The primary purpose of the present study is to demonstrate that acne vulgaris can be reduced by psychological treatment. A cognitive-behavioral adjunctive intervention involving biofeedback-assisted relaxation and cognitive imagery procedures for the treatment of acne vulgaris was investigated in this study with 30 patients, already receiving traditional dermatological treatment, as participants. A three-group design was used which consisted of a treatment (relaxation-imagery), a rational behavior group therapy attention-comparison, and a medical intervention control (medication and lesion extraction) group.

It is believed by many researchers that little attention has been given to patients' perceptions of the impact of chronic pain on their lives. In recognition of this need, G. Frank Lawlis, C. Edward McCoy, and David K. Selby developed the Dallas Pain Questionnaire (DPQ) to assess the amount of chronic pain that affects four aspects (daily activities, work-leisure activities, anxiety-depression, and social interest) of the patients' lives. The present study, conducted to validate the DPQ's statistical properties, first reviews the literature addressing the various theories and varieties of pain, its opiates, and the two current approaches to quantify pain. This study included a total of 143 subjects. Clinical subjects were 104 inpatients in the Spinal and Chronic Pain Center at Medical Arts Hospital and 15 chronic pain outpatients released to work. Normal subjects consisted of staffing personnel (n = 13) and flight assistance employees (U = 11)- Both clinical and normal groups completed the DPQ. The Minnesota Multiphasic Personality Inventory (MMPI) was administered only to the clinical population. Results suggest that the DPQ is both externally reliable (stability reliability coefficient of .970) as well as an internally consistent instrument. Two factors emerged from factor structure analysis. Factor one (63.2% …

Contingency management has been utilized to improve treatment compliance and attendance in a medical setting. A related question involves the effect of contingency management on attendance in outpatient psychotherapy. Sixty-nine individuals ranging in age from 8 to 50 years agreed to participate in such a study. These individuals agreed to sign a contract specifying consequation for failure to notify the centers 24 hours in advance of an impending absence. Data on attendance and notification of impending absences were collected weekly for five sessions. After five sessions, dropouts and remainers were interviewed and the course of treatment was discussed. For the purpose of this study, a "dropout" occurred whenever an individual terminated therapy by missing an appointment and not rescheduling, or whenever an individual missed three consecutive appointments.

Eighty-seven single custodial fathers were surveyed to test the validity of previously developed typologies and/or construct a more empirically valid framework with implications for adjustment to the role. Mendes1 (1975) aggressive seekers, conciliatory seekers, conciliatory assenters, and aggressive assenters were compared to O'Brien's (1980) hostile seekers, conciliatory negotiators, and passive acceptors. In addition to demographic variables, relationship to ex-wife and child, and reasons for becoming single and obtaining custody, several personality variables were included along with measures of adjustment. One year follow-up measures of adjustment were collected to evaluate implications of typologies in adjustment. Two nearly equal groups were established in a Q type factor analysis of continuous data. Factor loadings of individual cases suggest a continuum of the two types of single fathers, rather than two distinct groups. Group differences were evaluated in a series of MANOVA and Chisquare analyses. Analysis included six factor scores from a supplemental R factor analysis of selected variables. Type I fathers are characterized as older, more passive, selfreflective, and aloof in interpersonal relationships. They are somewhat less oriented toward a relationship with their children and had felt satisfied with their wives* care of them. Alternatively, Type II fathers are younger, active, assured (not …

In the present study, an anger management treatment program was compared to a pseudo-social skills training program (self-help group) and waiting list control group to determine its effectiveness in reducing irritable/angry behavior in head injured subjects. Subjects consisted of 28 adults with previous head injury trauma who had difficulty with excessive irritability and anger. Subjects averaged 35.4 years of age and had an average of 8.9 years post head injury. Treatment consisted of 10 group sessions over a five week period. Anger management training was designed to teach subjects self management skills aimed at reducing the frequency of angry acting out behavior. Training methods included role playing, relaxation training, assertiveness training and cognitive restructuring. The pseudo-social skills training group was a self-help group designed to encourage discussion of irritability problems without teaching specific coping techniques. To assure some degree of homogeneity in cognitive abilities among subjects, minimum eligibility scores were required on five subtests of the Wechsler Adult Intelligence Scale - Revised and the Peabody Picture Vocabulary Test. Dependent measures were pre and posttreatment scores obtained from five categories of the Katz Adjustment Scale - Relative form: belligerence, negativity, general psychopathology, social obstreperousness, and social role functioning. In addition, pre …

Vaginal photoplethysmography was utilized in combination with standardized sleep-recording procedures to investigate changes in vaginal pulse amplitude (VPA) during both waking and sleeping conditions in low- and high-arousability females (n = 10 per group), as classified by the Sexual Arousability Inventory. Based upon previous research, it was predicted that both groups would exhibit similar mean levels of VPA during waking exposure to erotic stimuli and during various stages of sleep. Despite hypothesized physiological similarities between groups, the low-arousability group was expected to subjectively report less arousal during the waking erotic conditions.

