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Medicine and Health Sciences

Western Michigan University

1983

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Assertiveness Training For Black College Freshmen, Ollie G. Barnes Dec 1983

Assertiveness Training For Black College Freshmen, Ollie G. Barnes

Masters Theses

This study was designed to train Black college freshman to be effectively assertive in their interactions with the University faculty and staff. Thirty freshman students were randomly assigned to two groups of fifteen each, the control group and the training group. Following the pretest, the training group took part in a 32-hour assertiveness training program. The program consisted of modeling, coaching, behavior rehearsal, peer and trainer feedback, homework, self-recording and instructional training. These techniques were used to train students to effectively use nonverbal skills, assertive content and select appropriate conflict management strategies. The control group received no formal training. Significant …


A Histopathological Assessment Of The Effects Of Streptozotocin-Induced Diabetes On The Ears Of Chinese Hamsters, Karen Ailsworth Dec 1983

A Histopathological Assessment Of The Effects Of Streptozotocin-Induced Diabetes On The Ears Of Chinese Hamsters, Karen Ailsworth

Masters Theses

Research has produced evidence associating progressive, bilateral, sensorineural hearing loss with diabetes mellitus in human and animal subjects. The microangiopathy which is presumably the cause of hearing loss appears similar to the microangiopathy leading to retinal and renal atrophy.

In the present study the temporal bones of six streptozotocininduced diabetic Chinese hamsters and six nondiabetic Chinese hamsters were histologically processed. Sections stained with hematoxylin and eosin were assessed for total auditory and vestibular otopathology and revealed no statistically significant differences between the two groups. Sections stained with periodic acid-Schiff's were evaluated for vascular basement membrane changes and revealed no statistically …


Vocal Pitch Range And Habitual Pitch Level: The Study Of Normal College Age Speakers, Patricia Jo Huss Dec 1983

Vocal Pitch Range And Habitual Pitch Level: The Study Of Normal College Age Speakers, Patricia Jo Huss

Masters Theses

The purpose of this study was to compare the relationship between the habitual speaking pitch levels and the total pitch ranges.of 15 male and 15 female normal young adults and to compare these relationships to those which have been reported previously for male and female superior speakers. The difference between normal male and normal female speakers was significant, as was the difference between normal male speakers and superior male speakers. The difference between normal female speakers and superior female speakers was non-significant.


The Perceptual Effect Of Patients' First Name On The Clinical Judgment Of Psychopathology By Psychotherapists, Dennis G. Cowan Dec 1983

The Perceptual Effect Of Patients' First Name On The Clinical Judgment Of Psychopathology By Psychotherapists, Dennis G. Cowan

Dissertations

The purpose of this study was to explore the relationship between a patient's first name (desirable versus undesirable) and the clinical judgment of psychopathology by mental health professionals. Specifically, this study examined how a patient's first name affected the diagnosis of maladjustment.

A total of 266 mental health professionals viewed a standardized video taped interview with a patient. Through the analysis of two surveys, the following first names were randomly presented with the viewed patient: Christopher, David, Mortimer and Junior. It was found, at the .00001 level of probability, that when the patient possessed the less desirable first name of …


A Study Of The Validity Of The Global Assessment Scale, Daniel J. Dekker Dec 1983

A Study Of The Validity Of The Global Assessment Scale, Daniel J. Dekker

Dissertations

The study evaluated the concurrent validity of the Global Assessment Scale (GAS), a rating scale which is used to measure overall severity of psychiatric disturbance in program evaluation systems and in research studies. Validity was evaluated by comparing GAS ratings of 60 community mental health outpatients to scores on the MMPI.

The literature review indicated that the GAS has been used in over 90 studies. Thirty-one inter-rater reliability coefficients cited indicated an acceptable median reliability of .80, but studies relevant to the GAS's validity were sparse and marginally supportive. The GAS was utilized primarily to evaluate change due to psychotherapy …


A Study Of The Environmental Aspects Of Schistosomiasis In Libya, Abubaker I. Swehli Dec 1983

A Study Of The Environmental Aspects Of Schistosomiasis In Libya, Abubaker I. Swehli

Dissertations

Schistosomiasis is a serious disease in humans. Two species of schistosome, Schistosoma mansoni and Schistosoma haematobium, organisms that cause the disease, parasitize humans in Libya. Schistosomes require aquatic snails in their life cycle. The purpose of this study was to investigate the environmental and the host relationships of the disease in the three regions of Libya where the disease is found. These relationships include:

1) Analyses of the physical-chemical characteristics of the aquatic habitat.

