The Children's Attributional Style Interview: Developmental Tests of Cognitive Diathesis-Stress Theories of Depression

This paper presents an initial assessment of the Children's Attributional Style Interview (CASI), a newly designed measure for assessing attributional style in young children (age 5 and up). The CASI was used to conduct prospective tests of the reformulated helplessness (L. Y. Abramson, M. Seligman, & J. Teasdale, 1978) and the integrated hopelessness/self-esteem (G. I. Metalsky, T. E. Joiner, Jr., T. S. Hardin, & L. Y. Abramson, 1993) theories of depression in a sample of 147 5–10-year-old children. For comparison, the same tests were also conducted with the Children's Attributional Style Questionnaire-Revised (CASQ-R; N. J. Kaslow & S. Nolen-Hoeksema, 1991), a commonly used measure for assessing attributional style in older children (age 8 and up). The CASI evidenced support of the reformulated helplessness theory and partial support of the integrated hopelessness/self-esteem theory. The CASI also demonstrated good internal consistency. Thus, our findings provide initial support for the CASI as a methodologically sound measure of attributional style for children as young as 5 years old. Although preliminary, our findings also suggest possible developmental differences in how attributional style interacts with self-esteem and negative life stress. The CASI should prove to be a useful tool in furthering the understanding of the origins and development of attributional style in childhood, as well as its contribution to the understanding of the development and prevention of depressive symptomatology in children.     

The evolutionary significance of habituation and sensitization across phylogeny: A behavioral homeostasis model

The phenomenon of habituation may be interpreted as a process that has evolved for filtering out iterative stimuli of little present relevance. That habituation is seen in aneural as well as neural organisms throughout phylogeny with remarkably similar characteristics suggests that its role is an important one in animal survival. If habituation is to be viewed as a process to filter out iterative stimuli that have no significant consequences, then how is sensitization to be viewed? One way of viewing these two behavioral changes, i.e. habituation and sensitization, is that they are homeostatic processes which optimize an organism’s likelihood of detecting and assessing the significance of a stimulus in a new iterative series or a change in it. If one views the level of initial responsiveness to a new stimulus as a function of an organism’s threshold just prior to stimulus occurrence, then “high responders” (i.e. those who initially react more strongly) are assumed to have a lower threshold for detecting and assessing the significance of this stimulus than are the “low responders” (i.e. those who initially react more weakly). Thus, high-responders would initially receive more sensory input and progressively decrease their responsiveness to a non-threatening stimulus (habituation). Likewise, initial low-responders would receive less sensory input followed by a decreased threshold and an increased response to the next stimulus occurrence (sensitization). The level of responsiveness achieved in both habituaters and sensitizers, as an asymptote is approached, is a balance between being too sensitive to an unimportant stimulus (and possibly missing other significant stimuli) and being too insensitive, and missing a change in the relevance of the present stimulus. These response changes can be taken as indices of the organism’s mechanisms for achieving an appropriate threshold level to an iterative stimulus in order to accurately assess its present significance and then eventually to asymptote at an optimal stable response level. This approach toward an asymptote is a behavioral homeostatic process that reflects the accumulated significance of the iterative stimulus at each occurrence. The purpose of adding “behavioral” to the term “homeostasis” is to extend the usual meaning of the concept from primarily internal processes to also include (a) iterative external stimulation, (b) the organism’s initial threshold to the initial stimulus as well as (c) the behavior which results from it. Since we are discussing organisms that range from intact, single-celled protozoa to intact mammals, as well as surgically simplified preparations, the termsstimulus, response andbehavior will be used broadly. While other investigators have focused on specific cellular mechanisms underlying habituation and sensitization in a given organism, this paper focuses on the adaptive significance of these two behavioral processes viewed across phylogeny.     

