The purpose of this study was to explore heterosexual bias in the diagnosis and treatment of gay males. Two hundred-fifty (134 males and 116 females) mental health professionals from the Division of Psychotherapy (29) of the American Psychological Association participated in the study. Participants were randomly assigned to one of two case history conditions, which presented a 35-year-old male seeking therapy. Both conditions were equivalent with regards to the presenting problem (i.e., diagnostic symptoms) with the exception of his significant other (i.e., gay vs. non-gay condition). Potential bias was measured through a diagnostic rating Likert scale and a treatment plan questionnaire. Other independent variables that could potentially have an effect on diagnostic ratings were explored, such as gender, year of graduation, and theoretical orientation of the respondents. Results of the statistical analyses failed to confirm evidence of heterosexual bias. Implications for further research and training are discussed.

Sixty-two mothers of childhood cancer patients completed questionnaires on family demographics, parental stress, sense of parenting competence, self esteem, health locus of control, attitudes toward cancer, life events, social support, and psychological symptomatology. Correlation and regression procedures were used. Time since diagnosis and the severity rate of a child's illness did not predict the mother's sense of parenting competence, but a negative correlation at the $p<.01$ level between mothers' report of self esteem and their distress was revealed. Social support was negatively correlated at the $p<.01$ level with psychological distress, but life events were positively correlated at the $p<.01$ level. Internal locus of control was positively correlated with psychological distress, but attitudes toward cancer did not correlate with psychological distress.

Accurate, early diagnosis of Alzheimer's Disease is becoming increasingly important in light of its growing prevalence among the expanding older-aged adult population. Due to its ability to assess multiple domains of cognitive functioning and provide a profile of impairment rather than a simple global score, the Neurobehavioral Cognitive Status Examination (NCSE) is suggested to better assess such patterns of cognitive deficit for the purpose of diagnosis. The performance of the NCSE was compared with that of the Mini-Mental State Examination (MMSE) for diagnostic sensitivity in a sample of patients diagnosed as having probable Alzheimer's Disease. The strength of correlation between severity of cognitive impairment on these tests and report of behavior problems on the Memory and Behavior Problems Checklist (MBPC) was also explored, as was performance on the NCSE and report of behavior problems using the MBPC in predicting Single Photon Emission Computed Tomography (SPECT) scan results. The NCSE was found to exhibit greater sensitivity to physician diagnosis of probable Alzheimer's Disease relative to two versions (Serial 7's or WORLD) of the MMSE (.90, .77 and .68, respectively). While both measures were found to correlate significantly with the report of behavior problems, only a moderate proportion (NCSE = .22 and …

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 purpose of this study was to investigate the role of students' self-concept and their perceptions of family environment in the psychosocial adjustment and academic achievement of accelerated college students in a residential program. A secondary purpose was to investigate the differential role of those factors for students of diverse ethnic backgrounds.

Individuals with attention deficit hyperactivity disorder (ADHD) with and without a learning disorder (LD) and a control group of clinically referred individuals with behavioral problems were compared on four neuropsychological tests of frontal lobe functioning. Test results were collected to examine if ADHD individuals with and without LD have deficits in frontal lobe functioning. Two age groups were used to examine developmental differences. In the six to ten age group there were 27 ADHD, 17 ADHD/LD and seven other clinically referred individuals. In the 11 -20 age group there were 12 ADHD, 23 ADHD/LD and 24 other clinically referred individuals. The ADHD and ADHD/LD groups performed at a lower level than the other diagnostic group on the freedom from distractibility factor of the WISC-R and the omission and commission errors of the Gordon Diagnostic system. Differences for the ADHD and ADHD/LD groups were also found on the number of correct responses for the Gordon Diagnostic system, the Speech Sounds test and the Seashore Rhythm test. The developmental differences that were found were not influenced by diagnosis. The deficits that the ADHD individuals with and without LD demonstrated were not affected by age.

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 …

Existing studies of people who are homeless provide descriptive information about the heterogeneity of the population. Families who are homeless are the fastest growing subset of this population. This study examined the variability in psychological and social functioning among homeless mothers and attempted to identify risk factors that predict level of adult functioning. Data was collected from 76 homeless mothers with minor aged children receiving services at area shelters. The sample was divided between highly structured and unstructured shelter environments. Each participant completed an extensive interview which included measures of personal and family history, risk factors and current psychological and social functioning. Social functioning was able to be predicted by a number of these risk factors.

