Healthy marriage initiatives: on the need for empiricism in policy implementation

The association between marriage and well-being has led to policies that promote marital interventions and discourage divorce. These include federal initiatives specifically targeting poor couples and couples of color. While there are many prospective studies on marriage that have informed some couple interventions, the studies that are included in this literature sampled predominantly White and middle-class couples. By comparison, far less is known about the longitudinal predictors of relationship satisfaction and status for poor couples and couples of color. Therefore, it is unsurprising that preliminary data on applying current interventions to the couples targeted by these federal initiatives have been disappointing. In this article, I detail three concerns with these initiatives, propose a course of psychological research to address deficits in what is known about poor couples and couples of color, and make specific recommendations to enhance the effectiveness of these initiatives.     

Social policy and the role of the behavior analyst in the prevention of delinquent behavior

The purpose of this article is to encourage behavior analysts to expand their domain of interest and application to include the "social/political" contingencies that are developed and implemented by policymakers and lawmakers. Using the Vermont juvenile justice system as a prototype, examples are provided that focus on the tertiary, secondary, and primary prevention of delinquent behavior.     

Science, policy, and the protection of children

Child maltreatment is a particular concern for many researchers, practitioners, and policymakers. The articles in this Child Sexual Abuse: Science, Practice, and Policy Issues section, edited by Jeffrey Haugaard, address this issue from several perspectives. Haugaard articulates the difficulties of defining certain types of abuse and of researching ambiguous variables. Karen Saywitz and her coauthors provide an overview of current treatments for child sexual abuse victims. Recent national statistics on child maltreatment and federal efforts to address the problem are described by Olivia Golden. Tom DeLay highlights current problems in the child welfare system and the federal government's role in responding to them.     

The federal role in injury control.

Early federal injury control programs in the 1960s and 1970s were centered first in the Division of Accident Prevention (Public Health Service) and subsequently in the National Highway Traffic Safety Administration (Department of Transportation) and the Consumer Product Safety Commission. The Centers for Disease Control (CDC) in the early 1970s also began to investigate injuries, particularly in the home and recreational environment. The field expanded in the 1970s and 1980s to include injuries that occur in many settings and both intentional injuries (violence) and unintentional injuries. After a 1985 report, Injury in America, CDC was chosen to be the national coordinating agency because of its mission of prevention. The current program also includes acute care, rehabilitation, and biomechanics.     

Resilient children,psychological wellness,and primary prevention

The concept of heightened resilience or invulnerability in young profoundly stressed children is developed in terms of its implications for a psychology of wellness and for primary prevention in mental health. Relevant literature is reviewed, a skeletal model for studying resilience is outlined, and needed research directions are considered. The latter include expansion of the construct's nomological definitional net, inquiry into the antecedents and determinants of resilience, and the application of such generative information to frame preventive interventions for young, profoundly stressed children.     

Violent children: bridging development,intervention, and public policy

Childhood violence is a major public health and social policy concern in the United States. Scientists and policymakers alike have increasingly turned their attention to the causes of childhood violence and the extent to which its course can be modified through well-planned preventive interventions. However, it is not apparent that policymakers draw upon basic research findings in formulating their priorities and policies, nor is it apparent that developmental scientists incorporate policy considerations and prevention findings into their research frameworks and designs. The goal of this special issue on violent children is to begin to bridge the gaps among basic developmental science, prevention science, and public policy.     

Suicidal behavior in Italy: data, trends and guidelines for a suicide intervention/prevention policy.

Even though in Italy, as in the majority of Mediterranean countries, the increase in suicide rates is not among the highest in Europe, between 1969 and 1989 it showed a sharp upswing (+43% among males and +31% among females). In terms of geographical differences, the regions with the highest suicide rate are the northern ones (up to twice the national average). The age groups with the highest suicide risk are those over 74 years (in 1989 the rate among males over 65 was the highest of all: 31.3 per 100,000). The differences in the between-sexes distribution show that among females over 65 years old the suicide rate rose by 70% between 1974 and 1989, versus 77% for males of the same age. The preliminary epidemiological results of one of two Italian centers are presented. These centers are collaborating with the WHO/EURO Multicenter Study on Parasuicide; parasuicide rates are higher for females than for males (55.9 per 100,000, as against 38.1 for males), while the age group at highest risk is seen to be young women (15-24 years), with a specific rate of 115.6.     

