Prevention opportunities in health care settings

Psychologists have an opportunity to offer their expertise at a time when health care settings are beginning to recognize the importance of behaviorally based interventions for improving health and health care. The authors review the changing patterns of health and illness that have led to an increased interest in the role of patient and provider behavior and discuss the many advantages of using health care settings as prevention sites. Examples of successful behaviorally based prevention programs are presented, along with the evidence supporting the cost-effectiveness of such programs. Challenges presented by working in health care settings are described. Throughout, the authors emphasize the multiple opportunities for psychologists' involvement across a wide variety of health care delivery sites.     

Memory processes and experimental continuity

What are the memory processes that produce coherent representations of temporally discontinuous experiences? In this article, we describe the memory process of resonance, a process that provides renewed access to long-term memory information that is relevant to cues in working memory. Our experiments demonstrate c parallel waxing and waning of information as a function of relevance to a current episode, a pattern of accessibility of information that contributes to the achievement of continuity across experiences.     

Simultaneous grouping and auditory continuity

Are the conditions for illusory auditory continuity entirely local in frequency, or are judgments of continuity made on auditory objects? Listeners made continuous/pulsating judgments on a variety of complex tones that repeatedly alternated with a 100- to 500-Hz bandpass noise. A sufficiently quiet complex tone was heard as continuous when all its harmonics fell within the frequency range of the noise. Adding harmonics outside the noise's frequency range substantially reduced the impression of continuity, which was largely restored when these additional components were given a different fundamental frequency. Judgments of auditory continuity thus appear to be based on entire simultaneously grouped objects, rather than being determined solely by local criteria based on individual frequency channels.     

Beliefs about personality change and continuity

Lay conceptions of personality change and continuity were examined in a sample of 112 undergraduates. Participants rated their personal change over 5 years (past or future), the change they perceived to be normative over 10-year age spans between 15 and 65, their beliefs about whether personality is fixed or malleable (“lay theories”) and their beliefs about the causes of personality change and continuity. Beliefs about normative personality change generally corresponded to research evidence on adult trajectories of the Big Five factors, with some age bias, whereas recalled and anticipated personal change tended to be more positive than these norms. Participants tended to endorse environmental causes more for personality change than for continuity. Lay theories were not consistently associated with these causal beliefs, or with beliefs about personal and normative change.     

Auditory streaming and the continuity illusion

In the present experiment, auditory stream organization was investigated in the presence of perceptually restored continuity. It was found that auditory streaming processes tend to yield the same perceptual organization independently of the presence or absence of perceptual restoration. Other observations include the dominance of frequency proximity over trajectory as a perceptual organization principle, and the effect of harmonic enrichment on perceptual grouping.     

Sortal continuity of material things

Spatiotemporal and qualitative continuity are not sufficient to trace the career or path of one and the same object through its history. One needs sortal continuity, guaranteed by the form-token of the object. In this paper I concentrate on the question of sortal continuity linked to the problem of the cohabitation of objects. I intend to test whether it is possible to stick to the belief in continuants or endurers as well as the sortal dependence of identity and at the same time avoid an undesirable multiplication of spatially coinciding objects, i.e., avoid the thesis of cohabitation. I abandon the philosophical view – this is the price to be paid – that the set of the material constituents making up an object is an object proper. The basic units of reality are the objects falling under sortals and not the ultimate components thereof. That a determinate piece of copper is not identical with the statue made from it, therefore, does not imply that we have a cohabitation of two numerically different objects. This revised version was published online in August 2006 with corrections to the Cover Date.     

Object continuity and the transsaccadic representation of form

Transsaccadic object file representations were investigated in three experiments. Subjects moved their eyes from a central fixation cross to a location between two peripheral objects. During the saccade, this preview display was replaced with a target display containing a single object to be named. On trials on which the target identity matched one of the preview objects, its orientation either matched or did not match the previewed orientation. The results of Experiments 1 and 2 revealed that orientation changes disrupt perceptual continuity for objects located near fixation, but not for objects located further from fixation. The results of Experiment 3 confirmed that orientation changes do not disrupt continuity for distant objects, while showing that subjects nevertheless maintain an object-specific representation of the orientation of such objects. Together, the results suggest that object files represent orientation but that whether or not orientation plays a role in the processes that determine continuity depends on the quality of the perceptual representation.     

Personal change and the continuity of the self

Five studies explore how anticipating different types of personal change affects people’s perceptions of their own self-continuity. The studies find that improvements are seen as less disruptive to personal continuity than worsening or unspecified change, although this difference varies in magnitude based on the type of feature being considered. Also, people’s expectations and desires matter. For example, a negative change is highly disruptive to perceived continuity when people expect improvement and less disruptive when people expect to worsen. The finding that some types of change are consistent with perceptions of self-continuity suggests that the self-concept may include beliefs about personal development.     

Prevention and public health. Psychology's response to the nation's health care crisis

Psychology as a scientific and applied discipline has a unique responsibility to participate in the pursuit of strategies that reduce the nation's health care needs. As a social and behavioral science, psychology can contribute to unraveling the processes underlying conditions of health and disorder. As an applied discipline, psychology can work to design effective interventions to promote human health and to avoid disease and dysfunction. Insofar as these endeavors are unsuccessful, psychology can help reduce significant contributors to the nation's morbidity and mortality. Achieving such success, however, challenges psychologists to collaborate effectively, to combine science with practice and policy, and to address complex philosophical and ethical issues concerned with individual freedom and public responsibility.