The purpose of this study was to examine and compare individuals that had survived a single incidence trauma, the Luby's massacre in Killeen, Texas. Participants answered questions regarding various facets of social support following the trauma, and were also screened for a diagnosis of PTSD. Participants' level of symptoms, specifically depression, anxiety, and phobic anxiety was measured over time with the SCL-90-R. The results of this study indicate that, while women initially experience a higher level of depression and phobic anxiety, there is no gender difference in rate of symptom change over time. This study also found that women were significantly higher than men on desirability, utilization and usefulness of social support. Of the target symptoms, however, only depression correlated with any facet of social support, specifically, desirability. Finally, this study questioned whether individuals would share more similarities with others based on gender or diagnosis. It is suggested by the current data that diagnosis is the better indicator of similarity.

This study examined the relationship between perceptions of intellectual functioning and measures of cognitive abilities, personality variables and sociodemographic information. One hundred and fifty-two older community residing adults were asked to define their perception of intelligence by completing a questionnaire that asked the extent to which a variety of tasks are: functionally important, contribute to feelings of intellectual vitality and are the object of worry or concern. They also estimated their skill at performing each task. The hypothesis that cognitive abilities would best predict perceptions of cognitive functioning was moderately supported. Personality variables, specifically anxiety, were more predictive of the meaning variables than abilities.

In this study, effects of facial self-reflection and complexity of self on physiological responses were investigated. Skin conductance levels were measured during baseline and neutral conditions, then under a self-focusing condition provided by mirror reflection of the face. Subjects completed measures of self-complexity, depressive affect, self-esteem, anxiety and body image satisfaction. Eye tracking data was collected during the mirror condition. Results showed a significant effect of mirror self-reflection on physiological reactivity as measured by differences between mirror and baseline mean responses. Pre-test depressive affect was correlated with low self-esteem but not with self-complexity. Self-complexity was negatively correlated with orientation to physical appearance and positively correlated with greater differences between baseline and mirror mean reactivity. Self-complexity and depressive affect did not significantly predict physiological reactivity, although a trend was found for the influence of each variable. Post-hoc analyses showed significant group differences for both self-complexity and depressive affect on physiological reactivity, although the influence of self-complexity was in the unexpected direction. Results of this study are consistent with general findings that negative self-esteem, anxiety and depression are strongly correlated. In addition, a strong correlation was found between negative self-esteem and dissociative symptoms. Exploratory analyses of eye tracking data found no significant …

In the present quasi-experimental study, the relationships among individual executive characteristics, top management group processes, the business environment, and organizational performance for the gas and computer industries were investigated. Data were collected through a questionnaire using several published instruments measuring work locus of control, self-monitoring, group innovation/improvement, collaboration, and task management, environmental uncertainty, and perceptions of organizational performance. Return on assets data and sales data for several years were obtained from a business database. A total of 204 executives, 135 from the gas industry and 69 from the computer industry, returned completed questionnaires. Group processes were positively correlated with the average return on assets over three years. In addition, based on regression analyses, group processes predicted the average return on assets over three years. Work locus of control was positively correlated with group processes. However, none of the hypothesized moderator relationships were supported due to collinearity difficulties with one of the measures. Also, there were no differences between the gas and computer industries with regard to the uncertainty of the business environment.

Although eating disorders have been the focus of much research, the inclusion of minority populations has been minimal. A recent review of the literature by Dolan (1991) has found that eating disorders were most likely to be present in non-White women who were exposed to Western societies and cultures. Thus, the purpose of this study was to examine personality, physical, and cultural correlates of bulimic symptomatology in a sample of African American college women. The Bulimia Test Revised (BULIT-R) was used to assess bulimia symptoms. The African American Acculturation Scale (AAAS), the Beliefs about Attractiveness Scale Revised (BAAR factors 1 and 2), the Rosenberg Self-Esteem Scale (SES), the Centers for Epidemiological Depression Scale (CES-D), Body Parts Satisfaction Scale (BPSS), and body mass were the independent variables hypothesized to predict bulimic symptoms. Hierarchical regression analysis revealed that body mass, depression, and low self-esteem were the best predictors of bulimic symptomatology, together accounting for 38% of the variance. Beliefs about attractiveness and body satisfaction were related to bulimic symptoms but not when considered simultaneously with the other variables. Acculturation was not predictive of bulimic symptoms. 0-ordered correlations revealed that beliefs about attractiveness and body satisfaction were correlated with bulimic symptoms. Acculturation was …

