in successive stimulus displays. In separate experiments, responses were indicated by oral naming, card sorting, manual tapping, and oral “tapping.” Incongruent levels of numeric value slowed naming and sorting, but not tapping, when numerosity was the cue for responding. Incongruent numerosity slowed tapping, but not naming and sorting, when numeric value was the cue. Changes in stimulus response mapping may thus critically alter the ability to ignore an irrelevant stimulus dimension.