The CODE: A revised battery for coping and defense and its relations to subjective health

A condensed test battery (the CODE) based on the Utrecht Coping List (UCL) and part of the Defense Mechanisms Inventory (DMI) has been developed to assess coping and defense in large population studies. It was tested for reliability and validity in students and back pain patients. Principal components factor analysis of the subscales of the UCL and DMI in the student sample revealed two coping clusters: “Instrumental mastery-oriented coping” and “Emotion-focused coping” and two defensive clusters: “Cognitive defense” and “Defensive hostility”. “Instrumental mastery-oriented coping” was negatively related to subjective health complaints measured with Ursins Health Inventory (UHI). The back pain patients were clearly different from the students, using less coping and more defensive strategies. They had more subjective health complaints that showed negative correlations with “Instrumental mastery-oriented coping”. The CODE is a comprehensive battery that may be valid for large population studies of psychological determinants of muscle pain and other subjective health problems.     

Stop Thinking and Start Doing: Switching From Cognitive Therapy to Behavioral Activation in a Case of Chronic Treatment-Resistant Depression

Several recent investigations have demonstrated that Cognitive Therapy (CT) and Behavioral Activation (BA) are both efficacious treatments for depression (Butler, Chapman, Forman, & Beck, 2006; Dimidjian et al., 2006; Dobson, 1989; Gloaguen, Cottraux, Cucherat, & Blackburn, 1998; Hollon, Thase, & Markowitz, 2002; Jacobson et al., 1996). This investigation focuses on the treatment of Mr. X, a 62-year-old man with chronic treatment-resistant depression and comorbid personality pathology. After a course of 21 sessions of CT, treatment was switched to BA. We present daily mood data from 147 days of each treatment. Generalized least squares analyses of these time series data demonstrated that BA was associated with improved mood and these results were supported by clinical observation of improved functioning during the course of BA. We hypothesize that efforts at cognitive restructuring had an iatrogenic effect on this client and paradoxically triggered depressive rumination; these failed efforts provided further evidence in support of his underlying defectiveness schema. We also speculate that this client's dependent personality ran counter to CT's emphasis on autonomous homework assignments. Future randomized clinical trials are needed to investigate if nonresponders to CT benefit by switching to BA.     

情景知觉中的信息界定:从主观预期到“惊奇”算法

情景信息加工是情景知觉研究领域内的核心问题。然而,不同的研究者对"情景信息"的界定并不相同。在过去80多年的时间里对情景信息的界定先后经历了研究者主观确定、观察者评估、基于情景物理特征的计算模拟等方法。Itti和Baldi等人通过比较先验概率和后验概率之间的差异,提出了"惊奇"理论。文章介绍了真实情景知觉研究中"惊奇"理论的应用及进展,并指出"惊奇"算法的拓展及界定、情景知觉过程中的注意转换与"惊奇"的关系,以及社会情景知觉中的"惊奇"应用可能是未来相关领域需要进一步探索的问题。     

Attitudes to doctors and medicine: The preliminary development of a new scale

Abstract

The preliminary development of a new scale to measure attitudes towards medicine and doctors is described. The scale comprises four factors: “positive attitude towards doctors,” “positive attitude towards medicine,” “negative attitude towards doctors,” and “negative attitude towards medicine.” Alpha coefficients for the four scales were satisfactory, ranging from 0.69 to 0.76. Test re-test reliabilities ranged from 0.69 to 0.81. Evidence of criterion-related validity was obtained from comparison of the attitudes of five groups involved in health care: nurses, medical students, patients, and sociologists and psychologists who are teachers in medical schools. Patients and medical students held significantly more positive attitudes towards doctors and medicine that did nurses and behavioural scientists. While nurses were as negative towards doctors as sociologists and psychologists, they were significantly less negative about medicine.     

