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  Partner: UNT Libraries
 Decade: 1990-1999
 Degree Discipline: Clinical Psychology
 Collection: UNT Theses and Dissertations
Affective Reactions and Psychosocial Functioning in the Course of Psycho-Educational Assessment
Every day, children throughout the United States are given psychological evaluations for many different clinical and psycho-educational purposes. Very little research has attempted to investigate children's responses to the experience of having intellectual and achievement tests administered. The goal of the current research was to explore the effect a psycho-educational evaluation has on children in areas of self-concept and anxiety. Dependent variables consisted of pre- and post-test measures of anxiety and self-concept. A total of 75 children in the 4th 5th and 6th grades were recruited after referral for evaluation and possible placement in the Talented and Gifted Program or Special Education. This study employed Analysis of Variance (ANOVA), t-tests, multiple regression analysis, and correlational analysis. Findings included initial evidence that children endorsed decreased anxiety after psycho-educational assessments rather than increased anxiety, suggesting that fear of unknown situations may be more anxiety provoking than the actual situation itself, potentially beneficial findings for psychology and psychometric professionals who evaluate children daily. Students endorsement of academic self-concept significantly predicted anxiety after a psycho-educational evaluation, indicating that students who feel capable in academic areas may endorse less anxiety after an evaluation than students who do not feel academically capable. Finally, negative verbal interaction with parents significantly predicted lower general self-concept scores, providing evidence that the manner in which parents verbally relate to their children may have significant impact for the mental health of children.
An Analysis of the Performance of a Clinical Sample of African American, Caucasian, and Hispanic Children on the WISC-III
The goals of revision for the Wechsler Intelligence Scale for Children-Third Edition included enhancement of the factor structure, improvement of subtests, and revision of norms. The researchers reported that the very few items that were found to be biased were replaced. The WISC-III performance of a clinical sample of African American, Caucasian, and Hispanic children was analyzed to determine if the test bias was eliminated as claimed in the goals of the revision.
The Assessment of Cognitive Functioning among Patients with Unilateral Visual Neglect: Effects of Field of Presentation and Cueing
Prior evidence has shown a reduction of neglect on line bisection tasks as a function of altered hemispace presentation and left cueing. The present study was conducted to examine the effect of these factors in reducing symptoms of neglect on measures of general cognitive functioning. To examine proposed changes, revised versions of the Raven's Coloured Progressive Matrices and the Memory-for-Designs (MFD) Test were constructed by placing the target stimuli in the right hemifield. Two experimental presentations, a right hemispace condition and a right hemispace plus left cue prompt condition, were compared to the standard presentation format. The primary hypotheses predicted that RBD neglect patients would reveal enhanced performance on the criterion measures as a result of these manipulations. Significant correlations were predicted between the neglect measures and between the two scoring systems for the MFD. The sample was comprised of 54 hospitalized patients, assigned to either a RBD neglect group (N = 18), a RBD nonneglect group (N = 18) , or an orthopedic control group (N = 18) . Both RBD groups were administered the Mini Inventory of Right Brain Injury, to document the presence and severity of right brain injury. Presence of neglect was assessed via the Schenkenberg Line Bisection Task and the Bells Test for Visual Neglect. Subjects were examined under all three conditions by administering one third of the items for each condition. Neglect subjects demonstrated significantly poorer performance on both criterion measures than the two comparison groups. However, no significant improvement in performance was revealed with right hemispace presentation of stimuli or left cue prompts combined with the right hemispace version. Ancillary predictions concerning correlations for the neglect measures and MFD scoring systems were confirmed. Results are interpreted in terms of increased attentional demands and task complexity. These results suggest that, despite the frequent clinical use of these manipulations in the cognitive assessment of this population, support for the efficacy of these procedures is lacking.
