Many psychotic patients fail to admit they are mentally ill. The current study evaluated the associations between insight, specific symptoms, and neurocognitive impairments. Thirty-three acute inpatients with a schizophrenia, schizoaffective disorder, or psychotic disorder NOS diagnosis were rated on the SAIE, Birchwood's IS, and the BPRS. Neurocognitive assessments of attention and frontal lobe functioning were also conducted. Stepwise multiple regression analyses found composites representing delusions, disorganization, and anxiety/depression, as well as CPT-IP shapes hit rate, served as significant predictors of total insight or the specific insight dimensions. At least for acute patients, symptoms tended to have stronger relationships with and were more regularly predictive of insight than neurocognitive measures, though the attentional task associated with right hemisphere functioning, contributed significantly.

The purpose of this study was to examine the ability of the Cognitive Assessment System (CAS) and the NEPSY, A Developmental Neuropsychological Assessment, to differentiate between the subtypes of Attention Deficit/ Hyperactivity Disorder (AD/HD). The CAS and NEPSY are neuropsychological instruments which provide norms for AD/HD children in general. This study examined the performance of the two subtypes of AD/HD on the CAS and NEPSY. In addition, this study examined the performance of the two AD/HD groups on the Screening Test for Auditory Processing Disorders (SCAN). Since AD/HD children tend to have difficulty with language, the SCAN was used to determine if any of the AD/HD subjects had auditory processing difficulties that might impact their performance on the CAS and/or NEPSY subtests. The sample consisted of 118 children between the ages of 8 and 12 years of age. Using the DSM-IV criteria, the children were diagnosed as having three types of AD/HD: A Predominantly Hyperactive-Impulsive Type (AD/HD-HI), a Predominantly Inattentive Type (AD/HD-I) and a Combined Type The subtypes were also identified by the Attention Deficit Disorders Evaluation Scale-Home Version (ADDES-H). Only two subtypes, AD/HD-I and AD/HD-C, were identified by the ADDES-H. There were not enough AD/HD-HI subjects to include in …

Understanding the relation between personality characteristics, psychopathology, and sexual offenses can contribute to developing more effective treatment interventions. Previous research with sex offenders has focused on general personality traits or inconsistently classified sex offenders based on psychopathology. It was hypothesized that combining personality and psychopathological traits can assist in understanding sex offenders. The current study evaluated 88 male sex offenders in a court-mandated outpatient treatment program utilizing the NEO-PI-R and the MMPI-2. Three clusters of child molesters were examined for differences in personality characteristics and number of offenses. A second-order principle axis factor (PAF) analysis of personality and psychopathology traits revealed three factors: Psychological Distress, Excitement-Seeking, and Social Desirability. The potential clinical utility of these dimensions in predicting treatment compliance is examined.

This study examined the relationship between executive and psychosocial functioning in 45 children and adolescents age 6 to 17 years who had been treated for a brain tumor. Executive functioning deficits can profoundly impact an adult's ability to function successfully in life. The purpose of the study was to evaluate the potential impact of executive functioning deficits on the day-to-day functioning in a pediatric population. The domains of executive functioning assessed included cognitive flexibility, conceptual thinking, sustained attention, and response inhibition. Psychosocial functioning was assessed using both parent and child report. Several significant relationships were found for adolescents ages 15 and older, with effect sizes ranging from medium to large. In particular, cognitive flexibility and conceptual thinking were significantly related to parent report of depression and adaptive functioning. Fewer significant relationships with smaller effect sizes were found for younger children. The results may reflect the developmental emergence of executive functioning abilities and late effects of executive functioning deficits upon psychosocial functioning. The correlational design of this study precludes definitive statements regarding the temporal nature of the relationship. Additional research, including longitudinal research and replicatory studies, will be needed to further investigate the developmental consequences of executive functioning impairment.

Semantic clustering has been used as a measure of learning strategies in a number of clinical populations and has been found to be deficient in individuals with Schizophrenia, but less attention has been paid to the dynamic use of this strategy over the course of fixed-order learning trials. In the current study, we examined this pattern of clustering use over trials in a sample of individuals with Schizophrenia, and explored whether the addition of this dynamic information would help us to better predict specific executive deficits. Results suggested that a decrease in semantic clustering across trials was associated with some executive deficits in the predicted manner. Nonetheless, the overall semantic clustering index generally proved more effective for the purposes, suggesting that in this population, the addition of dynamic information in strategy use is not likely to add considerably to clinical prediction and understanding.

