The Difficulty of Making Psychology Research and Clinical Practice Relevant to Medicine: Experiences and Observations

Psychology and medicine research and practice have demonstrated substantial and unique bodies of knowledge designed to both improve patient care and respond to contemporary health care needs for use of evidence and cost consciousness. At their full potential they represent a significant paradigm shift in healthcare. Despite impressive successes, it is clear that we are just on the cusp of such a change. These findings have had limited impact and penetration into medical practice, particularly outside of academic medicine and large, organized systems of health care, and there are multiple examples of such limitations in various arenas of health care. There also appear to be common themes to such examples which provide us opportunities to consider how psychologists might move things ahead. They also suggest how our unique position in academic medicine can both limit our impact and provide ways of creating continued shifts in the healthcare paradigm. This paper is based in part on the author’s presentation at the Association of Psychologists in Academic Health Centers 3rd National Conference in Minneapolis, Minnesota, May 2007.     

A Survey of Behavior Analysis and Behavioral Consultation Courses in School Psychology: Implications for Training School Psychologists

All 216 doctoral and specialist level school psychology training programs were mailed a seven question survey to determine how much behavioral consultation and behavior analysis course work school psychology students are offered. One hundred and twenty-eight surveys were returned, yielding a return rate of 58.26%. The results indicated that almost all programs offer didactic courses in consultation (98.79%) and behavior analysis/behavior modification (91.52%). The percentage of practicum devoted to behavioral consultation and behavior analysis/modification was considerably less (about 25% for each) than other subject areas. The results are discussed within the context of training needed to meet the needs of practitioners in the areas of behavioral consultation and behavior analysis/behavior modification.     

Alternative Knowledges and the Future of Community Psychology: Provocations from an American Indian Healing Tradition

In the early years of this globalized century, alternative health knowledges and wellness traditions circulate faster and farther than ever before. To the degree that community psychologists seek collaboration with cultural minority and other marginalized populations in support of their collective wellbeing, such knowledges and traditions are likely to warrant attention, engagement, and support. My purpose in this article is to trace an epistemological quandary that community psychologists are ideally poised to consider at the interface of hegemonic and subjugated knowing with respect to advances in community wellbeing. To this end, I describe an American Indian knowledge tradition, its association with specific indigenous healing practices, its differentiation from therapeutic knowledge within disciplinary psychology, and the broader challenge posed by alternative health knowledges for community psychologists.     

A New Frontier: Integrating Behavioral and Digital Technology to Promote Health Behavior

Modifiable behavioral risk factors such as cigarette smoking, physical inactivity, and obesity contribute to over 40 % of premature deaths in the USA. Advances in digital and information technology are creating unprecedented opportunities for behavior analysts to assess and modify these risk factors. Technological advances include mobile devices, wearable sensors, biomarker detectors, and real-time access to therapeutic support via information technology. Integrating these advances with behavioral technology in the form of conceptually systematic principles and procedures could usher in a new generation of effective and scalable behavioral interventions targeting health behavior. In this selective review of the literature, we discuss how technological tools can assess and modify a range of antecedents and consequences of healthy and unhealthy behavior. We also describe practical, methodological, and conceptual advantages for behavior analysts that stem from the use of technology to assess and treat health behavior.     

进化心理学的相关概念、理论与历史

该文概述了达尔文主义、进化生物学与心理学在中国的发展,同时也介绍了与进化心理学相关的概念与基本理论。该文内容包括,Darwin的自然选择理论,Hamilton的种系适宜理论与Trivers的父母投资理论,也包括博弈理论、生活史理论与生态位建构理论     

Standards on how to develop and report systematic reviews in Psychology and Health

Systematic reviews are secondary studies that summarize the best scientific evidence available by means of explicit and rigorous methods to identify, select, appraise, analyse and summarise the empirical studies that enable responding to specific questions. The aim of this theoretical study is to set out a series of standards and recommendations for the planning, development and reporting of a systematic review in the field of the health sciences. The article describes the systematic reviews in the context of practice based on scientific evidence, their rise, justification, applicability and differences compared to traditional literature reviews. Secondly, the methodology is set out for their development and guidelines are established for their preparation; the stages of the process and preparation of a protocol are described with emphasis on the steps to follow to prepare and report a systematic review. Finally, some additional considerations are set out for their preparation and publication in a scientific journal. This guide is aimed both at authors and reviewers of a systematic review.     

Identifying Barriers and Catalysts to Fostering Pro-Environmental Behavior: Opportunities and Challenges for Community Psychology

In this paper, we report on an exploratory study of perceived barriers and catalysts to increasing pro-environmental behavior among people associated with the environmental movement. Perceived barriers include time, money, low efficacy and hopelessness. Catalysts focus on changing social norms, especially through education and institutional support. We discuss the tragedy of the commons and free-riding as impediments to change. We use this study as an entryway to hypothesize opportunities and challenges that community psychologists face in motivating and supporting actions to reduce the impact of global climate change. We provide examples of how community psychologists can foster these changes. In short, we argue that community psychology is well positioned to take a leading role in the fight for a carbon neutral future.     