A videotape playback treatment was investigated in the present study with regard to its effects on acceptance of responsibility for conflict in distressed couples. Three major hypotheses were tested. The first hypothesis that subjects given videotape playback of their pretherapy sessions would show a significant increase in self-attribution was supported.The second hypothesis that subjects who received videotape playback of their pretherapy sessions would show a significant increase in the frequency of self-attributional statements was also supported. Results of the present study did not support the final hypothesis that following a significant increase in self-attribution. It was concluded that videotape playback may provide an effective means of facilitating acceptance of responsibility for conflict in distressed couples. The implication for practitioners is that videotape playback could accelerate the marital therapy process through facilitation of the acceptance of responsibility.

In an effort to determine whether job satisfaction and expectations in a group of workers undergoing major change in the workplace differ from groups of workers not undergoing major change, data were collected from three groups of workers at the operator level in a major U.S. electronics manufacturing company. Two of the groups were not undergoing a major work redesign and served as control groups. A group undergoing the early stages of a major work redesign, characterized primarily by their formation into a self-managed work team, served as the experimental group. The experimental group and one control group were located at the same manufacturing plant, while the other control group was located at another plant. It was hypothesized that the group of workers undergoing change would differ in job satisfaction and that over time, the difference would grow. It was also hypothesized that the group undergoing change would have different expectations about the nature of their jobs in the future. Data were collected from members of the three groups using a modified version of Hackman and Oldham's (1980) Job Diagnostic Survey, with two administrations of the survey seven months apart. Data were analyzed using a 3 (Groups) X 2 (Perception: …

Psychiatric patients, particularly schizophrenics, tend to be less accurate decoders of facial expressions than normals. The involvement of three basic information processing stages in this deficit was investigated: attention; encoding; and processing. Psychiatric inpatients, classified by diagnosis and severity of pathology, and nonpatient controls were administered seven facial cue decoding tasks. Orientation of attention was assessed through rate of diversion of gaze from the stimuli. Encoding was assessed using simple tasks, requiring one contrast of two facial stimuli and selection from two response alternatives. Processing was assessed using a more complex task, requiring several contrasts between stimulus faces and selection from numerous response alternatives. Residualized error scores were used to statistically control for effects of attention on task performance. Processing task performance was evaluated using ANCOVA to control for effects of encoding. Schizophrenics were characterized by generalized information processing deficit while affective disorder subjects evidenced impairment only in attending. Attention impairments in both groups were related to severity of psychopathology. Problems in encoding and processing were related only to a schizophrenic diagnosis. Their decoding deficits appeared attributable to general visuospatial discrimination impairment rather than repression-sensitization defenses or the affective connotation of cues. Adequacy of interpersonal functioning was associated with measures …

The purpose of this study was to validate the Spanish version of the Dallas Pain Questionnaire (DPQ). Not only does the DPQ offer the potential of statistical and clinical diagnostic value but also is easily interpretable across cultural lines. No such instrument has presently been validated for the Mexican-American population. A total of 81 Spanish speaking subjects participated in this study. Of these subjects, 56 were classified as chronic pain patients by nature of their medical diagnosis and duration of pain. The 25 normal subjects were family members of the chronic pain patients and members of the Northern New Mexico Hispanic community chosen at random. Hypothesis one predicted that reliability would be obtained on Spanish speaking populations based on test-retest with correlation coefficients of the items. The second hypothesis predicted that the Spanish DPQ would have content validity or consistent internal structure on those items that measure the trait or behavior of interest based upon factor analysis approaches and internal consistency measures. Hypothesis three predicted that the Spanish version of the DPQ would significantly correlate with the English version of the DPQ on all four factors. All four hypotheses were supported. The Spanish DPQ showed reliability over time based on …