Measuring depressive symptomatology of patients referred to a behavioral medicine clinic: Concordance of self-report measures

We measured depressive symptomatology of 134 outpatient veterans treated within a Behavioral Medicine Clinic utilizing three reliable instruments with depression subscales: Minnesota Multiphasic Personality Inventory (MMPI), Derogatis Stress Profile (DSP), and Symptom Checklist 90—Revised (SCL-90-R). Results indicate that although the instruments correlate significantly, they differ in sensitivity to depression and are clinically discordant. The MMPI classified a substantially higher number of patients as depressed than either the DSP or SCL-90-R. The present study argues that the discrepancy in clinical concordance and sensitivity of the three depression scales has considerable implications for psychologists concerned with the assessment and treatment of depression.     

The Driving Behavior Survey as a Measure of Behavioral Stress Responses to MVA-Related PTSD

Numerous treatments are available that address the core symptoms of posttraumatic stress disorder (PTSD). However, there are a number of related behavioral stress responses that are not assessed with PTSD measures, yet these behavioral stress responses affect quality of life. The goal of the current study was to investigate whether a recently developed measure of behavioral stress response, the Driving Behavior Survey (DBS), was sensitive to change associated with treatment among a group of participants diagnosed with PTSD. The DBS indexes anxious driving behavior, which is frequently observed among individuals with motor vehicle accident-related PTSD. Participants (n = 40) were racially diverse adults (M age = 40.78, 63% women) who met diagnostic criteria for motor vehicle accident-related PTSD. Hierarchical linear modeling analyses indicated that participants who were assigned to a brief, exposure-based intervention displayed significant reductions on the DBS subscales relative to participants assigned to the wait-list control condition (r = .41–.43). Moreover, mediational analyses indicated that the observed reductions on the DBS subscales were not better accounted for by reductions in PTSD. Taken together, these findings suggest that the DBS subscales are sensitive to changes associated with PTSD treatment and can be used to augment outcome assessment in PTSD treatment trials.     

The development of a mental health coalition: A case study

Described the development of a local-level mental health coalition to advocate for housing and community support programs for psychiatric consumer/survivors. Resource mobilization theory was used as a framework from which to view and understand the origins, goals, tactics, and outcomes of the coalition. Data were presented indicating that the coalition played a role in obtaining increased funding for housing and community support programs. Also, there was an emphasis on consumer/survivor and family participation in the change process. Benefits and limitations of the coalition after 6 years of operation were reviewed and compared with other advocacy coalitions in mental health. Thanks to Wendy Czarny, Peter Dunn, Mary Earls, John Lord, Ken Parsons, Isaac Prilleltensky, Harvey Simmons, and the reviewers for their helpful suggestions on earlier drafts of this paper.     

Deception Meets Enlightenment: From a Viable Theory of Deception to a Quirk About Humanity's Potential

This article seeks to further suggestions made by C. West Churchman (1979) Churchman, C. W. 1979. The systems approach and its enemies, New York: Basic Books.  [Google Scholar] that a full inquiry into human systems requires a viable theory of deception. It argues that such a theory of deception requires an understanding of deception, a recognition of errors in perception, and an ability to see simultaneously from competing points of view. The intent here is to provide some insights that are useful in our understanding of deception, and thereby contributing to a viable theory of deception. Insights are used from what Huxley (1944) Huxley, A. 1944. The perennial philosophy, New York: Harper and Row.  [Google Scholar] calls the “perennial tradition,” found particularly within the esoteric traditions of the Buddhist, Sufi, and Taoist esoteric teachings, as well as many other spiritual traditions of the world. The perennial tradition emphasizes the role and continual presence of deception, alongside enlightenment, within human experience. In accord with C. West Churchman's view, this tradition suggests that, by a simultaneous recognition of both our enlightenment and our deception in any given situation, we have the proper perspective to meet the problems we face. A thought experiment, using insights from the perennial tradition, is offered as a challenge to all involved in human systems inquiry.     

