REALITY MONITORING,PSYCHOLOGICAL TOOLS,AND COGNITIVE FLEXIBILITY IN BILINGUALS: THEORETICAL SYNTHESIS AND PILOT EXPERIMENTAL INVESTIGATION*

An attempt was made to bring about a theoretical synthesis of such seemingly unrelated concepts as ‘reality monitoring’ (belonging to contemporary American cognitive psychology), ‘psychological tools’ (suggested by Russian psychologist, Lev Vygotsky in the 1930s), and ‘cognitive flexibility in bilinguals’ (developed by Canadian researchers in the 1970s). Psychological tools of symbolic character which-as Vygotsky and his followers suggested-mediate human actions and mental operations, were shown to improve reality monitoring, i.e., subject's ability to discriminate between memories of words that he/she either spoke or merely thought. The concept of cognitive flexibility was applied to reality monitoring in Russian-English bilinguals. It was shown that greater cognitive flexibility associated with balanced bilingualism enhances a subject's ability to discriminate memories of words said and words thought. Suggestions are made concerning further possible experimental investigations.     

The Primary Prevention of Illness: Social Systems and Personal Power

There is evidence to be inferred from statistics about health status and mortality rates that a large proportion of illness and premature death is preventable. Primary prevention programmes appear to have had only limited success when individuals need to take responsibility for preserving their own health. This paper examines the concept of primary prevention and its assumptions, including the need to increase the sense of personal power of individuals. It also deals with some of the problems for primary prevention policies and their implementation. Other primary prevention issues such as ethical and legal considerations. cost-benefits, foci of programmes, and the specification of goals and objectives, are considered. We propose public (government) policies to broaden the concept of health sciences for research and practice, and to give a high priority for resource allocation to prevention of illness and promotion of health, including funding of interdisciplinary research teams. We advocate taking a general systems theory approach to prevention, while enhancing and developing the sense of personal power of individual members of social systems.     

Investitations of the ongoing stressful situations among those with chronic illness

This paper examines methods of adaptation among those faced with stress from chronic health problems. Studies of disabled older adults and those with muscular-skeletal disorders are described with special emphasis on the role of everyday life events, and the threats to well-being imposed by chronic stressors. Attention is paid not only to psychological distress as outcome of a failure to adapt, but also to indices of psychological well-being which provide evidence of the benefits for those who cope successfully with chronic illness. The paper examines evidence for the proposition that everyday stressors can influence physiological processes linked to disease course. The implications of these findings for social interventions are discussed from community and health psychology perspectives. Editor’s Note: Alex Zautra was honored at the 104^th annual meeting of the American Psychological Association in Toronto, Canada, in August 1996. Dr. Zautra received the 1996 Barbara Dohrenwend Memorial Award by the Society for Community Research and Action: the Division of Community Psychology of the American Psychological Association. This work was supported by biomedical grants to the first author from the Arthritis Foundation, and the National Institute on Arthritis and Muscular-Skeletal Diseases (R01 AR41687).     

A client-server technology solution for a multicenter research database

As researchers take advantage of advances in computer and related technologies, the amount of data has increased dramatically. Recent developments in database management systems (DBMS) such as client-server database technology provide the necessary tools for merging and managing data from various fields of study, as well as, various locations. This emerging technology allows the distribution of processing and data storage operations to a variety of computer plat-forms, thereby maximizing efficiency and flexibility. A DBMS that uses client-server technology is described.