Lenney (1977) concluded that achievement gender differences were predicted by females' lower self confidence and expectancies in competitive situations, identifying three variables that mediated female self confidence in achievement situations, (1) task appropriateness. (2) social comparison, and (3) feedback. The present study manipulated all three mediating variables with 240 undergraduate 18-25 year old female subjects with the pursuit rotor task that requires tracking a moving (40 rpm's) white light with a hand-held stylus for 60 seconds. Response measurement was based upon time on target. Subjects were tested over five trials while setting goals for each trial. Females were randomly assigned to a male appropriate, female appropriate, or gender neutral task condition, a competition or alone condition, and to one of four feedback conditions (no feedback, feedback about own performance only, feedback about own performance that provided the perception that subject was performing better than an opponent and/or average on each trial, or feedback about own performance that provided the perception that subject was performing poorer than an opponent and/or average on each of the five trials). Results from the 2 (social comparison) X 3 (task appropriateness) X 4 (feedback) ANOVA were contradictory to previous findings (Corbin, 1981; Petruzzello & Corbin, …

The present study evaluated offender characteristics associated with completion of halfway house placement by the inclusion of additional offender characteristics for analysis in addition to those studied in previous research, the analysis of a large number of representative cases, and the use of statistics allowing clear conclusions upon which to base decision making. Data analysis was done in three steps. The first Step was to identify offender characteristics which were associated with completion in halfway house placement. The second step was to see how accurate the offender characteristics identified were in predicting completion of an offender's halfway house stay. The third step was to identify any possible factors which underlie the offender characteristics identified. Discriminant analyses identified ten offender characteristics which were associated with completion of halfway house placement for 521 male offenders and four offender characteristics which were associated with halfway house completion for the group of 33 female offenders studied. These offender characteristics resulted in 75.38 percent correctly classified cases for the male offender group and 96.9 7 percent correctly classified cases for the group of female offenders. Factor analyses resulted in the identification of four factors for the group of male offenders and two factors for the …

The factor structure of the Luria Nebraska Neuropsychological Battery (LNNB) Form II was examined. A principle components factor analysis was performed on a sample of 102 psychiatric and neurologic subjects. It was necessary to remove 45 items from the analysis due to perfect performance by most subjects. The results were orthogonally rotated to simple structure using a Varimax method of rotation, and then compared to previous LNNB Form I and Form II results. Thirty-three factors were generated in the Exploratory Factor Analysis (EFA) . There was a very high agreement with the factors from Form I. Only one new factor was identified that didn't have a comparable Form I factor, and this factor appears to have neurological support. The similarity of the factor solutions between the two forms supports the continued use of factors derived from Form I for the interpretation of Form II, and supports the underlying structure presupposed by Lurian constructs. The present study also tested the significance of the hypothesized factor structures through confirmatory factor analysis (CFA). No hypothesis about the underlying factor structure based on previous exploratory studies was supported. The CFA did suggest that the best factor solution to the LNNB Form II is one …

Increases in the number of users of the medical delivery system, along with an ever-increasing variety of available services, makes it desirable to identify those individuals who will benefit most from its services. With the growing reliance on third party payment, economic limitations no longer effectively restrict the use of the system's resources to those individuals who are truly ill. A framework is needed whereby individuals who are medically ill can be separated from those whose needs might be more effectively addressed by other services. A variety of means, including locus of control, has been used in the attempt to make such discriminations. In conclusion, it was observed that the low magnitude of obtained relationships presents opportunities for future research, but disallows meaningful prediction at the present time.

Child-rearing behaviors and attitudes have been implicated by some authors in the persistence of bed-wetting after the age of three. In this study, maternal child-rearing behaviors were evaluated from the point of view of the child. Perceived maternal behaviors were assessed through the use of the Child's Report of Parent Behavior Inventory. Field dependence/independence was measured by Children's Embedded Figures Test scores. Correlational analysis of the data suggested the following conclusions: 1) The rapidity of response to conditioning treatment for enuresis is not related, to scores of Acceptance, Psychological Control, and Lax Control. 2) Degree of field dependence/independence is unrelated to the rapidity of response to conditioning treatment for enuresis. 3) Child's Report of Parent Behavior Inventory factor scores of Acceptance, Psychological Control, and Lax Control are unrelated to Children's Embedded Figures Test scores. 4) Primary enuretic boys do not differ from nonenuretic boys along the dimension of field dependence/independence.

This study investigated attitudes toward personal use of premarital contraception among sexually active adolescent males and females. All students within the selected classrooms were asked to complete questionnaires assessing attitudes toward contraception, contraceptive knowledge, and sociodemographic and sex-related life history variables. Subjects were rated with regard to their effectiveness of contraception (high, moderate, or low). Separate univariate analyses indicated the following: The low effectiveness group was more likely to perceive responsibility for contraception as belonging to the "opposite gender." Contraception attitudes and knowledge were positively related. Females were more knowledgable about contraception and has more favorable attitudes than males.

The purposes of this study were to investigate the possible therapeutic and educational effects of writing an autobiography in an undergraduate developmental psychology course, to explore the role of structure in writing an autobiography, and to determine if any significant sex differences exist in the effects of writing an autobiography.