教师人格特质与压力和倦怠的关系

通过对教师的问卷调查,研究人格与工作压力、职业倦怠的关系,及其对客观绩效的影响.结果表明:工作压力与情感耗竭、人格解体显著正相关,工作压力与客观绩效显著负相关,情感耗竭在工作压力和绩效之间起部分中介的作用:外向性与情感耗竭、成就感低落显著负相关;尽责性与人格解体、成就感低落显著负相关;宜人性与工作压力、人格解体维度显著正相关;工作压力是宜人性与情感耗竭、人格解体、工作绩效间的中介变量.     

Health and behavior: The coming together of science and practice in psychology and medicine after a century of benign neglect

For thousands of years, physicians had available only a few drugs with which to minister to patients and the practice of psychology was an integral and therapeutically powerful component in the practice of medicine. Thus, good bedside medicine consisting of empathy, compassion, and a nurturant attitude toward the ill individual was a major component of the physician's armamentarium until relatively recently. However, the explosion in scientific knowledge in biology, physiology, chemistry, and microbiology which began a century ago and has continued through the twentieth century helped produce several generations of physician specialists and subspecialists with little knowledge of the powerful role psychological factors play in health and illness. As a result, practitioners of medicine and practitioners of psychology have had little or no contact during most of this century. However, as advances in microbiology, public health, and nutrition have eradicated many of the infectious diseases, infirmities associated with one's lifestyle have replaced the latter as the major causes of death today. One offshoot of this shift is that after a century of benign neglect, physicians and psychologists have rediscovered a common ground in the arena labeled health and behavior. Some factors responsible for these recent developments are highlighted.This article was an invited address delivered to a group of Japanese health psychologists as part of a Health Sciences Seminar in Tokyo on July 24, 1993. Concurrent with its publication here in English, it is being published in the Japanese language in the March 1994 issue of the journal,Japanese Health Psychology.     

From blooming,buzzing confusion to media literacy: The early development of television viewing

Television comprehension is a surprisingly demanding task for very young children. Based on a task analysis of television viewing and review of research, we suggest that by 6 months of age, infants can identify objects and people on screen. By 24 months they can comprehend and imitate simple actions contained in single shots and begin to integrate information across shots. Toddlers nevertheless suffer from the video deficit whereby their comprehension is less than from equivalent real life displays. During the preschool years they learn much of the grammar of filmic montage and can comprehend straightforward narrative productions. Essentially adult comprehension appears to be in place by 13 years of age.     

Development of a Brief Version of the Social Phobia Inventory Using Item Response Theory: The Mini-SPIN-R

The Social Phobia Inventory (SPIN) is a widely used measure in mental health settings and a 3-item version (mini-SPIN) has been developed as a screening instrument for social anxiety disorder. In the present study, we examined the psychometric properties of the SPIN and developed a brief version (mini-SPIN-R) designed to assess social anxiety severity using item response theory. Our sample included 569 individuals with social anxiety disorder who participated in 2 clinical trials and filled out a battery of self-report measures. Using a nonparametric kernel smoothing method we identified the most sensitive items of the SPIN. These 3 items comprised the mini-SPIN-R, which was found to have greater internal consistency, and to capture a greater range of symptoms compared to the mini-SPIN. The mini-SPIN-R evidenced superior convergent validity compared to the mini-SPIN and both measures had similar divergent validity. Thus, the mini-SPIN-R is a promising brief measure of social anxiety severity.     

The cognitive underpinnings of policy process studies: Introduction to a special issue of Cognitive Systems Research

This article introduces the special issue of Cognitive Systems Research on public policy processes. We begin with a discussion of the cognitive foundations of public policy that stem from the complexity of human cognition and emotion. Next, we provide an overview of the articles in the special issue, which occur at the edge of a public policy-cognitive systems boundary. We then turn to a discussion of promising new work in the study of public policy that explores—or may benefit from—the cognitive systems perspective.     