Attention and Information Processing Variables in Hypothetically Psychosis-Prone College Students
Considering the explanations of schizophrenia that presume schizophrenia spectrum disorders (e.g., schizotypal personality disorder, schizoaffective disorder, etc.) to be genetically related to schizophrenia, the purpose of this study was to investigate the attention and information processing abilities of individuals who have been identified as schizotypal or psychosis-prone (i.e., schizophrenia spectrum functioning in individuals who do not have schizophrenia). Research indicates that persons identified as psychosis-prone may show attention and information processing deficits similar to individuals with schizophrenia. The identification and description of individuals who later decompensate into schizophrenia would advance the understanding of schizophrenia and its causes. The Chapman's PER-MAG scale (Perceptual Aberration-Magical Ideation) was used to identify 35 hypothetically psychosis-prone college students (schizotypy group) and 42 normal college students (nonschizotypy group) out of the 806 volunteer subjects. Their attention and information processing abilities were measured by COGLAB (a multiparadigmatic cognitive test battery that represents a continuum of cognitive functions, from preattentional to attentional, to conceptual). Their social adjustment was measured by the Premorbid Adjustment Scale (PAS). The hypotheses of the study were that the hypothetically psychosis-prone subjects would perform poorer than controls on COGLAB measures and that COGLAB measures of a more molar nature would better predict social adjustment than would the more molecular tasks. The results of the study did not support the hypotheses as there were no significant differences between the schizotypy group and the nonschizotypy group and the measures of a more molar nature did not better predict social adjustment. Further research might consider increasing the sample size, applying more stringent cut-off criteria for the schizotypy group, and verifying the validity of using PER-MAG, COGLAB, and PAS with this population. Further research also needs to clarify the ways in which those identified as psychosis-prone process information like (or unlike) nonschizotypes and how their current social functioning might be related to their deficiencies.
Bias in the Diagnosis and Treatment of Gay Males
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.
Child Physical Abuse: An Analysis of Social Cognition and Object Relations
This study compared the social cognition and object relations of 39 physically abused children to a clinical group of 39 children with no recorded history of abuse.
Chronically Ill Children: Maternal Stress and Psychological Symptomatology
This study used a parenting stress and coping model to identify predictors of symptomatology for 13 8 mothers of medically compromised children. This model proposed that: child characteristics (severity of the chronic illness and child related parenting stressors); parent characteristics (self-esteem, sense of competence, and parents' perceived stress/distress); and environmental characteristics (social support, general life stressor events, and demographic variables) contribute to psychological symptomatology for these mothers. Multiple regression analysis found a relationship between general life stressor events, severity of the children's chronic conditions, lower satisfaction with social support, lower self-esteem, and younger mothers' ages and greater symptomatology. Trends toward significance were found for more parenting stress and lower parenting sense of competence predicting greater symptomatology. Predicted relationships between family socioeconomic status and parenting daily hassles and symptomatology were not supported.
The Cognitive and Emotional Correlates of Neglect in School Age Children
The purpose of this study was to examine the cognitive and emotional functioning of neglected, physically abused, and clinical control children between six and thirteen years of age who were referred for testing at the Dallas Child Guidance Clinic.
Cognitive Processing Bias in Sexually Aggressive College Men
The study of cognitive factors in sexual aggression has, for the most part, been limited to beliefs and attitudes. The present study sought to detect a rape-supportive schema of sexual relationships that organizes and guides information processing in several cognitive domains: cognitions arising in the context of a simulated sexual situation, memory, person perception, and social reasoning.
Comparing Quality of Life: American and Portuguese Cancer Patients with Hematological Malignancies
The purpose of this study is to investigate the differences and similarities of quality of life (QoL) in American and Portuguese cancer patients with hematological malignancies as well as the robustness of the measures cross-culturally. Portuguese participants were 98 patients and 49 accompanying persons and the American participants were 55 patients and 22 accompanying persons. Fifty (Portuguese sample) to 40% (American sample) of the patients came with an accompanying person who answered the questionnaire concerning the patient's QoL. The two cultural groups were characterized in terms of QoL (measured by the SF-36 and the FLIC), social support (Social Support Scale), socio-demographic and clinical variables. Portuguese patients reported a higher QoL. However, this result could be attributable to the fact that the two cultural samples differ in socio-economic status. The measures seem to be comparable for the Portuguese and American samples, at least in what concerns reliability and concurrent validity.
Comparing Stress Buffering and Main Effects Models of Social Support for Married and Widowed Older Women
Social support has been shown to lessen the negative effects of life stress on psychological and physical health. The stress buffering model and the main effects model of social support were compared using two samples of women over the age of 50 who were either married or recently widowed. These two groups represent low and high uncontrollable major life stress respectively. Other life stress events were also taken into account. Measures assessed current level of life stress, perceived social support, satisfaction with social support, and psychological symptomatology. Results using overall psychological health as the dependent variable support the main effects model.