Mothers and siblings of children with autism incur stressors that impact their well-being more adversely than mothers of children with ADHD or normally developing children. In Study 1, twenty-six mothers of children with autism (Group 1) were compared to 24 mothers of children with ADHD (Group 2) and 24 mothers with normally developing children (Group 3). All families included a normally developing child (ages 4 to 12). Measures to delineate levels of maternal functioning were administered. Results for Study 1 indicated that mothers of children with autism had higher levels of psychological symptomatology, higher parenting stress, poorer perceptions of their family environment and their ability to parent the siblings, and higher perceptions of internalized problems of the siblings than mothers with normally developing children. These findings support the literature stating that mothers of children with autism may experience increased levels of maternal stress. The reciprocal nature of the parent-child relationship suggests that parents should be involved in meeting the needs of siblings in these families. A subgroup of Group 1 mothers participated in a parent group that occurred simultaneously with a sibling group. Mothers were randomly assigned to participate in a parent/sibling group, a sibling only group, or a wait-list …

The purpose of this study was to follow the development of children with reading disabilities only, reading disabilites and ADHD, ADHD only, and a comparison group from the ages of 3 to 18. Differences were examined on the following variables: (a) Antecedent variables- Reynell Developmental Language Scales, Temperament, and Family Adversity; (b) School-age variables- behavioral and academic self-concept ratings; and (c) Psychological adjustment variables at age 18- self-reports of delinquency. Children from the reading disabled groups exhibited receptive language deficits, were from families who during the early childhood years had less resources to cope with problem situations, exhibited difficult temperamental characteristics, and had negative academic self-concepts. Distinctions were also noted between a "pervasive" and "situational" presentation of behavioral problems. During late adolescence the reading disabled groups exhibited similar levels of delinquency as their non-disabled peers. The implications of this study and directions for future research are discussed.

The current study investigated the criterion validity of the Minnesota Multiphasic Personality Inventory - 2 (MMPI-2) by comparing participants' profiles with other variables, including diagnosis, length of hospitalization, and chronicity. The specific diagnostic groups investigated were depressed (major depressive disorder; dysthymic disorder; and bipolar disorder, depressed), schizophrenic (schizophrenia, schizophreniform disorder, and schizoaffective disorder), and borderline personality disorder (BPD). Statistical analyses included use of univariate analyses of variance (ANOVAs), multivariate analyses of variance (MANOVAs), regression analyses, and measures of sensitivity, specificity, positive predictive power (PPP), and negative predictive power (NPP). MANOVA results indicated significant differences between diagnostic groups on Scales F, 2, 3, 4, 7, ANX. FRS. DEP. BIZ. M f i , LSE, and FAM. There were considerable differences between males and females when separate MANOVAs were performed for gender groups. Cutoff see ires for classification by diagnosis resulted in significant specificity rates and negative predictive power, but sensitivity rates and positive predictive power were not significant.

Depressive symptomology was examined in this study as a function of conflict and intimate support with parents, friends, and siblings among a non-clinical sample of 223 predominately white sixth-grade early adolescents. Moreover, sixth-graders' depressive symptomology was examined as a function of conflict management self-efficacy and intimate support self-efficacy. The purpose of the present study was twofold: 1) to explore the effects of intimate support and conflict in family and friend relationships on sixth-grade early adolescent depressive symptomology, 2) to determine whether poor conflict management skills self-efficacy and poor intimate support self-efficacy are linked with depressive symptomology in sixth-grade early adolescents. Friend relationship qualities had little impact on depression in sixth-graders. However, the presence of conflict and deficits in family intimate support, especially from parents, was associated with increased depression. Increased levels of depression also corresponded with lower ratings of conflict management self-efficacy and intimate support self-efficacy. Moreover, relationship difficulties combined with self-efficacy deficits to affect depression.