The Problem of Integrating Behavioral Health in the Medical Home and the Questions It Leads to

Psychology and other behavioral health professions have amassed a broad empirical and clinical literature suggesting many medical presentations are best responded to with the addition of evidence based behavioral interventions. Despite this, psychology has not achieved a regular presence as part of medical practice. We suggest specific reasons for the current state of affairs including clinical, operational, societal labels, financial and training dimensions. Medical, psychological, administrative, and financial perspectives are reviewed. If the goals of health care system reform are to be reached then we must identify and challenge the current limitations of health care. This paper will identify the elements that need to be changed in order for psychology to be integrated into medicine rather than excluded from its policy, planning and operations.     

Social Media Use and Creativity: Exploring the Influences on Ideational Behavior and Creative Activity

This study explored the relationship between social media (SM) use and creativity. The data collected from 407 participants included indicators such as time spent using SM, frequency of SM use, purposes for using SM, and the nature of SM use. The data involved two aspects of creativity: ideational behavior and creative activity and accomplishment. Correlational analyses indicate that SM use is positively related to both creativity measures. Overall, the active use of SM (e.g., sending a post) is more related to creativity than the passive use (e.g., reading others’ posts); and the link between creativity and SM use is more evident for certain platforms (i.e., Twitter) than others (e.g., Instagram). Ideational behavior and creative activity were also found to be higher among those who use SM primarily for expressing their ideas and opinions, gleaning information on topics to discuss and self‐education and learning compared with those who use it primarily for entertainment or relaxation. None of the creativity measures used was related to extraversion and excessive use of SM. Our findings indicate that SM is not necessarily a negative factor for creativity; it may even be a useful platform to support new ideas and projects.     

Sixty years of the Interamerican Society of Psychology (SIP): Origins and development

This paper presents a historical overview of the Interamerican Society of Psychology, which was founded on December 17, 1951, in Mexico City. Firstly, the historical circumstances of the foundation period are presented, as well as the people who made this organization possible, and the state of psychology on the American continent at that time. Secondly, the most important activities that the Interamerican Society of Psychology has developed during its 60 years are mentioned, such as the publication of books and scientific journals, the creation of several task forces and the Interamerican Congresses of Psychology. Basically, the purpose of this paper is to review the history of the Interamerican Society of Psychology through the recovery and use of various documentary sources.     

Ethical and Legal Issues Addressing the Use of Mobile Health (mHealth) as an Adjunct to Psychotherapy

mHealth refers to the rapidly evolving use of mobile devices for health care treatment purposes, particularly the use of apps and texting as adjuncts to psychotherapy. Although there is currently an extensive literature on issues related to telehealth, to date little guidance has been developed to help professionals function ethically in the rapidly emerging area of mHealth. This article identifies the major ethical considerations that need attention and proposes several recommendations to address mHealth use as an adjunct to psychotherapy, including the pressing need for relevant American Psychological Association practice guidelines to assist mental health providers in the ethical implementation of mHealth.     

解析城市中学生的消费心理与消费行为

城市中学生所接受的教育、所处的校园环境以及该年龄特殊的心理特征等因素使得这一阶段的个体有着特殊的消费心理和消费行为。对他们的消费心理和消费行为进行研究,提出相应的建议及对策,是有现实意义的。本文对当代城市中学生的消费水平、消费方式、消费心理的特点及其影响因素作了分析讨论并提出干预的对策。     

从跨文化心理学到文化建构主义心理学——心理学中文化意识的衍变

心理学中的文化意识在跨文化心理学、文化心理学、文化建构主义心理学中经历了3次重大衍变。跨文化心理学视文化为心理规律的干扰因素,认为理论研究应力求“去文化”;文化心理学认为心理是文化的“投射”,寻求理论的“文化敏感”;文化建构主义心理学则认为心理与文化是相互灌注、相互建构的关系,因而更加关注“心理”、“意义”与“现实”的双向建构过程。本文详细分析了上述几种不同的文化意识形态的主要特点,并结合历史背景,对其各自的意义、问题做了简要讨论。     

中国青少年互联网心理与行为研究及展望

本文回顾了近十年来中国青少年互联网心理与行为的研究成果,从研究主题的角度进行了聚类分析,并与国外青少年互联网心理与行为研究进行了对比。发现中国青少年互联网心理与行为研究主要聚焦于网络成瘾方面,同时也在网络欺负、网络亲社会行为、网络自我表露等领域有较为丰富的研究成果。现有研究存在研究领域相对狭窄、研究内容深度不足、研究方法较为单一等问题。结合青少年互联网使用特点和时代发展与变迁,本文从大数据、新媒体、电子竞技三个方面展望了未来中国青少年互联网心理与行为研究的方向,对互联网时代下的心理学研究具有理论和实践的启发意义。     

Prioritizing the Local in an Era of Globalization: A Proposal for Decentering Community Psychology

