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.     

Referrals to school psychologists: A national survey

School psychologists serving a national, systematic sample of public elementary and secondary schools were surveyed regarding recent referrals. Most referrals were initiated by school staff members (75% of referrals), and the majority occured initially through formal mechanisms (55% of referrals). Most informal requests for assistance or information eventually became, or were thought likely to become, formal referrals. In 92% of cases, the referral agent's initial communication with the psychologist included some designation of what the pupil was doing or not doing that was viewed as problematic. Poor academic performance was of primary concern in 52% of referrals and social/emotional problems in 31%. More boys were referred than girls, and one-half of referrals from the elementary grades involved pupils in grades K-2. Frequency of referral and reason for referral were not independent of pupil's grade or sex. Reason for referral was independent of time of year (October vs. May) and geographical region.     

PRIMARY ENCOPRESIS: EVALUATION AND TREATMENT

Cathartic and behavioral treatment procedures for eliminating diurnal and nocturnal primary encopresis were investigated using a multiple-baseline design across four children. The dependent and independent variables measured were appropriate bowel movements, soiling accidents, independent toiletings, and cathartic use. Over 177 reliability observations (home visits) were conducted. For two of the children, treatment with cathartics and child-time remedied their soiling accidents and increased their independent toiletings in 8 to 11 weeks. While the cathartics and child-time increased the rate of appropriate bowel movements, they did not eliminate the soiling accidents with the other two children. Independent toiletings for these two children were achieved after 32 to 39 weeks of treatment when punishment procedures (positive practice, time-out, and hourly toilet sits) were incorporated and the suppositories were faded systematically.     

Error-detection and correction latencies as a function of S-R compatibility

In choice-response tasks employing correction-procedure, error-correcting responses are typically found to be faster than equivalent correct responses. An experiment was made to compare error-correction RT under conditions of good and poor S-R compatibility in a two-choice task. After practice, variations in S-R compatibility producing significant variations in mean correct RT nevertheless have no effect on error-correction time. The contrast between this result, and one previously reported (Burns, 1965) leads to a re-discussion of the processes of error detection and correction.     

Gender roles,computer attitudes,and dyadic computer interaction performance in college students

Females tend to score lower than males on measures of computer aptitude and attitudes. This study examined the potential effects of several mediating factors, sex of experimenter, sex of experimental partner, sex typing (Bem Sex Role Inventory score), and level of past experience, on a computer interaction task involving a dyad. College students, drawn from a primarily white college population, after completing paper-and-pencil measures assessing computer experience, computer attitudes, and gender roles, participated in a computer task involving drawing up to ten prescribed geometric patterns on a computer screen. Research assistants recorded the number of correctly completed patterns and videotaped participant interaction through a one-way mirror. Males reported experiencing more computer involvement than females. For males, past computer experience and masculinity were correlated with more positive computer attitude scores. For females, only past computer experience related to more positive computer attitude scores. Analyses of the computer interaction variable indicated that participants asked male research assistants significantly more questions than female research assistants. Several interaction effects were also found.A previous version of this paper was presented at the annual meeting of the Southwestern Psychological Association, New Orleans, April 1991.     

Contributions of the care-giving role to women's development

It was hypothesized that older widows (N=309) who had been care givers to their husbands would have undertaken a greater number of household responsibilities than had women who had not been care givers. Findings indicated that, prior to the husband's death, more traditionally male and more traditionally female tasks were performed by the care-giving wives (n=158). This was particularly true in the case of Alzheimer's care givers (n=21). More importantly, widows' present feelings of competence were related to undertaking household responsibilities, with those who had been care givers expressing significantly higher levels of competence.     

Understanding the Determinants of Consumer Composting Behavior1

This study compared 3 models of waste management behavior: (a) a theory of reasoned action model, (b) an environmental belief-behavior model, and (c) an integrated waste management model which is based on the theory of planned behavior. The three models were compared using data from a sample of over 1,400 individual respondents who each completed a survey and a 2-week diary of their consumer composting activities. Overall, the results suggest that while the environmental beliefs-behavior model and the integrated waste management models both fit the data well, the integrated waste management model provided better predictive power and offers significant insight into the factors that influence composting behavior.     

ANALYZING ALERTNESS AMONG PEOPLE WITH PROFOUND MULTIPLE DISABILITIES: IMPLICATIONS FOR PROVISION OF TRAINING

We investigated whether variations in alertness among individuals with profound multiple disabilities affected subsequent responsiveness to training programs. Three experiments were conducted involving 5 people. In Experiment 1, results indicated that alertness of 3 individuals increased with provision of skill-acquisition training programs. Results also indicated no predictive relationship between alertness levels prior to training and subsequent responsiveness to training. Experiment 2 replicated results of Experiment 1 with 2 participants from Experiment 1 and an additional participant. Results of Experiment 2 also indicated that the increased alertness levels accompanying provision of training were not a function of the participants simply being in an inactive environment prior to training. Results of Experiment 3 indicated that alertness of an additional participant increased through provision of another training intervention, involving a systematic preference assessment. Responses during the preference assessment appeared to be unrelated to previously existing alertness levels. These findings suggest the need for caution when considering the withholding of scheduled training because an individual appears to be nonalert.     

A preventive,psychoeducational approach to increase perceived social support

Investigated the effects of a 13-week preventive, psychoeducational intervention program to improve perceived social support. Fifty-one, low-perceived support, community residents were randomly assigned to an intervention or wait-list control condition. Intervention subjects received training in social skills and cognitive reframing regarding the self and social relations. The intervention led to increased perceived social support from family, but not from friends. As hypothesized by social cognition models, increases in perceived support appeared to be mediated by changes in self-esteem and frequency of self-reinforcement. Further, such changes in cognition about the self were larger than the changes observed for perceived support, suggesting that it may be easier to change cognition about the self than perceptions of support.