The objective of the present study was to evaluate the relationship between a set of cofactors and severity of cognitive impairment, to determine if there were any factors which significantly predicted more severe neurocognitive deficits in persons with AIDS. Twenty-four male volunteers recruited from community groups and physician referrals participated. Subjects completed several self-report questionnaires eliciting information regarding demographics and risk factor variables, in addition to a comprehensive battery of neuropsychological tests. A severity of cognitive impairment summary score was computed for each subject, reflecting both the number of impaired tests and their distance in the impaired direction from normative data. Neither CD4 count, number of months since diagnosis of AIDS, number of AIDS-related illnesses, number of recent stressors, history of head injury/LOC, history of substance use, current or past psychiatric disorder, history of learning disability nor history of other medical illness were found to be significantly related to severity of cognitive impairment in this sample, after controlling for the effects of age, level of education, estimated premorbid IQ and mood status. However, no reliable conclusions could be drawn from this study because the small sample size resulted in an unacceptably low level of statistical power for the desired regression …

Gender and sexual minorities (GSM) experience considerably worse health outcomes than heterosexual and cisgender people, yet no comprehensive understanding of GSM health exists due to a dearth of research. GSM leaders in Dallas expressed need for a community needs assessment of GSM health. In response to this call, the Center for Psychosocial Health Research conducted a needs assessment of gender and sexual minority health in Dallas (35 interviews, 6 focus groups). Competency was one area highlighted and shared across existing research. Thus, the current study explored how competency impacts gender and sexual minorities' experience of health care in Dallas. We utilized a consensual qualitative research approach to analyze competency-related contents. The meaning and implications of emerging core ideas were explored. These findings were also used to develop a survey instrument.

This study investigates (1) whether infants in a day-care setting exhibit sexual preferences in the choice of a playmate, and (2) whether males exhibit more overt acts in play than do females. Eight male and eight female infants, attending a day-care center, paired by age (ages twelve to twenty-four months), were selected as subjects. Each of the sixteen children was observed for a ten-minute period on four separate days, over a two-week period, a total of forty minutes' observation time per child. No significant differences were found between male and female infants involving the preference of the sex of a playmate, or between male and female overt behaviors.

The objectives of this investigation were to develop, implement, and determine the effects of rational behavior therapy for residents in a retirement community. The question addressed was, "Will rational behavior therapy, relative to a discussion group and control group, exhibit significant changes in level of rational thinking and depression?" Drawing upon a cognitive theory of depression relevant to the aged population and upon rational behavior therapy literature, it was hypothesized that short-term rational behavior therapy intervention would be significantly related to a modification of belief systems and a decrease in depression. The participants were residents of two retirement communities. There were 25 subjects who completed the study through posttest assessment. These subjects were randomly assigned to three groups and assessed at pretest, posttest, and follow-up. The experimental group did not experience the hypothesized significant increase in level of rational thinking and decrease in level of depression. Possible explanations are given for lack of expected effects. Overall, the discussion group had more significant increases in rational thinking than the experimental and control groups.

Research points out the many complex problems of the disadvantaged child. The purpose of establishing many preschool programs throughout this country has been to seek the most effective ways of educating the culturally deprived and to utilize the standardized measurements to assess various programs. The purpose of the present study is to evaluate the intellectual functioning and sensory-motor abilities of the disadvantaged child at the preschool level, to determine his growth in these areas during his participation in the program, and to determine whether or not four different teaching models are instrumental in bringing about intellectual and sensory-motor improvements.

It is the purpose of this study to investigate the personality patterns of a group of applicants who have been under the auspices of the Bishop of the Episcopal Diocese of Dallas and have received a psychiatric and psychological evaluation. The various aspects of their examinations will be investigated to determine what personality types have been more acceptable in this diocese and subsequent success in their vocation.

This study has a twofold purpose. The first is to determine the consequences related to labeling deviant behaviors, especially as these effects are reflected in the person who labels and defines deviant behavior. The second is to evaluate the medical model of abnormality in relation to the labeling of deviant behavior.

The purpose of this study was to examine the cognitive and emotional functioning of neglected, physically abused, and clinical control children between six and thirteen years of age who were referred for testing at the Dallas Child Guidance Clinic.

The purpose of the present study was to discern a symptom pattern for environmentally ill patients and provide evidence of the uniqueness of the resultant pattern to this population. Patients' environmental exposure was confirmed by the presence of toxins in the blood serum. All patients were administered psychological and physical symptom checklists, the Clinical Analysis Questionnaire, and a standardized intermediate neuropsychological examination. Results indicate a response pattern of symptoms including fatigue, low energy, weakness, poor concentration, poor memory, poor comprehension, headaches, aches and pains, clumsiness, sinus discomfort, mucus, eye problems, restlessness, and present performance inferior to prior level of functioning. Presence of these symptoms, as well as the uniqueness of this symptom pattern was supported by comparisons of the patient and standardization groups on the two standardized tests.

