Does vocational overshadowing even exist? A test of the robustness of the vocational overshadowing bias.

Vocational overshadowing (P. M. Spengler, D. L. Blustein, & D. C. Strohmer, 1990 ) is a hypothesized underemphasis of clients' career concerns when more interesting, prestigious, or economically rewarding "personal" problems coexist. This study tested the robustness of the vocational overshadowing bias by using an expanded array of case material, by including practicing counseling psychologists (n?=?125) and clinical psychologists (n?=?121), and by assessing the moderating effects of clinician information processing and attitudinal characteristics. Clinical psychologists were more likely than counseling psychologists to underemphasize vocational concerns combined with severe noncareer problems. More complex thinking about career counseling and higher preference for working with career problems were associated with greater attention to clients' career concerns. However, no clear evidence was found for the vocational overshadowing bias by either equal or less severe noncareer problems. Implications of these findings for career counseling and clinical judgment research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical judgmental biases: The moderating roles of counselor cognitive complexity and counselor client preferences.

Found that counselor individual differences in cognitive complexity (CC), but not preferences for client problems, moderate the cognitive processes that lead to bias in clinical judgment. A particularly robust and unambiguous clinical bias, known as diagnostic overshadowing (S. Reiss et al; see record 1982-25973-001), was selected for study. Consistent with behavior decision (R. Nisbett and L. Ross, 1980) and complexity theories (J. Bieri et al, 1966), counseling psychologists with lower CC were more likely to form biased clinical judgments than were counseling psychologists with higher CC (N?=?119). Implications of the significant and nonsignificant results for research in clinical judgment and for counselor education and practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

AIDS/HIV and university students in Delhi, India: knowledge, beliefs, attitudes and behaviors

Eight hundred eighty-seven students in social work, nursing, and humanities from two major universities in Delhi were compared regarding their knowledge about AIDS/HIV and attitudes toward PWAs and homosexuals. Their scores on the 20-item knowledge test indicate fair degree of knowledge; however, they lacked information in crucial areas of AIDS prevention and human sexual anatomy. Unmarried, female and older students and those in social work and nursing disciplines scored significantly higher on correct answers. Social work students were likely to be more positive in their attitudes toward AIDS victims than those in nursing or humanities. Knowledge was positively related to attitudes and perception of risk. Despite their awareness of personal risks only four in ten used condoms sometimes during intercourse. Educational strategies to increase cognitive and affective understanding of AIDS and its victims are discussed.     

Long-term perspective on the prevalent-cohort biases in studies of human immunodeficiency virus progression

Because considerable information about progression of human immunodeficiency virus (HIV) infection has been provided by studies of cohorts of individuals with prevalent HIV infection, this study was designed to investigate bias due to onset confounding (differential time-since-infection distributions) and differential length-biased sampling in epidemiologic analyses of data from such cohorts. Subjects were participants in the Italian Seroconverters Study, a seroincident cohort of more than 1,200 adults seen at ambulatory care clinics in Italy, with observed HIV seroconversion in 1980-1988. Acquired immunodeficiency syndrome (AIDS) diagnoses, based on the 1987 Centers for Disease Control case definition, and mortality were ascertained through Italian national registries through 1994. To estimate bias in prevalent cohorts, a series of pseudoseroprevalent (PSP) cohorts were drawn by sampling, from among the total seroincident cohort, prevalent AIDS-free subjects in each calendar year. The relative AIDS risk associated with a given covariate was calculated in each PSP cohort and compared with the relative AIDS risk for that covariate in the seroincident cohort. Relative risks were estimated by both the ratio of AIDS incidence densities and the relative AIDS hazards from proportional hazards regression. Differential length bias was not evident, as assessed in the following way: Among 338 individuals with seroconversion dates in 1983-1986, the relative risk of AIDS for subjects born before 1951 compared with those born more recently was 1.67 (95% confidence interval (CI) 1.30-2.14). Although differential length-biased sampling was expected to bias this relative risk toward 1.0, the observed relative risk for earlier birth ranged from 1.79 to 2.86 in 1987-1992 PSP cohorts. Onset bias was observed: Among 644 subjects with seroconversion in 1980-1988, the AIDS relative risk for 1980-1985 seroconverters compared with 1986-1988 seroconverters was 1.09 (95% CI 0.76-1.55). Onset bias was seen in 1988-1990 PSP cohorts (relative risks for early seroconversion = 1.47, 1.46, and 1.34, respectively); in 1991-1992, relative risks were close to the expected value of 1.09, and CIs on relative risks from all PSP cohorts after 1989 included 1.0. Confounding attributable to differential length-biased sampling in prevalent cohorts does not necessarily bias estimates of the impact of covariates on rate of progression to AIDS. Bias can arise when a covariate suspected of affecting AIDS risk is closely linked to date of acquisition of HIV infection. However, onset bias appears to wane as subjects' dates of infection become more remote.     

