Medicine and Health Sciences Commons^™

The Effects Of Spouse-Based Cognitive-Behavior Therapy On The Treatment Of Agoraphobia, Joan Woods

Dissertations

The purpose of this clinical research was to determine whether spouse-supported treatment of agoraphobia would result in greater improvement on measures of exposure and avoidance than would individual treatment or no treatment. It was hypothesized that Couples Treatment subjects would demonstrate a significantly greater change from pretest to posttest than would Individual Treatment subjects or No-Treatment Control subjects. The study further predicted that significant improvements would be demonstrated for both treated groups on the same outcome measures, pretest to posttest and from pretest to follow-up.

Total N was 10 subjects, all were agoraphobic, married, and female, with 4 in Couples …

Relationship Of Quality Circles In Nursing To Leadership, Job Satisfaction, Patient Care, And Cost Containment, Shirley A. Weiglein

Dissertations

The use of quality circles in nursing has been widely espoused in nursing literature as a concept that enhances participatory leadership, promotes job satisfaction, improves the quality of patient care and contributes to cost containment. This study was conducted to examine the relationship between the use of quality circles in nursing units and leadership, job satisfaction, the quality of patient care and cost containment.

Quality circle and non-quality circle units in two midwest hospitals were used for data collection. Staff nurses only were asked to complete the survey. A total of 126 of the possible 295 staff nurses in the …

Thoughts On Keeping My Mouth Shut, David H. Smith

Center for the Study of Ethics in Society Papers

This paper is based on a presentation made to the WMU Center for the Study of Ethics in Society, April 4, 1986.

What Social Workers Do: Implications For The Reclassification Debate, Charles Green

The Journal of Sociology & Social Welfare

The reclassification trend is one of the most formidable issues facing American social work today. Social work's vulnerability stemming from a general ambiquity about its distinct role and boundaries, competition from emerging helping occupations, and its debated professionalism is a major contributing factor. Often ignored in recent efforts to address reclassification is empirical evidence of social work's distinct performance in the human services versus other occupational groups. In this article comparative research findings supporting social work's unique performance are presented and their relevance for reclassification discussed.

The Effects Of A Wilderness/Adventure Program On The Self-Concept, Locus Of Control Orientation, And Interpersonal Behavior Of Delinquent Adolescents, Timothy J. Zwart

Dissertations

The purpose of this study was to examine the effects of a 26-day therapeutic wilderness program for delinquent adolescent males on three conceptually distinct but closely related constructs: self-concept, locus of control orientation, and interpersonal behavior. Justification for the study was derived from the limitations of past wilderness/adventure research which suggested that there was a need for additional research on the effects of this type of alternative program for delinquent adolescents.

It was hypothesized that following participation in this program the youths would exhibit increased self-concept, more internal locus of control orientation, would express higher needs for inclusion and affection …

A Systematic Approach To Staff Management And Systems Evaluation In An Inpatient Psychiatric Setting: The First Step Toward Reform Through Accountability, Helen Diann Pratt

Dissertations

The current study had two major objectives: (1) to evaluate the impact of a staff management package consisting of training, prompts, task assignments, and oral and graphic feedback, and (2) to assess the effects of prescribed staff interventions on the inappropriate behaviors of three psychiatric inpatients. Accomplishing these two objectives produced an objective data base for the detailed evaluation of patient behaviors. Study I was designed to get staff members to record patient behaviors, to use contingent and consistent interventions, and to record those interventions. Results yielded high staff performance without tangible incentives. Staff members were able to consistently, reliably …

The Effects Of Group Incentive Plans On Individual Performance, Karen Geralyn Stoneman

Masters Theses

A simulated work environment was utilized to study the effects of group incentive plans on individual performance on an assembly task. The subjects in the study were college students who worked in groups of a small size, a medium size, or a large size. A reversal design was utilized in which the first condition was an individual incentive condition, the second was a group incentive condition, and the final was the return to an individual incentive condition.

The results showed: (a) individual performance did not significantly change when individuals were switched from an individual to a group incentive plan; (b) …

The Use Of A Behavioral Checklist To Delimit And Define The Premenstrual Syndrome, R. Hope Kerr

Masters Theses

For the premenstrual syndrome (PMS), there is no consensus as to specific symptoms comprising the syndrome or their temporal relationship to the menstrual cycle. The purpose of this study was to delimit and define PMS by comparing contemporaneous, behavioral data collected by 3 groups of subjects.