2) Collection of snails to determine: a) the kind of snail species and th e ir abundance; and b) the cercarial infestation rates.

3) Infection rates …


The Politics Of Mental Health After Care, Steve Rose Nov 1983

The Politics Of Mental Health After Care, Steve Rose

The Journal of Sociology & Social Welfare

Essential to the development of a positive practice in mental health after-care is a precise formulation of clients' needs. Clarity about a statement of needs provides added information about anticipated obstacles to meeting those needs, both at the client and systemic levels. To accomplish this preliminary task, it becomes necessary to create what we refer to as a "problem definitional" level of theory. Problem defining theory mediates between more global theory, which establishes a larger context for understanding the broad policy issues and direct implications,* and the articulation of practice theory.


The Non-Orthodox Cancer Therapy Movement: Emergent Organization In Health Care Crisis, Joseph Behar Sep 1983

The Non-Orthodox Cancer Therapy Movement: Emergent Organization In Health Care Crisis, Joseph Behar

The Journal of Sociology & Social Welfare

The ideology and organization of the non-orthodox cancer therapy movement are analyzed as social constructions in an area of professional ambiguity and failure. The movement articulates, integrates, and orders the personally and socially disabling consequences of health care failure in cancer. The protest activities of the movement are characterized by political opposition to medical "orthodoxy" and "monopoly." The challenges of the non-orthodox movement are generally ineffective, non-legitimated, or coopted. Yet, in providing conceptual and organizational frames for the disordering consequences of medical failure and in establishing a politically polarized deviant position in relation to conventional practice, this movement socially organizes …


The Relationship Between Methylphenidate (Ritalin) And Growth Patterns In Children Diagnosed As Hyperactive, Teri Mitchel Hibbard Aug 1983

The Relationship Between Methylphenidate (Ritalin) And Growth Patterns In Children Diagnosed As Hyperactive, Teri Mitchel Hibbard

Masters Theses

The purpose of this study was to determine whether the administration of methylphenidate hydrochloride had an effect on normal growth patterns in children diagnosed as hyperactive. Subjects were assigned to one of three methylphenidate treatment groups by the amount of time (in years) they received medication. Length of treatment ranged from up to one year through three years. Using NCHS growth charts, measurement percentiles (height and weight) were compared to pre-treatment percentiles to determine effect of medication. Results indicated that the administration of methylphenidate had a significant growth suppressing effect on children, the effect was proportional across measurements i.e., height …


Generalization Of Self-Control For Disruptive Behavior In The Classroom, Darline Haley Aug 1983

Generalization Of Self-Control For Disruptive Behavior In The Classroom, Darline Haley

Masters Theses

The objective of this study was to produce and evaluate a self-control procedure for disruptive behavior in the classroom which encouraged the generalization of behavior changes to other school settings. The self-control training components of self-recording, self-evaluation, criterion setting, and problem solving were all incorporated into the self-control procedures. This study also controlled for self-recording reactive effects prior to the initiation of the self-control training.

The findings of this study indicate that self-control training may be an effective method for decreasing disruptive behavior in the classroom.


Teaching Change Computation To The Developmentally Disabled, Nancy Daeschlein Aug 1983

Teaching Change Computation To The Developmentally Disabled, Nancy Daeschlein

Masters Theses

This study evaluated a procedure for teaching three developmentally disabled adults to compute monetary change combinations. Also, the procedure assessed generalization to the skills of computing change with bills, verifying the correctness of change received, and computing change with both coins and bills. Subjects were first trained to make change using pennies and then were trained to use each successive denomination in combination with those previously trained. A multipleprobe design was used, including generalization probes of the above-cited skills. Results indicated that each subject acquired the behavior of change computation with coins as a function of the training procedure. Also, …


Medical Oncologists' Self-Reported Practices And Opinions Regarding Cancer Chemotherapy Informed Consent Procedures, George Walter Rakowsky Aug 1983

Medical Oncologists' Self-Reported Practices And Opinions Regarding Cancer Chemotherapy Informed Consent Procedures, George Walter Rakowsky

Masters Theses

This study gathered descriptive data on the parameters of informed consent with cancer chemotherapy patients from the medical oncologists' point of view. A review of the literature suggested that no such research has previously been attempted. A description of disclosure practices would clarify current procedures and would also serve as a guide for further research in the area.