Comparing the Personal Lives of Psychotherapists and Research Psychologists
Although the personal life of the therapist has been a topic of interest for nearly sixty years there is still a paucity of research in this area. There is also a lack of research into the personal lives of researcher psychologists. In this study 282 psychologists (151 researchers and 131 therapists) who attended regional meetings and seminars sponsored by professional psychological associations in Texas were sampled. Job stressors, personal problems and health concerns, relaxation techniques, life satisfaction, and work impact on personal life were some of the areas examined. The most important stressors associated with research were excessive teaching responsibilities, pressures associated with funding and lack of time for a personal life. For therapists the most important stressors associated with work were suicide attempts by clients, clients showing resistance, and clients being angry. Therapists reported more concerns related to anxiety, depression, and family problems than researchers. Both groups chose exercise/sports and movies/television as their most common methods for relaxation. Therapists were three times more likely to have been in therapy than researchers and once in therapy reported six times the number of hours. Researchers reported less childhood abuse than therapists. However, therapists were more satisfied with their current life, indicating having good friends and liking where they lived more than researchers. Therapists were also more likely to feel that their work had impacted their lives and that these benefits were mostly positive. The array of positive benefits ranged from being a better person to enjoying life more. Overall, results showed that, although therapists generally began life in less happy circumstances, and experienced greater personal problems and health concerns currently, they reported feeling more satisfied with their lives than researchers.
Correlates and Predictors of Medication Noncompliance in Patients with Schizophrenia
The treatment of schizophrenia today consists of a multi-component system of services. Mental health professionals generally agree that anti-psychotic medications are an essential treatment for schizophrenia. However, adherence to medication regimens by patients with schizophrenia is notoriously poor. To identify correlates and predictors of medication compliance, the Schedule for Affective Disorders and Schizophrenia (SADS), a semi-structured diagnostic interview, was administered to 90 outpatients with schizophrenia. The results suggest that there are specific variables (i.e., mood symptoms, psychotic symptoms, and socio-demographic variables) that predict medication compliance. In addition, the confirmation of these variables was effective (90.0%) at identifying non-compliant patients. The results suggest that schizophrenia is a complex disorder composed of heterogeneous symptoms. However, a specific group of symptoms is proposed which may provide a screening measure for predicting patients who are likely to be non-compliant with their medications.
Criterion Validity of the MMPI-2 in a State Hospital Setting
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.
A Criterion Validity Study of the MMPI-2 and PAI Spanish Versions with DIS Diagnosis: Implications for Clinical Practice
New Spanish versions of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and the Personality Assessment Inventory (PAI) were assessed with the Spanish translation of the Diagnostic Interview Schedule (DIS) as the gold standard. Findings from categorical and dimensional analyses suggest that, although the degree of diagnostic concordance of both measures with the DIS was found to be moderately high, the MMPI-2 clinical scales yielded greater specificity but lower sensitivity than the PAI scales on two of four diagnostic categories (i.e., Major Depression, and Schizophrenia). Both measures failed to correctly diagnose Anxiety Disorders, while the MMPI-2 also showed poor diagnostic accuracy with Alcohol Dependence.
A Cross-Sectional Study of Custodial Grandparenting: Stresses, Coping Skills, and Relationships with Grandchildren
This cross-sectional study compared three groups of grandparents, two custodial and one noncustodial, to identify and delineate the unique challenges and expectations faced by custodial grandparents due to their nontraditional roles while attempting to disentangle grandparental role demands from child-specific problems as sources of distress. Those grandparents raising grandchildren demonstrating neurological, physical, emotional, or behavioral problems exhibited the most distress, the most disruption of roles, and the most deteriorated grandparent-grandchild relationships. Although the custodial grandparents raising apparently normal grandchildren demonstrated less distress, less disruption of roles, and less deterioration of the grandparent-grandchild relationship than those grandparents raising grandchildren displaying problems, they still demonstrated higher levels than did traditional grandparents. Those grandparents who reported fewer resources, demonstrated poor attitudes regarding seeking mental health services, and reported raising grandchildren displaying problems had the lowest levels of adjustment.
