Cardiovascular reactivity to psychological stress in aerobically trained versus untrained mild hypertensives and normotensives

Cardiovascular reactivity to video game and mental arithmetic stressors was compared among three groups of men: aerobically trained mild hypertensives, untrained mild hypertensives, and a comparison group of untrained normotensives. Relative to the untrained hypertensives, the trained hypertensives reacted to the video game with marginally smaller systolic blood pressure and diastolic blood pressure, but there were no significant differences between these groups in reactivity during the mental arithmetic task. Comparisons between each hypertensive group and the normotensive group showed that blood pressure (BP) reactivity of normotensives during the video game was generally similar to that of trained hypertensives but smaller than that of untrained hypertensives. These results indicate that aerobic training, which has been found to reduce resting BP in mild hypertensives, may also exert a favorable impact in reducing cardiovascular reactivity of hypertensives during some stressful situations.     

Clinical ethics consultations: reasons for optimism, but problems exist

[The author identifies] five problems familiar to clinical ethicists. (1) Physicians often do not recognize important ethical issues. (2) Debate exists over whether such consultations should give specific management recommendations. (3) Principles of medical ethics cannot, by themselves, resolve real ethical issues. (4) The patient's interests sometimes conflict with the interests of the family, the health professionals, and the hospital. (5) Clinical ethics consultations take a toll on the consultant....[He] discuss[es] the implications of each problem for clinical ethics consultations and offer[s] a solution to it.     

On becoming a school psychologist: A semiautobiographical account

As an example of the development of an early school psychology program in the Southwest, the beginning of Child Study and Consultation Service is described. The unique aspect of this program undoubtedly had to do with its relationship to a demonstration mental health center and a consultation program started in several elementary school districts in the area. Beginning with a consortium of five school districts, it was later expanded to include 16 school districts with a staff of 15 doctoral-level school psychologists. This account also describes the author's involvement with the Division of School Psychology and some of the major issues facing the division in the late 1950s and 1960s. An attempt is made to show how the author's educational and work experiences contributed to the philosophy, policies, and practices of school psychology.     

Visual discrimination between rectangular and nonrectangular parallelopipeds

Twenty-seven university students judged whether each of 128 drawings of parallelopipeds appeared to represent three-dimensional rectangular boxes. Half the pictures could not geometrically have been projections of rectangular boxes. The null hypothesis that Ss’ judgments were unrelated to geometry was rejected at the .001 level of significance, and the correlation between Ss’ judgments and perfect discrimination averaged .86 over three variations of the experiment. The results support a general hypothesis about the perception of simple space forms according to which viewers impose geometric constraints, such as rectangularity and symmetry, but only when the constraints are projectively possible.     

Orientation of letters and errors in their recognition

Subjects named alphabetic characters that had been rotated, reflected, or inverted. Inversions induce more errors than mirror reflections and reflections induce more than rotations. In a significant number of mistakes a transformed character was assumed to be normally oriented, but in most a transformed character was confused with the mirror image of the original. The data suggest the existence of an “orientation set” in which the identiflcation of ambiguous characters depends largely on their anticipated orientation. The individuality of the data for the different orientations suggests that different transformations are compensated for in part by different mechanisms.     

Individualized behavior therapy for alcoholics: a third year independent double-blind follow-up.

An independently conducted double-blind study providing third year follow-up data for 53 of 70 male alcoholics who served as subjects in an experiment evaluating “Individualized Behavior Therapy (IBT)” techniques is reported. In the original study, subjects were initially assigned to either a controlled drinking or non-drinking (abstinence) treatment goal, and were then randomly assigned to either an experimental group receiving IBT or a control group receiving conventional state hospital treatment oriented towards abstinence. Previously reported results showed that IBT subjects functioned significantly better than control subjects throughout the first year of follow-up. Second year follow-up results found that IBT subjects treated with a controlled drinking goal functioned significantly better than their respective control subjects on a variety of measures, including drinking behavior. Differences between IBT subjects treated with a non-drinking goal and their control subjects did not retain statistical significance during the second year of follow-up. The independently determined follow-up data showed that during the third post-treatment year, subjects in the experimental groups generally functioned better than their respective control subjects. Comparison of the controlled drinking experimental group with its control group showed the significantly better functioning of subjects in the experimental condition on a number of drinking and other life functioning measures. Comparison of the non-drinking groups indicated only one possible difference on the drinking related measures involving a trend for subjects in the experimental condition to abstain more than those in the non-drinker control group. On other life functioning measures, however, subjects in the non-drinking experimental condition showed consistent improvement over their respective control subjects. Both of the controlled drinking groups reported more controlled drinking days than the non-drinking groups throughout the third year follow-up period.     

The self-serving function of hypochondriacal complaints: physical symptoms as self-handicapping strategies

The present experiment tested the hypothesis that hypochondriacal individuals commonly use reports of physical illness and symptoms as a strategy to control attributions made about their performances in evaluative settings (i.e., self-handicapping strategies). Specifically, it was predicted that hypochondriacal individuals would report more recent physical illness and complaints and more current physical symptoms in an evaluative setting in which poor health could serve as an alternative explanation for poor performance than would either individuals in an evaluative setting in which poor health was precluded as an excuse or individuals in a nonevaluative setting. As predicted, results supported this self-protective pattern of complaints in a hypochondriacal sample but not in a nonhypochondriacal group. The self-protective role of hypochondriacal behavior is discussed in relation to other theory and research on the nature and treatment of hypochondriasis.