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.     

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.     

Prominence of girls and boys in the classroom: Schoolchildren's perceptions

Several studies have revealed teachers' asymmetric perceptions of girls and boys in their classes. The present research examines these effects on schoolchildren's own perceptions of the prominence of male and female peers in school relevant categories. A total of 147 (native born, Jewish middle class) second and sixth graders participated in the study. A questionnaire in two versions was prepared: One formulated in the masculine plural, habitually used in Hebrew as the generic plural for both sexes. The other in both masculine and feminine (optional he/she) plural, also admissible in Hebrew usage. Overall, students judged more boys as prominent, even more so in sixth grade. Subjects also pointed to same-sex peers as prominent. Surprisingly, the sex-optional formulation of the questionnaire did not decrease stereotyping perceptions. Results raise questions about the status of girls in school. Implications for girls' future as achievers in modern society are discussed. Furthermore, the effectiveness of language manipulation in Hebrew regarding sexist vs. nonsexist attitudes is put into question.     

Hugs or shrugs: Parental and peer influence on continuity of involvement in sport by female adolescents

The study was designed to examine the influence of significant others (mothers, fathers, and male and female peers) on continuing involvement in sport by adolescent females. Survey data were collected from 376 girls using a forced-choice, self-administered questionnaire. Maintenance of involvement was measured by the proportion of possible years in which the respondents were involved in physical activity within each of three participation contexts (intramural, interschool, and community sport). Several indicators of significant other influence were used. The degree to which involvement in physical activity is maintained is positively related to the source, amount and type of influence received from significant others, and varied by the participation context. Overall, the socializing influence of significant others was able to account for 11% of the variance in intramural activity, 20% of the variance in interschool sport, and 10% of the variance in community-based activity.This study was funded by a grant from Fitness Canada.     

Rhythm and “good endings”: Effects of temporal structure on tonality judgments

The purpose of the present experiment was to investigate the influence of rhythmic structure on the perception of tonal relationships marking the end of a melody. Musically sophisticated listeners were asked to rate the degree of resolution in a set of folk tunes that varied in their tonal ending and temporal accent structure. The results indicated that melodies ending on the leading tone-to-tonic progression were judged the most complete, while the least complete were those leaving a listener “hanging” by ending on the leading tone note. These ratings, however, were influenced by the temporal accent structure of a tune. The highest degree of resolution was observed for melodies that ended “on time” through an invariant pattern of temporal/melodic accents. Accent structures that led to endings occurring earlier or later than expected resulted in significantly lower resolution ratings. The present results illustrate the need to incorporate dynamic pattern influences into models of tonal perception.     

CO-WORKER IMPLEMENTED JOB TRAINING: THE USE OF COINCIDENTAL TRAINING AND QUALITY-CONTROL CHECKING ON THE FOOD PREPARATION SKILLS OF TRAINEES WITH MENTAL RETARDATION

In two studies, co-workers of persons with disabilities were taught to use coincidental training procedures while completing their own jobs. In Study 1, the effects of coincidental training on the salad-making skills of 3 trainees with mild and moderate mental retardation were evaluated. Coincidental training by co-workers resulted in improved accuracy of the salad-making skills of the trainees. In Study 2, trainees were also coincidentally taught to make quality-control checks of their salads. An alternating treatments and multiple baseline design indicated that the trainees more readily acquired the skills when taught to check the correctness of their work.     

Effects of speaking upon the rate and variability of concurrent finger tapping in children

Tapping rate and variability were measured as 73 normal, right-handed children in Grades 1–4 engaged in speeded unimanual finger tapping with and without concurrent recitation. Speaking reduced the rate of tapping and increased its variability to a greater extent in younger children than in older children. Developmental changes in variability but not rate were attributable to a greater number of lengthy (>500 ms) pauses in the tapping of younger children. Speaking slowed the right hand more than the left, and the degree of this asymmetry was constant across grade levels. The right-hand effect for tapping rate was not attributable to lengthy pauses. In contrast, asymmetric increases in tapping variability occurred only among children in Grade 1 and only when lengthy pauses were included in the data. The results implicate three mechanisms of intertask interference: one involving capacity limitations, a second involving cross-talk between motor control mechanisms for speech and finger movement, respectively, and a third factor involving occasional diversion of attention from tapping to speaking. These mechanisms are discussed in relation to developmental changes in mental capacity.     

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.