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 role of exposure to a human-made disaster and the subsequent development of post-traumatic stress reactions were examined. Subjects included 49 males and 30 females who were variously exposed to the Luby's shooting incident in Killeen, Texas in October of 1991. Post-traumatic stress symptomatology was measured by the SCL-90R. Exposure was operationalized by using a scenario-rating scheme with independent raters estimating each subject's level of exposure. A regression and commonality analysis revealed that exposure is an important predictor in post-traumatic symptomatology. Premorbid functioning and gender were also found to play important roles, with females expressing higher levels of symptomatology.

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.

Mental health professionals have observed that children who witness interparental violence frequently display either an affrontive, demanding personality style, or a passive, compliant style. The prevalence of these personality types and their relation to identification, stress, and other variables was evaluated in a sample of 40 children (age range = 6 - 12 years old) who have witnessed parental spouse abuse. Children completed the Children's Personality Questionnaire and the Parental Identification Questionnaire. Mothers completed the Life Experiences Survey. Independent ratings of the children's personality were made. The results validated the existence of these two personality styles among both male and female witnesses, and supplied evidence for their relation to paternal identification, familial instability, and parental ineffectualness. The implications of these findings for assessment and intervention are discussed.

The non-victimized siblings in incestuous families have often been ignored in research, literature, and treatment. This study explored these siblings' 1) relationship to the victim, 2) attribution of blame, and 3) adjustment. Participants were 30 non-victimized siblings of incest victims, between the ages of 8 and 14. They completed the Sibling Relationship Questionnaire, the Revised Children's Manifest Anxiety Scale, the Self-perception Profile for Children, the Children's Depression Inventory, and a questionnaire developed for this research. Participants' scores were compared with the normative sample scores on several measures. Siblings perceived little warmth and closeness in their relationships to their victimized sisters. Rivalry and conflict were within normal limits. Siblings blamed victims and other family members less than expected, with the greatest amount of blame attributed to perpetrators. Adjustment was impaired. Males demonstrated less athletic competence, less global self-worth, more worry and oversensitivity than normative samples. Females showed a tendency toward less global self-worth and heightened general anxiety. Siblings' overall level of emotional distress was higher than most of the normative samples.

Attitudes toward mental illness and the willingness to seek psychological treatment for their children among ethnic minority group parents were investigated. Participants consisted of black, Hispanic, Native American and Asian parents. All parents were given the Terrell and Terrell Cultural Mistrust Inventory, Cohen and Struening Opinions About Mental Illness Scale, Reid-Gundlach Social Services Satisfaction Scale, Fischer-Turner Attitudes Toward Seeking Professional Help Scale, and Ahluwalia Parents' Psychological Help-Seeking Inventory. A multiple regression model was used to explore the purpose of this study. Parental mistrust level, ethnicity, education, income level, and opinions about mental illness served as predictor variables. The criterion variables consisted of scores on the Social Services Satisfaction Scale and Attitudes Toward Seeking Professional Psychological Help Scale. The results indicated that the most significant predictor of psychological help-seeking was parental cultural mistrust level. Parents with higher cultural mistrust levels were less likely to seek help. Education was also predictive of black and Native American parents' help-seeking attitude and willingness to seek psychological help for their children. Black and Native Americans with lower levels of education were less willing to seek treatment for their children than members of those ethnic groups with higher levels of education. Ethnicity was also related to …

The central concern of this investigation was the determination of the relationships between Ss' perceived parent-child relations and their acceptance of the BSE model for social expectations. It was assumed that this model is a learned naive cognitive structure shared by the members of the society. It was predicted that certain parental behaviors critical to the socialization process would affect the acceptance or lack of acceptance of the BSE model. The measurement of perceived parent-child experiences was obtained through the use of the Roe-Siegelman Parent Child Relations Questionnaire (PCR). Baldwin's Social Expectations Scale was employed to obtain measures of the degree to which the BSE model could account for the variability of Ss' judgments of people-in-general in choice situations involving harming and helping behavior. Scores indicating the acceptance of the BSE model were then correlated with scores on each of the ten scales of the PCR. The results illuminated sex differences relating to the acceptance of the BSE model. For the females, warm, loving, and rewarding parent-child relations related positively to the acceptance of the BSE model. For the males, the effects of parental behavior were contingent on the individual parent. Fathers who were perceived as not overprotective or demanding …