Psychology and health. Research, practice, and policy

Since World War II, American psychology's role in health care has significantly expanded. This was formally recognized in 2001 when the membership of the American Psychological Association (APA) approved a bylaw change in its mission statement to include the word health. An accumulating body of research demonstrates and recent reviews conclude that psychological factors are primary in health and in illnesses. This article proposes a vision of psychology that endorses a bio-psycho-socio-cultural model of health research and interventions. The author provides 4 definitions of health, reviews selected psychology health research and interventions, summarizes APA's recent health-related activities, and presents 5 policy recommendations for consideration and debate.     

The importance of an evidence-based approach in the current Spanish policy for crime prevention

This introductory paper has two objectives. On the one hand, to present the guidelines of the evidence-based perspective on crime prevention as an alternative to the usual criminal policy, which often disregards conclusions based on scientific evidence. On the other hand, to discuss the contemporary situation in Spain regarding crime prevention and particularly the role psychology develops in terms of the utility/effectiveness dichotomy. The evidence-based perspective on crime prevention is guided by the main criteria of collecting the best scientific evidence in relation to 'what works best' in the different areas of crime prevention. In that purpose systematic reviews and meta-analyses are strongly recommended. The Campbell Collaboration in Crime and Justice is a scientific endeavour oriented to prepare rigorous and systematic reviews of high-quality evidence about 'what works'. Regarding crime prevention in Spain it is argued that psychology and other disciplines must make society and its rulers see that intervention based on evidence-based policy is essential for crime prevention.     

A role for clinical psychology in health care and policy concerning the physical environment

Some persons adversely react to specific environments, while others are impervious or actually thrive. Medical attention often overlooks such sensitivities to the physical environment. Such sensitivities, including phobias and seasonal affectivity, fall within clinical psychology's purview. A theoretical/clinical approach called the Synchronous Systems Model, which defines and uses individual differences in people and in settings, could serve medical health care and policy. When specific people are matched appropriately with specific treatments within the most propitious settings, cost effectiveness and medical efficacy rise. Such documented accountability could make clinical psychologists central to triage of medical services as well as health care policy in these days of the shrinking health care dollar. The Synchronous Systems Model provides theory, supportive data, and clinical assessment devices to strengthen clinical psychology's role in medical settings.     

Anxiety's role in aids prevention

Abstract

Anxiety's role in AIDS risk reduction is discussed. We argue that behavioral techniques will be critical tools for alerting people to the threat of AIDS and their own vulnerability. Informational models have not been found to be sufficient for convincing people of the extent of the threat of AIDS to them. We suggest that techniques aimed at raising people's anxiety over their vulnerability will be necessary to raise their motivation to attend to AIDS messages, and we present techniques aimed at increasing anxiety over vulnerability. Following acknowledgment of vulnerability, people will need to adopt or continue safer sex practices that are viewed as undesirable in contrast to unsafe sex practices that are viewed as less costly and less anxiety provoking. Given a clearer practical and theoretical understanding of the anxiety-producing costs of adopting safer sex behaviors, we present methods for reducing this anxiety. We also discuss the necessity for considering ethnic, minority, and other cultural nuances in social and sexual anxiety and how these might be addressed in efforts to increase safer sex practices.     

Motivations for promotion and prevention and the role of trust and commitment in interpersonal forgiveness

Granting forgiveness demands self-regulation. Distinct modes of self-regulation might therefore produce distinct routes to forgiveness. Self-regulation focused on advancement (or promotion) could motivate forgiveness through the perceived benefits to be attained by repairing a relationship, i.e., one’s trust that a partner will provide such benefits rather than further betrayal. In contrast, self-regulation focused on security (or prevention) could motivate forgiveness through the perceived costs of further relationship deterioration, i.e., one’s commitment to maintain a relationship upon which one depends and protect against the loss of this relationship. These hypotheses were supported across two studies that: (a) measured and manipulated promotion-focused versus prevention-focused self-regulation, (b) included real and imagined offenses in casual and close relationships, and (c) assessed forgiveness immediately following an offense and after a two-week delay. Trust in a relationship partner more strongly predicted forgiveness among promotion-focused individuals, whereas commitment to this partner more strongly predicted forgiveness among prevention-focused individuals.