Beyond Stages of Change: Multi-Determinant Continuum Models of Action Readiness and Menu-Based Interventions

The merits of modelling action readiness as a series of stages is discussed, focusing on the Health Action Process Approach (HAPA) which postulates a motivational stage (for non‐intenders) and a volitional stage (for intenders). The HAPA helpfully clarifies that the relationship between self‐efficacy and action may be different for inexperienced intenders and experienced actors. This model also usefully distinguishes between different types of planning undertaken by intenders and it is suggested that further specification of planning tasks could explain why some intenders act while others do not. Despite the advantages of the HAPA, it is argued that the distinction between intenders and non‐intenders is fuzzy and unstable and that demarcation of the stage boundary is arbitrary. A multi‐determinant, multi‐goal continuum approach is recommended. Such modelling recognises graded discontinuities throughout the development of action readiness from attitude formation to behaviour change maintenance. It is argued that menu‐based interventions designed to deliver different messages and materials to people with different action‐readiness deficits may be more cost effective than stage‐tailored interventions. On discute de l’intérêt qu’il y a de modéliser la préparation à l’action en une série de stades à partir de l’Approche des Processus d’Action en faveur de la Santé (HAPA) qui pose l’existence d’une phase motivationnelle (pour ceux qui n’ont pas l’intention d’agir) et d’une phase volitionnelle (pour ceux qui l’ont). L’HAPA met utilement en évidence que la relation entre l’auto‐efficience et l’action peut différer selon que l’on a affaire à un acteur expérimenté ou à une personne sans expérience qui pense agir. Ce modèle fait aussi une distinction utile entre les différentes sortes de planification qui s’offrent à ceux qui ont l’intention d’agir et laisse entendre qu’un approfondissement de la planification des tâches pourrait expliquer pourquoi certains passent à l’action et d’autres pas. En dépit de l’intérêt de l’HAPA, on peut penser que la distinction entre l’intention et l’absence d’intention est floue et instable et que le découpage en stades est arbitraire. On recommande une approche retenant un continuum à déterminants et à buts multiples. Cette modélisation reconnaît l’existence de discontinuités échelonnées tout au long du développement de la préparation à l’action depuis la formation de l’attitude jusqu’au changement effectif du comportement. On défend l’idée que les interventions à la carte conçues pour procurer différents messages et fournitures aux gens qui présentent différentes carences de préparation à l’action peuvent être plus rentables que les interventions basées sur les stades.     

Importance of life domains in different cultural groups

This study assessed the role of individualism and collectivism in the shaping of personal values of Canadians, Israelis, and Palestinians. Based on Sagie and Elizur's (1996) multifaceted approach, we distinguished personal values that are individual centered (i.e., associated with one's home, family, or work) from collective-centered values (i.e., associated with the religion, sports, or politics). The magnitude of the difference between both value types differs according to cultural orientation. As compared with Palestinians, we predicted that Canadians and Israelis would rank individual-centered values higher and collective-centered values lower. Data obtained from samples of Palestinians, Israelis, and Canadians supported this hypothesis.     

The word grouping hypothesis and eye movements during reading

The distribution of landing positions and durations of first fixations in a region containing a noun preceded by either an article (e.g., the soldiers) or a high-frequency 3-letter word (e.g., all soldiers) were compared. Although there were fewer first fixations on the blank space between the high-frequency 3-letter word and the noun than on the surrounding letters (and the fixations on the blank space were shorter), this pattern did not occur when the noun was preceded by an article. R. Radach (1996) inferred from a similar experiment that did not manipulate the type of short word that 2 words could be processed as a perceptual unit during reading when the first word is a short word. As this different pattern of fixations is restricted to article-noun pairs, it indicates that word grouping does not occur purely on the basis of word length during reading; moreover, as the authors demonstrate, one can explain the observed patterns in both conditions more parsimoniously without adopting a word-grouping mechanism in eye movement control during reading.     

Minds, persons, and space: an fMRI investigation into the relational complexity of higher-order intentionality

Mental state reasoning or theory-of-mind has been the subject of a rich body of imaging research. Although such investigations routinely tap a common set of regions, the precise function of each area remains a contentious matter. With the help of functional magnetic resonance imaging (fMRI), we sought to determine which areas are involved when processing mental state or intentional metarepresentations by focusing on the relational aspect of such representations. Using non-intentional relational representations such as spatial relations between persons and between objects as a contrast, the results ascertained the involvement of the precuneus, the temporal poles, and the medial prefrontal cortex in the processing of intentional representations. In contrast, the anterior superior temporal sulcus and the left temporo-parietal junction were implicated when processing representations that refer to the presence of persons in relational contexts in general. The right temporo-parietal junction, however, was specifically activated for persons entering spatial relations. The level of representational complexity, a previously unexplored factor, was also found to modulate the neural response in some brain regions, such as the medial prefrontal cortex and the right temporo-parietal junction. These findings highlight the need to take into account the critical roles played by an extensive network of neural regions during mental state reasoning.     

