Social contract theory and just decision making: lessons from genetic testing for the BRCA mutations

Decisions about funding health services are crucial to controlling costs in health care insurance plans, yet they encounter serious challenges from intellectual property protection--e.g., patents--of health care services. Using Myriad Genetics' commercial genetic susceptibility test for hereditary breast cancer (BRCA testing) in the context of the Canadian health insurance system as a case study, this paper applies concepts from social contract theory to help develop more just and rational approaches to health care decision making. Specifically, Daniel's and Sabin's "accountability for reasonableness" is compared to broader notions of public consultation, demonstrating that expert assessments in specific decisions must be transparent and accountable and supplemented by public consultation.     

Revising psychological tests: lessons learned from the revision of the MMPI

Some types of psychological tests become dated and require more frequent and more extensive revision than others. Because of the formidable effort that is required in a test revision, the goals and scope of the revision need to be carefully staked out before a revision is undertaken. The revision team needs to develop a generally agreed-upon guiding philosophy for the test revision in the beginning of the project and incorporate broad input into the changes that are likely to be required. Factors important to consider in a test revision are discussed, and the parameters of personality test revision illustrated from the extensive program to revise the Minnesota Multiphasic Personality Inventory (MMPI) are included. Recommendations for gauging acceptance of the revision are suggested along with steps that revisers and publishers might take to make a test revision both more research based and more acceptable to test users.     

Exploring phenomenological interviews: questions,lessons learned and perspectives

Phenomenology and the Cognitive Sciences -     

Preparing psychologists for evidence-based school practice: lessons learned and challenges ahead

The evidence-based practice (EBP) movement has the potential to significantly advance the quality of psychological and educational services provided by psychologists working in schools. Training psychologists in EBP has challenged the profession and caused faculty in graduate programs to reevaluate and retool professional training curricula and instructional practices. Four domains of challenges in graduate training are identified: (a) integrating the EBP knowledge base into the curriculum, (b) expanding models of research training, (c) expanding training in prevention science, and (d) expanding training in problem-solving consultation and school contextual issues. For each of these, the author discusses the range and scope of the challenge and possible solutions for advancing graduate training in psychology relevant to school practice.     

Brief strategic family therapy: lessons learned in efficacy research and challenges to blending research and practice

In this article, we present key lessons that we have learned from (1) a long program of research on an empirically supported treatment, brief strategic family therapy (BSFT), and (2) our ongoing research and training efforts related to transporting BSFT to the front lines of practice. After briefly presenting the rationale for working with the family when addressing behavior problems and substance abuse in adolescent populations, particularly among Hispanic adolescents, we summarize key findings from our 30-year program of research. The article closes by identifying barriers to the widespread adoption of empirically supported treatments and by presenting current work within the National Institute on Drug Abuse's Clinical Trials Network that attempts to address these barriers and obstacles.     

The need for command and control instant message adaptive interfaces: lessons learned from Tactical Tomahawk human-in-the-loop simulations.

In the recent development of a human-in-the-loop simulation test bed designed to examine human performance issues for supervisory control of the Navy's new Tactical Tomahawk missile, measurements of operator situation awareness (SA) and workload through secondary tasking were taken through an embedded instant messaging program. Instant message interfaces (otherwise known as "chat"), already a means of communication between Navy ships, allow researchers to query users in real-time in a natural, ecologic setting, and thus provide more realistic and unobtrusive measurements. However, in the course of this testing, results revealed that some subjects fixated on the real-time instant messaging secondary task instead of the primary task of missile control, leading to the overall degradation of mission performance as well as a loss of SA. While this research effort was the first to quantify command and control performance degradation as a result of instant messaging, the military has recognized that in its network centric warfare quest, instant messaging is a critical informal communication tool, but has associated problems. Recently, a military spokesman said that managing chat in current military operations was sometimes a "nightmare," because military personnel have difficulty in handling large amounts of information through chat, and then synthesizing knowledge from this information. This research highlights the need for further investigation of the role of instant messaging interfaces both on task performance and situation awareness, and how the associated problems could be ameliorated through adaptive display design.     

Engaging multiproblem families in treatment: lessons learned throughout the development of multisystemic therapy.

Multisystemic therapy (MST) is a family-based treatment model that has achieved high rates of treatment completion with youths who present serious clinical problems, and their families. The success of MST in engaging challenging families in treatment is due to programmatic commitments to family collaboration and partnership as well as to a conceptual process that delineates barriers to family engagement, develops and implements strategies to overcome these barriers, and evaluates the success of these strategies. This article provides an overview of the nonspecific/universal engagement strategies used by MST therapists, frequently observed barriers to achieving therapist-family engagement, and specific strategies to overcome a sampling of these barriers.     

