38

 A review of the literature on the MBHI has revealed no studies of

the relation between scores on this instrument and postoperative pain

response. However, a few are marginally related in that they deal with

perceptual cognitive-motivational behaviors.

 Foster (1977) studied psychiatric patients for inclusive behavior.

He believed that the "rigidity of coping styles in a psychiatric

population tends to perpetuate extreme styles which are found in a

lesser degree in a normal population" (p. 227). He hypothesized that

subjects with active personality profiles would "be more cautious--

select fewer words" (p. 228) than those with passive personality

profiles, and this was substantiated (p < .02).

 Sweet, Breuer, Hazlewood, Taye, & Pawl (1985) report a study of the

MBHI in a chronic pain clinic. Fifty-two patients were tested and

evaluated independently for treatment outcome. Although the

investigators found that "individual MBHI scales were able to classify

positive and negative outcomes with comparable accuracy" (p. 224), they

cautioned the use of this instrument with chronic pain patients until

further research is available. "While the MBHI seems to have potential

for predicting treatment responsivity with chronic pain patients, the

lack of specificity of the scales and the degree to which MBHI responses

are affected by the presence of denial of psychological problems are

problematic" (p. 224).

 In another study of chronic pain patients, Levine and Meager (1983,

cited in Sweet, Bruer, Hazlewood, Taye, & Pawl, 1985) examined the

scales in relation to response to biofeedback training and found that

patients with elevations on the sociable and confident style scales did