The influence of theoretically prominent family processes on late adolescent college student identity development was the focus of this study. The primary purpose was to test a model of adolescent identity development. This model proposed that family health variables would predict identity development, and that attachment and separation-individuation would each make unique and additive contributions to identity development. The second purpose was to identify instruments which discretely measured the family processes. The third purpose was to better understand family influences by measuring the processes of exploration and commitment. Participants were 150 male and 150 female college students, between the ages of 18 and 23, and from intact families. Questionnaires completed measured family functioning and identity development. Family functioning measures covered three domains (family health, attachment to parents, and separation-individuation) which formed the set of independent variables. The identity measures (ego identity status and identity process) comprised the dependent variables. A hierarchical regression design was employed where family health variables were entered first, followed by attachment variables, then separation-individuation variables. The results indicated mixed support of the model. First, the proposed model was statistically supported for females as all domains predicted identity achievement and diffusion. For males, only family health predicted …

The present study was designed to look at inhibition of return within a schizophrenic population for the first time. Inhibition of return is an attentional phenomenon that has been studied with a number of populations, and has been shown to be present in normal individuals. Based on the disattention hypothesis put forth by Cromwell and colleagues (e.g., Cromwell & Dokecki, 1968), it was hypothesized that patients with schizophrenia would show an impaired inhibition of return. Twenty-eight inpatients with schizophrenia, and 19 normal comparisons were evaluated on a visual inhibition of return task. Consistent with hypotheses, schizophrenia patients have significant impairments in inhibition of return compared to normal comparison participants. Further, the relative lack of inhibition of return in the schizophrenic group was found to be strongest to stimuli in the left visual field. These results provide initial support for a reconceptualization of the disattention hypothesis.

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.

This purpose of this study was to investigate the effects of Gender Role Conflict upon college men's scores of psychological well-being, substance usage, and attitudes toward psychological help-seeking. It was found that the Success, Power, and Competition variable of Gender Role Conflict was the one variable that was consistently related to the measures of interest. Moreover, it was found to be significantly related to a decrease in psychological well-being, including Trait Anger, Angry Reaction subtype of trait anger, Angry Temperament subtype of trait anger, and Trait Anxiety. It was also found that this same variable was significantly related to increased reports of alcohol usage. Where as four of the possible five Gender Role Conflict variables were related to a negative attitude toward help-seeking, the Success, Power, and Competition variable was most heavily weighted.

The purpose of the current study was to examine the relationship between parent and child factors for mothers of children diagnosed with cystic fibrosis to predict mother's psychological distress. Mothers were surveyed to identify measurement models in areas of Child and Parental characteristics and a Full Causal Model of Maternal distress. Factors related to Child Characteristics include general parental stressors and cystic fibrosis specific parental stressors. Factors related to Parental Characteristics include the mother's sense of parental competence and self-esteem. Additional factors related to the Full Causal Model include social support, major and minor life events, and demographics. Results were analyzed using LISREL IV structural equation modeling. Measurement model analysis found a good fit for the Child Characteristics model (Chi Square = 6.85, df = 4, JD = .144, Goodness of Fit Indices = .972) and Parental Characteristics model (Chi Square = 5.89, df = 3, p = .117, Goodness of Fit Indices = .971), but not for the full causal model of maternal distress (Chi Square = 114.98, df = 66, E = .000, Goodness of Fit Indices = .853)

Thirty-two silicone breast implant patients scored in the mild to moderate range of impairment on the Halstead-Reitan Neuropsychological Battery. An unusual number of patients had positive tests for antinuclear antibody on immunological testing and a high incidence of EEG abnormalities were found. Personality testing revealed an MMPI profile which is typical for neuropsychologically impaired subjects but components were consistent with extreme emotional distress. None of the subjects were near the cutoff score for malingering or faking bad on the F-K index of the MMPI. There was no apparent relationship between length of exposure and the severity of neurological impairment. Also, explanted subjects performance was not improved when compared to subjects whose implants were still in place.

Clinical depression is characterized by alterations in thoughts, judgment, cognition and social behavior. This study focuses on non-optimal views of self and significant others that are proposed to underlie many of these alterations. Perceptions of self and significant others were elicited using the Role Construct Repertory Grid (Kelly, 1955a). Participants included depressed outpatients with high levels of trait anxiety (n = 27), depressed outpatients with lower levels of trait anxiety (n = 29) and a control group of never-depressed volunteers (n = 28). Consistent with prediction, significant group differences were found for negative self perception, discrepancies between actual self and self goals, alienation from significant others, and inconsistencies in self image. Results provided partial support for the self discrepancy theory of emotionality (Higgins, 1987). Among depressed patients, higher levels of anxiety were associated with increased self negativity and greater discrepancies between actual self and self goals. Increased levels of depression were associated with more alienation from significant others and more consistency in self image. Depressed patients' judgments of self and others were altered from optimal ratios, as predicted by the theory of interpersonal judgment (LeFebvre, LeFebvre & Adams-Webber, 1986). Findings have theoretical and clinical importance for the understanding and treatment …