Six hundred questionnaires were mailed to medical oncologists, and thirty percent of these were returned. Data were analyzed primarily using descriptive statistics. Additionally, relationships between demographic variables and different disclosure practices were investigated.

Significant relationships were observed between variables reflecting the size …


Identifying Jungial Personality Type By The Instrument Of Self-Report, Charles Clay Livingston Aug 1983

Identifying Jungial Personality Type By The Instrument Of Self-Report, Charles Clay Livingston

Masters Theses

This paper examines the instrument of self-report and its use in identifying and measuring the elements of the personality as defined by C. G. Jung. Jung's theory of personality is briefly explained, and self-report as a general instrument of personality assessment is critically examined. Selected research on the construction and use of self-report tests is reviewed and critically evaluated. The author asserts that the bipolar assumption that is often implicit in the construction of test items is not representative of the personality as Jung portrayed it. The author suggests revisions in the construction of test items and a scoring gradient …


Long Slow Distance Running As A Treatment For Moderate Depression Of Outpatients, Dalene Degraaf Vandenhoek Aug 1983

Long Slow Distance Running As A Treatment For Moderate Depression Of Outpatients, Dalene Degraaf Vandenhoek

Masters Theses

The purpose of this study was to determine the effect of "long slow distance" (LSD) running as a treatment for moderate depression. Clients diagnosed with "moderate primary depression" were randomly assigned to one of two treatments. Individuals receiving the running treatment walked and ran slowly for forty minutes three times a week for ten weeks. Those receiving psychotherapy participated in behavior therapy one hour a week for ten weeks. According to biweekly scores on the Symptom Checklist-90 and Beck Depression Inventory, the anxiety and depression of the clients who ran improved as much as those receiving behavior therapy.


A Reliability Study Of The Peer Nomination Inventory Of Depression When Used By Adults In Determining The Psychological Condition Of Depression In Children, Jeffrey R. Glindmeyer Aug 1983

A Reliability Study Of The Peer Nomination Inventory Of Depression When Used By Adults In Determining The Psychological Condition Of Depression In Children, Jeffrey R. Glindmeyer

Dissertations

In the present investigation, the reliability of a modified version of an inventory developed to assess the psychological condition of depression in children was undertaken. The Peer Nomination Inventory of Depression (PNID), an instrument designed to assess depression in children through having peers rate each other on a number of items, was modified to be used by adult raters for this same purpose. Staff members, including therapists, educators, and direct care professionals at the RiverView Hospital for Children, a psychiatric hospital in Middletown, Connecticut, completed ratings on eight boys ranging in age from seven to thirteen years of age. The …


Gender Difference As A Factor In Psychological Crisis, Paula Laufer Aug 1983

Gender Difference As A Factor In Psychological Crisis, Paula Laufer

Dissertations

The study's purpose was to examine possible gender differences in problem perception and desired treatment outcome of 311 persons (135 males and 176 females) selected from a pool of 1500 clients seeking treatment at an outpatient mental health clinic in a medium-sized midwestern city. One hundred males and one hundred females were randomly selected for inclusion.

Literature related to crisis theory, research in linguistics, and gender role indicated evidence supporting gender role differences in a variety of interpersonal situations. Clients' verbatim written statements and their reactions to a standard problem checklist at the time of intake provided the data base …


An Investigation Of The Relationship Of Life Events And Self Concept To Depression In A Psychiatric Inpatient-Adolescent Population, David L. Harris Aug 1983

An Investigation Of The Relationship Of Life Events And Self Concept To Depression In A Psychiatric Inpatient-Adolescent Population, David L. Harris

Dissertations

In the present investigation, a group of mildly depressed adolescent inpatients was compared with a moderately to severely depressed sample on measures of self-concept and life events. The expected differences between the groups were hypothesized on the basis of current theoretical and clinical considerations emphasized in the literature. Previous research has implicated the magnitude of readjustment required by significant life experiences and self concept with depression.