The Reliability and Validity of a Brief Self-Report Questionnaire to Screen for Mental Health Problems: The Health Dynamics Inventory

Mental health problems are underrecognized in medical settings, leading to inadequate treatment. The present paper describes the development of the Health Dynamics Inventory (HDI), a brief, self-report questionnaire developed to evaluate mental health functioning. The HDI was written to evaluate the three aspects of mental disorders as described in the Diagnostic and Statistical Manual of Mental Disorders (DSM): (1) the experience of emotional or behavioral symptoms; (2) emotional distress; and (3) psychosocial impairment. This study evaluated the psychometric properties and construct validity of its items, scales, and subscales. Results indicated that the items distinguish patients from nonpatients, that the instrument's scales and subscales are reliable, and that the scales and subscales discriminates between persons with mental health concerns or diagnosable problems and those without such concerns or problems. The utility of the instrument for screening mental health problems in primary care settings is discussed.     

The presence of and search for a calling: Connections to career development

The current study explored the relationship of the presence of, and search for, a calling to the career development of 3091 first year college students. The presence of a calling correlated positively with decidedness, comfort, self clarity and choice-work salience and correlated negatively with indecisiveness and lack of educational information. The search for a calling correlated negatively with decidedness, comfort, self clarity, and choice-work salience and correlated positively with indecisiveness and lack of educational information. Hierarchical regression analyses revealed that for both career decidedness and choice comfort, the calling variables taken together added 8% and 5% variance, respectively, above and beyond that accounted for by self clarity, choice-work salience, indecisiveness, and lack of educational information. It is suggested that future research investigate the potential sources of a career calling and counselors be open to exploring this construct with individual clients.     

Infant Movement Motivation Questionnaire: Development of a measure evaluating infant characteristics relating to motor development in the first year of life

This paper highlights the development and testing of the Infant Movement Motivation Questionnaire (IMMQ), an instrument designed to evaluate qualities of infant characteristics that relate specifically to early motor development. The measurement development process included three phases: item generation, pilot testing and evaluation of acceptability and feasibility for parents and exploratory factor analysis. The resultant 27-item questionnaire is designed for completion by parents and contains four factors including Activity, Exploration, Motivation and Adaptability. Overall, the internal consistency of the IMMQ is 0.89 (Cronbach's alpha), with test–retest reliability measured at 0.92 (ICC, with 95% CI 0.83–0.96). Further work could be done to strengthen the individual factors; however it is adequate for use in its full form. The IMMQ can be used for clinical or research purposes, as well as an educational tool for parents.     

An Evolutionary Theory of Diversity: The Contributions of Grounded Theory and Grounded Action to Reconceptualizing and Reframing Diversity as a Complex Phenomenon

The author discusses the contributions of grounded theory and grounded action to the development of a new, and evolutionary, theoretical framework for understanding diversity as a complex phenomenon. She discusses the work of Thomas and Gregory as pioneers in expanding the conceptualization of diversity, arguing that this new understanding increases the potential for creative action in systems.     

The Short Mood and Feelings Questionnaire (SMFQ): A Unidimensional Item Response Theory and Categorical Data Factor Analysis of Self-Report Ratings from a Community Sample of 7-through 11-Year-Old Children

Item response theory (IRT) and categorical data factor analysis (CDFA) are complementary methods for the analysis of the psychometric properties of psychiatric measures that purport to measure latent constructs. These methods have been applied to relatively few child and adolescent measures. We provide the first combined IRT and CDFA analysis of a clinical measure (the Short Mood and Feelings Questionnaire—SMFQ) in a community sample of 7-through 11-year-old children. Both latent variable models supported the internal construct validity of a single underlying continuum of severity of depressive symptoms. SMFQ items discriminated well at the more severe end of the depressive latent trait. Item performance was not affected by age, although age correlated significantly with latent SMFQ scores suggesting that symptom severity increased within the age period of 7–11. These results extend existing psychometric studies of the SMFQ and confirm its scaling properties as a potential dimensional measure of symptom severity of childhood depression in community samples.