The effects of beliefs about smoking and health on smoking cessation

The purpose of this study was to examine whether beliefs of an American sample about smoking and health, as defined by cognitive orientation theory, would determine those smoking cessation program participants who would become abstainers and those who would not. Although the smoking cessation program was not designed to influence the specific kinds of beliefs studied, subscales measuring two of the four types of beliefs differentiated participants who would become abstainers from those who would not. Abstainers tended to have stronger goal beliefs about their desire to quit smoking, and stronger beliefs about the health-related implications of smoking. Participants' beliefs that they could resist an urge to smoke, which implied the use of coping skills, were more important in determining who would abstain from smoking than was their confidence that they could quit smoking, which implied the use of willpower.     

Assessment of irrational health beliefs: relation to health practices and medical regimen adherence.

The purpose of the present research was to provide initial validation of the 20-item Irrational Health Belief Scale (IHBS). Study 1 included 392 undergraduate psychology students. Results from Study 1 suggested that the IHBS total score is internally consistent and stable over an 18-month time period. Greater health-related cognitive distortion (higher IHBS scores) was associated with weaker internal health locus of control beliefs, lower positive affectivity, stronger chance health locus of control beliefs, and greater negative affectivity. Most important, greater cognitive distortion was uniquely and significantly associated with a less positive pattern of health practices. Study 2 involved 107 individuals with Type I diabetes mellitus. Results indicated that higher IHBS scores were significantly associated with both objective (hemoglobin HbA1) and self-reported diabetic regimen adherence independent of trait neuroticism and conscientiousness.     

Ethics in health care and medical technologies

In this paper a case is used to demonstrate how ethical analysis enables health care professionals, patients and family members to make treatment decisions which ensure that medical technologies are used in the overall best interests of the patient. The claim is made and defended that ethical analysis can secure four beneficial outcomes when medical technologies are employed: (1) not allowing any medical technologies to be employed until the appropriate decision makers are identified and consulted; (2) insisting that medical technologies be employed not merely to promote the medical interests of the patient but rather on the basis of their ability to contribute to the overall well-being of the patient; (3) challenging caregivers to reflect on the dynamic interplay between their conscious and unconscious values and consequent determinations of what is in the patient's best interests; and (4) providing a justification for selected interventions which makes possible rational dialogue between caregivers espousing different viewpoints about treatment options.     

Latina college students' sexual health beliefs about human papillomavirus infection

To examine Latina college students' sexual health beliefs about human papillomavirus (HPV), 16 self-identified Latina college students from a large Midwestern university participated in three focus groups. The authors found that participants' knowledge of HPV and cervical cancer was extremely low. Women did not obtain Pap screenings consistently, nor did they use condoms in a consistent manner. They perceived that cultural norms that support silence about sexual topics hinder their knowledge acquisition about sexual issues. Participants also recognized that their insufficient knowledge could jeopardize their health and expressed a willingness to actively stop this intergenerational cycle of silence within their families. Findings highlight the importance of incorporating cultural considerations when designing research and educational programs with Latina college students.     

Perceived cardiac risks and beliefs about health and running in elite older runners

Beliefs about the perceived health benefits of exercise of 24 elite runners were compared on an objective measure of risk for coronary heart disease. Results showed a 4- to 6-fold increase in estimates of perceived risk as compared to the objective estimate of risk, suggesting that these runners held somewhat exaggerated beliefs about the health benefits of running. In addition, these beliefs remained stable over time.     

Countertransference in the movies: effects on beliefs about psychiatric treatment

This study examined the effect of viewing the movie Lovesick on college students' beliefs about countertransference and psychiatric practice. Consistent with the concerns of Gebbard and Gebbard (1985) that the public may develop erroneous beliefs about psychiatry from watching such movies, after seeing the film subjects were more accepting of sexual behavior between analyst and patient and were cynical about the motivation of the mental health professions in prohibiting such behavior.     

