Medicine and Health Sciences Commons^™

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 …

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 …

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

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.

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

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

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 …

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 …

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.

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 …

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 …

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. …

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 …

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 …

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 …

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

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 …

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 …

Teaching General Behavior Modification Performance Skills With Written Instructions, James D. Cowart

Dissertations

Two experiments examined the effects of training with written instructions on trainees' use of general behavior modification performance skills. In Experiment I, the behavior modification skills of two groups of trainees were assessed in scripted roleplay sessions. Each group participated in differing numbers of baseline sessions before training was presented. Training consisted of studying a set of written rules and examples. Only after training did the trainees demonstrate improved skills. Since the "child" behaviors which were presented during roleplay sessions were all different from one another, the trainees' performance demonstrated generality of the effects of training across "child" behaviors. The …

A Comparative Analysis Of The Training, Internships, And Job Opportunities For Clinical And Counseling Psychologists, Mary Theresa Zirpoli

Masters Theses

Recent literature indicates that clinical and counseling psychologists are trained in very different ways, work with very different populations, and perform different skills. The literature also shows this traditional exclusivity to be vanishing. Three studies were conducted to determine similarities and differences in the training, internships, and types of jobs that clinical and counseling psychologists obtain. Data for the three studies were obtained from the curricula of 7k American Psychological Association approved graduate programs, six job opening lists from the American Psychological Association Monitor, and the American Psychological Internship Centers Manual. Variables included specific types of coursework, settings, patient population, …

"Medical Democracy In A Health Systems Agency: The Role Of Staff", James Latimore

The Journal of Sociology & Social Welfare

The performance of consumers or laypersons in government programs has been studied extensively, usually from the standpoint of the control exercised by providers or other professionals, or correlative, what consumers need in order to be on an equal footing with the experts. At stake is lay control -i.e., democracy. This case study of one Health Systems Agency (HSA) in contrast, focuses attention on the crucial role of the HSA staff in the democratization of health care. Outcomes, such as cost-containment and allocation of resources, can be examined in terms of the staff's interests and the constraints of its multi-leveled environment. …

Scientific Ideologies And Conceptions Of Drinking Behavior And Alcoholism, Keith M. Kilty

The Journal of Sociology & Social Welfare

Conventional explanations of drinking behavior and alcoholism suffer from serious inadequacies, due in large part to their unquestioning acceptance of certain assumptions about the effects of alcohol on human behavior that are rooted in moral prescriptions. That is, most contemporary models of drinking behavior assume that the consumption of alcohol leads to the loss of inhibitions or self-control, ultimately leading to behaviors that are not predictable by either the drinker or society. This perspective has become so deeply ingrained in the social scientific literature that it is no longer even perceived as hypothetical; instead, it has taken on the character …

Shared Ethnicity As A Correlate Of Acceptance Of The Formerly Hospitalized Mentally Ill, Jonathan Rabinowitz

The Journal of Sociology & Social Welfare

This study looked at shared ethnicity of former mental patient and community member as a possible correlate of acceptance of the formerly hospitalized mental patient as a potential tenant. This study is an exploratory study with a comparative perspective using a design in which the willingness to accept a former mental patient as a renter in one of four groups is explored. Current research in this field has ignored the variable of shared ethnicity. The findings of this study did not reach the .05 level of significance, however the results seem to indicate that in some cases shared ethnicity is …

A Model For A Self-Contained Videotape Training Program, Theodore D. Apking

Dissertations

Many organizations have a frequent need for employee training, and thus spend substantial sums of money on training. In an attempt to develop a model training program for use in such organizations, a self-contained videotape program was tested for its cost-effectiveness. It included rules describing the tasks, prerecorded videotapes showing correct and incorrect performance of those tasks, and score sheets for use by trainees while scoring the appropriateness of those performances.