HIV prevention interventions: The effects of role-play and behavioural commitment on knowledge and attitudes.

Investigated the effects of active versus passive participation, as well as behavioral commitment, on the knowledge and attitudes of adolescents in an HIV-prevention intervention. Following completion of an HIV attitudes and knowledge test, a group of 144 9th grade students were randomly assigned to 1 of 4 treatment conditions that included either role-play, video, lecture, or no treatment. Half the participants in each condition were required to commit to attend to HIV-prevention information and educate another student about such issues. A post-test conducted at 4-wk follow-up indicated that students in the active participation condition (i.e., role-play) demonstrated increased knowledge about AIDS and HIV. Behavioral commitment to further HIV-prevention information did not moderate (i.e., enhance) the effects of active participation; however, commitment did lead to more positive attitudes toward HIV-prevention. The findings suggest that a role-play intervention may be a viable alternative to traditional lecture and video methods for enhancing knowledge towards HIV-prevention in adolescents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The evolution of adjustment issues in HIV/AIDS

The issues of emotional adjustment to AIDS have been inextricably linked to medical advances in fundamental knowledge about the human immunodeficiency virus and its potential therapies. In 1987 patients were struggling with the advantages and disadvantages "to do or not to do AZT (zidovudine)," whereas the choices imposed by combination therapies and the protease inhibitors in 1997 are fundamentally different and are occurring in an evolving context created by a number of striking medical advances, expanding populations, the availability of environmental support, and changing public sentiments. As the psychiatric treatment of HIV-positive individuals shifts increasingly from "AIDS specialists" to the wider therapeutic community, it is important that the therapist who has had relatively little experience with this population not assume that contemporary issues and concerns of the seropositive patient, or the patient with AIDS, are essentially those discussed widely in the earlier years of the epidemic. Patients living with this virus for a number of years have traveled a long and arduous journey and will experience more empathy from a therapist who has some knowledge of that path. Awareness of the evolution of emotional adjustment, counseling, and ethical issues of AIDS should amplify the general fund of knowledge required for good clinical management of the person living with AIDS.     

An analog study with beginning therapists suggesting bias against "activity" in women.

Investigated the effects of client sex and therapist attitudes toward women on treatment planning for an "active" client by having 28 social workers, 28 psychiatrists, 2 nurses, and 3 psychologists (aged 20–30 yrs) formulate a treatment plan for either a male or female client whose cases were identical except for client sex. The client was portrayed as active in work, sex, and interpersonal relationships. Results show bias against activity in women: The female client was seen as having an intrapsychic problem requiring individual insight-oriented therapy, while the male client, with the same presenting problem of marital conflict, was seen as having an interpersonal relationship problem requiring couples' therapy. Activity in a woman was viewed as neurotic. The conflict was conceptualized as unresolved issues about sexual identification, implying normal femininity had not been achieved. Therapists expected that the woman would make the concessions in the relationship and would compromise her career ambitions to achieve a more satisfactory balance of the roles of career woman and wife. It is suggested that therapists must reexamine their conceptualization of activity in men and women and the consequences of their beliefs in everyday clinical practice. (22 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Thought-induced attitude change: The effects of schema structure and commitment.

