Reality orientation with psychogeriatric patients

To date, all empirical studies of Reality Orientation have been carried out as part of a ward or group programme in which, in addition to the orientation procedure, patients have been exposed to a variety of other physical and social activities. It is argued that the efficacy of providing information about time, place and person alone, and its generalization to other forms of behaviour, remain unknown. Results of three single case studies suggest that providing such information can increase orientation and that generalization to other forms of behaviour does occur.     

Overcoming Inequality in Schooling: A Call to Action for Community Psychology

Community psychology, indeed psychology as a discipline, has been largely absent from the table of school reform. Schools are critical socializing forces in society and serve as the one institution through which the full diversity of our child population passes. At the start of the 21st century, despite successive waves of legislation, the goals of the civil rights struggle for equality in educational opportunity have yet to be achieved. Negative self-fulfilling prophecies, reflected at individual, interpersonal, institutional, and societal levels, play a critical role in creating and perpetuating unequal opportunities to learn. Such effects as well as pathways for preventive intervention are best understood through ecological lenses. Our field must commit a greater share of resources to collaborative and systemic change for a broader learning so that all children, regardless of their differences, have continuing and nonstigmatized opportunities to develop into competent adults.     

Adolescent AIDS Prevention in Context: The Impact of Peer Educator Qualities and Classroom Environments on Intervention Efficacy

Peer-led, school-based interventions show promise for preventing AIDS among adolescents, but little is known about the processes underlying effective peer education or the conditions that promote its efficacy. This study examined the implementation in one school of an effective, peer-led AIDS prevention program for inner-city 7th-grade participants (n = 123) and identified the qualities of peer educators (n = 15) and classroom environments (n = 5) that contributed to improvement in participants' postintervention AIDS-related attitudes. The Peer Educator Rating Scale was developed to assess two dimensions of participants' perceptions of peer educators: positive regard and perceived similarity. Participants reported greater positive regard for more highly individuated and less shy peer educators, and participants' positive regard for peer educators in turn was associated with lowered AIDS risk as measured by perceptions of peer norms regarding sexual activity and self-efficacy for peer communication regarding sexual topics and condoms. Participants' perceived similarity was not associated with any postintervention improvements in AIDS-related knowledge and attitudes. Participants' classroom membership was associated with improvements in all 5 knowledge and attitude scales, and exploratory classroom-level findings indicated that classroom intervention environments perceived as more organized by participants showed slightly greater overall improvements across AIDS-related knowledge and attitudes scales. Consistent with individual-level findings regarding participants' positive regard for peer educators, the two classrooms with the greatest positive regard for their peer educator teams showed the most student improvement. Implications for further research and the design of future prevention and promotion programs for adolescents are discussed.     

Stability of individual loudness functions obtained by magnitude estimation and production

A correlational analysis of individual magnitude estimation and production exponents at the same frequency was perfor.med, as well as an analysis of individual exponents produced in different sessions by the same procedure across frequency(250, 1, 000, and 3, 000 Hz). Taken together, results show, first, that individual exponent differences do not decrease by counterbalancing magnitude estimation with magnitude production, and, second, that individual exponent differences remain stable over time despite changes in stimulus frequency. Further results disclose that although individual magnitude estimation and production exponents do not necessarily obey the .6 power law, it is possible to predict the slope (exponent) of an equal-sensation function averaged for a group of listeners from individual magnitude estimation and production data. Assuming that individual listeners with sensorineural hearing loss also produce stable and reliable magnitude functions, it is also shown that the slope of the loudness-recruitment function measured by magnitude estimation and production can be predicted for individuals with bilateral losses of long duration. Thus, results obtained in normal and in pathological ears suggest that individual listeners can produce loudness judgments that reveal, albeit indirectly, the input-output characteristic of the auditory system.     

Psychological Adjustment and Coping Styles of Urban African American High School Students

In a study of African American (n = 208) urban high school students, grade point average (GPA) and specific strategies for coping with day-to-day stressors were found to be significantly related to psychological adjustment. Students who had higher GPAs tended to use family members as a means of solving problems, minimized problems by the use of humor, and used relaxation activities less often were found to have the most positive psychological adjustment, as measured by the index score of the Affects Balance Scale (ABS). Reported negative affect was not found to be significantly influenced by coping style, whereas positive affect was.     

Parent Satisfaction with Case Managed Systems of Care for Children and Youth with Severe Emotional Disturbance

Case management has emerged as an integral component of current efforts to reform the delivery of mental health services to children and youth with Severe Emotional Disturbance (SED). We examined parental satisfaction with one program's case management system for SED children. In order to validly address parental satisfaction, the program first turned to a group of its parents to develop a satisfaction measure, the Family Satisfaction Survey (FSS). Of the 51 parents who returned an FSS, 74% of the parents were generally satisfied while 26% indicated that they were dissatisfied with their families' case management services. Multivariate regression analyses were employed to examine the role played by client, service, and outcome variables in predicting parental satisfaction. After controlling for child diagnoses, severity of impairment, and levels of psychosocial stress, parent satisfaction with case management services was best predicted by the frequency of monthly contact and fewer days is a psychiatric hospital proportional to length of service. Our results suggest that parent satisfaction is based not only on what case managers do but on how this service impacts SED children's ability to remain at home and in their communities.