Mental and Social Health Commons^™

Aids Prevention Through Printed Media: Knowledge And Communication Behaviors Of Gay College-Aged Males, Cheryl L. Knight

Masters Theses

AIDS prevention research has established the effectiveness of multiple component group interventions. It has not identified whether the effectiveness is due to the format of the intervention (i.e., rehearsal, feedback, etc.) or its instructional content. This study investigates the impact of instructional content delivered in the inexpensive and readily obtained printed medium. Thirteen gay or bisexual college-aged men received an information pamphlet and an AIDS-related communication skills training booklet. Subjects were evaluated on measures of knowledge, safe and risky behaviors, and communication behaviors in each of three assessment sessions. Visual analyses and repeated measures analyses of variance did not support …

Effects Of Ro 15-4513 On Schedule-Induced Ethanol Intake In Rats And Schedule-Maintained Responding In Pigeons, Dawn D. Delaney

Dissertations

The partial inverse benzodiazepine receptor agonist, Ro 15-4513, is a recently synthesized compound with the ability to antagonize some of the biochemical and behavioral effects of low to moderate doses of ethanol and related CNS depressants. The present investigations sought to explore further the behavioral actions of Ro 15-4513. In Experiment 1, the effects of acute (0.6-5.4 mg/kg) and chronic (5.4 mg/kg) administrations of Ro 15-4513 on rats' schedule-induced consumption of water and 8% ethanol solution were examined. Acute and chronic administrations of Ro 15-4513 slightly reduced consumption of both liquids. No selective effects on ethanol consumption were observed.

In …

Psychophysiological Assessment Of Panic Disorder, Kent A. Koehn

Masters Theses

This study compared physiological and psychological measures between 9 subjects meeting the DSM-III-R criteria for panic disorder (PD) and 9 control subjects to identify psychophysiological differences that might be relevant to the etiology and maintenance of panic attacks. The subjects were assessed through a number of self-report measures and across three laboratory sessions involving five experimental conditions: baseline, role play, relaxation, mental arithmetic, and cold pressor. We measured electrodermal (EDG) and electro-myographic activity (EMG), heart rate (HR), and blood volume pulse (BVP) in terms of absolute values, reactivity, and habituation. Both groups were also assessed in their ability to accurately …

Smoking Cessation In Relapsed Smokers: A Competing Schedules Approach, Catherine E. Ellis

Masters Theses

Recent research in cigarette smoking reveals that social support and reinforcing alternative behaviors to smoking may be instrumental for sustained abstinence. This study examined the efficacy of these approaches with a group of relapsed smokers. Subjects were fifteen male and female Southwestern Michigan residents between the ages of 22-48. Both the treatment and control group attended two initial smoke-stopping sessions. The independent variable was a relapse-prevention package administered to the treatment group over the third through seventh sessions. Dependent variables were Carbon Monoxide (CO) levels, Saliva Thiocyanate (SCN) levels, and the daily number of cigarettes smoked. A two-way analysis of …

The Psychological Needs Of Sex Offenders Of Children As Measured By The Personality Research Form, Shirley Anne Miller

Dissertations

Major contributors in the field of child sexual abuse have agreed that sex offenders who sexually abuse children are not primarily motivated by sexual desire and have proposed that the simultaneous satisfaction of a number of psychological needs is the prominent motivation of sex offenders of children. Few attempts have been made to empirically validate the clinical and theoretical impressions regarding the psychological needs of this group using psychological measures designed to assess needs or motives.

The purpose of this study was to investigate to what extent the assumptions about the psychological needs of sex offenders of children would be …

Evaluation Of The Effectiveness Of An Educational Presentation In Increasing Chemically Dependent Males’ Report Of Sexual Abuse, Linda L. Hand

Masters Theses

Research has demonstrated several factors among sexually abused males such as males sexually abused as children becoming adult sexual abusers; one in four males reporting sexual abuse; and adult emotional trauma, drug abuse, and sexual dysfunction. To break this abuse pattern, we need to focus on increasing males' reports of sexual abuse and initiating treatment.