Depression and Heart Rate Variability in Patients with Coronary Artery Disease
Depression is an independent risk factor for morbidity and mortality in patients with coronary artery disease (CAD). Altered autonomic nervous system (ANS) activity, a common feature of depression, is also a risk factor for cardiac events in patients with CAD. Heart rate variability (HRV) reflects ANS activity, and reduced HRV predicts morbidity in cardiac populations. The purpose of this study was to determine whether differences in HRV exist between depressed and nondepressed patients with CAD. Twenty-one depressed inpatients, with angiographically documented CAD were retrospectively matched to 21 nondepressed CAD patients by sex, age, and smoking status. Demographic, medical, psychological interview data, and 24-hour ECG recordings were obtained. Depressed subjects had significantly lower HRV, or trends toward lower HRV, than nondepressed subjects, even after controlling for severity of CAD. Subject groups did not differ on left ventricular ejection fraction, history of myocardial infarction, or any other relevant medical variable assessed. These results suggest that depression is associated with decreased HRV in patients with CAD, and may help to explain the increased rates of cardiac events observed in CAD patients with depression.
Detection of Malingering on Raven's Standard Progressive Matrices and the Booklet Category Test
The capacity of Raven's Standard Progressive Matrices (SPM) and the Booklet Category Test (BCT) to discriminate between groups of brain-injured, simulated malingering, and normal participants was investigated in this study. Exploratory analyses were also conducted to examine the differences between groups categorized as sophisticated and naive fakers. Clinical decision rules and discriminant function analyses were utilized to identify malingerers. Clinical decision rules ranged in hit rates from 41% to 78%, in sensitivity from 2% to 100%, and in specificity from 86% to 100%. Discriminant functions ranged in hit rates from 81% to 86%, in sensitivity from 68% to 73% and in specificity from 82% to 87%. Overall, the least helpful detection method examined was below chance responding on either measure, while the most efficient was gross errors for SPM.
Differences between Acknowledged and Unacknowledged Rape: Occurrence of PTSD
This study examined the relation between level of rape acknowledgement and levels of PTSD symptoms reported in female college students. Subjects were administered the Sexual Experiences Survey (SES), the PTSD Interview, and a demographics questionnaire. Subjects were then grouped into the following categories based on their responses to the SES: reported rape victims, acknowledged rape victims, unacknowledged rape victims, and a control group of non-rape subjects. Small sample analyses did not reveal the expected linear relation between the two variables. Only the acknowledged group showed greater PTSD symptoms. The unacknowledged and control groups did not significantly differ on overall PTSD symptom severity, or on any cluster of PTSD symptoms. Naturalistic selection factors are discussed that could have affected the outcome of the study.
Disclosure and its Perceived Impact as Mediators of the Long-Term Consequences of Child Sexual Abuse
The primary purpose of the present study was to investigate factors associated with childhood sexual abuse which mediate long-term effects. Of particular interest were the mediators of disclosure and its perceived impact, as well as variables related to the severity of the abuse. Also of interest were impact areas related to a history of molestation which have received little attention in the literature. Five hundred and seventy-five female undergraduates completed an extensive questionnaire with measures of family background, childhood and adult sexual experiences, health status, and psychological variables. Of these subjects, 286 reported at least one incident of child sexual abuse. It was hypothesized that those females with histories of sexual abuse who received a positive response to their disclosure of abuse would demonstrate more adaptive adult functioning as compared to those victims receiving a negative response, or those who never disclosed. Significant differences were not detected among the three groups on the outcome measures. A number of reasons were explored for why these differences may not have been detected in the present investigation. Although differences were not detected for disclosure status, significant differences were detected between females reporting a history of child sexual abuse and those reporting no abuse on all of the outcome measures. Specifically, sexual abuse victims were more likely than nonvictims to be sexually revictimized in adulthood. Potential explanations for this finding were explored in a discriminant function analysis predicting revictimization status. Further, abused females had significantly higher levels of depression, dissociation, and perceptual disturbances when compared to their nonabused peers. Sexual abuse victims also reported more health symptoms across various bodily systems and had more negative attributions about their physical health status. Differences between the abused and nonabused groups on levels of perceptual disturbance and perceived physical health status are particularly noteworthy since previous research has detected these symptoms only through clinical samples.
The Effect of Ambiguity on Peak Weightlifting Performance : A Study of Experienced Weightlifters
Recent studies in the area of sport and exercise science have suggested that weightlifting performance may be significantly improved under ambiguous conditions—namely, when the amount to be lifted is unknown. In the present study, procedural concerns from previous studies examining the effect of ambiguity were noted and a methodological variation was introduced.
