Experimental psychopathology, clinical science, and practice: An irrelevant or indispensable alliance?

Psychopathology research is the scientific foundation for legitimate and credible forms of clinical practice and the ethical delivery of mental health services. Experimental psychopathology is a subfield of psychopathology research; its aims are to elucidate variables and processes that contribute, either in whole or in part, to the etiology, exacerbation, or maintenance of abnormal behavior. To date, experimental psychopathology has been poorly understood with regard to its identity, aims, history, and relevance for clinical practice. In this article, we critically review and address the role of experimental psychopathology in the contemporary field of clinical science and practice. Overall, we suggest that experimental psychopathology can maintain its important contributions to the field, and perhaps more important, adapt to the current health care context to have an even larger impact on directing conceptual and empirical analyses of core psychopathology processes.     

Work attitudes,career success and health: Evidence from China

Research on the determinants and implications of career success, and in particular on how they are related to health among Chinese workers is scarce. This research explores the impact and relevance of individual attitudes of trust and organizational citizenship behavior on objective and subjective career success, and their relevance to physical and mental health. Further, we explore the moderating role of a career system on the relationships between work attitudes and career success. Using a random sample of 10,372 people in China we used multi-level linear regression methodology to explore a mediation–moderation model based on organizational theories. We found support for the impact of organizational citizenship behaviors and trust, for both objective and subjective career success as mediators of mental and physical health, and for a career system as a moderator, with significant differences emerging between workers employed in the public and private sectors. The results are important as they shed light on the relationship between work and life attitudes on outcomes of high relevance at national level. The original contribution would be of interest to policy makers at both organizational and national level.     

COVID-19 Interconnectedness: Health Inequity,the Climate Crisis,and Collective Trauma

The COVID-19 pandemic brings to the forefront the complex interconnected dilemmas of globalization, health equity, economic security, environmental justice, and collective trauma, severely impacting the marginalized and people of color in the United States. This lack of access to and the quality of healthcare, affordable housing, and lack of financial resources also continue to have a more significant impact on documented and undocumented immigrants. This paper aims at examining these critical issues and developing a framework for family therapists to address these challenges by focusing on four interrelated dimensions: cultural values, social determinants of health, collective trauma, and the ethical and moral responsibility of family therapists. Given the fact that family therapists may unwittingly function as the best ally of an economic and political system that perpetuates institutionalized racism and class discrimination, we need to utilize a set of principles, values, and practices that are not just palliative or after the fact but bring forth into the psychotherapeutic and policy work a politics of care. Therefore, a strong call to promote and advocate for the broader continuum of health and critical thinking preparing professionals to meet the challenges of health equity, as well as economic and environmental justice, is needed. The issues discussed in this paper are specific to the United States despite their relevance to family therapy as a field. We are mindful not to generalize the United States' reality to the rest of the world, recognizing that issues discussed in this paper could potentially contribute to international discourse.     

Biobanks: Importance,Implications and Opportunities for Genetic Counselors

Biobanks are collections of human biological tissue specimens and related health data. Biobank research hopes to provide novel insights into the genetic component of disease, ultimately leading to a more personalized approach to healthcare. However, biobanks have sparked debate due to the ethical, legal, and social implications surrounding utilization of population samples and data. These controversies include issues of consent, privacy and confidentiality, return of results and data-sharing. This paper provides an overview of the different types and scope of biobanks and an examination of the most pertinent ethical, legal and social considerations surrounding such research, as well as how some of these concerns are being addressed. The paper finishes with a discussion of the relevance of biobanks to the genetic counseling field and concludes that genetic counselors are in a position to make a unique, educated and practical contribution to the ongoing dialogue and direction of biobank research.     

