The interpretation of change in verbal reports: Implications for health psychology

Abstract

This paper raises a number of issues for health psychology in relation to the interpretation of change in verbal reports. Drawing on a typology of change developed to evaluate organisational interventions, it is suggested that change may occur at an alpha level (e.g. changed health status), beta level (e.g. a recalibration of the respondent's scale for assessing health status) or gamma level (e.g. a reconceptualisation of the meaning attached to health). Given the likely presence of beta and/or gamma change in intervention data in health psychology, researchers may be analysing their change data at an inappropriate level. A number of existing methodologies which attempt to detect beta and gamma change are presented and discussed. The need to develop further methodologies which focus more explicitly on the nature of change is highlighted. Finally, the proposed typology has a number of practical implications for the design of health promotion interventions.     

Coming out in community psychology: personal narrative and disciplinary change

Community psychology as a discipline has not focused its attention on the lives of lesbians, gay men, and bisexual (LGB) people, despite the field's potential to collaborate with this population in dealing with the many psychosocial challenges they face. Professional and personal barriers that community psychologists must confront conducting research and developing interventions with the LGB community are described. Community psychology work with LGB communities is often a coming out experience for LGB community psychologists, and a questioning of sexual orientation fot heterosexual community psychologists. Conceptual analyses and empirical reports are presented that exemplify how community psychologist can contribute to decreasing the pervasive stigma LGB people face. The use of an ecological model, a focus on the development and evaluation of preventive interventions, and a recognition of the diversity within the LGB population are core perspectives that can direct future work by community psychologists. Issues ranging from testing ways to empower young LGB people to analyses of the impact of the sociopolitical climate on LGB lives demonstrate the rich range of contributions community psychologists can make.     

Toward a psychology of courage: Implications for the change (healing) process

Courage is a virtue which has been held in highest regard by all societies. In an age in which courage and its companions, human dignity and commitment, seem sadly lacking, it is imperative that we reacquaint ourselves with the implications of these attributes. In this paper we demonstrate the integral relationship between courage and intimacy and the importance of the concept of therapeutic caring to their development. We also introduce the theory of the double in which the self, in the act of intimacy, seeks to come together with its contradictory and disavowed attributes. These concepts are related to a psychotherapeutic paradigm in which we examine the requirements courage, intimacy, and caring impose upon practitioner and client.Paper presented at the 25th winter meeting of The American Academy of Psychoanalysis, New York City, December, 1981.     

Considering love: Implications for critical political psychology

Within psychology, love is typically understood in fundamentally psychological terms. Even those critical psychologists who have interrogated the sociopolitical dimensions of love seem unable to break from conceptions of love as romantic, familial, and/or private. In this article, I argue that in understanding love as a disposition, rather than a feeling, political psychologists are able to bring nuance to mainstream psychology's engagement with the emancipatory potentialities of love while, simultaneously, instating a critical reorientation of political psychology. To this end, I offer two pathways through which political psychologists can work with love: rooting counter-hegemonies in the love ethic, and enunciating love knowledges across contexts. I conclude by reflecting on future directions for critical political psychologists who are concerned with a multifaceted, materialist, psychopolitical and contextually-bound notion of love.     

The growth of developmental thought: Implications for a new evolutionary psychology

Evolution has come to be increasingly discussed in terms of changes in developmental processes rather than simply in terms of changes in gene frequencies. This shift is based in large part on the recognition that since all phenotypic traits arise during ontogeny as products of individual development, a primary basis for evolutionary change must be variations in the patterns and processes of development. Further, the products of development are epigenetic, not just genetic, and this is the case even when considering the evolutionary process. These insights have led investigators to reconsider the established notion of genes as the primary cause of development, opening the door to research programs focused on identifying how genetic and non-genetic factors coact to guide and constrain the process of development and its outcomes. I explore this growth of developmental thought and its implications for the achievement of a unified theory of heredity, development, and evolution and consider its implications for the realization of a new, developmentally based evolutionary psychology.     

Science and community psychology: social norms for pluralistic inquiry

The concept of science linked to the concept of community psychology requires adaptation. In the case of community psychology, science is public to citizens as well as to the scientist. The community psychologist, as scientist, works from the expectation that choices of topics, methods, and interpretation of findings are done in concert with representatives of the community. The following remarks offer 7 ways to keep vital the research of the community psychologist while contributing to robust and useful knowledge.     

Explaining change in psychology: The road not taken

I wish to express sincere thanks to the following persons who have given me the benefit of their comments and criticisms: Anthony S. Bryk, Renford Bamreough, Simon Blackburn, David Bloor, Jeremy Butterfield, Edward Craig, Jerry A. Fodor, Robert P. Gordon, P.M.S. Hacker, David Hansen, D.W. Hamlyn, Philip W. Jackson, Anthony Kenny, Peggy J. Miller, and Robert J. Richards. In addition, I gratefully acknowledge the support I received from a Spencer Seed Grant, University of Chicago, which allowed me to go to England in the summer of 1985 and discuss a version of this work with colleagues. Finally, I owe thanks to Benton Center for Curriculum and Instruction, University of Chicago, for various support services.