Effectiveness of the Neurobehavioral Cognitive Status Examination in Assessing Alzheimer's Disease
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 MMSE = .33) of the explained variance was accounted for by either test. Severity of cognitive impairment on the NCSE was found to be significant, though small in estimate of its effect size, for predicting the absence/presence of pathognomic findings on SPECT scans. In contrast, the report of behavior problems on the MBPC did not significantly predict SPECT scan outcomes. The NCSE would appear to be a sensitive tool for the identification of the extent and severity of cognitive impairment found among demented individuals; however, it may be "over"-sensitive to such diagnosis. Although relationships between cognitive impairment and behavior problems and/or neuroradiological findings are observed, their meaningfulness remains with the need for further, more detailed, study using standardized criteria for comparison purposes.
The Effects of an Experimentally-Induced Bodily Focus Experience on a Psychotherapist during a Psychotherapy Session
The purpose of this study is to contribute to the current process research by investigating a psychotherapist's experience during psychotherapy. Massage therapy and relaxation therapy were used to manipulate psychotherapist's bodily focus, physiology, and affective state. Topics discussed include: the bodily focus of the therapist, neurobiological models of experience, mind-body boundary issues, and a present-time focus. Doctoral level Counseling and Clinical graduate students were used as participants.
The Effects of Different Confidentiality Conditions on Adolescent Minor Patients' Self-Report of Behavioral and Emotional Problems
The primary purpose of the present study was to determine if information regarding potential parental or legal guardian access to mental health information would deleteriously impact male and female adolescent psychiatric patients' willingness to self-report personal problems and symptoms.
Effects of Meal Size and Type, and Level of Physical Activity on Perceived Masculinity, Femininity, Likability and Attractiveness
Previous research indicates that women are judged on the amount of food eaten and that both men and women are judged on the type of food eaten. This study is an attempt to determine whether meal size or type predominantly accounts for these findings on the variables of masculinity, femininity, attractiveness, thinness, fitness, and likability. Physical activity was also included to determine its effect on these variable. Subjects used were 313 undergraduate students. Results indicate that meal type is more influential than meal size and that physical activity significantly influences judgements of others. The results are discussed in terms of future research and relatedness to socio-cultural theories of eating disorders.
The Effects of Mirror Confrontation on Body Image Ratings
There are conflicting data in the literature regarding the effects of mirror exposure on subjective body-image evaluation. Much of the objective self-awareness research by Duval and Wicklund concluded that the presence of a mirror leads people to evaluate themselves negatively, while other studies have reported contrary findings. The primary purpose of this study was to determine the effects of mirror confrontation on individuals' body image ratings. Subjects were 88 childless, female university students. Using the Eating Disorders Inventory-Body Dissatisfaction subscale (BDS) as a screener, subjects were assigned to either a High Satisfaction group or a Low Satisfaction group. The subjects then completed the Multidimensional Body-Self Relations Questionnaire (MBSRQ) in either a Mirror or No Mirror condition. Results suggest that the presence of the mirror had no measurable effect on the subjects' ratings of themselves on the MBSRQ. There was a main effect for satisfaction level, and no interaction was found between the satisfaction level and the mirror condition. Possible explanations for these findings are offered.
The Effects of Reduced Challenge at the Conclusion of Cognitive and Exercise Tasks
Research has suggested that memories for difficult or painful experiences seem related to a combination of the worst and most recent moments. This peak-end theory was tested in relation to an exercise task (eccentric quadriceps using a BIODEX machine) as well as a cognitive task (standardized quantitative test questions). For each type of task there were two trials: short and happy endings. The happy endings trial included the same task as the short trial with an additional 25% duration at a lesser intensity (80% of short task intensity). A 2 (task type) by 2 (trial type) repeated measures design was used. Participants made global ratings of difficulty immediately after each component, thus generating four ratings, and later indicated their preferences for hypothetical future trials. Results indicated support for the theory that the shorter trials are evaluated as more difficult, with the cognitive task being evaluated as more difficult overall than the exercise task. Preference scores, however, revealed a preference only for the happy endings cognitive task, with no preference indicated on the exercise task. Results confirm previous research in suggesting differences between judgements of tasks and future choices. However, confounds complicated interpretations, especially for the cognitive task. The most conservative interpretation of data suggests that in circumstances where "more is better," happy endings will result in more work with no higher level of discomfort. Implications for future research and applications of the theory are discussed.