Seventy-four subjects participated and were assigned to one of two groups by dichotomizing scores on the Beck Depression Inventory. The relationships of scores on the Tennessee Self Concept Scale, Life Event History, and Minnesota …


Disinnovation In The American States: Policy Toward Health Systems Agencies, Keith Mueller, John Comer May 1983

Disinnovation In The American States: Policy Toward Health Systems Agencies, Keith Mueller, John Comer

The Journal of Sociology & Social Welfare

Requiring the states to involve consumers in health planning through local health planning boards (HSAs) was an attempt by the federal government to control health care costs. Elimination of this requirement more recently has meant some states have discontinued the program. The elimination of HSAs can be considered a case of policy disinnovation. Drawing on the innovation literature, the following variables were expected to correlate, although negatively, with elimination of HSAs: value added to manufacturing, average acre value of farms, per capita income, population living in metropolitan areas, and party competition. All were found to correlate negatively. Predisposition to spend …


Regional Planning Of Mental Health Services: An Illinois Case Example, Wynne Sandra Korr May 1983

Regional Planning Of Mental Health Services: An Illinois Case Example, Wynne Sandra Korr

The Journal of Sociology & Social Welfare

Now that Reagan has ended a twenty-year pattern of federal involvement in setting mental health policy priorities, states must develop models for implementing and maintaining services to the mentally ill. The Illinois model of regional offices which plan and monitor programs is described. A case example showing how one such office developed services in a minority community is given. Examples of the work of other offices illustrate the flexibility of this model in meeting special community needs.


Cerebrovascular Lesions, Emotional Behavior And Changes In Reinforcement Density, George Kahle Henry Apr 1983

Cerebrovascular Lesions, Emotional Behavior And Changes In Reinforcement Density, George Kahle Henry

Masters Theses

Two adult stroke patients, one left hemisphere and one right hemisphere, reported weekly levels of depression, anxiety, and hostility following discharge to the home environment. Spouses reported weekly levels of perceived changes in emotional behavior. Data on changes in emotional behavior were recorded using the Multiple Affect Adjective Checklist. Weekly rates of positive reinforcement were recorded throughout the study for both patients. Following an eight week baseline period the rate of positive reinforcement was increased via manipulation of homework assignments to involve the patients in previously enjoyed activities. Results revealed a moderately high negative correlation between patient*s reported level of …


Otopathology In Two Lines Of The Diabetic Chinese Hamster, Cricetulus Griseus, Jo A. Oostveen Apr 1983

Otopathology In Two Lines Of The Diabetic Chinese Hamster, Cricetulus Griseus, Jo A. Oostveen

Masters Theses

Recent evidence suggests that a bilateral, progressive sensorineural hearing loss is associated with diabetes mellitus in humans. The microangiopathy presumedly leading to this loss seems to be similar to microvascular changes leading to this loss seems to be similar to microvascular changes leading to renal and retinal deterioration. A total of twenty-four pairs of temporal bones from two diabetic, and one non-diabetic lines of the Chinese hamster were processed and evaluated for their total auditory histopathology. Hematoxylin and eosin serial sections demonstrated a mean otopathological involvement 5.6 times greater for diabetic animals compared to non-diabetic animals. Capillary basement membrane thickening …


An Evaluation Of The Regulated Breathing Method In Treatment Of Stuttering, Paul B. Greilick Apr 1983

An Evaluation Of The Regulated Breathing Method In Treatment Of Stuttering, Paul B. Greilick

Masters Theses

The effects of the regulated breathing method on several characteristics of the speech of four stutterers were assessed in a multiple baseline across subjects design. Repeated measures of stuttering frequency, speech rate , and fluency rate were obtained in multiple settings before, at termination, and through six months post-treatment Subjects' estimates of stuttering frequency were compared with objective measures of stuttering across phases. At post-treatment and follow-up, although stuttering frequency had decreased and speech rate increased substantially compared to baseline, subjects continued to stutter frequently. Additionally, subjects consistently underestimated frequency of stutters as measured by the experimenter. The efficacy of …


The Effects Of Insulin On Hepatic Glucocorticoid Receptor Content In The Diabetic Rat, Jeffrey John Yourick Apr 1983