Based on the results of this study, PMS is suspected of being a misnomer for frequently random symptoms which may or may not be menstrually-related. "Syndrome" is misleading since there is no group of symptoms specific to one group of women. "Pre-" and "menstrual" are also misleading because the symptoms do not occur consistently …

Eliminating Resistive Behavior During Physical Therapy Using A Behavior Modification Procedure, Marcia Erhardt Roback

Masters Theses

The clinical utility of a behavior modification procedure, Differential Reinforcement of Other Behavior, to reduce resistive behavior during physical therapy was investigated using a sample of four severely physically and developmentally disabled females. A multiple baseline design across subjects was employed to assess the effects of positively reinforcing behaviors other than the resistive or inappropriate behaviors during the therapy sessions. The procedure employed produced a dramatic decrease in the inappropriate behavior of two subjects, a moderate decrease in the behavior of one subject, and a minimal decrease in the fourth. The observational system generated extremely reliable data as indicated by …

A Biomechanical Analysis Of The Effect Wear Patterns Of Running Shoes Have On Kinematic Variables Of The Lower Extremities, Audrey E. Randall

Masters Theses

The purpose of the study was to investigate the relationship between wear patterns of running shoes and selected kinematic variables of the lower extremities. Statistical analyses were completed by using a case study design for two male subjects. Subjects were filmed for ten strides on six different sessions over a three-month period. A two-way ANOVA design, with repeated measures, evaluated the dependent variables: (a) footstrike, (b) midstance and (c) toeoff phases. The degree of change was determined by digitizing ten points on the body. A University of California, Los Angeles, BMDP2V statistical package was used to determine differences between means. …

The Social Class And Mental Illness Correlation: Implications Of The Research For Policy And Practice, Christopher G. Hudson

The Journal of Sociology & Social Welfare

Ongoing efforts to unravel the causal issues involved in the correlation between socioeconomic status and mental illness suggest that the hypothesis of a recursive or interactive relationship may be the most tenable, at least with the psychoses. Implications of this research are explored, with particular attention paid to the mental health costs of economic policies, the principles with which states allocate mental health resources, and the use of this knowledge-base in service planning.

A Commentary On The Social Class And Mental Illness Correlation: Implications Of The Research For Policy And Practice, Julius A. Roth

The Journal of Sociology & Social Welfare

This paper represents an extraordinary review of literature on the association between SES and mental illness. I think most social scientists would find it impressive. It also conveys some cogent reasoning about the relevance of these findings for social policy. I think most social workers would find it impressive.

Technology In Clinical Practice And The "Technological Ethic", John W. Murphy, John T. Pardeck

The Journal of Sociology & Social Welfare

Computers are being introduced into practically every area of clinical practice. The use of this technology by practitioners has not gone unchallenged. Specifically, new ethical problems are thought to be associated with using computers to make clinical assessments. Logistical and procedural difficulties, however, have been the primary focus of concern. In this paper the critique of computerized evaluation is expanded, with attention directed to the computer "micro-world." Because the computer micro-world consists of several unwarranted assumptions about the nature of social reality, clinical practice may be affected in many undesireable ways. The theoretical underside of computer use is illustrated to …

Ethics In Academia, Diether H. Haenicke

Center for the Study of Ethics in Society Papers

This paper is based on a presentation made to the WMU Center for the Study of Ethics in Society, April 4, 1986.

The Effects Of Unilateral Brain Damage On Analogical Reasoning By Stroke Patients, Letitia Lynn Gillespie

Masters Theses

This study examined the ability of individuals with unilateral left hemisphere damage (LHD) and right hemisphere damage (RHD) to complete multiple modality analogy tasks. Four groups, for a total of 46 subjects--12 LHD patients, 8 RHD patients, 20 child control subjects, and 6 adult control subjects--performed word, figure, and picture analogies. The combined non brain damaged control groups performed significantly better than the combined brain damaged experimental groups on the combined analogy tasks. No significant difference was found between the LHD and RHD groups on the combined analogy tasks. The modalities of analogical reasoning tasks did not differentially affect the …

Congruence Between Type Of Activity And Volition And Its Relationship To Life Satisfaction In Nursing Home Residents, David De Noble

Masters Theses

This study examines the relationship between life satisfaction and the volition subsystem of 32 older adults who reside in nursing homes. Specifically, it attempts to measure congruence or the perception of the individual that the inherent characteristics of an activity "fit" his or her sense of personal causation, values and interests. The study examines the relationship between this congruence and life satisfaction.

