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Relationship quality moderates the effect of social support given by close friends on cardiovascular reactivity in women.

We examined the role of the type of support provided, gender of support provider, and relationship quality in predicting how social support might influence cardiovascular reactivity during acute stress in women. A group of 88 women received either emotional, instrumental, or no support from a close female or male friend while performing a series of speech tasks. Results suggest that the effectiveness of social support for women depended primarily on the quality of the friendship (i.e., purely positive, or ambivalent). More specifically, women who interacted with a female, ambivalent friend had the largest changes in diastolic blood pressure, total peripheral resistance (TPR), and pre-ejection period compared to the other conditions. Furthermore, receiving emotional support from a purely positive friend was related to lower increases in cardiac output (CO) compared to a no-support condition. In contrast, receiving emotional support from an ambivalent friend was related to larger increases in CO and only small changes in TPR when compared to individuals in the no-support condition. These data are discussed in light of the psychosocial processes underlying social support effects in women, and the importance of a more comprehensive view of how close relationships influence cardiovascular function.

Adult↗

The world hypotheses scale: rationale, reliability and validity.

Theoretical descriptions are presented for four different sets cognitive assumptions concerning the fundamental meaning of events. These cognitive assumptions or world hypotheses are called formism, mechanism, organicism, and contextualism. The development of a 12-item scale to measure individual preferences for these world hypotheses is described. Finally, several empirical studies are reported in which diverse behavioral correlates have been found for individuals preferences among world hypotheses. Specifically, significant results have been obtained for choice of careers, stability of friendships, and success in both group and individual therapies.

Journal Article↗

The measurement of role taking in young adults.

Sociometry is presented as an alternative way of measuring role taking, specifically, an alternative to an often used projective measure, the Role-Taking Task (RTT). Study 1 assesses role taking in 161 college students. In this study, a sociometric measure, the Peer Role-Taking Questionnaire (PRTQ) was shown to correlate with class year, group status, social choice, and friendship. In contrast, the RTT correlated weakly with grade point average and some personality test measures. In Study 2, the PRTQ, and not the RIT, was associated with interaction skills in a sample of 39 college nursing students. The PRTQ and RTT did not correlate with each other in either study. The validity and reliability of these two role-taking measures are discussed. It is suggested that researchers need to examine the adequacy of the role-taking measures they use.

Journal Article↗

Homophobia, perceived fathering, and male intimate relationships.

This study examined the relationships among homophobia, perceived fathering, and male intimacy with significant male and female best friends. A questionnaire, administered to 130 adult heterosexual males, included McDonald and Game's homophobia measure (ATHMS), eight intimacy scales, and four scales measuring subjects' recollections of their fathers' parenting styles. Correlations of ATHMS and individual intimacy scales revealed a significant relationship between homophobia and intimacy in male-male relationships. Homophobia was related to male-female intimacy on those measures which reflected subjects' perception of their female partner's sensitivity to them. Although homophobia was related to perception of the father as enforcing sex roles, none of the perceived fathering variables were directly related to intimacy with males. The findings provide evidence for a direct relationship between male homophobia and lack of intimacy in friendships between men.

Adult↗

A blessed and charmed personal odyssey.

Sandwiched between hyperbolic concerns about our society and mankind's future, I have sought to depict the personal exploits of a not untypical psychologist through the mostly joyous times of America in the mid and late 20th century. I subscribe to the view that you, my reader, has shared a discipline that is and may become even more the noblest of all sciences. Having achieved the honored status of Professor Emeritus, I have no plans to curtail my efforts to advance our science and its worthy purposes. In almost 50 years of wandering in clinical academia, I have found only a small measure of ill will, mostly warmth, deep friendships, intellectual challenges, and a life of fulfillment, one in which I have had the satisfaction of seeing several of my scholarly missions achieve a measure of professional recognition before I become just a memory.

Diagnostic and Statistical Manual of Mental Disord↗

Peer functioning, family dysfunction, and psychological symptoms in a risk factor model for adolescent inpatients' suicidal ideation severity.

Examined models of suicidal ideation severity that include two psychosocial risk factors (i.e., peer and family functioning) and four domains of psychological symptoms (i.e., generalized anxiety, depression, conduct problems, and substance abuse/dependence). Participants were 96 psychiatric inpatients (32 boys, 64 girls), ages 12 to 17, who were hospitalized because of concerns of suicidality. Adolescents completed a structured diagnostic interview, measures of suicidal ideation, and several dimensions of family and peer functioning. Results supported a model in which greater levels of perceived peer rejection and lower levels of close friendship support were associated directly with more severe suicidal ideation. In addition, indirect pathways included deviant peer affiliation and global family dysfunction related to suicidal ideation via substance use and depression symptoms. The results are among the first to demonstrate relations between suicidal ideation and several areas of adolescent peer functioning, as well as divergent processes for peer and family predictors of suicidal ideation.

Adolescent↗

Assessing social dysfunction: the contributions of laboratory and performance-based measures.