The Effects Of Insulin On Hepatic Glucocorticoid Receptor Content In The Diabetic Rat, Jeffrey John Yourick

Masters Theses

The streptozotocin-induced diabetic rat liver was analyzed for glucocorticoid receptor (GCR) content by a saturation and Scatchard analysis. A preliminary study was performed on the stabilization of the cytoplasmic GCR in a frozen cytosol preparation. The addition of 10% glycerol (V/V), 10 mM sodium molybdate, and 0.2 mg/ml trypsin inhibitor resulted in an approximate 20% sparing of GCR content upon freezing.

The hepatic GCR content of diabetic rats was significantly decreased from a control level of 0.1667 ± 0.0142 pmol/mg protein to 0.1094 ± 0.007 pmol/mg protein. Insulin replacement therapy to the diabetic rat dramatically increased the hepatic GCR content. …


A Hearing Assessment Using Operant Audiological Testing With A Severely Retarded Deaf-Blind Child, Patricia Timpson Apr 1983

A Hearing Assessment Using Operant Audiological Testing With A Severely Retarded Deaf-Blind Child, Patricia Timpson

Masters Theses

This study assessed the feasibility of teaching a 7-year-old severely retarded, hearing and vision impaired girl to respond consistently to a pure tone stimulus using operant audiometric techniques. The experimenter first shaped a head turn response using the opportunity to rock on a rocking horse as reinforcement. Following response shaping, the experimenter used a bone conduction transducer (BCT) as a tactile stimulus in training the subject to turn her head to the left in a similar fashion to a 500 Hz, 65 dB tone/vibration. After 15 days of transfer training, designed to bring the left head turn response under control …


The Effects Of Prostaglandin E2 On The Healing Processes Of Rat Perforated Tympanic Membranes, Diane Sue Saylor Apr 1983

The Effects Of Prostaglandin E2 On The Healing Processes Of Rat Perforated Tympanic Membranes, Diane Sue Saylor

Masters Theses

Prostaglandin E2 (PGE2) was topically administered to perforated rat tympanic membranes in an attempt to facilitate regrowth of the membranes. Every 24 hours for the first four postperforation days, two groups of tympanic membranes were processed and examined histologically for differences between PGE2 treated and control animals.

At 24 hours postperforation granulocyte infiltration at the perforation site was greater in the test animals. By 48 hours blood clots were larger in PGE2 treated animals. Finally, the epithelium was thinner in test animals than in control animals at 96 hours.

Slight tendencies for the test animals …


The Validation Of A Behavioral Programmed Text For Increasing Self-Control Attitudes, Douglas Howard Ruben Apr 1983

The Validation Of A Behavioral Programmed Text For Increasing Self-Control Attitudes, Douglas Howard Ruben

Masters Theses

Applied behavior analysis programs designed to reduce attitudes about addictive behavior have been weak as far as overall training results. This research was an alternative training model in that it contained (a) a programmed instructional manual and self-paced homework assignments, and (b) lecture sessions. Selection of subjects from a local prison and private industry was based on indicated needs for substance abuse rehabilitation. Subjects went through a series of 9 programmed instructional units on developing self-control, and met for one weekly session for 9 consecutive weeks. Each instructional unit taught within a cognitive-behavioral model introduced concepts and techniques related to …


A Study Of The Ability, Achievement, Demographic, And Social Interaction Characteristics Of Three Groups Of Students: Dropouts, Marginals, And High Achievers, Judy Stewart Apr 1983

A Study Of The Ability, Achievement, Demographic, And Social Interaction Characteristics Of Three Groups Of Students: Dropouts, Marginals, And High Achievers, Judy Stewart

Dissertations

In this study the ability, achievement, demographic, and social interaction characteristics of three groups of baccalaureate nursing students were investigated. The three groups of students studied were dropouts, marginals, and high achievers. The purpose of the study was to identify predominant characteristics of dropout and marginal students that would act to direct the development of programs in nursing education.

The population studied consisted of the Nazareth College 1981-1982 freshman, sophomore, junior, and senior nursing students. In addition, the 1976-1980 graduating nursing classes were studied, including the freshman through senior year data for these classes.

The results of the data analysis …