Premature termination is a substantial problem with significant adverse effects for clients, therapists, and treatment organizations. Unfortunately, it is also a relatively common phenomenon within mental healthcare settings. Across varied mental healthcare settings, rates of premature termination have reportedly ranged from 19.7 % to 40 %. Perhaps not surprisingly, the rate of premature termination in training clinics is substantially higher than in community mental health settings and private practice, with 75 to 80 % of clients ending treatment services prematurely. The purpose of this study was to explore the combined effect of intake therapist continuity or discontinuity, and quality of the therapeutic relationship on premature termination. Intake therapist continuity, measures of working alliance, and termination outcome from 524 clients at the University of North Texas Psychology Clinic were utilized for adults receiving individual therapy services between August 2008 and August 2013. Results of the study suggest intake therapist continuity did not predict subjective termination status (X2(2, n = 524) = 1.61, p = 0.45), nor did it predict change in symptomology status (X2(3, n = 453) = 1.14, p = 0.77). Additionally, working alliance predicted subjective termination status (X2(6, n = 212) = 21.17, p < 0.01), but not change …

The present study examined the relationships among similarity, interpersonal perception and communicative behaviors in marriage. It was hypothesized that greater understanding, feelings of being understood, and realization of understanding would be associated with greater self-disclosure, use of more direct person control strategies, and use of less attention control strategies. It was further hypothesized that measuring feelings of being understood and realization of understanding, in addition to measuring understanding, would improve prediction of behavior. Finally, it was hypothesized that the contextual measure of understanding would better predict self-disclosure and interpersonal control than would global measures of understanding.

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.

This study attempted to ascertain the differences between mortuary and college students in terms of unconscious affective concern with death and the conscious fear of death.

Although researchers have studied perceptions regarding sexually abused children, little was known about how other types of abusive events were perceived. This study examined 480 college students' abuse history and perceptions of child, spousal, and elder abuse by varying the respondent, victim, and perpetrator genders. Physical abuse, psychological abuse, and neglect were investigated. Perceptions of abusiveness, seriousness, harm, and responsibility were examined, along with the extent of identification with the victims/perpetrators. Participants viewed spousal abuse as less serious and harmful than other abuse types, especially when perpetrated against a male or by a female. Although able to recognize psychological abuse, students did not fully understand what other abuse types entailed. Individuals also showed a considerable amount of blame toward victims. Results further demonstrated important findings about how ethnic identity/orientation, religious affiliation, and history of abuse related to perceptions of abusive events.

The problem with which this investigation is concerned is whether relationships may exist between personality and type of offense in a felon population. The Eysenck Personality Inventory, which measures extraversion-introversion (E), neuroticism-stability (N), and includes a lie scale (L), was used to determine subject's personality traits. Offenses were divided into crimes against persons, crimes against property, and crimes against the morals of the state. Subjects consisted of 751 adult male felons. The product-moment correlation was computed for each offense-variable EPI pair. A negative association between E and crimes against persons, together with a positive association between L and crimes against persons, were found to be statistically significant at the 0.05 level, although quite low. It was concluded that results obtained should be guardedly interpreted in view of the minimal amount of variability accounted for, though of possible value in suggesting future research.

The relationship between maturation rate, body image, depression and eating disorder tendencies was explored in a group of 251 college-age females in order to better understand the developmental progression of body image and related variables. Two aspects of body image were measured, namely, level of body satisfaction and amount of body distortion. Body dissatisfaction was found to be associated with early maturation, depression, and eating disorder tendencies. Body distortion was not found to be associated with any of the primary variables. The significant relationship which was found between maturation rate and level of body satisfaction in young adult females suggests that pubertal timing may have lasting effects on the body satisfaction of women. Body satisfaction and depression were found to contribute significantly to the variance in eating disorder tendency.

The incidence of bulimia has been increasingly documented in recent years. Treatments have focused on one behavior in the Binge-Purge chain or have combined several treatment components. This study was designed to assess the effect of teaching bulimics alternative responses for dealing with stressful events.

The purpose of this manuscript was to present a brief history, the current status, and a prospectus of allergen and allergic reactions. Research on allergic reactions, particularly as viewed from the psychogenic position, was presented. The review strongly suggests that the psychogenic orientation has been frought with contradictions, unnecessarily complex interpretations, and an over-abundance of subjective, dynamic, and analytic redundancies which have done little more than perpetuate the stagnation of a rather important subdomain of the "mental" health professions.

