The assertive training literature has documented the effectiveness of both behavioral and cognitive methods to increase individual's assertiveness. However, the ability for such methods to enhance the generalization of treatment effects to untrained assertive response classes and the natural environment has been poor. In addition, little notice has been paid to the durability of these changes. Although the past several years have witnessed more intensive efforts by investigators to program generalization as part of their interventions, results have continued to be disappointing. A specific generalization-enhancing treatment strategy, self-directed practice, has been utilized with much success in phobic populations. This strategy, and the theoretical orientation it reflects, has been proposed for use in assertive training. The present study sought to examine the effectiveness of this method as compared to the traditional assertive training procedures and investigate the role of self-efficacy expectations in mediating initial behavior change and its subsequent generalization.

This study investigated the interactions of facially deformed infants (FD) with their mothers compared to a facially nondeformed control group (FND). All mother-infant dyads were videotaped for 10 minutes during a free play period. Mothers were instructed to spend time with their baby as they normally would. The videotaped interactions of 14 FD dyads and 14 FND dyads were rated by five raters for quality of interactions, amount of vocalization, touch, and face-to-face gaze. The infants were rated on their level of attractiveness from polaroid pictures and videotapes. Mothers also completed a questionnaire which assessed their infants' temperament. Three of the studies' four hypotheses were confirmed. First, the more attractive an infant was, the better his/her interactions with the mother were judged to be. Second, FD infant dyads were rated as significantly poorer in quality of interaction than FND dyads, although FD* dyads did not spend significantly less time vocalizing, touching, or in face-to-face gaze as predicted. A significantly higher percentage of FD infants were judged as having difficult temperament relative to FND infants. Finally, as predicted it was found that infants with difficult temperaments were more likely to exhibit poorer quality interactions than infants with less difficult temperaments. These …

To determine whether or not systematic desensitization treatment would produce a significant reduction in negative affect evoked by racial discrimination, 60 Mexican-American college students who scored above average on the Terrell Racial Discrimination Index were selected and assigned randomly to one of three treatment conditions: systematic desensitization (DS), therapist contact (TC), and no-treatment control (NTC). Before undergoing treatment, subjects completed the Background Information Questionnaire (BIQ), and three measures of negative affect: the Multiple Affect Adjective Check List (MAACL); the Profile of Mood States (POMS); and the Treatment Rating Scales (TRS). After concluding treatment, subjects completed the three measures of negative affect only. Results were nonsignificant with respect to two of the affect measures—the POMS and the MAACL. However, significant differentia1 treatment effects were observed for the TRS measure. Relative to the TC and NTC conditions, subjects in the DS condition evidenced significantly less anger, depression, and anxiety. No other group differences attained the level of statistical significance (p < .05). Several explanations are offered for the negative findings of the MAACL and POMS. These explanations include the possibility that the measures themselves are insensitive to treatment effects. Nevertheless, due to the significant findings of the TRS, it is concluded that …

Individual differences of cognitive organization and content were investigated as they relate to adaptation to remote, recent, and immediate life stress. Outside the field of stress, prior researchers have implicated cognitive organization with adjustment and cognitive content with specific psychopathology. As for behavioral adaptation to life stress, cognitive organization was viewed as a major factor in emotional vulnerability and adjustment, and cognitive content as a major factor in the mood disturbance of depression. Behavioral adaptation was defined in terms of current emotional vulnerability, adjustment and negative changes in the immediate (last six months), recent (over six months), and remote (over one year) past.

Recent interest in the area of spouse abuse has resulted in many attempts to define and understand this problem. The present study reviewed the literature addressing spouse abuse, its various definitions and presumed causes. Theories regarding the cause of spouse abuse were presented in two groups: those focussing on society as the perceived cause of abuse and those on either men or women as precipitators of abuse. The purpose of the study was threefold. The first was to explore the relationship between gender and perception of spouse abuse. The second was to examine whether attitudes toward women varied as a function of perception of spouse abuse. Third, the study explored the relationship between situational variables and perceptions of spouse abuse. Finally, although not an initial purpose of the study, differences in perceptions of spouse abuse were compared among abused and nonabused groups.

Depression received much attention in the professional literature as a stimulus both for experimental as well as applied research. It continued to be the subject of much controversy in respect to its definition, identification, and classification. Attempts were made to objectify the assessment of depression using self-report scales to tap various aspects though to be related to its etiology as well as its symptomology. Two of the most popular and reportedly well-validated self-report scales identified in the literature for determining and quantifying depressive symptoms were the Beck Depression Inventory (Beck) and the Zung Self-Rating Depression Scale (Zung).The present study was designed to determine if there were factors in common between the Beck and the Zung scales and, in addition, to test whether these factors would differentiate subjects by sex class membership, diagnostic category, and by some linear combination of biographical or life-history information. The major purpose was the identification of outstanding charactersitics of depression predicted from biographical data and the determination of the relationship of these data to self-rating psychometric measures of depression. This study makes it clear that the Beck and Zung scales are measuring different aspects of depression and thus are likely based on separate constructs. The need …

A survey of stress and crisis literature indicated traumatic events tend to initially overwhelm individual coping resources. The adjustment process following such events appears to be characterized by phases in which gradual perceptual and cognitive reorganization occurs. Emotional shock, denial processes, and intrusive ideation accompany initial phases. A survey of stress and crisis literature indicated traumatic events tend to initially overwhelm individual coping resources. The adjustment process following such events appears to be characterized by phases in which gradual perceptual and cognitive reorganization occurs. Emotional shock, denial processes, and intrusive ideation accompany initial phases.