This study analyzed data from Dallas Public Schools and Dallas Youth and Family Centers (YFCs) to explore variables associated with referrals to and utilization of Youth and Family Centers. Data from students enrolled in third, eighth or tenth grade during the 1996-1997, 1997-1998 and 1998-1999 school years were analyzed to determine the reasons for YFC referral and utilization, and to compare standardized test scores and attendance. Of the 6956 students in third, eighth and tenth grades initially referred to YFCs during those three school years, 5173 (74.3%) made at least one YFC visit. The 5173 students made an average of 2.69 visits and accessed an average of 1.18 services per year. Medical visits accounted for 42.5% of YFC visits, and mental health visits accounted for 46% of YFC visits. Results of logistic regression analyses indicate a significant difference for utilization upon referral and continued use of the YFC when the constant is compared to a set of predictor variables. For both analyses, the predictor variables were Chapter I status, LEP status, reason for referral, gender, special education status, ethnicity, distance from home school to referral YFC, food stamp eligibility and referral source. While outcome data regarding attendance and scores on …

Masculine gender role conflict (MGRC) occurs when externally-imposed male gender role expectations have a negative impact on and consequences for men. The purpose of this study was to examine how men in a homogeneous setting (i.e., a college campus) compare on MGRC and psychological well-being, based on their self-identified sexual orientation. Utilizing canonical correlation analysis, 96 heterosexual men and 102 gay men were compared on four factors of MGRC (conflict between work and family, restrictive emotionality, restrictive affectionate behavior between men, and success, power, and competition) and five factors of psychological well-being (anger, anxiety, depression, self-esteem, and attitudes toward seeking psychological help). Findings for the heterosexual men were highly consistent with previous studies on MGRC and psychological well-being in a college-age population. Findings for the gay men indicated they had more problems with MGRC and psychological well-being than college-age and older gay men surveyed in the one published study on gay men and MGRC. Gay men who were single also reported more problems with restrictive emotionality, anger, anxiety, and depression, and had lower self-esteem, than gay men who were in a relationship. Between group differences were few, with gay men reporting significantly less restrictive affectionate behavior between men than heterosexual …

This study investigates the use of response guidance for errorless learning of a perceptual motor task in normal elderly. It provides normative data for a study with stroke patients using this technique for cognitive rehabilitation. While errorless learning has been shown to be more effective on most tasks than trial and error learning for people with memory impairments, its use with normal individuals has received limited attention. The questions of interest were whether errorless training of the perceptual motor task was more effective for improving and retaining accuracy; and whether both accuracy and response speed were more resistant to the effects of increased cognitive demands. A sample of 43 normal elderly in the United Kingdom, ranging in age from 60 to 77, completed an assessment of intelligence, memory, and attention. They then received training, over two sessions one week apart, to mark the midpoint of Judd Arrows presented on a computer screen using a cross cursor moved by an active force feedback joystick (AFF). During training the errorless group received AFF guidance to the correct midpoint, while the errorful group received none, and both received auditory and visual knowledge of results. There was no AFF during baseline or post test …

The establishment of physiological norms for psychologically hardy vs. non-hardy individuals was attempted by examination of levels of salivary cortisol and urinary norepinephrine before and after a mid-term examination stressor. Normative data was collected on the reported frequency of stressors and their severity one week prior to the examination, and self-reported ratings of stress immediately prior to the examination. Performance on the examination as a function of hardiness was explored. Associations between demographic variables and psychological hardiness were also studied. Results from this study were inconclusive in establishing physiological norms for psychologically hardy individuals. Associations were found between: 1) hardiness and frequency of stressors; 2) hardiness and age; and 3) self-reported ratings of stress and anxiety as measured by the State-Trait Anxiety Inventory (STAI).

Psychopaths constitute only an estimated 1% of the population, yet they are responsible for a disproportionately large number of violent and nonviolent crimes. The literature addressing this syndrome among male offenders is quite extensive. In contrast, psychopathy and its underlying factor structure remains understudied among female offenders. Research has suggested marked gender differences in the prevalence, clinical characteristics, and underlying dimensions of psychopathy. This study examined the dimensions of psychopathy in a female offender sample. The Psychopathy Checklist-Revised and the Self Report Psychopathy-II (SRP-II) were administered to 119 female inmates at Tarrant County Jail in Fort Worth, TX. Confirmatory factor analyses of the Psychopathy Checklist-Revised (PCL-R) did not support the use of the traditional two factor male model or a recently proposed two- factor female model. This thesis also addressed females' self-appraisal of PCL-R Factor 1 characteristics as well as the usefulness of the self-administered Self-Report Psychopathy-II as a screen for psychopathy.