In this article, I outline a proposal for decentering the field of United States‐based community psychology. Transnational migrations, border crossings, and proliferating neoliberal trade and global media characterize the contemporary moment we live in. These movements challenge any monolithic disciplinary narrative of community psychology. Drawing from liberation psychology and women of Color feminisms, I argue that decentering the field involves engendering more reciprocal, nonhierarchical relations between the core and peripheries of knowledge production. Specifically, I consider the decentering project in two related realms—content and agents of knowledge production. The first issue concerns the kind of research and theorizing we engage in, the issues or topics we investigate, and the subject populations we work with. The second issue pertains to the agents who engage in the aforementioned processes, exercising epistemic power, that is the authority to construct what is considered legitimate and valid knowledge. I conclude with the implications of the decentering project for a multistranded community psychology that is responsive to the cartographies of contemporary struggles.     

互联网使用动机、行为与其社会-心理健康的模型构建

以581名大学生为被试,采用结构方程模型技术构建了互联网使用动机、病理性互联网使用行为与其相关社会-心理健康的关系模型。其中,互联网使用动机包括信息获取性动机和人际情感性动机两种模式;病理性互联网使用行为包括上网冲动性、分离/逃避和网上优越感三个初级因素;互联网相关社会-心理健康包括孤独感、社会参与度、一般抑郁、生活幸福感和生活满意度五个初级因素,并进一步概括为社会健康和心理健康两个维度。研究结果表明,基于信息获取性动机而使用互联网有助于相关社会-心理健康水平的提高;基于人际情感性动机而使用互联网更容易导致病理性互联网使用行为,并由此对使用者的社会-心理健康产生负面影响;大学生使用互联网的积极效应大于消极效应,且信息获取性动机对社会健康具有更大的积极效应,而人际情感性动机对对心理健康具有更大的消极效应     

From Context to Code: Information Transfer Constrains the Emergence of Graphic Codes

Humans commit information to graphic symbols for three basic reasons: as a memory aid, as a tool for thinking, and as a means of communication. Yet, despite the benefits of transmitting information graphically, we still know very little about the biases and constraints acting on the emergence of stable, powerful, and accurate graphic codes (such as writing). Using a reference game, where participants play as Messengers and Recipients, we experimentally manipulate the function of the task (communicative or non‐communicative) and investigate whether this shapes the emergence of stable, powerful, and accurate codes for both synchronous and asynchronous modes of information transfer. Only in the Dialogue condition, where Messenger and Recipient are two different persons communicating within the same time frame (i.e., synchronously), do we consistently observe the emergence of stable, powerful, and accurate graphic codes. Such codes are unnecessary for participants in Recall, where Messenger and Recipient are the same person transferring information within the same time frame, and they fail to emerge in Correspondence, where Messenger and Recipient are two different persons communicating across time frames (i.e., asynchronously). Lastly, in the Mnemonic condition, where Messenger and Recipient are the same person at different points in time, participants achieve high accuracy but with codes that are suboptimal in terms of power and stability. Our results suggest that the rarity and late arrival of stable, powerful, and accurate graphic codes in human history largely stems from strong constraints on information transfer. In particular, we suggest that these constraints limit a code's ability to reach an adequate tradeoff between information that needs to be explicitly encoded and information that needs to be inferred from context.     

Changes of the Health Service System and the Search for Evidence and Rationality

The health service systems of the Western world are transforming rapidly. These systems are under pressure from an increase of new biomedical possibilities for intervention in the processes of the human body, from the rising expectations of the public, and from demographic developments that are leading to an increase in the number of elderly people in the Western world. Parallel to these changes on the macro level there are major changes on the micro level, that is, there is a search for methods to manage the basic way that the health system functions. In short, the financing, organization and practice of medicine will be changed considerably over the next 5-10 years. In the search for a harmonious development in this field the concept "evidence" must be seen in a broad perspective that encompasses, among other things, the increasing multidisciplinary nature of modern medicine.     

Integrating Human and Natural Systems in Community Psychology: An Ecological Model of Stewardship Behavior

Community psychology (CP) research on the natural environment lacks a theoretical framework for analyzing the complex relationship between human systems and the natural world. We introduce other academic fields concerned with the interactions between humans and the natural environment, including environmental sociology and coupled human and natural systems. To demonstrate how the natural environment can be included within CP’s ecological framework, we propose an ecological model of urban forest stewardship action. Although ecological models of behavior in CP have previously modeled health behaviors, we argue that these frameworks are also applicable to actions that positively influence the natural environment. We chose the environmental action of urban forest stewardship because cities across the United States are planting millions of trees and increased citizen participation in urban tree planting and stewardship will be needed to sustain the benefits provided by urban trees. We used the framework of an ecological model of behavior to illustrate multiple levels of factors that may promote or hinder involvement in urban forest stewardship actions. The implications of our model for the development of multi-level ecological interventions to foster stewardship actions are discussed, as well as directions for future research to further test and refine the model.