Psychological factors predicting stress symptoms: metacognition, thought control, and varieties of worry

This study tested predictions of the metacognitive model of post-traumatic stress disorder (Wells, 2000) concerning relationships between stress symptoms and maladaptive control of thoughts. We tested the hypothesis that the tendency to use worry as a means of controlling thoughts will be positively predictive of stress symptoms. In doing so, overlaps with symptomatic worry, stress symptoms, and stress exposure at time 1 was controlled. One hundred and ten (110) college students were assessed twice, over a three-month period. Consistent with predictions, use of worry as a thought control strategy made a significant and independent contribution to the prediction of stress symptoms. The findings provide further support for Wells' metacognitive model of stress reactions.     

Organizational culture, creative behavior, and information and communication technology (ICT) usage: a facet analysis.

Despite the prominence of organizational culture (OC), this concept is controversial and its structure has yet to be systematically analyzed. This study develops a three-pronged formal definitional framework on the basis of facet theory (FT) and explores behavior modality, referent, and object. This facet analysis (FA) of OC accounts successfully for variation in both creative behavior at work and the usage of information and communication technologies (ICTs). An analysis of data collected from 230 employees in the financial industry indicates that a radex structure was obtained for work and ICT. The behavior modality facet ordered the space from center to periphery, and referents facet relates to the direction angles away from the origin.     

When lack of control enhances closeness to others: The case of unemployment and economic threat

When personal control is threatened, people often turn to their own group and show negativity towards others. In three studies, we tested an alternative prediction that the salient lack of personal control (vs. control) experienced in the context of unemployment can lead to connectedness and more positive perception of similar others (e.g., members of groups affected by unemployment or the economic crisis). In two European countries, we found experimental (Study 1: Poland) and correlational (Study 2: Spain) evidence that a lowered sense of control of unemployed people was related to more favorable intergroup evaluations. Furthermore, when lack of control related to unemployment threat was experimentally induced, participants perceived a Greek outgroup more positively, and this effect was mediated by identification with and similarity to this group (Study 3). We discuss the role of the shared experience of collective uncontrollability in promoting positive intergroup relations.     

A neurodevelopmental perspective on male violence

Research is increasingly documenting a neurobiological basis to violence. This review takes a neurodevelopmental perspective on the very small group of males who grow up to become persistent violent offenders. After outlining six criteria for what constitutes a neurodevelopmental disorder, the extent to which chronic violence meets these definitional criteria is examined, covering the fields of genetics, structural and functional brain imaging, and neuropsychology. Early health risk factors for violence are then outlined, including birth complications, minor physical anomalies, prenatal smoking and alcohol exposure, poor nutrition, lead exposure, and traumatic brain injury. Persistent adult violence is argued to originate in aberrant temperamental behavior in early childhood, to have a stable developmental trajectory, and to be associated with impaired education, social, and occupational functioning. Taken together, it is argued that chronic adult violence meets criterion for being conceptualized as having neurodevelopmental origins and that an important, but not sole, source of neural maldevelopment lies in prenatal and early postnatal risk factors. This review concludes with a recognition of the sociopolitical context within which a neurodevelopmental perspective on chronic violence sits, together with directions for future research, including whether a neurodevelopmental hypothesis is best applied to reactive as opposed to proactive aggression.     

Cross-cultural clinical judgment bias in personality disorder diagnosis by forensic psychiatrists in the UK: a case-vignette study

Previous research in the UK has suggested that cross-cultural bias in personality disorder diagnosis might partly account for the smaller proportion of Black, relative to White, patients with personality disorder in secure psychiatric hospitals. Using the case-vignette method, we investigated cross-cultural clinical judgment bias in the diagnosis of personality disorder in African Caribbean men by 220 forensic psychiatrists in the UK. In the vignette describing possible DSM-IV antisocial personality disorder, Caucasians were 2.8 times more likely to be given a diagnosis of personality disorder than African Caribbeans. Diagnosis also varied according to the ethnicity of the clinicians. No cross-cultural bias was found in the vignette describing possible DSM-IV borderline personality disorder. These findings are important in relation to recent policies for offenders and others with personality disorder, and to the current focus on delivering race equality in mental health services in the UK. Ongoing debates about the strengths and limitations of the case-vignette method are also discussed.