Generativity and moral development as predictors of value-socialization narratives for young persons across the adult life span: from lessons learned to stories shared.

Little research so far has examined storytelling as a channel of value socialization. In the present study, 129 adults from 3 age groups (18-26, 28-50, 60-75) were asked to tell stories for adolescents about 2 of their past value-learning experiences. Generative concern (D. P. McAdams & E. de St. Aubin, 1992) and moral reasoning stage level were also assessed. Stronger generative concern was predictive of a greater sense of having learned important lessons from these past events, of stronger adult value socialization investment, and of more engaging narratives for adolescents as judged by a panel of uninstructed raters. Higher levels of moral reasoning were positively related to generative concern and to a stronger sense of past lessons learned. Generativity appears important to the project of value socialization across the adult life span.     

Improving access to psychological treatments: lessons from developing countries

Even though psychological treatments have been advocated as treatments for a range of mental disorders by the WHO for scaling up through primary care globally, the vast majority of potential beneficiaries are unable to access these treatments. Two major barriers impede the path between evidence based treatments and improved access: the lack of skilled human resources and the acceptability of treatments across cultures. This essay synthesizes the experiences of programs which developed and evaluated psychological treatments for depression in three resource poor developing countries. These programs addressed the human resource barrier by training lay or community health workers to deliver the treatments and addressed the acceptability barrier by systematically adapting the treatment to contextual factors. All programs demonstrated significant benefits in recovery rates when compared with usual care demonstrating the effectiveness of the approach. The implications for these experiences to improving access to psychological treatments in the global context are discussed.     

Bioethics and law: from the abundance of sources to the confusion of genders

The law of bioethics reveals frequent confusion in the definition and role devolved to the law and ethics. The purpose of this paper is to illustrate some of these confusions.     

Understanding emotion: lessons from anxiety

We agree that conceptualisation is key in understanding the brain basis of emotion. We argue that by conflating facial emotion recognition with subjective emotion experience, Lindquist et al. understate the importance of biological predisposition in emotion. We use examples from the anxiety disorders to illustrate the distinction between these two phenomena, emphasising the importance of both emotional hardware and contextual learning.     

How to be proactive about interference: lessons from animal memory

Processes of proactive interference were explored using the pigeon as a model system of memory. This study shows that proactive interference extends back in time at least 16 trials (and as many minutes), revealing a continuum of interference and providing a framework for studying memory. Pigeons were tested in a delayed same/different task containing trial-unique pictures. On interference trials, sample pictures from previous trials reappeared as test pictures on different trials. Proactive-interference functions showed greatest interference from the most recent trial and with the longer of two delays (10 s vs. 1 s). These interference functions are accounted for by a time-estimation model based on signal detection theory. The model predicts that accuracy at test is determined solely by the ratio of the elapsed time since the offset of the current-trial sample to the elapsed time since the offset of the interfering sample. Implications for comparing memory of different species and different types of memory (e.g., familiarity vs. recollection) are discussed.     

A systematic review of interventions to address workplace bias: What we know,what we don't,and lessons learned

Despite the extensive literature about the pervasiveness and impact of microaggressions in the workplace, little is known about what specific workplace interventions have been adopted to mitigate them and, for those adopted, whether the efforts are effective. Given the nature of this special journal issue, we originally sought to answer this call by focusing solely on workplace interventions targeting microaggressions. However, it became clear that the relative paucity of such interventions (as documented in the literature) necessitated that we cast a broader net. We therefore present the results of a systematic review of studies that evaluate the effectiveness of workplace interventions focused on subtle bias and/or its behavioral manifestations. The review identified only six papers that met the inclusion criteria of: 1) reporting a real-world workplace intervention with a goal of reducing subtle bias and/or behavioral manifestations and 2) including a systematic evaluation of attitude, awareness, and/or behavioral change. Multiple themes across the identified studies are summarized. The discussion addresses the dearth of well-documented interventions and examines lessons learned from existing interventions to inform the development of future training focused on microaggressions in order to contribute to long-lasting change.     

A dynamic constructivist approach to culture: Lessons learned from personality psychology

The comparison of differences between cultural groups has been a dominant approach in cross-cultural psychology. This approach assumes behavioral influence of a relatively static, monolithic culture on members in a cultural group. This paper, however, calls for a dynamic constructivist approach to the study of culture. We begin by drawing a parallel between past research in cultural and personality psychology. We then highlight recent findings that attest to the value of a social-cognitive model of culture. Specifically, we discuss studies that have demonstrated how well established cross-cultural differences may appear or disappear depending on the availability, accessibility, and applicability of cultural theories. We present evidence that situational characteristics may render cultural theories more or less accessible and applicable, and propose a culture × situation interaction model for understanding inter- and intra-cultural variations.