This study investigated the relationship between stress and pain crisis incidence in pediatric Sickle Cell Anemia (SCA). It was hypothesized that SCA children were exposed to higher levels of stress than healthy children. It was also hypothesized that a significant positive correlation existed between level of stress and pain crisis incidence both within and between years. The sample consisted of 20 Black elementary school children with SCA. There were 12 female and 8 male children. The period of investigation included the calendar years 1983 and 1984. Pain crisis incidence was determined through parent interviews and verified by a review of medical records.

One hundred persons applying for services with the Texas Rehabilitation Commission with reported disabilities of alcohol/substance abuse or back injury/pain were selected for study. Subjects were assigned to two groups (alcohol or back) according to their reported disability. They were tested within one week of application and after 60 days were checked to see what rehabilitation status they were in to determine success or failure. Alcohol clients were administered the Health Attribution Test (HAT), 16PF, and an Alcohol Imagery questionnaire developed for this study. Back clients were administered the HAT, 16PF, and Pain Drawings. Statistical procedures including Pearson correlation, stepwise discriminant analysis, and discriminant analysis were performed. The HAT Internal Factor showed a significant relationship to rehabilitation success or failure and the 16PF motivation indices approached significance. The discriminant analysis demonstrated that success or failure could be predicted at a significant level using these measures. Issues of practicality in using these instruments (particularly imagery measures) in a rehabilitation counseling practice were noted.

The effects of the counselor's religious values on the counseling process has been a focal point recently in the literature on counseling and psychotherapy, especially with regard to how the counselor's announced values might effect potential clients' selection of a counselor. In the present study, the investigator addressed this issue in a study with 125 male and 125 female undergraduate students assigned to five different groups in which they read a script that differed with respect to the counselor's religious orientation. The content of the five scripts ranged from no mention of religious values to describing in detail the specific religious values of the counselor. Subjects' responses to the scripts were measured by having them rate (1) the degree of similarity in their own values and the announced values of the therapist; (2) their rating of how helpful they thought the therapist would be with their problem; and, (3) their stated willingness to see the counselor. Results indicated that subjects who read the script describing an agnostic counselor saw a significant degree of dissimilarity between their own and the counselor's values, but this did not affect subjects' perceptions of the counselor's helpfulness or their willingness to see the counselor. Differences …

The purpose of this study was to determine whether psychological stress, specifically examination stress, would decrease immune system functioning. Twenty-five first-year master's and doctoral students who volunteered to participate in the study were psychologically and immunologically assessed during two high- and two low-stress periods. Immunological assessments included a white blood cell differential count and nitroblue tetrazolium test (NBT) to measure neutrophil functioning. Psychological instruments administered at each assessment period included Clinical Analysis Questionnaire (CAQ), Bender Gestalt Test, State- Trait Anxiety Inventory (STAI) and a Brief Stress Questionnaire. Stepwise discriminant function analysis of data revealed five variables which contributed significantly to change under stress and yielded an average canonical correlation of .79 (p < .002) providing evidence of support for the hypothesis that increased psychological stress will alter immune functioning and heighten psychological responses.