Reviewed research studies in which laboratory and performance-based measures were used with success to identify problematic social interaction patterns and social skills deficits associated with poor peer relationships. However, the clinical utility of these measures remains an empirical question. In this article, social competence is conceptualized as an organizational construct, reflecting the child's capacity to integrate behavioral, cognitive, and affective skills to adapt flexibly to diverse social contexts and demands. Correspondingly, performance-based measures of social functioning that include complex social interaction stimuli and require integrative responses appear more likely to demonstrate social validity than measures focused on isolated behaviors or cognitions. Research studies are reviewed that involve observations of children in three types of analogue social situations: play groups, friendship pairs, and social-challenge situations. In addition, studies that have utilized performance-based measures to screen and evaluate children for social skills training programs are reviewed. We conclude that performance-based measures are unlikely to be useful in determining whether a child is experiencing social dysfunction but may enhance the clinical analysis of the nature of the child's social difficulties. We identify gaps in the current knowledge regarding the clinical utility of performance-based measures of social dysfunction, along with directions for future research.

Affect↗

Differential exposure and reactivity to interpersonal stress predict sex differences in adolescent depression.

This study tested the hypothesis that higher rates of depression in adolescent girls are explained by their greater exposure and reactivity to stress in the interpersonal domain in a large sample of 15-year-olds. Findings indicate that adolescent girls experienced higher levels of total and interpersonal episodic stress, whereas boys experienced higher levels of chronic stress (academic and close friendship domains). Higher rates of depression in girls were explained by their greater exposure to total stress, particularly interpersonal episodic stress. Adolescent girls were also more reactive (more likely to become depressed) to both total and interpersonal episodic stress. The findings suggest that girls experience higher levels of episodic stress and are more reactive to these stressors, increasing their likelihood of becoming depressed compared to boys. Results were discussed in terms of girls' greater interpersonal focus and implications for understanding sex differences in depression.

Adolescent↗

American Indian cancer survivors: exploring social network topology and perceived social supports.

BACKGROUND: The literature on social networks and social supports attests to the powerful influence of social relationships on health; there is a dearth of such studies with American Indians/Alaska Natives. METHOD: This exploratory study assesses the social network topology and perceived social supports received among American Indian cancer survivors and matched controls. RESULTS: Although there did not appear to be marked differences overall among cases and controls, expressive social supports (eg, companionship, moral support, encouragement, advice, and friendship) were ranked highly across each component of the network. CONCLUSIONS: The family appears to be the principal source of social supports relative to either best/closest friend or church/community.

Aged↗

Dr. Benno Schlesinger: neuroanatomist and neurosurgeon from Vienna, 1900-1983.

Benno Schlesinger (1900-1983) was a neurosurgeon, neuroanatomist, and neurologist from Vienna, Austria. He was a great person and a brilliant scientist. Schlesinger's life is a picture-book reflection of Europe's tragedy in the first half of the 20th century. Born an Austrian of Jewish descent, he left his home country and went to the United States where he spent the better part of his life engaging in painstaking research on a wide range of subjects, writing unique research papers on neuroanatomy, and working as a successful neurosurgeon. He made lasting contributions to our understanding of the surgical anatomy of the venous system of the brain and the effects of brain lesions on higher cortical functions. His intimate personal friendship with Harvey Cushing went far beyond their shared enthusiasm for neurosurgery.

Austria↗

International health links: an evaluation of partnerships between health-care organizations in the UK and developing countries.

Increasingly, international health links are evolving between UK health-care institutions and those in developing countries, the core aims of which are to seek the transfer of ideas, knowledge, skills and training. This study aimed to evaluate established health links, what constitutes them and how they are supported. Benefits and challenges associated with the links, as perceived both by link coordinators in the UK and their overseas partners, were explored. Fourteen links between health-care organizations in the UK and those in developing countries were identified and interviews were successfully conducted with 22 link coordinators: 13 in the UK and nine in developing countries. The interviews indicated that health links offer mutual benefits to both partners in terms of shared skills and the promotion of global awareness. Links can act as important catalysts; stimulating increases in institutional capacity for research and training. They provide opportunities for personal and professional development of staff and promote the development of friendships and supportive networks between diverse communities. Many of the health links showed signs of evolving from uniprofessional links between individual institutions into broader, multidisciplinary community partnerships. The main challenges facing health links arise from cultural differences, funding problems, communication difficulties and bureaucracy. There was broad agreement that greater recognition of the value and importance of health links by the NHS and closer collaboration between government departments to provide support and resources could promote wider and more effective link partnerships.

Africa South of the Sahara↗

The needs of people with HIV in the UK: findings from a national survey.