Backward induction and beliefs about oneself

According to decision theory, the rational initial action in a sequential decision-problem may be found by ‘backward induction’ or “folding back’. But the reasoning which underwrites this claim appeals to the agent's beliefs about what she will later believe, about what she will later believe she will still later believe, and so forth. There are limits to the ‘depth’ of people's beliefs. Do these limits pose a threat to the standard theory of rational sequential choice? It is argued, first, that the traditional solutions of certain games depend on knowledge which exceeds depth limits, and that these solutions therefore cannot be shown rational in the usual sense. Then, for that related reason even ‘folding back’ solutions of one-person problems cannot be! A revision of our notion of rational choice is proposed, analogous to the reliabilist account of knowledge of Goldman and others, by which this paradox is resolved.     

Psychology's future in medical schools and academic health care centers

An exciting challenge exists for psychology to establish itself in the general health care delivery system. Advances in treating physical as well as emotional disorders offer the discipline the chance to expand its traditional and formerly limited role. Convincing empirical evidence suggests that psychology can simultaneously improve health care treatment and reduce its costs. Opportunities and obstacles on the path to success in this expanded venture are examined.     

Television,madness and community care

This paper describes the forms and contents of television representations of mental illness in the UK in 1992. The theoretical framework is provided by Moscovici's theory of social representations and some modifications are proposed for the case of madness. Quantitative and qualitative methods are used in the empirical analyses. It is shown that madness has multiple meanings on television, while at the same time violence is commonly included. It is also suggested that a partial reconfiguration of the representational field has taken place in recent years. Media stories about the responsibility of the policy of community care for scandals and tragedies are now commonplace. © 1998 John Wiley & Sons, Ltd.     

Toward a standard of care for treating suicidal outpatients: a survey of social workers' beliefs about appropriate treatment behaviors

This study attempts to establish what reasonable, prudent professionals, named in the standard of care, believe is appropriate treatment for suicidal outpatients. We hope to move toward establishing a standard of care based on actuarial data, rather than after the fact evaluation by experts, judges, and lawyers. Previously, Greaney (1995, doctoral dissertation, Pacific Graduate School, Palo Alto, CA) empirically examined the beliefs of psychologists in appropriately treating suicidal outpatients. Our goal is to broaden the perspective of existing empirical data by examining the beliefs of clinical social workers in treating suicidal outpatients.     

The role of attitudes and beliefs in differential health care utilisation among Chinese in Singapore

Abstract

One hundred and twenty-eight Chinese patients at two Western medical practices and two Chinese medical practices in Singapore completed a questionnaire regarding perceptions of illnesses. Health beliefs and attitudes towards different medical practitioners. Results indicate significant differences between those who consult only allopathic physicians (Western doctors) and those who consult both practitioners of traditional Chinese medicine (sinsehs) and Western doctors. Individuals consulting both Western doctors and sinsehs perceived a smaller proportion of “general” illness attributes (those found in both Western and Chinese medicine) to be relevant to specific diseases and showed greater endorsement of Chinese health beliefs than did individuals seeking help only from Western doctors. Also individuals consulting both types of practitioners expressed less satisfaction with the doctor's treatment than did those consulting only Western doctors and also rated sinsehs as more concerned with patient well-being and as listening more to their patients.     

Age and health care beliefs: self-efficacy as a mediator of low desire for control

The relation between individuals' age, desire for control, information, and perceived self-efficacy was examined using a cross-sectional comparison of 116 noninstitutionalized adults, ages 20 to 99. We found that individuals over 60 years of age desired less health-related control than did younger adults, and preferred that health professionals make decisions for them. Differences in desire for health-related information were in the same direction but were not significant. Older adults also desired less control in general day-to-day living. Perceived self-efficacy was also lower for individuals over 60 years of age. Results suggested that perceived self-efficacy mediated the age differences in health-related desire for control. Mediation of general desire for control, however, was not strong. Cohort and developmental explanations are provided for these findings. It is suggested that those individuals most at risk for chronic illnesses and hospitalization are also those who are most likely to fail to take an active role in their health care.     

