Mental and Social Health Commons^™

Toward An Understanding Of Post-Traumatic Stress Disorders: An Historical And Contemporary Perspective, Sangeeta Singg

The Journal of Sociology & Social Welfare

This article traces the historical views that led to development of current scientific perspectives of the diagnostical concept post-traumatic stress disorder. Examples of the catastrophic precipitants of post-traumatic stress disorder, such as war, natural and man-made disasters, and rape are presented, and a description of the current clinical perspective is provided. Because post-traumatic stress disorder often involves all aspects of a person's life, the use of multimodal therapy soon after the trauma is experienced is recommended to prevent the symptoms from occurring.

The Effects Of The Holocaust: Psychiatric, Behavioral, And Survivor Perspectives, Zev Harel, Boaz Kahana, Eva Kahana

The Journal of Sociology & Social Welfare

In this paper the authors review perspectives related to Holocaust victims, limitations of Holocaust studies are discussed, and suggestions for viewing the long-range post-traumatic effects of the Holocaust upon its victims from social and behavioral science perspectives are advanced. The views of survivors toward post-war adjustment, drawn from interviews with Holocaust victims, are also presented.

Some Principles Of Decision Making Under Uncertainty In Long-Term Treatment Situations, Julius A. Roth

The Journal of Sociology & Social Welfare

Comparative information from field notes of four studies of long-term treatment institutions form the basis for developing propositions about decisions made under conditions of uncertainty. These propositions fall under the general rubrics of decision making when action involves danger, when decisions are made to control clients' or subordinates' behavior, and when a choice must be made between alternatives. The propositions are illustrated with examples taken from the four studies.

Behavioral Interventions For The Cessation Of Cigarette Smoking Behavior: A Literature Review, Russell David Matthews

Masters Theses

The negative impact of cigarette smoking on health has been medical knowledge for many years. This provides the behavioral investigator with a large population of subjects engaging in a maladaptive behavior which is easily defined and measured and highly resistant to extinction. This study critically reviews published accounts of behavioral interventions for cessation of cigarette smoking, which were listed in the Psychological Abstracts, and other published bibliographies, 1964-1984. Despite the volume of studies reviewed, very few demonstrated effectiveness over time. The author concludes while several techniques proved to be effective initially, their effectiveness diminished within months after application. However, several …

Wechsler Adult Intelligence Scale/Wechsler Memory Scale Difference Scores: Their Relationship To Brain Dysfunction And Closed Head Injury, Don A. Boyd

Dissertations

Performance differences between the Wechsler Adult Intelligence Scale (WAIS) and the Wechsler Memory Scale (WMS) were studied. Differences in performance between the WAIS Full Scale IQ Score and the WMS Memory Quotient (WMS discrepancy score) were compared across three groups consisting of a closed head injury group (N = 45), a localized lesion group (N = 25), and a psychiatric group (N = 45) who were unimpaired on the Halstead-Reitan Neuropsychological Battery. Also, WMS discrepancy scores were compared across a long-coma group and a short-coma group and the correlation coefficient between the WMS discrepancy score and neuropsychological impairment rating was …

Mental Health Status Of Malay Students At U.S. Colleges And Universities, Md. Shuaib Che Din

Dissertations

The basic premise of this study was that foreign students are faced with problems during much of their stay in the United States. It was the purpose of this study to determine the effects of everyday life strains on the mental health status of Malay students at U.S. colleges and universities. Specifically, this study looked at the relationships between the symptoms of psychiatric disorders of depression, psychological coping resources of self-esteem and self-mastery, and the background variables. Also this study attempted to determine the levels of depression, self-esteem, and self-mastery; the manifestation of the depressive symptoms according to the domains …

Alcoholism: The Insidious Disease, Kathryn Van Bruggen

Masters Theses

The purpose of this study is to describe alcoholism as a disease, it s likely etiology, symptoms, methods of treatment and prognosis. Problems due to alcoholism are reported as they affect not only the alcoholic but the family, job and community as well. Education will help identify an alcoholic problem before it becomes too advanced. Various treatment modalities are discussed, including Alcoholics Anonymous. This study relates to the impact on the family and how the family can exacerbate the problem. Conclusions are based on observations of alcoholics and families of alcoholics in a therapeutic setting and literature review.

Acute Effects Of Phenytoin And Thioridazine, Alone And Combination, Upon Water Intake And Body Weight Changes In Rats, Miriana Witzig-Krstic

Masters Theses

Concommitant medication of anticonvulsants and psychotropics appears to be predominant among mentally retarded, geriatric, and psychiatric in- and out-patient populations. Despite suggested interaction and toxicity resulting from such combination treatment, substantial data remains unavailable. This study was designed to explore effects of dual treatment of thioridazine

A Modification Of The Dry-Bed Training For The Treatment Of Nocturnal Enuresis, Abubaker Muftah Abdurrazek

Masters Theses

The present study explored the effectiveness of the Dry-Bed Training (DBT) method without positive practice (20 trips to the toilet) and urine alarm. It also compares the efficacy of the DBT with and without the urine alarm. Eight nocturnally enuretics, aged 6 to 12 years, were assigned to two groups, experimental and control; each consisted of three boys and one girl. During the first phase of treatment, the experimental group underwent the DBT without positive practice and urine alarm, whereas the control group underwent the DBT with positive practice but no alarm. Subsequently, the urine alarm was introduced to both …