Conducted 4 studies with 218 undergraduates in an attempt to integrate hypotheses about the effects of thought and schema complexity on attitude polarization proposed by P. W. Linville (see record 1982-25791-001) and the 2nd author and C. Leone (see record 1978-09847-001). Linville's work showed that more extreme attitudes were associated with simpler cognitive schemas for construing the attitude object. The 2nd author and Leone demonstrated that thought with a complex schema resulted in greater attitude polarization than thought with a simple schema. Study 1 validated the present author's schema complexity manipulation. Study 2 tested and found support for the hypothesis that 1 moderating variable was motivational: The 2nd author and Leone's effect was obtained in the presence of commitment to an initial evaluation, and there was a tendency toward the Linville effect in the absence of commitment to an initial evaluation. Study 3 tested and found support for the hypothesis that another moderating variable was structural: The Linville effect was obtained when there was little correlation among the dimensions of the cognitive schema, and the 2nd author and Leone's effect was obtained when there was substantial correlation among the dimensions; thought tended to increase the correlation among dimensions. Study 4 tested and found support for the hypothesis that commitment affects cognitive structures in a way that could account for its moderating effect on attitude polarization. (23 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attention, Heart Rate, and Startle Response During Exposure to Trauma-Relevant Pictures: A Comparison of Recent Trauma Victims and Patients With Posttraumatic Stress Disorder.

Victims of a recent trauma were compared with posttraumatic stress disorder (PTSD) patients and healthy controls to assess whether a specific anxiety response and an attentional bias were evident initially or only in chronic PTSD. Heart rate (HR) and startle response were measured, and a dot-probe task was carried out using trauma-relevant pictures. Severely affected recent trauma victims and chronic PTSD patients showed HR acceleration to trauma-related material, which was the only significant group difference. A bias away from trauma-related material was related to severity of intrusions in recent trauma victims, and the bias toward trauma-related material increased with amplitude of the HR response in PTSD patients. A specific anxiety reaction is present initially in severely affected trauma victims. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sexual harassment and health among male and female police officers.

The aims of this study were to investigate whether sexual harassment is related to mental and physical health of both men and women, and to explore the possible moderating effects of gender on the relation between sexual harassment and health. In addition, we investigated whether women were more often bothered by sexual harassment than men, and whether victims who report being bothered by the harassment experience more health problems compared to victims who did not feel bothered. A representative sample of 3,001 policemen and 1,295 policewomen in the Dutch police force filled out an Internet questionnaire. It appeared that women were more often bothered by sexual harassment than men, but gender did not moderate the relation between sexual harassment and mental and physical health. In addition, victims who felt bothered by the harassing behaviors reported more mental and physical health problems than victims who did not feel bothered. The distinction between bothered and nonbothered victims is important because appraisal is an essential aspect in the operationalization of sexual harassment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Overshadowing and latent inhibition counteract each other: support for the comparator hypothesis

In 4 conditioned lick suppression experiments with rats, the combined effects of latent inhibition treatment followed by overshadowing treatment were assessed as a test of the comparator hypothesis's (R.R. Miller & L.D. Matzel, 1988) explanations of overshadowing and latent inhibition. Experiments 1 and 2 confirmed the prediction of the comparator hypothesis that combined latent inhibition and overshadowing treatments attenuate the response deficit produced by either treatment alone. Furthermore, consistent with the comparator hypothesis, posttraining changes in the associative status of the putative comparator stimulus altered responding to the target conditioned stimulus (Experiment 3), and switching contexts between latent inhibition and overshadowing treatments (Experiment 4) eliminated the interaction between the latent inhibition and overshadowing treatments.     

Somatic symptoms, social support, and treatment seeking among sexual assault victims.

In an effort to clarify the relationship between the experience of sexual assault and physical health, rape victims and a matched comparison group were repeatedly assessed for somatic symptoms, psychological distress, health care use, and self-rated health perceptions during the year immediately after the assault. Women who experienced sexual assault reported more somatic complaints, poorer perceptions of physical health, greater psychological distress, and increased use of medical services. However, victims did not show a significantly higher use of mental health services and continued to seek medical attention at the end of the year after the assault, when health perceptions and somatic symptoms were no longer significantly elevated. The use of mental health services and social support as moderating variables are examined, and implications for the medical and psychological treatment of sexual assault victims are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Counterconditioning of an overshadowed cue attenuates overshadowing.