Ego Mechanisms of Defense among Child Victims of Sexual Abuse: a TAT Analysis
Using the Defense Mechanism Manual (Cramer, 1991), Thematic Apperception Test (TAT) stories of 29 sexually abused female subjects and 28 non-abused female clinical control subjects were rated for the frequency of use of denial, projection, and identification.
Elaboration and Content Analysis of Conceptual Structure in Posttraumatic Stress Disorder
Three recent studies attempted to substantiate Sewell and Cromwell's (1990) theory of Posttraumatic Stress Disorder (PTSD; American Psychiatric Association, 1994) based on personal construct theory (Kelly, 1955). One crucial aspect of the model that was tested in each of the studies is "elaboration," which is the process of bringing more of a person's repertoire of understanding (constructions) to a certain experience to give it meaning. Elaboration is representative of whether or not the individual is using an integrated set of constructs to deal with a traumatic event. A two-part study (1) reanalyzed existing data to assist in understanding discrepancies in past findings, and (2) content analyzed constructs given by subjects in all three studies. Findings concerning elaboration remained somewhat discrepant but suggested possible differences when investigating the emergent versus submerged poles of constructs.
Explanatory Style and College Performance in Students with Physical Disabilities
Seventy students (38 with physical disabilities and 32 without physical disabilities) were matched on age (a criterion of ± 4 years was used) and sex. Members of both groups, Persons With Physical Disabilities (PWPD) and those Persons Not Physically Disabled (PNPD), were asked to complete the University Services Inventory, Academic Goals Questionnaire, Academic Attributional Style Questionnaire (AASQ), and Beck Depression Inventory (BDI) to determine how these variables were related to explanatory style (ES, as determined by AASQ scores). ES has its origins in the reformulated learned helplessness model (Abramson, Seligman, & Teasdale, 1978). According to this model, individuals who made attributions that were internal-stable-global (pessimistic ES) were more likely to experience mood and behavior deficits in the wake of bad events. The present study examined college achievement (GPA), utilization of university services, goal specificity, goal efficacy, and responses to academic setbacks, as these variables were related to ES. Additionally, ES scores were examined with regards to differences in gender and disability status (both between different disability groups and between individuals with and without physical disabilities).
Identification of Dissociative Experiences in Children and Adolescents
This study attempts to quantify the dissociative experiences reported by children and adolescents, and to determine whether the variance in degree of dissociation in children has useful diagnostic and treatment implications.
Imagery, Psychotherapy, and Directed Relaxation: Physiological Correlates
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.
Individual Differences in Stress-Reactivity and the Influence of Self-Complexity on Coping Behaviour
The influence of self-complexity on coping behaviour and emotional adjustment is explored. The Role Construct Repertory Grid (REPGrid) Community of Selves procedure is used to assess self-complexity. Following a structured interview format, subjects completed a battery of measures including the REPGrid, Self-Rating Depression Scale, Hassles Scale, Major Stress Scale, and Coping Index. Results indicate that complex individuals utilize a wider variety of coping behaviours than less complex individuals, although the perceived severity of stressful events was. no different between groups. Micro-analyses at the individual self level revealed mixed or null results. Finally, more dysphoric individuals reported using more negative coping behaviours (drinking, smoking) than individuals not experiencing dysphoric mood. Findings are discussed a) in terms of the utility of the REPgrid in the assessment and understanding of self-complexity and its' relationship to mental health processes, b) in accordance with a person-event transactional model of health and illness, and c) in terms of the relevance to those psychotherapies that emphasize and encourage people to develop distinctions among their self-aspects, as well as new ways of construing the world, and new behavioural options, e.g. Fixed Role Therapy.
Information Processing in Schizophrenia and Bipolar Disorder: A Discriminant Analysis Study
A study was conducted in which a computerized battery of information processing tasks (called the COGLAB) was administered to three subject groups: patients with schizophrenia, patients with bipolar disorder, and normal controls. The tasks included Mueller-Lyer illusion, reaction time, size estimation, Wisconsin Card Sort, backward masking. and Asarnow Continuous Performance.
Interpersonal Perception and Communication within Marital Dyads
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.
Life Stress, Coping, and Social Support in Adolescents: Cultural and Ethnic Differences
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.