The present study evaluated the effectiveness of an oral educational presentation in increasing males' reports of sexual abuse. It also sought prevalence information and treatment needs. Subjects were 51 males from three chemical dependency treatment centers. One control and four experimental groups were used. The …

A Cross-Cultural Analysis Of Psychiatric Symptom Expression Using Langner's Twenty-Two Item Index, Robert Nishimoto

The Journal of Sociology & Social Welfare

An analysis of psychiatric symptom response using Langner's twentytwo item index was conducted across three cultural settings. Respondents were Anglo-American, Vietnamese Chinese, and Mexican. Some similarities did exist in response patterns and in those symptom items highly correlated with the total psychiatric screening score. Close examination revealed between-group differences indicating that not all twenty-two items were valid indicators of psychological disorder across cultures. The study highlights issues in the development and use of symptom checklists to measure and assess mental health constructs across cultures.

Community Mental Health: A View From American History, Mary Ann Jimenez

The Journal of Sociology & Social Welfare

The limitations of the movement for deinstitutionalization of the chronically mentally disordered have been the subject of a repeated series of investigations and analyses in the last 10 years. These critiques can be summed up in the undeniable observation that the chronically mentally disordered have by and large failed to benefit from deinstitutionalization in the ways that the original advocates and planners of this policy had hoped. The promise of community mental health, at least as articulated by the scores of witnesses before Congressional committees in the early 1960's, has not been realized for this population.

Recidivism And The Self Concept Of Male Juvenile Delinquents, Mary B. Stelma

Masters Theses

It is a common belief that a low self concept is related to deviant behavior. The purpose of this study was to compare the self concepts of juvenile recidivists with those of non-recidivists.

A sample of 162 subjects was taken from juveniles who had been treated at a Michigan detention facility. Measures of self concept, using the Tennessee Self Concept Scale (Fitts, 1965), were taken both prior to and following treatment. Point-biserial correlations were computed for pre-test scores, post-test scores, and changes in scores from pre-test to post-test.

The results showed some significant positive correlations between self concept and recidivism …

Effects Of Caffeine Consumption On Cardiovascular Reactivity To Social Stress, Suzanne L. Keller

Masters Theses

Several risk factors have been linked to cardiovascular diseases; among them are exposure to psychological stressors and caffeine consumption.

The objective of this study was to examine the effects of caffeine consumption on cardiovascular reactivity to role play simulations of social stressors. A double-blind alternating treatment design was employed. Eight subjects (five female and three male) received either caffeine-containing or placebo beverages. Each subject received four samples of each beverage over a total of eight sessions. The results include: (a) stressors increased systolic and diastolic blood pressure along with heart rate in baseline, placebo and drug conditions; (b) caffeine produced …

Mental Health Treatment Refusal In Correctional Institutions: A Sociological And Legal Analysis, Rudolph Alexander Jr.

The Journal of Sociology & Social Welfare

Recently, the courts have recognized the right to a minimum level of mental health treatment for individuals confined in both mental and correctional institutions, utilizing a different rationale for each system. As mental health administrators in state mental hospitals accepted that they were responsible for providing an increased level of mental health services, they were disappointed that courts had subsequently ruled that individuals in state hospitals had a right to refuse treatment. The purpose of this paper is to elaborate, sociologically and legally, upon treatment refusal in the correctional system since most of the attention on treatment refusal has focused …

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 …

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 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 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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 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 …

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.

A Comparison Of Awareness Training And Competing Response Training In The Treatment Of Muscle Tics And Nervous Habits, Gregory A. Wright

Masters Theses

This study examines two components of Azrin and Nunn's (1973) habit reversal procedure in an attempt to separate the effects of awareness training from the effects of competing response training. Research (Miltenberger, Fuqua, & McKinley, 1985) has indicated that an intervention combining awareness training and competing response practice is as effective as the entire habit reversal package in suppressing muscle tics. However, because the competing response component is always administered in conjunction with awareness training, the effects of each component are obscured. Four subjects, two with muscle tics and two with nervous habits, received an intervention of either awareness training …

The Effects Of Rational Emotive Education On The Rationality, Neuroticism And Defense Mechanisms Of Adolescents, Daniel John Kachman

Dissertations

The purpose of this study was to assess the efficacy of Rational Emotive Education (REE) as a mental health prevention program for adolescents. The subjects included 109 eleventh and twelfth grade students who were enrolled in four introductory psychology courses. A nonequivalent control group design was used with experimental subjects receiving 12 biweekly sessions of REE. Subjects were pre and posttested on three measures of psychosocial adaptation: the Rational Behavior Inventory (RBI), the Defense Mechanism Inventory (DMI), and the Eysenck Personality Inventory (EPI). The effects of REE upon behavior were also examined by comparing academic effort grades, number of detentions …