Results of the study identified positive correlations between congruence and life satisfaction. Correlations between congruence of volition subsystem components and activity were at a statistically significant level (p <.05) for personal causation, values and total volition. Correlations between congruence of volition subsystem components and some specific activities were also found.

The Relationship Between The Dsm-Iii Borderline Personality Disorder And The Minnesota Multiphasic Personality Inventory, John Thomas Heroldt

Dissertations

Psychotherapeutic efforts with borderline patients have been frustrated for many years because identification of the disorder has been vague, and because the etiology of the disorder has been unknown. Without adequate diagnosis and knowledge of the etiology, it has been impossible to design treatment strategies. The basis for undertaking this project centers on the amelioration of this basic diagnostic consideration.

The Minnesota Multiphasic Personality Inventory responses of 50 patients, 16 men and 34 women, meeting the Diagnostic and Statistical Manual of Mental Disorders (APA, 1980) criteria for a borderline personality disorder were compared to a mixed diagnostic group of 50 …

Neuropsychological And Socioemotional Subtypes Of Childhood Externalizing Disorders: Cluster And Validation Analyses, Grant Jackson Butterbaugh

Dissertations

The purpose of this exploratory and confirmatory contrasted-group classification study was to determine if specifically predicted (Hypothesis 1) and externally valid (Hypotheses 3 and 4) subtypes of childhood externalizing disorders could be identified, using previously obtained neuropsychological (NP), socio-emotional (SE), and historical variables. Cross-classification validity was evaluated to determine if subjects NP and SE subtype memberships could be predicted using either their SE and NP subtype memberships or their SE and NP variable scores, respectively (Hypothesis 2). Subjects (n = 117) were 6-to-14-year-old boys and girls with normal intelligence, elevated scores on the Delinquency and/or Hyperactivity scales of the Personality …

A Phenomenological Investigation Of Women And Depression, Denise Twohey

Dissertations

There is increasing evidence that new conceptualizations of women's development are leading to important revisions in current psychological theories and practices. In this study, these theories were examined to enhance the treatment of depressed women. Toward this end, a phenomenological laboratory was established consisting of an 11-week psychotherapy group for depressed women which was videotaped and observed by six trained evaluators.

The primary outcome was the development of a conceptual framework for understanding women and their experience of depression. The framework was created from the identification of five content themes which emerged as a synthesis of the observations made by …

Development And Evaluation Of An Infant-Care Training Program With First-Time Fathers, Ronald S. Dachman

Dissertations

We evaluated the effectiveness of a multicomponent package in training infant-care skills to first-time fathers. After developing and socially validating a set of infant-care skills, we assessed the effects of training in a hospital-based program with expectant fathers (Experiment 1) and in a home-based program with fathers having varied degrees of experience with their infants (Experiment 2). In both experiments, a multiple probe design demonstrated that the training package was responsible for producing criterion performance by the expectant and first-time fathers. A one-month generalization probe in Experiment 1 showed that the effects transferred across training conditions (training doll to human …

A Comparison Of Cognitive-Behavior Therapy, Relaxation Therapy And Cognitive Restructuring On State And Trait Anxiety In Speech Anxious Adults, Bernard C. Sefchick

Masters Theses

This study tested the following hypotheses: (a) Cognitive-Behavior Therapy would be more effective than either Relaxation Therapy in reducing speech A-state anxiety or Cognitive Restructuring in reducing speech A-trait anxiety; (b) Relaxation Therapy would be more effective than Cognitive Restructuring in reducing speech A-state anxiety; and (c) Cognitive Restructuring would be more effective than Relaxation Therapy in reducing speech A-trait anxiety.

Fifteen volunteers from a speakers organization were screened and randomly assigned to one of three treatments. The Speech Anxiety Inventory was administered before and after treatments to assess subjects' levels of speech A-state and A-trait anxiety.

