Reports research findings on samples of hospital outpatients, hospital inpatients, and well persons from the community in an attempt to explore the content and extent of pastoral needs among medical/surgical outpatien...
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Reports research findings on samples of hospital outpatients, hospital inpatients, and well persons from the community in an attempt to explore the content and extent of pastoral needs among medical/surgical outpatients. Analyzes and presents statistical data which lead to the conclusion that the spiritual needs of outpatients manifest greater similarity to healthy persons in the community than to hospital inpatients. Notes limitations of the study and discusses praxis implications for chaplains.
A comparison of the effectiveness of inpatient and outpatient services for alcohol and drug clients is presented. Controls for program completion and severity of substance use on entry to treatment are included. While...
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A comparison of the effectiveness of inpatient and outpatient services for alcohol and drug clients is presented. Controls for program completion and severity of substance use on entry to treatment are included. While inpatients do only as well as outpatients overall, inpatient services show significant advantage for particular classes of clients. Results, though preliminary, suggest that the recent call for a cutback in inpatient services is premature.
Interpersonal relating has been a focus of attention in psychiatry for decodes. To address this domain, a self-rating scale, the inventory of interpersonal Problems (IIP: Horowitz. Rosenberg. Baer, Ureno, & Villas...
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Interpersonal relating has been a focus of attention in psychiatry for decodes. To address this domain, a self-rating scale, the inventory of interpersonal Problems (IIP: Horowitz. Rosenberg. Baer, Ureno, & Villasenor. 1988), was developed. Analysis of the psychometric properties of IIP presented in this article was performed by principal component analysis (PCA) for the purpose of obtaining subscales with a balanced, bipolar dimensionality. The model was validated by the resulting dimensions' ability to discriminate among different categories of personality disorders (PDs). The problem of a General Complaint factor affecting PCAs of questionnaires such as the IIP is discussed thoroughly. and ways of avoiding the problem are outlined, We present a three-dimensional structure of the ITP with both theoretically appealling and statistically robust dimensions of Assertiveness, Sociability, and Interpersonal Sensitivity based on 48 (out of 127) items. Balanced, additive indexes using the subset of 48 items appeared psychometrically sound by showing much lower correlations internally and less confounding from the General Complaint factor than extant indexes derived from the: IIP. External validity seemed to be bolstered by all subscales' discriminating significantly between different PDs versus no PDs. on both cluster and single diagnosis levels. Our analysis seemed to substantiate the reliability (scalability) of three dimensions of the IIP tapping different areas of the interpersonal relational field.
This article describes the development and initial validation of the Infrequency-Psychopathology scale, Fp-A for the MMPI-A (Butcher et al., 1992). The scale parallels the Infrequency-Psychopathology scale, F(p), that...
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This article describes the development and initial validation of the Infrequency-Psychopathology scale, Fp-A for the MMPI-A (Butcher et al., 1992). The scale parallels the Infrequency-Psychopathology scale, F(p), that has been developed for the MMPI-2 (Butcher. Dahlstrom, Graham. Tellegen, & Kaemer, 1989). Result demonstrated that the 40-item Fp-A scale is superior to the F scale at discriminating between faking-bad and accurate reports of psychopathology. although the improvement over F was modest, particularly when compared to the improvement found for the F(p) scale. The difference seemed to reflect the superiority of the MMPI-A F scale to the MMPI-2 F scale. Even so, the findings suggest that the identification of overreporting on the MMPI-A could potentially he enhanced by using Fp-A as an adjunct to the F scale.
An exploratory study of 25 institutionalized elderly people who witnessed the death of a co-resident is reported. Two topics are examined: thoughts and feelings of the survivors about their own death and the climate s...
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An exploratory study of 25 institutionalized elderly people who witnessed the death of a co-resident is reported. Two topics are examined: thoughts and feelings of the survivors about their own death and the climate surrounding the death of a peer. Data obtained through a semistructured interview reveal that learning of a peer's death leads more than one third of the elderly residents to consider their own death. Witnessing a peer's death seems to have little positive or negative influence. On one hand, 84% of them state that they want to be informed of the impending death of a well-known peer;on the other hand, 80 % reported that the staff does not say when a peer is dying. Half of the respondents perceive the staff as indifferent to the death of an elderly person.
This prospective study examined the utility of several cognitive variables as predictors of suicide risk among 79 hospitalized psychiatric patients. These variables included pessimism (measured by the Hopelessness Sca...
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This prospective study examined the utility of several cognitive variables as predictors of suicide risk among 79 hospitalized psychiatric patients. These variables included pessimism (measured by the Hopelessness Scale), perceived and actual problem-solving ability (indexed by the Problem-Solving Inventory and Means-End Problem-Solving test, respectively), and polarized thinking, self-negativity, and construct system constriction and differentiation (derived from a repertory grid). Suicide risk was operationalized in terms of subsequent self-report of suicide ideation and staff records of time spent on suicide precautions. Results indicated that hopelessness, self-negativity, and poor problem-solving performance functioned as reliable predictors of suicide risk, whereas self-evaluated problem-solving ability did not. Interestingly, constriction emerged as a significant inverse predictor across criterion measures, suggesting that it might better be conceived as a measure of subjective uncertainty. Finally, patients at highest risk for actual suicidal behaviors could be discriminated on the basis of a unique cognitive structure marked by high degrees of differentiation and polarization, suggesting that conceptual disorganization and all-or-nothing thinking may provide an instigating context for suicidal or parasuicidal behavior.
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