Adjustment to hemodialysis treatment through behavioral controls

The present study was conducted to examine the hypothesis that compliant chronically ill patients, typically described as adjusted, reinforce more positive social environments using behavioral controls than noncompliant patients, typically described as maladjusted. Specifically, it is hypothesized that diet-compliant chronic hemodialysis patients emit significnatly more active involvement-in-treatment behaviors and more social behaviors than diet-noncompliant chronic hemodialysis patients. Subjects, who ranged in age from 30 to 77 years, were outpatients at a kidney center. Behavioral observations were conducted to assess the occurrence or frequency of (1) four involvement-in-treatment behaviors that are routinely taught to all patients and (2) two social behaviors, which were patient verbalizations and smiles. The results showed that compliant patients emitted significantly more involvement-in-treatment behaviors and smiles than noncompliant patients. Results support the proposed control framework that compliant, in contrast to non-compliant, chronically ill patients have recourse through positive behavioral controls when adjusting to the stresses of illness. It was proposed that through these controls, compliant patients reinforce positive environments rather than simply respond to life circumstances as given.     

Promoting the Culturally Sensitive Diagnosis of Mexican Americans: Some Personal Insights

This article presents a series of personal guidelines for promoting the culturally sensitive psychiatric diagnosis of Mexican American/Chicano clients. These guidelines are primarily based on the authors' collective experiences in diagnosing and treating this population.     

Suffering and sanctification: The religious context of Battered Women's Syndrome

Women who are physically and mentally abused by their partners have been described as suffering from Battered Women's Syndrome. An element of Battered Women's Syndrome is repeatedly returning to the abusive relationship, putting oneself at risk for further harm. Clinical case studies suggest that women who are strongly religious may believe it their duty to remain in abusive relationships to honor their marriage vows or to demonstrate their faith. This paper explores the basis of those beliefs and advocates a counseling perspective that frees abuse sufferers from a sense of obligation to their victimizers.     

Relationships between vocational development and self-concept in sixth grade students

Super, in his self-concept theory of vocational development, indicates the existence of a strong relationship between vocational development and the development of self-concept in adolescent and adult subjects. This study was designed to test for this relationship in preadolescent subjects. The study investigated the relationships among a measure of career maturity, self-concept, socioeconomic status, race, sex, place of residence, and age. The research sample included 300 randomly selected sixth grade students enrolled in 22 public schools in the state of Georgia during the fall quarter of 1978. Data were obtained by the administration of two instruments, the Career Maturity Inventory-Attitude Scale (CMI-AS) and the Piers-Harris (P-H) Children's Self-Concept Scale. A multiple regression analysis was utilized to analyze the data. Results of this study indicate a positive but low correlation between the total scores on the CMI-AS and the P-H Scale. All six of the self-concept factors on the P-H Scale were found to be significantly correlated to the CMI-AS score. Socioeconomic status was found to be significantly correlated to the CMI-AS score. Although race was not found to be a significant source of variance on the CMI-AS, the interaction of race and socioeconomic status was found to be significant. Sex, place of residence (urban and rural), and age were not found to be significant sources of variance on the CMI-AS.     

Predicting Perceptions of Victimization

Male and female subjects rated female victims of misfortune after observing videotapes of the victims detailing their injuries to doctors. Contrary to predictions of just wortd theory, subjects derogated culpable victims more than innocent victims. When observers identified with the victim, through political ties, derogation was reduced. It was concluded that responses to victims are described by a balance theory framework in which the observer's relationships to the victim and the victimizing agent determine whether (s)he will react to victims with sympathy or derogation. It was further concluded that these relationships can be predicted from an understanding of the social and political context shared by the perceiver and the victim.     

Providing misleading and reinstatement information a year after it happened: effects on long-term memory

The question addressed here is whether misleading suggestions made to children a year after target events had occurred will alter long-term recall. One group (3-13 years old when injured and treated in a hospital Emergency Room) were given both misleading and accurate reinstating information a year later, and recall of target events assessed both 1 week and another year later (i.e., 2 years post-injury). A control group had recall assessed both 1 and 2 years post-injury. Misleading had little effect on children's recall 1 week later, although a few misled details were reported. However, a year later virtually none of the misleading information was incorporated into long-term recall. Rather, children were more, not less, accurate when recalling details about which they had been misled. Results were attributed to target events having been highly memorable and well rehearsed via previous recalls, and detection of discrepancies between memory and misleading information focusing attention on targeted details.     

Longitudinal Interviews of Couples Diagnosed with Diminished Ovarian Reserve Undergoing Fragile X Premutation Testing

About 10 % of infertile/subfertile women are diagnosed with diminished ovarian reserve (DOR), of which?<?5 % will become pregnant spontaneously. Fragile X (FMR1) genetic testing may provide a reason for her early ovarian aging and/or have reproductive implications. Seven women with DOR (genetic study subset) and the male partners of six of these women were separately interviewed about the experience of being asked to undergo this unanticipated genetic test. Three interviews were conducted (before, within 1 week after, and 3 months after learning the test results). None of the participants carried the FMR1 premutation (largest FMR1 allele 27–50 CGG repeats). For women, their pregnancy-seeking journey was long and exhausting. Women understood the reproductive implications of carrying the FMR1 premutation, and hoped for a negative result. Being offered a genetic test caused women to pause and re-think their future reproductive plans. Husbands viewed the infertility journey as filled with unknowns, of which the genetic test results would be one more puzzle piece. The expense of fertility testing/treatment was mentioned by both spouses, though more notably by husbands. The introduction of a possible genetic cause of infertility, with additional potential health consequences for future biological children, caused women to re-think their quest for pregnancy. In contrast, the genetic test was viewed as an additional source of information for their husbands as opposed to raising concern regarding potential reproductive ramifications.