This study examined the effects of self-monitoring behavior and health locus of control on improvement in a work hardening program. The subjects included 22 male and 18 female outpatients in a hospital-based rehabilitation program. Subjects were classified as having an internal or external health locus of control, and were randomly assigned to either a self-monitoring or a non-self-monitoring group. Improvement was assessed via objective performance data and self-ratings of perceived improvement. The results indicated that individuals identified as having an internal health locus of control did not show greater gains in physical functioning or perceived improvement relative to externally oriented individuals. Additionally, those subjects participating in self-monitoring activities were no different from non-self-monitoring subjects in terms of improvement in exercise activities or perceived improvement. The results also indicated no interaction between health locus of control and the presence or absence of self-monitoring. It was suggested that other factors such as workman's compensation, pain patient characteristics, low self-concept, and severe stress may have proved more powerful influences on patient improvement than internal health locus of control or self-monitoring. It was also suggested that rehabilitation programs might benefit from creating structured environments in which patients receive frequent staff feedback and reinforcement for …

Attempts to measure self concept in the elderly have been characterized by a variety of differing definitions of self concept, and differing methodological procedures. Previous investigations have used instruments which are stereotypic and not ecologically valid for elderly, test formats which make excessive demands on some elderly persons' cognitive and sensory-motor abilities, and administration procedures which penalize the less psychologically sophisticated older person, factors precluding adequate assessment of self concept in the elderly. In order to address the limitations of previous research, the present investigation developed and tested the Ecological Q-sort, a self concept instrument designed especially for use with the elderly. Items for the Ecological Q-sort were life situations which were ecologically representative and meaningful for older persons as self-defined by them. Two forms of the Ecological Q-sort were developed: the pictorial form consisting of pictorial representations of situations plus one sentence descriptions of situations; another form consisted of only one sentence written descriptions of situations.

The present investigation sought to explore the efficacy of stress inoculation in the management of pain with severely burned adults. Subjects were 16 adult burn patients randomly assigned to either the stress-inoculation or no-treatment comparison group. The focus of the analysis was the amount of change or improvement from pretreatment to posttreatment periods. The stress-inoculation group showed significant improvement on all nine dependent measures, while the no-treatment group improved significantly on only two (physical and emotional self-ratings). The overall comparison of the amount of change between groups revealed that the stress-inoculation group showed significantly greater improvement in pain management than the no-treatment group during this time. It was concluded that stress inoculation, as a flexible treatment package, was efficacious in the management of pain experience of burn patients.

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 …

Self-monitoring, lowered arousal training (i.e., biofeedback and relaxation training) and maintenance follow-up appeared to contribute to effective treatment of hypertension. Cognitive therapy, while effective in treatment of some stress-related disorders, has not been studied as a specific treatment component for hypertension. The present study explored the use of cognitive therapy as a treatment variable to reduce blood pressure in hypertensive persons. The effectiveness of a multi-element treatment including cognitive therapy, blood-pressure biofeedback, and relaxation training was also assessed. Self-monitoring and maintenance training were included as a part of each treatment process.

A technique for altering subjects' self-evaluations and subsequent performance was developed and tested. Two types of therapist evaluative modeling, positive and critical, were compared, for effectiveness in training subjects to be assertive, with a no-modeling control and an insight treatment group. All modeling conditions used a behavior rehearsal paradigm, while the insight treatment employed a Rogerian therapy design. Dependent measures included a paper-and-pencil self-evaluation scale and a behavioral role-playing test of assertiveness. No significant differences were found among the modeling conditions, but the behavior rehearsal strategy brought about significantly greater increases in assertiveness among the severely unassertive subjects than did the insight treatment.

In the present study, three self-managed treatment programs were compared with respect to their ability to effect and maintain change in the cigarette smoking behavior of 27 subject volunteers from the population of employees of a Veterans Administration hospital. Subjects were randomly assigned to a self—imposed delay group, a self-directed relaxation group, and a self-monitoring group. The experimental program lasted 6 weeks with a 20-minute individual meeting each week. Three months following treatment, subjects were contacted by mail and were asked to monitor their smoking behavior for one week, and to return their average daily smoking rate by mail. The results provide support for the effectiveness of the self-management technique of self-imposed delay as a durability—enhancing treatment procedure. The effectiveness of self-management techniques as a general class of treatment strategies was not supported. A task for future research would be to establish the effectiveness of the delay technique implemented earlier in the cigarette smoking chain, as well as to determine whether effectiveness is increased or decreased by a specification of the content of a delay interval.