The aim of this study was to describe the needs of people living with HIV in the UK. A questionnaire addressing 17 areas of need was completed by 1821 people living with HIV in the UK. The core need indicator was a personal assessment of happiness with current state. A quarter of all respondents were happy with their current state across all needs. For each need, the following proportions were unhappy with their current state: sex, 40%; anxiety/depression, 33%; sleep, 32%; self-confidence, 32%; money, 28%; household chores and self-care, 18%; housing, 18%; appetite, eating and drinking, 17%; friendships, 17%; discrimination, 16%; mobility, 15%; dealing with health professionals, 15%; relationships, 14%; drugs and alcohol, 9%; taking treatments regularly, 5%; HIV treatment knowledge, 4%; looking after children, 2%. Although some people with HIV are coping well with minimal unmet need, the overall picture of need is dominated by personal, social and economic issues.

Female↗

Sir Morell Mackenzie revisited.

The story of Sir Morell Mackenzie and his famous patient, Frederick III, Crown Prince of Germany naturally divides itself into four segments: the physician, his famous patient, the illness, and its consequences both medically and historically. The circumstances of Frederick's death have affected us all. Medically, the cause of biopsy for carcinoma of the larynx was set back many years. For generations biopsy was considered unnecessary to the diagnosis. Had Frederick lived and remained Emperor, and had he encouraged Bismarck to continue a more liberal government and constitutional monarchy; had he continued the non-aggression treaty between Russia and Germany; had he honored his pledge to Queen Victoria for a "close and lasting friendship between our two nations," how different our history might have been.

England↗

Searching for information, understanding, and self-value: the utilization of peer support groups by gay men with HIV/AIDS.

The present study examined the patterns and variations characterizing the support group involvements of 25 gay men with HIV/AIDS. Results indicated that those men who participated in support groups on a long-term basis (i.e., one year or more) were less likely to have access to other social support networks. They were also most interested in receiving and exchanging emotionally-oriented forms of support, such as empathy, acceptance and camaraderie. By contrast, the men who participated in support groups for a brief period of time (i.e., six months or less) had greater access to alternative support networks and were more interested in receiving and exchanging instrumental forms of support, such as illness-related information and examples of effective coping. Those men who elected not to participate in support groups emphasized their relatively good health, the strength of their existing support systems and their reluctance to see others with life-threatening symptoms. Finally, regardless of whether and how they participated in formal support groups, the majority of men in this study benefitted from interacting regularly with peers. Through these interactions, they received helpful understanding, information and friendship. In addition to this, they often experienced a revitalizing sense of purpose, efficacy and mutuality which enabled them to cope more successfully with their illness.

Acquired Immunodeficiency Syndrome↗

Etiologies and consequences of adolescent drug use: implications for prevention.

This paper reviews recent results and work in progress from a longitudinal study of drug use etiologies and consequences. Early- and mid-adolescent drug use patterns, personality, and behavioral correlates were studied in a large sample of normal youth beginning in the mid-1970's. To determine the correlates and consequences of adolescent drug use, controlling for related tendencies such as lack of social conformity and deviant friendship networks, 654 youngsters were followed into young adulthood and their behaviors and lifestyles evaluated. Teenage drug use was found to disrupt many critical developmental tasks of adolescence and young adulthood. Tendencies to use many different drugs as an adolescent led in young adulthood to increased drug crime involvement, decreased college involvement, increased job instability, income, psychoticism, and stealing episodes. Intervention efforts should be directed not only towards decreasing drug use, but also towards improving personal maturity, social skills, and economic opportunities.

Adolescent↗

Tending and befriending: the intertwined relationships of quilters.

Using the convoy model of social relations, we explored the contributions of quilting activities to the relationships of middle- and older-aged women in three distinct groups: Amish, Appalachian, and Latter Day Saints. Semi-structured interviews were conducted with ten women from each group and analyzed qualitatively using McCracken's five-step method for analysis of long interviews. We found that these women had considerable horizontal and vertical connections to others. Specifically, they exhibited generativity by teaching their skills to others, building bonds with grandchildren through quilting, and leaving legacies through their quilts. Many developed friendships with other quilters that provided social support to deal with life challenges. Additional study of the contributions of mid-late life women's leisure activities to their social milieu, personal development, and well-being is needed.

Adult↗

The feminization of bereavement among community-dwelling older adults.

We examined gender differences in frequency and sociodemographic predictors of spousal, non-spousal family, and friendship bereavement events among community-dwelling older adults using data from the UAB Study of Aging. Analysis involved a 30-month observation period of 893 subjects. There were significant differences between women and men for all types of loss. Significant differences were also found in the sociodemographic predictors of loss between and within gender categories. This study revealed the extent to which older women disproportionately bear the burden of loss and points to the need for greater attention to bereavement as a women's issue.

Aged↗

Aging and creating families: Never-married heterosexual women over forty.

An examination of women over age forty who had never married was conducted. The women completed a structured questionnaire about their aging and their self-esteem was assessed with a standard measure. The participants were women from across the United States. Descriptive analyses of the data were ordered with ecological systems theory and findings revealed that the women are self-satisfied, socially productive and well adjusted with their single status and that singleness runs in their families. These women have defined what family means for them as they age-family of origin and close friendships. This description may be helpful in understanding this group as a social force and as role models for young women as they age.

Adult↗