Results indicated that …

Effect Of Choice Making On A Self-Care Activity In Mentally Retarded Adults And Adolescents, Martin S. Rice

Masters Theses

Of central importance to occupational therapy is the issue of motivation in activity. The purpose of this study was to look at the effects of choice on motivation during an activity undertaken by mentally retarded adults and adolescents. Each subject was given a choice of five wrinkled T-shirts that had sports logos on them. The subject chose one but was then asked to iron the T-shirt before he took it to keep. With counterbalancing for order of presentation, each subject also experienced not having a choice between five T-shirts and then ironing the one given to him. The amount of …

Rheumatoid Arthritis: Balancing Activity And Rest, Lynn A. Lowe

Masters Theses

Fatigue is a major symptom of rheumatoid arthritis (RA), along with joint pain, stiffness and functional impairment. Balancing activity and rest in order to decrease fatigue is frequently mentioned by health professionals as an important strategy in the management of the disease. One hundred and three adult men and women with RA were surveyed via a written questionnaire about their experience of fatigue, four types of rest, employment status, duration of illness, age, sex, and advice about rest. Frequencies related to these variables are reported. Some rest variables were found to be significantly correlated with age and fatigue. No significant …

An Evaluation Of The Effects Of An Infant-Care Skills Training Program On Fathering Behaviors, G. Joseph Vrazo

Masters Theses

This study replicated the findings and expanded the assessment procedures of a previous study that had established the effectiveness of a multi-component infant-care skills training program for first-time fathers. A multiple probe design was used in this study to demonstrate that the training program produced criterion performance of the infant-care skills by four experimental fathers; also, an increase in the frequency of infant stimulation activities initiated by these fathers was observed. A pre/post training evaluation of the effects of the training program on the fathers' performance of play and affectional behaviors and daily infant-care activities yielded negative results. Four control …

A Comparison Of An Ideal And A Real Quality Of Work Life Program, Noreen Goldschmidt

Masters Theses

The purposes of this study were to examine the differences between: (a) a real and idealized Quality of Work Life program; (b) individual groups and the idealized Quality of Work Life program, and (c) groups surveyed.

Two departments were surveyed to obtain perceptions of a Quality of Work Life program existing within a utility company located in the state of Michigan.

Percentages were calculated on the Agree and Strongly Agree response alternatives for all items included on the survey. For the three comparisons made the difference in percent was tested at the.05 level of significance. The results indicated that the …

Reconsidering Drug Involvement Among Youth And Young Adults: Implications For Targeted Primary Prevention, Mark W. Fraser

The Journal of Sociology & Social Welfare

The purpose of this; paper is to review two dominant social perspectives on the etiology of substance abuse among youths and young adults-the stage and risk factor outlooks-and to discuss them in light of recent demographic and ecological research. The differential demography of drug abuse strongly suggests that the environmental context influences the use and abuse of substances. In an era of great public concern about substance abuse, the use of individually-focused perspectives appears to have resulted in person-centered skills training programs and "say no" media campaigns. Consideration of community-level factors in the etiology of drug abuse permits the identification …

Historical Perspectives On The Care And Treatment Of The Mentally Ill, Albert R. Roberts, Linda Farms Kurtz

The Journal of Sociology & Social Welfare

An examination of the history of mental illness and its treatment over the centuries reveals that the mentally ill have few advocates except each other and that their treatment has consisted of confinement and neglect. Reformers have pioneered for change, experienced brief success, but ultimately conditions for the mentally ill regress. Society continues to abhor mental illness as though its collective consciousness still believes in possession by evil spirits. Discussion of the early history moves from banishment to ships of fools, to European asylums, and to institutions run by the states in America. More recent history focuses on the National …

Ethical Norms In Science, Rachelle D. Hollander

Center for the Study of Ethics in Society Papers

Papers Presented to the Center for the Study of Ethics in Society, Western Michigan University.

Community-Based Self-Help Groups For The Treatment Of Agoraphobia, Bruce A. Thyer

The Journal of Sociology & Social Welfare

The design and conduct of community-based self-help groups for the treatment of agoraphobia are discussed. Such groups incorporate procedures encouraging members to engage in prolonged therapeutic exposure to anxiety-evoking situations. Exposure therapy and its variants have been empirically established as the treatment of choice for agoraphobia, and self-help groups lend themselves extremely well to community mental health outreach and service efforts.

The Effects Of Music Video Violence On The Aggression Level Of Emotionally Disturbed Adolescents, Kathleen Jo Young

Masters Theses

The purpose of this study was to investigate the effects of violent music videos on aggressive behavior in psychiatrically hospitalized adolescents. Associations between male and female responses were investigated as well as responses between high-aggressive and low-aggressive subjects.

Subjects were 30 in-patient emotionally disturbed adolescents, 13 to 17 years of age. Subjects served as their own controls. Treatment consisted of the viewing of a violent video with violent lyrics, a violent video without violent lyrics, and a non-violent video. Aggression was measured prior to the treatment with a 23 True-False questionnaire completed by subjects and Behavior Rating Forms completed by …