Therapeutic Contract Program: preliminary report on a behavioral alternative to the token economy

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.     

The Interpretation of Anaphoric Noun Phrases Time Course, and Effects of Overspecificity

Two experiments investigated the interpretation of anaphoric noun phrases, and in particular those thatcould only be linked to their antecedents via knowledge-based inferences. The first experiment showed that much of the inferential processing was carried out as the anaphoric noun phrase was read, although there was some indication that inferential processing continued to the end of the clause. The second experiment attempted to establish why anaphoric noun phrases that are more specific than their antecedents cause problems. It showed that the difficulty did not lie in adding the extra information carried by the anaphor to the representation of the referent. Rather, we suggest, putting extra information in the anaphoric noun phrase disrupts the process of linking that noun phrase to its antecedent.     

Earthquake Preparedness: Predictors in a Community Survey1

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.     

Counselling issues in the fostering and adoption of children at risk of HIV infection

The heterosexual nature of the HIV epidemic in Lothian is such that a number (50 to date) of babies have been born to women who have HIV. Some have needed social work services such as Children Centre placement, foster parents or adopters. Since this work began in 1986, our understanding of the transmission and manifestation of HIV infection in children has grown. However, it is still not possible until children reach the age of two to be certain whether or not they have been infected, or what the outlook is for them. Even then there are some further areas of uncertainty. We have developed a programme of preparation, training and support which has enabled a number of families to live with this uncertainly in offering placements to children at risk of HIV infection.     

The interaction of stressful life events and chronic strains on community mental health

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.     

Correspondence between resident- and staff-report on the QABF: Do justice-involved youth agree with residential staff?

Residents in juvenile residential treatment facilities (JRTFs) often display various emotional, behavioral, and educational needs. Researchers have recently developed behavioral interventions to increase residents' appropriate behavior such as cooperation with facility staff instructions, accepting feedback from facility staff, and tolerating unpleasant events. However, there is not a generally accepted tool for assessing the operant function of residents' problem behavior in JRTFs. For various logistical reasons, indirect functional assessments may be more appropriate in a JRTF than manipulating either antecedent or consequent events. This study obtained scores on the Questions About Behavior Function (QABF) assessment for 17 residents from two dormitory staff members for each resident. To increase the number of respondents, each resident completed a QABF for their own behavior. Results revealed moderate to high correspondence (i.e., agreement) for highest and lowest potential operant function of problem behavior between combinations of JRTF staff and residents. These preliminary findings suggest additional research with the QABF in JRTFs is warranted.     

Systematic review of interruption and redirection procedures for autistic individuals

Interruption and redirection (IR) procedures involve systematically disrupting an undesirable behavior and prompting an individual to engage in an alternative behavior. These procedures have been frequently assessed for reducing repetitive behaviors for autistic individuals. The primary purpose of this review was to assess IR interventions to determine whether outcomes vary according to intervention characteristics, dependent variable types, design quality, or publication status. A secondary purpose was to assess the extent to which generalization and maintenance outcomes were measured and whether characteristics of these conditions were related to outcomes. IR interventions were moderately successful for reducing repetitive behaviors but less effective for improving corollary variables such as appropriate vocalizations and functional engagement. Generalization and maintenance outcomes, when measured, were poor. Results indicate the need for alternative or augmentative procedures that focus on engagement in meaningful interactions and activities.     

Women's Magazine Fiction: A Content Analysis of the Roles,Attributes, and Occupations of Main Characters

A content analysis of the fiction stories in seven national women's magazines revealed that the primary problem for most of the main characters is romantic. Most of the characters are atractive, single, white Americans younger than 45. They live in the city, have zero to two children, are middle class, and college educated, and they have careers or jobs. Less than half of them are able to solve their own problems, and occupations are assigned sterotypically by gender. The conclusion drawn is that the fiction in these magazines is, in many ways, as traditional as has been found in the past.