The Depressive Experiences Questionnaire Dependency scale has been used extensively by researchers to measure a personality style vulnerable to depression. However, subsequent studies have demonstrated that the DEQ-Dependency is composed of two distinct forms of dependency, "Connectedness" and "Neediness", which may have different implications for mental health. While Connectedness may represent a more mature form of dependency than Neediness, it may not represent an entirely "healthy" form of relatedness as previously suggested. Although these scales are being used in current research, it is not yet clear what they represent. One goal of the present study was to further examine the construct validity of Connectedness and Neediness in order to differentiate these constructs. Gender, self-efficacy, relationship quality, and interpersonal behavior were chosen because of their proposed significance in differentiating forms of dependency. 265 undergraduates completed the DEQ, Beck Depression Inventory (BDI), the Mutual Psychological Development Questionnaire (MPDQ), and the Inventory of Interpersonal Problems (IIP). Overall, results supported the importance of distinguishing between these two factors of dependency. Neediness was associated with more maladaptive correlates for both genders. The picture is more complex for Connectedness, however, and it appears that Connectedness is less healthy for women than for men.

College success, as defined by adjustment to college and academic performance, is a multidetermined with a number of contributing influences, including academic factors, personality variables, family characteristics, and environmental factors. This study attempted to provide an organizing model of the college success literature that was based on previous research (e.g., Aspinwall & Taylor, 1994) and current stress-coping theory (Moos & Swindle, 1990). Structural equation modeling analyses indicated that the hypothesized model did not fit the data well. However, subsequent regression analyses did validate the view that college success is multidetermined. Specifically, academic performance was predicted by a combination of academic factors (SAT score and class rank) and academic adjustment. In turn, academic adjustment was predicted by locus of control, perceived social support, and high school class rank. Personal adjustment was predicted by coping strategies employed, parents who fostered autonomy, locus of control, self-esteem, and high school class rank. Finally, social adjustment was predicted by optimism, coping strategies employed, and locus of control. Treatment implications as well as directions for future research were discussed.

The relationship between an individual's level of spirituality, health locus of control, and participating in wellness activity was investigated. The relationship between spirituality, health locus of control on physical health was also investigated. The research question was based on prior studies that reported people who are more spiritual are healthier. Does their spirituality lead to increased levels of health, or are individual's who are more spiritual more likely to proactively take control of their health and engage in health promoting behaviors? One hundred and fifteen male and female employees completed The Spiritual Involvement and Beliefs Scale (SIBS), a spirituality measure, The Multidimensional Health Locus of Control Scale, a measure of locus of control related to health and healthcare, and The Center for Disease Control's (CDC) Health Risk Appraisal, a self-report measure of participation in health behaviors. Physical measures of health were obtained by obtaining Body Mass Index, blood pressure readings, and a cholesterol screening. The current study looked at level of spirituality (internal, external), level of health locus of control (internal, powerful other, chance) and participation in wellness/health promoting behaviors and health. Correlational analyses were performed on the relationship between spirituality and health locus of control. Hierarchical multiple regressions were …

Researchers emphasize the role of cognitions in sex offenders' molesting behaviors. Although cognitions are important, little research has examined child molesters' thoughts about themselves in relation to their engagement in treatment. In this study, the NEO-Personality Inventory (NEO-PI-R) was administered to 67 child molesters. Child sexual offenders rated themselves and their view of a typical child molester using two NEO-PI-R versions. The degree to which child sex offenders identify themselves with their view of a typical child molester, and this agreement's relation with engagement in treatment, were investigated. The view that child sex offenders hold about themselves in relation to a typical child molester showed no relation to treatment engagement or length of time in treatment. However, this self-perception was related to the number of children abused.

This study began testing the Sewell and Williams (in press) model that differing trauma types yield differing presentations in social versus event processing domains. Other hypotheses explored trauma type with levels of guilt, and shame-proneness with anxiety. Volunteers were 44 male combat veterans being treated for PTSD. Data analyses determined whether trauma type related to guilt and perceived social support and whether shame-proneness related to levels of anxiety. High shame persons may process anxiety and social support differently than low shame persons. Results can assist professionals understand how a person's functioning is affected by certain types of trauma. Future research should focus on increasing social support for persons who have experienced trauma.