The program produced significantly more task improvement than did lecture and discussion. The written and videotape components improved performance regardless of which was presented first. Once the skills were …

A Component Analysis Of Behavioral Procedures For Increasing Work Rate In Mentally Retarded Adults, Stephen Emory Wong

Dissertations

This study was a component analysis of several procedures commonly employed in behavioral vocational rehabilitation programs. The work rate of retarded subjects was assessed under four conditions: (1) baseline; (2) verbal prompts; (3) verbal prompts and social reinforcement; and (4) verbal prompts, social reinforcement, and monetary reinforcement. Subjects were four, moderately retarded, male clients of a sheltered workshop. The experimental task involved assembly of a metal knife composed of four separate pieces. Treatment effects were analyzed within a mixed multielement reversal design where each subject served as his own control. Results showed that baseline sessions, all started with the simple …

Temporal Pattern Of Gluconeogenesis In Diabetic And Non-Diabetic Chinese Hamsters, John P. Ofenstein

Masters Theses

Gluconeogenesis is a normal physiological response of an individual to low blood glucose levels by which proteins are utilized in order to synthesize new glucose. Gluconeogenic rates in diabetic and normal Chinese hamsters were measured, on four different occasions over a 24 hour period, by injecting a radio-labelled precursor (¹⁴C-lactate) into the animals. Then blood was tested for incorporation of the label into glucose. In the fed state, gluconeogenesis shows a circadian change in nondiabetic hamsters as well as in diabetic hamsters, with the diabetic hamsters showing a significantly greater gluconeogenic rate than the non-diabetic hamsters for every …

The Hyperactive Child And The Family: A Procedural Approach To Evaluation And Treatment, Marian Maria Sofia Van Dooijeweert

Masters Theses

The purpose of the present thesis is to evaluate the hyperactive child in a manner that true hyperactivity will not be confused with hyperactive behaviors which are caused by illnesses, stress at school, stress at home, and with normal childhood energy.

No two hyperactive children are alike. They vary in personality, problems, strengths, weaknesses, and environment. In general, hyperactive children are said to have several common characteristics such as poor performance in school, short attention spans, impulsiveness, poor motor control, low frustration levels, and an inability to delay gratification of needs and demands.

Clinical experience reveals that most hyperactive children …

Intelligibility Of Speech Produced With An Artificial Larynx At Various Frequencies, Sandra Arlene Merritt

Masters Theses

Word intelligibility scores of 21 listeners were used to test the hypothesis that speech intelligibility will vary systematically across speakers and fundamental frequency of electrolarynx vibration.

Twenty-one listeners transcribed audio recorded lists of CVC utterances produced with an electrolarynx by 3 speakers at each of five fundamental frequencies.

Comparative analysis of scores across frequencies and speakers were discussed in terms of:

a) source transmission characteristics of "electrolaryngeal" speech, b) implications for diagnosis/therapeusis of alaryngeal speakers.

Results indicated that intelligibility scores were significantly different between speakers and between frequencies within speakers. Maximum intelligibility scores were more highly correlated with certain frequencies …

A Study Of Hypnotic Age Regression Using The Rorschach Scored By The Exner Comprehensive System, Scott William Trylch

Dissertations

The purpose of the study was to compare Rorschach results of hypnotically age regressed subjects with three groups of controls: deeply hypnotized, hypnotizable simulators, and minimally susceptible simulators. The study tested the null hypothesis that hypnotically age regressed subjects differ significantly from subjects in deep hypnosis, hypnotizable simulators, and minimally susceptible simulators on Rorschach scores when scored by the Exner Comprehensive System. A second null hypothesis was that there would be no difference between the age regressed subjects and the three control groups in correspondence to the Exner age norms.

The 24 volunteer subjects were screened for psychological problems, then …

Counseling And Support Program For Retarded Adults: A Grant Proposal, Claudia Jo Unruh-Degood

Masters Theses

A grant is proposed to develop a consumer based counseling and support program to provide rehabilitation/ rehabilitation services in the areas of emotional, interpersonal and behavioral functioning for mentally retarded adults. A variety of therapeutic groups and a peer counseling program will be designed to utilize known principles of behavior. Provisions will be made for maximum client-consumer participation in all decision making processes of the program. Pre and post-treatment assessment measures will be employed to evaluate individual progress. It is expected that this treatment program will reduce emotional disturbance and maladaptive behaviors in the target population of mentally retarded adults. …