This study considered the relationship between psychopathology and love. Agape love was defined as spontaneous and selfless love. The hypothesis tested was that people demonstrating psychopathology would make fewer positive responses to statements reflecting love than people free of psychopathology. The MMPI was utilized to measure the presence of psychopathology. The Atkinson A Scale (developed for this study) measured agape responses. Both these instruments were administered to 102 subjects in three groups: hospital patients, seminary students, and psychology students. Mean agape scores were subjected to a one-way analysis of variance, Significant difference among the group means was detected at the p <.05 level. A Scheffe test showed hospital patients' agape scores significantly lower than scores of seminary and psychology students. The initial hypothesis was confirmed,

This investigation examines how knowledge of a researcher's intent, as well as gender, influences the clinical judgments of mental health professionals in sex role research. Conscious awareness of the study's aim was manipulated by varying experimental instructions to minimize (not salient) or maximize (salient) sex role awareness. Subjects were mental health professionals who rated a protocol of a female or male pseudopatient exhibiting masculine, and lacking feminine, stereotyped behaviors. It was hypothesized that if sex biases affect judgments, more negative ratings should be assigned to a female with cross sex role behavior than to male-appropriate role behavior. Differences should be greater when subjects were unaware of the nature of the study.

The purpose of the current study was to examine neuropsychological functioning in patients with bipolar disorder (BD) with psychotic features. Data from a large, epidemiological study of patients with first-episode psychosis was used to examine verbal learning and working memory 10 years after onset of psychosis in patients with BD relative to patients with schizophrenia (SZ) and patients with psychotic major depressive disorder (MDD). Cross-sectional comparisons of verbal learning and working memory at the 10-year follow-up mirrored findings of relative performance at the 2-year follow-up (Mojtabai, 2000), as patients with SZ performed significantly worse than patients with psychotic affective disorders. When FEP patients' cognitive performance was examined longitudinally, all groups showed non-significant decline over time, with no significant diagnostic group differences after accounting for current symptoms. More frequent hospitalizations and longer treatment with antipsychotics were associated with poorer performance on cognitive testing 10 years after illness onset, but these associations disappeared when controlling baseline cognitive performance. Within the BD sample, current positive and negative psychotic symptoms were associated with poorer performance on cognitive testing. After controlling for baseline cognitive performance, markers of clinical course were unrelated to cognitive performance, consistent with existing literature on longitudinal cognitive functioning in patients with …

Thirty outpatients being treated at Wilford Hall USAF Medical Center Department of Behavioral Health Psychology were randomly assigned to either a relaxation/imagery training class (R/I), a short-term psychotherapy group (P/G) or a no treatment control group. Subjects had psychological, physiological and immunological data taken before and after treatment. Results indicated that support for the hypothesis that relaxation/imagery training improves the psychological, physiological, and immunological functioning of participants was found.

The purpose of the present study was to determine the degree of relationship between neurotoxic chemicals in the blood of chemically sensitive patients and psychoneurological functioning. Blood samples were drawn from 30 patients being treated for environmental illness. All patients were administered a standardized intermediate psychoneurological examination. Results indicate a significant positive relationship between psychoneurological (cognitive neurobehavioral) functioning and the number of and total parts per billion of certain environmental toxins (solvents) in the blood of the subjects. The symptoms most commonly exhibited included deficits in short-term memory, problems with coordination and motor sequencing, somatosensory deficits, and cognitive dysfunction.

Recent research into sex roles has been heavily influenced by androgyny theory, and by the development of the Bern Sex-Role Inventory (BSRI; Bern, 1974). Psychological androgyny is the combination, in one individual, of both culturally defined masculine and feminine personality traits. The Sex-Rep, a new instrument for assessing sex role which is aimed at rectifying certain problems associated with the BSRI, was then described. The Sex-Rep, the BSRI (Bern, 19 34), the Texas Social Behavior Inventory (TSBI; Spence & Stapp, 1974), the Beck Depression Inventory (BDI, Beck, 1967), and a self-concept thermometer, were given to 100 male and 108 female undergraduates. Results indicated that the BSRI and the Sex-Rep are both valid sex-role instruments, insofar as they both discriminate between males and females. They tend to measure nonredundant components of sex role as indicated by a lack of overlap between their sex-role classifications. The present study did not find any support for the balance model of androgyny which suggests that high masculinity and high femininity interact by balancing each other to produce a healthier, more behaviorally flexible individual. BSRI masculinity (M) was strongly related to adjustment in both sexes, but BSRI femininity (F) had little impact. This relationship between BSRI …

The relation between dissociative symptoms and posttraumatic stress disorder (PTSD) was investigated in women who had experienced trauma or sexual assault. Subjects were administered the Dissociative Experiences Scale (DES), the Sexual Experiences Scale (SES), and the PTSD Interview (PTSD-I). Subjects were grouped according to their scores on the SES and the PTSD-I. Analysis of variance revealed a relation between DES scores and PTSD symptom severity scores. Correlational analyses showed a relation between dissociative symptoms and PTSD symptom severity but not recency of trauma. Three factors from a previously published factor analysis of the DES were found to contribute to the DES scores of PTSD subjects.

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 …