Behavioural aspects of the management of diabetes mellitus: Education,self-care and metabolic control

A review is presented of factors relevant to the level of the knowledge, self-care and metabolic control of diabetic patients. Methods of assessing each of these are described, and ways of improving them reviewed. Recommendations are made for further work in this field.It is suggested that traditional education programmes have little clinical value beyond improving knowledge about diabetes. Among the recommendations made are approaches to the assessment and change of relevant health beliefs, and the use of behavioural methods of self-regulation, to improve the quality of self-care. The difficulties created by the variety of factors influencing metabolic control are discussed, with particular attention to the relevance of emotional stress.     

Spiritual Practice,Health Promotion,and the Elusive Soul: Perspectives from Public Health

Spirituality and religion are topics of increasing interest in U.S. society and popular culture as well for many health professions, including medicine, psychology, and public health. This article comments on Mark Graves’ (2008) synthesis of science and spirituality/religion, Mind, Brain, and the Elusive Soul from the perspective of a public health professional. I briefly review the sources, extent, and conceptual approaches of emerging scientific and health interest in spirituality/religion. Spiritual practices are identified as phenomena of central interest. Major concepts of Graves’ synthesis are reviewed, and the soul’s relevance to spiritual growth, popular culture, and scientific application is discussed. Several questions are posed as a stimulus to further extension and refinement of Graves’ synthesis.     

Measuring Mental Wellbeing Among Adolescents: A Systematic Review of Instruments

Globally, promoting mental wellbeing among adolescents is of great public health and social significance. However, less is known about advances in measures of mental wellbeing, relevant for use in mental health interventions, which are age-appropriate and acceptable for use among adolescents. Comprehensive assessment includes multiple aspects of mental wellbeing, as well as positive indicators of feeling and functioning. This review used systematic review methods, guided by PRISMA, to identify and assess comprehensive instruments in terms of their content, conceptual relevance for youth, and responsiveness to change. Ryan and Deci’s framework for mental wellbeing, grounded in hedonic and eudaimonic perspectives, was applied to assess the preponderance of feeling and functioning items for each instrument. The review identified 11 instruments that fit specified inclusion criteria. Only four of the scales were developed for adolescents. Though the scales varied in their preponderance of items, all scales encompassed at least one indicator of both feeling and functioning. Findings emphasize the importance of validating adult-developed instruments for youth and ensuring the instrument’s cultural and conceptual relevance within groups of adolescents. As promoting mental wellbeing becomes critical to the field of practice, practitioners need access to relevant and acceptable measures.     

The dynamics,processes, mechanisms,and functioning of personality: An overview of the field

Personality psychology has long focused on structural trait models, but it can also offer a rich understanding of the dynamics, processes, mechanisms, and functioning of individual differences or entire persons. The field of personality dynamics, which works towards such an understanding, has experienced a renaissance in the last two decades. This review article seeks to act as a primer of that field. It covers its historical roots, summarizes current research strands – along with their theoretical backbones and methodologies – in an accessible way, and sketches some considerations for the future. In doing so, we introduce relevant concepts, give an overview of different topics and phenomena subsumed under the broad umbrella term ‘dynamics’, and highlight the interdisciplinarity as well as applied relevance of the field. We hope this article can serve as a useful overview for scholars within and outside of personality psychology who are interested in the dynamic nature of human behaviour and experience.     

Appearance of symmetry, beauty, and health in human faces

Symmetry is an important concept in biology, being related to mate selection strategies, health, and survival of species. In human faces, the relevance of left-right symmetry to attractiveness and health is not well understood. We compared the appearance of facial attractiveness, health, and symmetry in three separate experiments. Participants inspected front views of faces on the computer screen and judged them on a 5-point scale according to their attractiveness in Experiment 1, health in Experiment 2, and symmetry in Experiment 3. We found that symmetry and attractiveness were not strongly related in faces of women or men while health and symmetry were related. There was a significant difference between attractiveness and symmetry judgments but not between health and symmetry judgments. Moreover, there was a significant difference between attractiveness and health. Facial symmetry may be critical for the appearance of health but it does not seem to be critical for the appearance of attractiveness, not surprisingly perhaps because human faces together with the human brain have been shaped by adaptive evolution to be naturally asymmetrical.     