Utilizing a sample of community-residing older adults, this pretest-posttest design evaluated the short term (approximately 1 week) impact on everyday functioning of Stress Inoculation (SI) training, a cognitive-behavioral intervention that is essentially a coping skills enhancement program. The targets of training were anxiety and concern about being able to successfully perform everyday living tasks. The training program was contrasted with a no contact (waiting list) control. In an effort to maximize the practical aspects of this study, the assessment battery included the use of two ecologically valid measures of everyday problem solving skills (one self-rated and one interviewer-rated). Also included were a measure of everyday intelligence widely used in gerontological research, two measures of self-efficacy, a geriatric depression scale, a state-trait anxiety scale, and a self-report measure of failures in perception, memory, and motor function. The results suggest that Stress Inoculation training is an effective intervention for improving everyday competence but that personal perceptions of self-efficacy and the emotional states of anxiety and depression mediate treatment effects. In general, only persons with lower levels of self-efficacy and higher levels of anxiety and/or depression saw improvement in their cognitive performance following SI training.

Upper limb deficiencies in children may be the result of trauma, disease, or congenital problems. Although biomechanical losses are the primary problem associated with a limb deficiency, the loss of such an obvious body part has cosmetic and psychosocial implications as well. Fitting a child with a prosthesis typically is the treatment chosen by families. Presently, there are three types of prostheses available for pediatric amputees, including passive, cable-operated, and myoelectric arms, but the myoelectric appears to be the most popular choice of children and their families. However, there is growing concern among clinicians that, despite its advanced technological capabilities, the myoelectric prosthesis is chosen for aesthetic rather than functional reasons. It is difficult, then, to justify the expense of fitting a myoelectric prosthesis when a more inexpensive prosthesis, or none at all, would be a more appropriate prescription. The question of when to prescribe a myoelectric prosthesis for a pediatric patient remains one of the most controversial questions in the field of prosthetics today due to this cost/benefit issue. In this study, the researcher examined psychological factors that may influence whether or not a child will wear a prosthesis and how that prosthesis will be used. Thirty prosthetics patients …

The Embree/Butler scoring system served as criterion for ascertaining brain dysfunction on the protocols of 100 subjects--50 had been diagnosed by health professionals as having brain dysfunction, and 50 had been diagnosed as having no brain dysfunction. In comparing the hospital's diagnoses with those of the Embree/Butler method, the data strongly supported the hypothesis that the Embree/Butler scoring system did effectively discriminate (chi square of 77.99 < .01) between those with organic brain syndrome (or cerebral dysfunction) and those with psychiatric classification. A point-biserial correlation was used to distinguish the relationship between diagnosis and the score. A cutoff score of above 14 produced the least false-negative or false-positive evaluations.

A comparison of contingent word and phonics drilling exercises on oral reading errors was made and the effects of a work skipping contingency on reading comprehension were examined. Five learning disabled elementary school children served as subjects. Reading comprehension increased from 30 to 50% over baseline, while subjects progressed an average of two years through a reading series. Subjects responded differentially to the two drills on oral reading errors, but the combined effects of the drills produced a 50% average reduction in errors. Pre- and post-tests of reading achievement showed increases in reading grade levels ranging from .8 to 1.5 years during the 10 week, 30 session study. Results supported the efficacy of a behavioral approach to reading remediation.

Since there has been an abundance of research concerning high and low social status and little on inconsistents, the present study intends to shed some understanding of this group by comparing their feelings and attitudes to the highs and lows. Four principle areas are emphasized: family relationships, attitude toward sex, interpersonal relationships and self concept, with sub-areas lending added data.

Sexual abuse of children has profound negative effects on psychological development. This study examined the effects of sexual abuse on object relations functioning by using the Mutuality of Autonomy Scale (MAS, Urist, 1977) to score Rorschach protocols of 63 abused children and 60 non-abused clinical controls. The hypothesis that abused children would have less developed object relations than their non-abused counterparts was not supported. Neither was the hypothesis that children who experienced greater severity of sexual abuse would exhibit more malevolent object relations. The hypothesis that mean and modal MAS scores would be highly intercorrelated and interchangeable as research variables was supported. Comparisons of this sample to a normative sample are discussed.

The problem of assessment and diagnosis of depression in the elderly begins with the definition of depression being indefinite. In this study, the theory of learned helplessness was chosen because of its value in organizing research within a learning theory framework. The Beck Depression Inventory, measures of fluid and crystallized intellectual ability, locus of control, and attribution of success and failure were chosen as variables for an exploratory factor analysis. The purpose of selecting these variables was to assess the cognitive, motivational, and affective components of learned helplessness as they affected the responses of elderly subjects to depression items. Self report measures of income, education, and health, were included to assess the relationship of these variables to depression. A somatic factor was predicted to correlate with an affective factor of depression.