The role of attitudes and beliefs in differential health care utilisation among Chinese in Singapore

Abstract One hundred and twenty-eight Chinese patients at two Western medical practices and two Chinese medical practices in Singapore completed a questionnaire regarding perceptions of illnesses. Health beliefs and attitudes towards different medical practitioners. Results indicate significant differences between those who consult only allopathic physicians (Western doctors) and those who consult both practitioners of traditional Chinese medicine (sinsehs) and Western doctors. Individuals consulting both Western doctors and sinsehs perceived a smaller proportion of "general" illness attributes (those found in both Western and Chinese medicine) to be relevant to specific diseases and showed greater endorsement of Chinese health beliefs than did individuals seeking help only from Western doctors. Also individuals consulting both types of practitioners expressed less satisfaction with the doctor's treatment than did those consulting only Western doctors and also rated sinsehs as more concerned with patient well-being and as listening more to their patients.     

Clients' beliefs about psychological problems

An investigation of clients beliefs about the causes and treatments of their own psychological problems, using a new instrument, the Opinions about Psychological Problems (OPP). We found that, although the beliefs about the various models were positively correlated, clients made clear overall discriminations between them. For causation, they tended to agree with the four psychological models (Behavioural, Cognitive, Humanistic and Psychodynamic) and the Naïve model, and tended to disagree with the Socio-economic and Organic models. For treatment, they endorsed Behavioural, Cognitive and Humanistic most highly, and again disagreed overall with Socio-economic and Organic. Individual difference variables showed that clients reporting a higher level of psychological symptoms tended to endorse all causation beliefs more highly, and also were more likely to agree with Behavioural, Cognitive, Humanistic and Psychodynamic treatments. The structure of clients' beliefs differed from that found in previous studies. There was a single factor which loaded on the four psychological models, with which the Organic, Socio-economic and Naive subscales were less strongly, but still positively, correlated     

Adolescent beliefs about AIDS prevention

Abstract

Four hundred and ten school children, aged between 13 and 16 years, were administered a questionnaire to investigate (a) their perceptions of AIDS and implications of the disease for the victim; (b) beliefs about how best to prevent the spread of disease; (c) sources of information and (d) AIDS relevant topics they would like to learn in school. The results suggested that there were few differences in knowledge or attitude as a function of age, but some significant differences due to sex. Boys were more likely to derogate the AIDS victim compared with girls. In terms of different strategies for prevention, boys were more in favour of “scare” approaches, and girls of information-giving. The success of any AIDS education package may be at least partly determined by individual beliefs about the disease, and preferences for different educational strategies.     

Essentialist beliefs about personality and their implications

Two studies examine implicit theories about the nature of personality characteristics, asking whether they are understood as underlying essences. Consistent with the hypothesis, essentialist beliefs about personality formed a coherent and replicable set. Personality characteristics differed systematically in the extent to which they were judged to be discrete, biologically based, immutable, informative, consistent across situations, and deeply inherent within the person. In Study 1, the extent to which characteristics were essentialized was positively associated with their perceived desirability, prevalence, and emotionality. In Study 2, essentialized characteristics were judged to be particularly important for defining people's identity, for forming impressions of people, and for communicating about a third person. The findings indicate that people understand some personality attributes in an essentialist fashion, that these attributes are taken to be valued elements of a shared human nature, and that they are particularly central to social identity and judgment.     

Six-year-olds' contradictory judgments about knowledge and beliefs

By around the age of 4 years, children acknowledge that people can have false beliefs about the world. Six-year-olds are still inclined, however, to confuse their own knowledge with that of more ignorant others. In a recent paper, Hulme, Mitchell and Wood offer a novel explanation for six-year-olds' tendency to make such errors when asked to choose a picture to put in a story character's thought bubble.