In 3 Pavlovian conditioned lick-suppression experiments, rats received overshadowing treatment with a footshock unconditioned stimulus such that Conditioned Stimulus (CS) A overshadowed CS X. Subjects that subsequently received CS X paired with an established signal for saccharin (CS B) exhibited less overshadowing of the X–footshock association than subjects that did not receive the X–B pairings (Experiment 1). Experiment 2 replicated this effect and controlled for some additional alternative accounts of the phenomenon. In Experiment 3, this recovery from overshadowing produced by counterconditioning CS X was attenuated if CS B was massively extinguished prior to counterconditioning. These results are more compatible with models of cue competition that emphasize differences in the expression of associations than those that emphasize differences in associative acquisition. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perspective taking combats automatic expressions of racial bias.

Five experiments investigated the hypothesis that perspective taking—actively contemplating others' psychological experiences—attenuates automatic expressions of racial bias. Across the first 3 experiments, participants who adopted the perspective of a Black target in an initial context subsequently exhibited more positive automatic interracial evaluations, with changes in automatic evaluations mediating the effect of perspective taking on more deliberate interracial evaluations. Furthermore, unlike other bias-reduction strategies, the interracial positivity resulting from perspective taking was accompanied by increased salience of racial inequalities (Experiment 3). Perspective taking also produced stronger approach-oriented action tendencies toward Blacks (but not Whites; Experiment 4). A final experiment revealed that face-to-face interactions with perspective takers were rated more positively by Black interaction partners than were interactions with nonperspective takers—a relationship that was mediated by perspective takers' increased approach-oriented nonverbal behaviors (as rated by objective, third-party observers). These findings indicate that perspective taking can combat automatic expressions of racial biases without simultaneously decreasing sensitivity to ongoing racial disparities. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Health care professionals' attitudes toward lesbian women and gay men

The purpose of this paper is to examine health care workers' attitudes toward lesbian women and gay men before and after the AIDS epidemic. Fifty-one studies which assessed attitudes using paper and pencil instruments were examined. Attitudes were assessed using primarily cognitive and affective questions about homosexuality, lesbian women, gay men, and AIDS patients. Less than 50% of the studies reported any evaluation of validity and reliability issues. Characteristics of subjects with more negative views and factors influencing responses are presented.     

Racing to help: Racial bias in high emergency helping situations.

The present work explored the influence of emergency severity on racial bias in helping behavior. Three studies placed participants in staged emergencies and measured differences in the speed and quantity of help offered to Black and White victims. Consistent with predictions, as the level of emergency increased, the speed and quality of help White participants offered to Black victims relative to White victims decreased. In line with the authors' predictions based on an integration of aversive racism theory and the arousal: cost-reward perspective on prosocial behavior, severe emergencies with Black victims elicited high levels of aversion from White helpers, and these high levels of aversion were directly related to the slower help offered to Black victims but not to White victims (Study 1). In addition, the bias was related to White individuals' interpretation of the emergency as less severe and themselves as less responsible to help Black victims rather than White victims (Studies 2 and 3). Study 3 also illustrated that emergency racial bias is unique to White individuals' responses to Black victims and not evinced by Black helpers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical scrutiny of litigants' self-reports.

As more psychotherapists enter forensic practice, fundamental differences between patients in treatment and patients in personal injury litigation require adjustment of clinicians' orientation toward patients. Therapists' traditional support, acceptance, and empathy toward patients in psychotherapy must be supplemented with increased objectivity regarding plaintiffs' self-presentation. Adopting a more investigative attitude toward patients' self-reports may represent for some therapists an uncomfortable transformation of the traditional therapeutic relationship. Awareness of the reasons for disparities between patients in these two roles can improve clinical judgment. Clinicians are advised to become knowledgeable about these issues and to adopt a more analytical, data-oriented attitude toward patients' self-reports when conducting forensic examinations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)