Developments in Classification,Identification, and Intervention for School Refusal and Other Attendance Problems: Introduction to the Special Series

The literature on school attendance problems (SAPs) is diverse and sometimes confusing, but it is also promising. This special series presents seven articles and a discussion that attest to the diversity, complexity, and exciting developments associated with SAPs. While some articles focus on school refusal in particular, others have relevance for school refusal, truancy, and other types of SAPs. Collectively, the seven articles provide direction in thinking about two key questions: (1) How can SAPs best be classified and identified?; and (2) Which innovative approaches can be applied when a SAP is severe, chronic, and/or complex? In this way the series has direct relevance for Tiers 1 and 3 of the Response to Intervention model for managing school absenteeism (Kearney & Graczyk, 2014). Three innovative treatment programs presented in this series illustrate ways in which mental health interventions and educational interventions can be combined to address Tier 3 SAPs. The discussion article presents thought-provoking reflections on the topics covered in the seven articles and on the gaps in practice and research in the field of SAPs. You are invited to critically and creatively respond to the ideas offered in this series.     

Encompassing experience: Meanings and methods in health psychology

Abstract

Health psychology is limited by its almost exclusive use of a positivist quantitative research paradigm, and the adoption and use of qualitative methods by health psychologists will provide increased understandings of health and illness. Qualitative methods provide a means to incorporate the social world into our research, and furnish ways to investigate the meanings of health and illness experience. We present a brief consideration of the qualitative paradigm and some important underlying issues related to its use. We describe three qualitative approaches - grounded theory, narrative analysis, and discourse analysis - chosen for their relevance and diversity. We provide illustrations of the use of each in health research, and suggest how these approaches could be utilised by health psychologists to enrich understanding in the health field. We conclude that health psychologists have a great deal to gain from joining other social science health researchers in adopting qualitative approaches in their research.     

Managed Care, Catholic Vision, and the Claims of Justice

There are numerous challenges posed to Roman Catholic healthcare institutions by recent developments in health care delivery.Some are practical, involving the acceptable limits of accommodationto and collaboration with secular networks of health care delivery.Others, quite often implicated in the first set, are explicitlytheological. What does it mean to be a distinctively Roman Catholichealth care institution? What are the nature and the scope ofRoman Catholic institutional identity? More broadly, what isthe moral relevance of themes in Roman Catholic social teachingto the provision of health care? This issue of Christian Bioethicsaddresses these questions with a spirited exchange among itsauthors. They offer noticeably different perspectives on thegeneral cogency of Roman Catholic social teaching and differentstrategic recommendations for Roman Catholic institutions tomaintain, or recover, their distinctive presence in health caredelivery.     

Concurrent and longitudinal relations among conscientiousness,stress, and self-perceived physical health

In the present study we tested the inoculation hypothesis of the effect of conscientiousness on health. We tested the inoculation hypothesis using both cross-sectional and longitudinal methods. We used a representative sample of US citizens (N = 2136 for Wave 1 and N = 1170 for Wave 2), which completed the Chernyshenko Conscientiousness Scales, Perceived Stress Scale, and SF-36 measure of physical health twice over a three-year period. Stress partially mediated the relation between conscientiousness and health. Changes in conscientiousness were related to changes in stress over time and changes in stress partially mediated the association between changes in conscientiousness and changes in self-reported health. The relevance of stress to the conscientiousness–health relation is discussed.     