A Longitudinal Investigation of Different Exercise Modalities on Social Physique Anxiety
The current study examined if students' levels of social physique anxiety vary depending on the type of exercise setting they select. The study determined the degree to which social physique anxiety changed over the course of semester-long involvements in different exercise settings.
Maternal Stress and Cystic Fibrosis
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)
Mistrust, Type of Problem, Counselor Ethnicity, Counselor Preference, and Expectations toward Counseling among Black Students
The purpose of this study was to explore relationships between and among the degree of mistrust black students hold towards Whites, the students' preferences for race of counselor, and the discussion of problems that are sexual in nature. Participants consisted of 60 black females and 51 black males recruited from a university population. All subjects completed the Terrell and Terrell Cultural Mistrust Inventory, Fischer-Turner Attitudes Toward Seeking Professional Psychological Help Scale, Corrigan and Schmidt Counselor Rating Form - Short Form, Tinsley Expectations About Counseling Inventory, and the Thermometer Method Form developed specifically for this project. A multiple regression model was used to explore the hypotheses of this study. The criterion variables consisted of scores on the Expectations About Counseling Form and Counselor Rating Form. Analyses revealed that the most significant predictors of counseling expectations were race of counselor and participant gender. Black students who were asked to assume \ they would see a black counselor had more favorable expectations about counseling than those black students asked to assume they would see a white counselor. Female participants had more favorable expectations about counseling than male participants. Results also indicated that the most significant predictors of counselor ratings were race of counselor and subject mistrust level. Those students asked to assume they would see a black counselor rated the potential counselor more favorably than those students who were asked to assume they would see a white counselor. Black students who scored higher on cultural mistrust rated potential white counselors less favorably than black students who scored lower on cultural mistrust.
Multidimensional Assessment of Pain Related Disability
A factor analysis was performed on eleven variables derived from scores on the McGill Pain Questionnaire, Oswestry Activity Rating Scale, graphic rating scales designed to assess the average pain intensity, frequency of leg pain, back pain, numbness and tingling in legs, and weakness in legs, as well as bothersomeness of back pain, leg pain, numbness and tingling in legs and weakness of legs. A composite Pain Index was created on the basis of three factors: leg pain, back pain, and overall pain complaints. Extraclassificatory variables, such as negative affect including depression and anxiety, cognitions regarding health status and expectation of recovery, bodily awareness/somatization and demographic variables such as smoking or non-smoking, compensation status, litigation status, use of narcotic and non-narcotic medication, use of alcohol, and time off of work were analyzed in combination and independently in relationship to the Pain Index.
Neuropsychological Deficits Associated with Silicone Gel Breast Implants
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.
Object Representations of Sexually and Multiply Abused Females: A TAT Analysis
Object representations of sexually abused girls were compared to those of a clinical control group with no history of maltreatment. In addition, girls subjected to sexual abuse by itself were compared with girls who were sexually abused in conjunction with physical abuse and/or neglect (i.e., multiply abused). TAT stories were analyzed using the Object Relations and Social Cognition Scale which assesses four dimensions of object relations. It was hypothesized that sexually abused children would manifest more general and highly pathognomic impairment than controls along four dimensions of object relations. It was also hypothesized that multiple abuse would be associated with more general and highly pathognomic impairment in object relations than sexual abuse by itself.
Personality Correlates of Anorexia Nervosa in a Nonclinical Sample
The purpose of this study was to examine the relationship between anorexia nervosa and several personality traits. Past research in this area has been contradictory for several reasons. Sociocultural theories have described the media's role in promoting eating disorders by portraying a thin body-type as the ideal. However, they have neglected to describe the personality ideal which our society promotes in women. It is proposed here that anorexics incorporate and oppose this ideal. Therefore, the anorexic personality is one filled with conflict.
Precocious Ego Development in Physically Abused Children
The Rorschach records and Wechsler Intelligence Scale scores of sixty-six children between the ages of 5 and 13 were compared. Subjects in each group were from one of three conditions: children who have documented histories of physical abuse, children referred for clinical intervention with no history of abuse, and a community sample of children with no documented history of abuse or psychological treatment. Data from the groups were analyzed to examine evidence of increased reliance on ego functions related to motor activity and concurrent deficits in other areas of ego function by subjects in the physical abuse group. Results revealed that the physical abuse group showed a greater tendency toward color-dominant responses on the Rorschach than the comparison groups and that the Community control group produced records with lower extended form quality than the clinical groups. No significant differences were found for Performance/Verbal IQ split, EB style, Cooperative Movement or Aggressive content.
