The study explores the hypotheses that positive responses to social rehabilitation interventions are associated more with noncompulsory than with court-referred placement and that degree of compulsory referral is significantly related to degree of perceived choice. Treatment progress and attitudes, especially perceptions of choice, were assessed for 55 adolescents in a residential facility. A significant relationship was found between perceived choice regarding initial placement and "informed consent" procedures. Treatment attitudes and progress did not differ with regard to initial placement conditions. However, progress was significantly related to perceived choice about remaining in treatment. The findings are interpreted as suggesting that subjective reports of choice are (a) initially influenced more by informal consent processes than by source of referral, (b) subsequentially mediated by experiences in treatment, and (c) better indicators of response to a program than are objective categorizations of degree of choice.Parents and juvenile courts are confronted with the question of whether to mandate institutional placement for adolescents whose devious and deviant behaviors might be responsive to rehabilitative efforts. This question raises a variety of legal and ethical concerns

A multivariate stress and health risk model is proposed to test the contribution of stress on blood pressure in Black college students. Measures of stress reaction pattern, level of stress exposure, personal level of distress, the availability of social supports, personal and family health history, and health status were obtained from a sample of 191 Black university students. Multiple regression analyses predicting systolic and diastolic blood pressure overall and by gender supported the hypothesis that stress interacts with prior familial health history, personal health status, and level of subjective distress to predict blood pressure. Stress affected health and blood pressure differently for Black males and females.

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