Community psychology in Hong Kong: Past,present, and future

The expansion of mental health services during the 1960s from a single remote mental hospital to centers and clinics in mainstream communities fostered the development of community psychology in Hong Kong. Few psychologists were initially involved in the local community mental health movement, but its momentum resulted in increasing numbers of practitioner psychologists working in community-based service settings. Community psychology in Hong Kong today consists primarily of service delivery, but also includes applied research, community organization/consultation, and community education. Despite having many parallels with the American situation, key concepts underpinning the practice of community psychology in the Territory possess their own character as a reflection of nuances in the local scene. Prospects for the continued development of community psychology in Hong Kong appear favorable. Of special relevance is the field's potential contribution to a better understanding of the psychological phenomena associated with the Territory's sociopolitical transformation in 1997.     

mold,mould, mole‐d: the three m's of career development

The author explores a creative idea development process wherein one begins by applying the image of “breaking the mold” to career development and then extending the process further by considering other related images. In this article, the related images include synonyms for mold such as mould and mole‐d (the mole is a small burrowing animal with limited vision). Together, these images reflect current career development issues, such as the need for flexibility, health, and vision (sight and insight). These concepts have both practical and theoretical relevance for employment counselors.     

Les déterminants psychologiques de la blessure physique du sportif : une revue de littérature

The purpose of the present paper is to review the studies having focused on the psychological antecedents of physical injury in a sport context. As a whole, the researches conducted in this field have highlighted the influence of stress in injuries-related problems. However, other researches in health psychology propose that complementary factors and processes could lead to be injured. Beyond the stress influence, these models suggest that the voluntary adoption of health or risky behaviours could play a role in the occurrence of sport-related injuries. The psychological determinants of these behaviours are now identified. Few studies however sought to show the relevance of these determinants in the identification of the athletes likely to be injured. A model is suggested in order to engage research in this field.     

Strong reciprocity is real, but there is no evidence that uncoordinated costly punishment sustains cooperation in the wild

I argue in my target article that field evidence does not support the costly punishment hypothesis. Some commentators object to my reading of the evidence, while others agree that evidence in favour of costly punishment is scant. Most importantly, no rigorous measurement of cost-benefit ratios in the field has been attempted so far. This lack of evidence does not rule out costly punishment as a cause of human cooperation, but it does pre-empt some overconfident claims made in the past. Other commentators have interpreted my article as an anti-experimental pamphlet or as a flat denial of the existence of pro-social motives--which it was not intended to be. While we have enough data to establish the existence (and theoretical relevance) of strong reciprocity motives, I argue in this response that their efficacy (and policy relevance) has not been demonstrated.     

“It Would Be a Shame to Lose Them”: A Critical Historical,Scoping, and Expert Review on the Use of Projective Assessments in Occupational Therapy,Part I

Projective assessments have a long history in occupational therapy, yet their relevance may be questioned. This first article reviews the clinical utility of projective assessments by providing a critical history of their development, followed by a scoping review of the current evidence. The second article outlines the opinions of nine experts in this field. Through this comprehensive process, conceptual and methodological issues are articulated in order to suggest educational and clinical guidelines, and future research avenues. The place of projective assessments in occupational therapy is demonstrated as a salient specialty area of practice in the current evolving landscape of mental health.     

The effects of health frame and target relevance in appearance social comparisons

Social comparison powerfully influences on appearance self‐evaluations, but previous research has not examined the combined impact of target frame and relevance on appearance comparison outcomes. The present study examined the effect of target relevance and health frame in body‐ideal images on self‐evaluations in a mixed‐gender university‐based sample from the United States (N = 176; 58% female). Participants were randomly assigned to one of four conditions in which they viewed a body‐ideal image of a same‐sex target that varied in target relevance (peer or model) and health frame (extreme behaviors described as being healthy or unhealthy). We did not find evidence that comparisons with models or peers are different in their effects. And, consistent with hypotheses, the health frame of a comparison target’s eating and exercise behaviors influenced how participants perceived themselves and their health. Participants were more likely to take health advice from the target described as healthy, and felt better about their own health when comparing to healthy targets. We also found gender differences such that men were more satisfied with their physical health but women were more satisfied with their appearance. Overall, this research supports the importance of addressing peer comparisons and health literacy in body image interventions, which has long‐term implications for the prevention of eating and exercise pathology.