The Prediction of Adjustment in Institutionalized Juvenile Offenders
Predictors of institutional adjustment for juvenile offenders were examined using a sample of 120 males in a detention facility. While demographic information failed to differentiate between well and poorly adjusted juveniles, psychological measures appeared to be more effective. Several MMPI-A clinical scales were useful predictors with the overall elevation in clinical scales being one of the strongest predictors. In addition, the Psychopathy Checklist - Clinical Version (PCL-CV) was a strong predictor of adjustment. Major ethnic differences occurred in the prediction of adjustment, with the MMPI-A and PCL-CV scales predicting infraction rates for the African American group but not Anglo American or Hispanic American groups.
Predictors of Compliance and Aggressive Behavior in the Presence of Command Hallucinations
The Schedule for Affective Disorders and Schizophrenia-Change Version (SADS-C), the Social Adjustment Scale-Patient Version II (SAS-PATII) and the Command Hallucination Questionnaire (CAQ) were administered to 86 psychotic inpatients to investigate the relationship between command hallucinations, aggressive behavior, and compliance. Two SADS-C items ("severity of hallucinations" and "depersonalization") were useful as indicators of command hallucinations. Ninety-two percent had complied with their command at least once in the past month. Three SADS-C variables related to compliance with command hallucinations were identified: middle insomnia, the belief that the voice was acting in your best interest, and overt irritability. The patients' level of distortion of reality did not appear to influence compliance rates. Results also indicated that patients who experience command hallucinations were not significantly more or less dangerous than other psychotic inpatients.
Preparedness to Counsel HIV-Positive Clients: a Survey of Practitioners
This purpose of this study was to investigate and examine the attitudes of therapists who treat HIV-positive (HIV+) clients. Specifically, therapists' perceptions of their own preparedness in dealing with specific issues and emotions of HIV+ clients were examined. Also, therapists' evaluation of their own efficacy of specific therapeutic approaches with HIV+ clients was examined. These therapists' perceptions and evaluations of all their clients in general were compared to their HIV+ clients. Comparisons were also made within the two groups.
Psychoanalytic Assessment of Sexually Abused Girls: Questions of Trauma and Rorschach Methodology
Using a clinical sample of 63 girls aged 5 - 16 years, the Psychoanalytic Rorschach Profile (PRP; Burke et al., 1988), a measure of drive, ego, and object relations functioning, was examined for differences between sexual abuse (SA) victims and distressed but nonabused (NA) peers. The hypothesis that the SA group would evidence more pathological, less developed levels of drive, ego, and object relations functioning than the NA group was not supported. Limitations of the use of archival data are discussed. The effects of controlling for the number of responses (R) in Rorschach research were examined by comparing entire protocols of a clinical sample of girls from 5 - 16 years of age to shortened versions which included only the first one (N = 89; R = 10) or two (N = 17; R = 20) responses to each blot. Of 12 PRP scales compared, differences between the R = 10 and entire protocols were found on 5 variables, but when R was increased to 20, only 2 differences remained. Support was given for the notion of uniform Rorschach administration in which 2 responses per card are solicited.
Psychological Correlates of Anorexic and Bulimic Symptomatology
The purpose of this study was to examine the degree to which several psychological and personality variables relate to anorexic and bulimic symptomatology in female undergraduates. Past research investigating the relationship between such variables and eating disorders has been contradictory for several reasons, including lack of theoretical bases, discrepant criteria, or combination of anorexia and bulimia nervosa. Recent investigators have concluded that it is important to examine subdiagnostic levels of eating pathology, especially within a college population. Thus, the present investigation used a female undergraduate sample in determining the extent to which several psychological factors--obsessiveness, dependency, over-controlled hostility, assertiveness, perceived control, and self-esteem--account for anorexic and bulimic symptomatology. Regression analyses revealed that anorexic symptoms were best explained by obsessiveness and then two measures of dependency, emotional reliance on another and autonomy. Bulimic symptoms were related most strongly to lack of social self-confidence (a dependency measure) and obsessiveness. Clinical implications and directions for future research are addressed.
PTSD in Women following a Disaster: the Effects of Social Support and Gender Differences
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.