Community Mental Health Attitudes, Fenimore William Johnson

Dissertations

The purpose of this study was to compare community mental health attitudes of the past and the present, and between mental health workers and the public. The results indicate that the public is better informed and more favorably disposed toward the mentally ill today than was true several decades ago. Some stereotypes persist, however, and the mentally ill are still regarded less favorably than are other disability groups. Mental health workers and the public appear to be similar in their endorsement of a medical approach to treatment, although the former endorse more strongly a community-based treatment orientation. There was no …

Improving Interpersonal Perceptual Accuracy And Psychological Adjustment Through Brief Perception Therapy With A Substance Abuse Population, B. Gerald Hartman

Dissertations

This study's purpose was to determine if a type of cognitive therapy, Brief Perception Therapy, (Bullmer, 1980) could improve interpersonal perceptual accuracy and psychological adjustment in a substance abuse population. Thirty-five patients seeking inpatient treatment were randomly assigned to a treatment and a comparison group. Twenty-five patients completed the three week program, 13 in the treatment group and 12 in the comparison group. The treatment group received Group Brief Perception Therapy (GBPT) and the comparison group received Regular Group Therapy (RP). Therapists were experienced master's level psychologists and social workers trained in group treatment. GBPT groups used a programmed text, …

The Relationship Between Thought Disorder And The Diagnosis Of Schizophrenia, David Frank Fatzinger

Dissertations

The diagnosis of schizophrenia has been considered unreliable, especially when derived by psychiatric interview. Thought disorder is one symptom that has been accepted by most clinicians as a major indicator of schizophrenia. The purpose of this study was to examine the relationship between thought disorder and the diagnosis of schizophrenia in a state hospital setting.

The sample consisted of 88 patients, 58 males (mean age = 32.0) and 30 females (mean age = 38.6) and was gathered from newly admitted patients in a large state hospital. Thought disorder was measured by the Whitaker Index of Schizophrenic Thinking (WIST) Form A, …

The Use Of Alternative Behaviors, Covert Sensitization And A Package Intervention In Treatment Of Bulimia, Janice Marie Arone

Masters Theses

Bulimia is a complex eating disorder that involves bouts of binge eating which are usually followed by a purge to rid the individual of the unwanted food. This disorder occurs primarily in females and may lead to several medical and psychological complications. The efficacy of two single component treatments and a package intervention designed to decrease variables related to binge eating were investigated with three bulimic females. The results of the research indicated that individuals who were exposed to the package intervention experienced the largest decrements in the binge eating when compared to the single component procedures.

A Comparison Of The Effects Of Student-Generated Versus Instructor-Generated Questions On The Comprehension Of Written Material, Helen Diann Pratt

Masters Theses

Twelve college students volunteered to participate in a special section of an introductory psychology course at Western Michigan University. A multiple baseline design across groups was used to assess differences in reading comprehension between students who received study objectives written by the instructor and students trained to write their own study objectives. Quizzes and examinations were used to assess students' reading comprehension of course materials. A comparison of pre- and post-test scores on the Nelson-Denny Reading Comprehension Test was used to determine whether students had acquired skills which aided their comprehension of other materials. Results indicated no statistically significant differences …

Improving The Mental Health Care Delivery System For Elderly Nursing Home Patients, Richard J. Caston, Sharon Kohls, Susanna Bozinovski

The Journal of Sociology & Social Welfare

It is well known that the mental health care delivery system for aged nursing home patients is inadequate. Based on information gained from face to face interviews and from a mail survey of nursing home personnel, the range and usefulness of the resources and services available for mental health care in nursing homes are identified. This information is then used to derive recommendations for the development of a more effective mental health care delivery package for nursing homes.

Child Abuse And Mental Health: An Examination Of Some Long Term Effects For Prison Inmates, Michael J. Belyea, Matthew T. Zingraff

The Journal of Sociology & Social Welfare

This study examines the effects of childhood abuse on future adult mental health. A statistically significant relationship was found between abuse and mental health problems. This relationship remained even after controlling for parental characteristics and the effects of an abusive environment. These findings suggest that one way to deal with the consequences of abuse would be to develop long term intervention strategies.

Social Work Intervention With The Aged: Toward A Change In The Institutionalized Thought Structure, Shimon S. Gottschalk, Michael Frumkin, Allan V. Kaufman

The Journal of Sociology & Social Welfare

The social problems associated with aging are viewed as derived from a series of socially defined meanings in the areas of: (1) power/authority,(2) responsibility, (3) productivity/work, (4) dependence/ independence,and (5) knowledge/rationality. A parallel series of alternative meanings is proposed which make possible the creation of alternative institutional forms which hold promise for making contemporary problems substantially obsolete. An era of post-professinalism is envisioned in which helping agents become political activists committed to social change on the cognitive, as well as the material level.

Empathy/Role Taking: A Theoretical Model For Feminist Therapy, Michele Wilson, Gayle Twilbeck Wykle

The Journal of Sociology & Social Welfare

Feminist therapy is directed not only at individual, but also at social change. Because of this dual aim of feminist therapy, the symbolic interactionist perspective, which describes individual initiative as a source of social change, is suggested as a theoretical orientation which can provide a useful model for feminist therapy. More specifically, the empathy/role-taking model for the clienttherapist relationship is outlined here.

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 …

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 …

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 …

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

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 …

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 …

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 …

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

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 …

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.

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

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.