ABSTRACT
Consumers with serious mental illness (N = 166) enrolling in two community-based mental health programs, a vocational Program of Assertive Community Treatment and a clubhouse certified by the International Center for Clubhouse Development (ICCD), were asked about their interest in work. About one third of the new enrollees expressed no interest in working. Equivalent supported employment services were then offered to all participants in each program. Stated interest in work and receipt of vocational services were statistically significant predictors of whether a person would work and how long it would take to get a job. Two thirds of those interested in work and half of those with no initial interest obtained a competitive job if they received at least one hour of vocational service. Once employed, these two groups held comparable jobs for the same length of time. These findings demonstrate the importance of making vocational services continuously available to all people with serious mental illness, and the viability of integrating these services into routine mental health care.
Subject(s)
Motivation , Rehabilitation, Vocational/psychology , Schizophrenia/rehabilitation , Schizophrenic Psychology , Adult , Assertiveness , Behavior Therapy , Community Mental Health Centers , Female , Humans , Male , Patient Care TeamABSTRACT
AIMS: To identify distinguishing and general histological features related to the use of non-steroidal anti-inflammatory drugs (NSAID). METHODS: Slides from gastric antral biopsies of 50 patients with osteoarthritis taking NSAID were compared with slides from antral biopsies of 50 control cases matched for age, sex, and race. Semithin sections stained with toluidine blue were used. RESULTS: Chronic gastritis was seen in 76% of the patients taking NSAID and in 58% of the control cases; active inflammation was detected in 10% of the NSAID treated patients and in 24% of the control cases, and it appeared closely related with Helicobacter pylori infection. Some histological features common to all slides of patients taking NSAID were recognised. These consisted of focal erosions of the gastric epithelium and macroerosions, and they seemed to represent successive steps of a process of "desquamation". CONCLUSIONS: Some distinguishing morphological aspects appeared prominent; it is suggested that these may be related to the pathogenesis of NSAID linked peptic ulceration. On the other hand, epithelial damage due to NSAID appears very different from that due to Helicobacter pylori, another important factor involved in the aetiopathogenesis of peptic disease.
Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Gastric Mucosa/drug effects , Gastritis/chemically induced , Osteoarthritis/drug therapy , Adult , Aged , Chronic Disease , Diclofenac/adverse effects , Female , Gastric Mucosa/pathology , Gastritis/pathology , Helicobacter Infections/pathology , Helicobacter pylori , Humans , Ketoprofen/adverse effects , Male , Middle Aged , Naproxen/adverse effects , Osteoarthritis/pathologyABSTRACT
Subjects judged the length of lines, the heaviness of weights, or the roughness of sandpaper in 2 conditions. In 1 condition, they were instructed to make all their judgments relative to a long-term reference point, which consisted of a reference response and sensation. In the other condition, they were told to use a short-term reference point, namely, the response and sensation of the previous trial. A dynamic model of proportional judgment (L. T. DeCarlo, 1989/1990) predicts that the autocorrelation of successive responses will be larger for the latter instructions. This prediction was confirmed for the 3 continua. In addition, fits of a recently proposed dynamic regression model show that there is little or no effect of the previous stimulus intensity on the current response, whereas the results for an earlier model suggest a large contrast effect. The theory and experiments provide insight into judgmental and sensory processes in magnitude scaling.
Subject(s)
Attention , Discrimination Learning , Form Perception , Size Perception , Stereognosis , Weight Perception , Adult , Female , Humans , Male , Mental Recall , Reaction Time , Regression AnalysisABSTRACT
Huitema and McKean (Psychological Bulletin, 110, 291-304, 1991) recently showed, in a Monte-Carlo study, that five conventional estimators of first-order autocorrelation perform poorly for small (< 50) sample sizes. They suggested a modified estimator and a test for autocorrelation. We examine an estimator not considered by Huitema and McKean: the C-statistic (Young, Annals of Mathematical Statistics, 12, 293-300, 1941). A Monte-Carlo study of the small sample properties of the C-statistic shows that it performs as well or better than the modified estimator suggested by Huitema and McKean (1991). The C-statistic is also shown to be closely related to the d-statistic of the widely used Durbin-Watson test.
Subject(s)
Biometry , Likelihood Functions , Female , Humans , Male , Models, Statistical , Models, TheoreticalABSTRACT
The intertrial interval (ITI) was varied within subjects in magnitude estimation and cross-modality matching experiments. Fits of a recently proposed time series regression model show that the influence of the previous stimulus intensity on the current response decreases when the ITI is increased. The results can be interpreted as showing that an assimilative or additive perceptual or memory effect decreases with an increase in ITI. Fits of an earlier model, on the other hand, suggest that the influence of the previous stimulus intensity increases with an increase in ITI, which is counter to expectations. The new regression model (a) provides a simple explanation for the counterintuitive results obtained with the earlier model, (b) shows that assimilation in perception or memory can appear as contrast, and (c) reduces to a simpler model for longer ITIs.
Subject(s)
Attention , Loudness Perception , Mental Recall , Pattern Recognition, Visual , Size Perception , Adult , Discrimination Learning , Humans , PsychoacousticsABSTRACT
Pigeons were offered choices between a variable-time schedule that arranged reinforcers throughout the session and a variable-time schedule that arranged reinforcers only when the pigeon was spending time on it. The subjects could maximize the overall rate of reinforcement in this situation by biasing their time allocation towards the latter schedule. This arrangement provides an alternative to concurrent variable-interval variable-ratio schedules for testing whether animals maximize overall rates or match relative rates, and has the advantage of being free of the asymmetrical response requirements present with those schedules. The results were contrary to those predicted by maximizing: The bias it predicts did not appear.
