Adult-child interaction during invasive medical procedures.

Adult-child interactions during stressful medical procedures were investigated in 43 pediatric patients videotaped during a venipuncture procedure in the course of cancer treatment. Relations among six adult behavior categories (explain, distract, command to engage in coping behavior, give control to the child, praise, and criticize/threat/bargain) and three child behavior categories (momentary distress, cry/scream, and cope) were examined using correlational and sequential analysis. Results indicated that adult distraction resulted in increased child coping and reduced momentary distress and crying. Adult explanations, although a likely response to child distress and crying, did not result in a reduction of these behaviors. Attempts to give the child control reduced child crying. Implications for clinical interventions during painful medical procedures are discussed.     

A record-keeping format for training systemic therapists

Training in systemic therapy necessitates a structured approach to teaching systemic thinking. The Systemic Therapy Sessions Summary Form, a record-keeping method, is presented as a tool for enhancing training in systemic therapy. The purpose of this form is to provide the structure for the trainee to develop circular hypotheses, to connect reflexively the assessment and intervention components of therapy, and to maintain a sense of the evolving nature of therapy across sessions. A case example illustrates the use of this record-keeping format.     

Pursuing and distancing: the construct and its measurement

Although the concept of interpersonal pursuing and distancing has been introduced and used clinically, the lack of a reliable and valid measure has deterred its more formal investigation and relevance to personality theory. The Pursuing-Distancing (P-D) Scale, a 92-item measure of the behavioral expression of these characteristics, was developed. Evidence for internal consistency as well as internal support of construct validity is presented and discussed. An 80-item revised scale is available from the authors and is currently being evaluated in a variety of external validation settings.     

Causal internalization of academic performance as a function of self-esteem and performance satisfaction

In the present investigation, we integrated self-theories (specifically, theories of cognitive consistency and self-esteem) with attribution theory. Our intent was to clarify the effects of different levels of self-esteem and performance satisfaction on causal internalization of academic performance. Subjects were 162 university students who attributed causality for their individual performances on a midterm examination. Attributions to four internal and four external causal sources were analyzed with a 2 × 2 (Self-Concept × Performance Satisfaction) MANOVA and with follow-up univariate F ratios. Most of the findings support the predictions based on self-esteem theory; i.e., satisfaction with performance, rather than consistency of performance with self-esteem, served as the primary influence on internalization of causality, with students internalizing satisfying outcomes more than dissatisfying outcomes. Cognitive-consistency theory and B. Weiner's (1979, Journal of Educational Psychology, 71, 3–25) attribution proposal regarding maintenance of a stable self-concept also received support, as attributions to the internal and stable causal sources of ability and general effort were a function of an interaction of self-esteem and performance satisfaction. Hence, neither self-theory adequately anticipated the effects of self-esteem and performance satisfaction on causal internalization. Rather, a consolidation of theories is needed to explain the results.     

Invariance in the MMPI's component structure

Bernstein and Garbin (1985b) suggested that the Minnesota Multiphasic Personality Inventory's major clinical scales (excluding Scales ? and 5) can be approximated by an oblique three-component structure: (a) Profile Elevation, (b) Test-taking Attitudes, and (c) Optimism-Pessimism, collectively termed the salient weight model. In this study, we found that both this model and the MMPI's principal component structure remain invariant across race, sex, and, as previously noted, context of testing (job applicants vs. inmates in correctional institutions). We further noted that several alternative definitions of Profile Elevation provide equally satisfactory representation of the relations among the scales. This factor invariance is necessary, but not sufficient, for the MMPI to be viewed as unbiased.