The purpose of the present study was to evaluate the psycholinguistic abilities which the disadvantaged child brings with him to the preschool setting, and the growth in language development made during his participation in the program.

To date, traditional behavioral interventions have done little to reduce the prevalence and transmission of HIV among African American men who have sex with men (AAMSM), a highly at risk group. Some researchers theorize that the lack of success may be because these interventions do not address contextual factors among AAMSM. Community-based participatory research (CBPR) is one approach to research with the potential to lead to effective interventions in the future. CBPR is a collaborative, mixed-methods and multidisciplinary, approach to scientific inquiry, which is conducted with, and within, the community. The current study follows the CBPR approach to engage and develop a relationship with the African American communities in the Dallas/Fort Worth Metroplex. Contextual issues were discussed in order to identify emerging themes regarding HIV health related issues among AAMSM to provide the groundwork for continued CBPR research and future interventions with AAMSM in the Dallas/Fort Worth Metroplex. To accomplish this goal, researchers began the CBPR process by conducting interviews and focus groups with a sample of approximately 62 (34 from key informant interviews, 28 from focus groups [gender balanced]) AIDS service organization leaders and workers, advocates, medical doctors and community members with first-hand knowledge of HIV health issues in …

The purpose of this study is to get some concrete evidence that group principles can be applied to church groups in an effective manner. The more immediate purpose is to improve the relations in the individual classes so that they will have a feeling of belongingness, relatedness, or close affiliation. It is the purpose of this experiment to help these individuals find the fulfillment of their personal needs that can be supplied in the Sunday School class.

Although much research has examined the impact of life stress and the subsequent development of health symptoms, most of this research has been done with White middle class adults. Similar to the adult research, life stress research with children and adolescents has focused on White middle class individuals. The present study expands the knowledge about the stress process in ethnic/racial adolescents while controlling for the effects of SES. A sample population consisting of 103 Black students, 129 Hispanic students, and 105 White students was compared with respect to stressful events experienced, coping strategies, and social support. Students from a wide range of socioeconomic backgrounds were included within each ethnic/racial group studied. After experimentally and statistically controlling for the effects of socioeconomic status, significant differences were observed. Black and Hispanic students reported receiving higher levels of Enacted Social Support (actual support) than White students. Contrary to what has been previous suggested, Black and Hispanic students reported having experienced fewer stressful life events than White students. Other ethnic/racial group differences that emerged included differences in ways in which specific patterns of moderator variables served to enhance the relationship between life stress and psychological symptomatology.

The present study will be concerned with the reliability of the Shipley-Hartford Abstraction Scale as an instrument for diagnosis of schizophrenia and personality disorders.

This purpose of this study was to investigate and examine the attitudes of therapists who treat HIV-positive (HIV+) clients. Specifically, therapists' perceptions of their own preparedness in dealing with specific issues and emotions of HIV+ clients were examined. Also, therapists' evaluation of their own efficacy of specific therapeutic approaches with HIV+ clients was examined. These therapists' perceptions and evaluations of all their clients in general were compared to their HIV+ clients. Comparisons were also made within the two groups.

This study investigated the effect of cost-of-escape on helping among children. Forty-four children between the approximate ages of six and twelve served as subjects. The experiment was performed in a natural setting using an ice cream truck. The driver (experimenter) manipulated the cost-of-escape and then had an "accident." The easy-to-escape group received their ice cream before the driver spilled 300 spoons on the ground. The difficult-to-escape group had paid for their ice cream but had not received it before the "accident" occurred. The number of spoons picked up by each condition and the lapse time before a member of each group began to help was recorded. No differences were found between the groups (all ps > .05). Implications for cost-of-escape were discussed.

Difficulties developing and maintaining intimate relationships are often attributed to adult children of alcoholics (ACAs). However, the focus of the literature has been on those obtaining psychological treatment and has primarily involved clinical impressions. The purpose of this study was to examine intimacy in the close friendships and love relationships of ACAs. Autonomy and intimacy in respondents' families of origin were also analyzed. Comparisons were made between ACAs currently in (n = 59) and not in (n = 53) therapy, and comparisons who had (n = 48) and had not (n = 77) received therapy. Alcoholics were eliminated. It was hypothesized that ACAs would score significantly lower than comparisons on love and friendship intimacy and autonomy and intimacy in their families of origin. Among the ACAs, those in therapy would score lower than those not in therapy. Hypotheses were tested using MANOVAS. ANOVAs were administered where there were significant differences, and Newman-Keuls contrasts further delineated the divergence. Multiple regression analyses were conducted to obtain explanatory data. The two ACA groups seem to represent distinct populations with those not in therapy failing to report intimacy differences previously ascribed to them. While all of the groups were similar in friendship closeness, only …