The purpose of this study was to investigate the attitudes and treatment knowledge of medical student professionals regarding rape victims. In addition to generating normative data for a population which, as a function of their vocation may come in contact with victims, comparisons were made between a sample of those beginning their medical education process and those at the end of training in order to measure change in treatment knowledge and attitudes towards rape victims which occur during medical school. Also investigated were differences which exist in the attitude and treatment knowledge measures for rape victims compared to other emergency room patient populations, and the effect of gender of the physician upon those measures. A final element investigated the physicians' perceptions of a "real" rape as it relates to those measures.

This study sought to investigate the influence of expressive task demand, as determined by amount of face-to face social interaction, level of subjects' expressive ability, sex of subject, and sex of experimenter on subjects' digit and visual-spatial short-term memory span performance. The amount of personal contact was manipulated by the automated versus person administrations of the memory measures. The automated administration was accomplished through the use of a microcomputer.

This study examined separation—individuation developmental issues for young adult women, from the perspective of object-relations theory. Its purpose was to explore a woman's perception of her relationship with mother as it is affected by age and request for psychotherapy as well as the relationship between the mother-daughter bond and selfreported personality characteristics. Ninety-six women from 17 to 40 years of age volunteered to participate, and they were grouped into two age ranges. Life Stage 1 women were 17-22 years of age, while Life Stage 2 women ranged from 23-40. Within each Life Stage, the women were further categorized into clinical and non-clinical groups. All of the participants were college students and/or working women from clerical, managerial, and professional occupations who were recruited from their respective schools, jobs and outpatient clinics. Each woman completed the test packet which included a demographic data questionnare; the Identity vis-a-vis Mother Questionnaie (IVM-20) developed by Crastnopol (1980); the Clinical Analysis Questionnaire (CAQ) and Rotter1s Locus of Control Scale. The IVM-20 contains four scales, each designed to measure a unique mother-daughter relationship: Individuated (Ind), Symbiosis (Syra), Practicing (Prac) and Distancing (Dist). Ind is supposed to reflect a healthy autonomy with a loving mother-daughter bond, while Prac …

The Minnesota Multiphasic Personality Inventory (MMPI) is often used for evaluating candidates for gastric bypass surgery, chronic pain patients, head trauma victims, and medical school applicants. However, due to the considerable time involved in completing and scoring the standard MMPI, researchers have attempted to devise short versions of this instrument to reduce the time required while providing similar results. In recent years, the Faschingbauer Abbreviated MMPI (FAM) and the MMPI-16 8 have been proposed as viable MMPI substitutes. The present study examined the comparability between profiles using these short versions of the MMPI with the patterns obtained using the entire measure. Participants consisted of equal numbers of gastric bypass candidates, chronic pain patients, head trauma victims, and medical school applicants. Scores on the FAM tended to be similar to scores on the complete MMPI for gastric bypass, chronic pain and head trauma patients. In contrast, the MMPI-16 8 yielded profiles which were similar to complete MMPI profiles with chronic pain and head trauma patients.

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.

The present study translated the major theories of obesity into physiological terms, then tested for the ways these theories might find physiological expression. Theoretical positions included the psychoanalytic perspective, emphasizing intrapsychic processes; psychosomatic perspective, emphasizing food as an anxiolytic agent; and Schachterian perspective, emphasizing heightened sensitivity to external stimuli. Additionally, two classificatory distinctions, age at onset of obesity and extent of dietary restraint, were examined. The later distinction suggested that Schachterian findings on obese behavior were due not to obesity, but to a dieting life style.

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.

Obesity has been referred to as a common and chronic medical condition in our society. It has been associated, directly or indirectly, with numerous medical complications. These have included increased risk of cardiovascular problems, diabetes mellitus, breast cancer, problems during pregnancy and delivery, and low back pain. Psychological complications of obesity have included emotional problems, body image disturbances, and discrimination practices. The literature has utilized numerous methods to measure body composition, particularly according to the underweight overweight continuum. However, these methods have not taken into consideration the importance of social judgement. A scale was needed to further define desirable/undesirable body composition in a way more traditional definitions have not attempted.

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 …

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.

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.

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.

Research on child sexual abuse has been largely retrospective and anecdotal in nature, focusing on broad self-report measures of adjustment rather than on more explicit measures of psychopathology. Although there is general agreement that there are harmful effects, there is a lack of consistent empirical evidence. More specific measures, control groups, and larger Ns are needed to gain a clearer understanding. The present study examined Rorschach responses of sexually abused female children as associated with abuse characteristics. Rorschach responses of the sexually abused group were also compared with responses of female clinic controls. None of the a priori hypotheses predicting differences between the groups were supported.

The effects of taking a third person role on self disclosure, self sympatheticness and several nonverbal parameters of task involvement were examined in a psychotherapy analogue study. Subjects were classified as high or low in ego strength using previously established norms for college students. In the third person role subjects were instructed to describe themselves from the perspective of an "intimate and sympathetic best friend." An encouragement to talk format was used to facilitate self description from the first person. Support was not found for the hypotheses that altering the perspective used in self description would increase self disclosure and that high ego strength subjects would be better able to use a perspective taking intervention. Theoretical and methodological issues are discussed. Recommendations for future research are made.

While many studies have investigated grandparenthood from the point of view of the grandparent, few have considered this issue from the perspective of the grandchild. In this respect, a number of variables (i.e., grandchild age and gender, parents' marital status, and grandparents' age, gender, education, kinship position, residential proximity to and frequency of visiting with grandchildren, perceived influence on the grandchild, style of grandparenting, and relationship with the parents) were investigated as determinants of the quality of the grandparent-grandchild relationship in a sample of 171 adolescents and young adults. It was found that different sets of variables operated for different grandparents to predict the quality of their relationships with grandchildren.