The effect of message framing on self-management of chronic pain: a new perspective on intervention?

This study examines framed messages as a novel approach to promote self-management of chronic pain. Primary care patients reporting chronic pain (pain rated ≥?4 on 0-10 NRS-I for ≥3 months) were randomly assigned to receive a gain- or loss-framed message promoting self-management of pain. Impact of the framed message on behavioural self-management (including communicating with providers, relaxation, activity pacing, pleasant activities and healthy lifestyle) was assessed. Post-message, individuals in the loss-frame condition reported significantly greater interest in and more knowledge gained from the information presented in the message (p≤0.03). Loss-frame participants were significantly more likely to express confidence that they would practice relaxation (p≤0.03). Pain readiness to change, pain self-efficacy and message frame independently influenced motivation to engage in relaxation as a self-management strategy. Across all behaviours assessed, there were no observed interactions between message frame and either pain self-efficacy or pain readiness to change (p>0.05). Framing may be useful to promote pain self-management; larger trials are needed to fully evaluate its potential and to further assess the applicability of framed communication to impact a broader range of chronic conditions.     

Group Art Therapy With Incarcerated Women

Art therapy in groups with incarcerated individuals may be effective when participants are defensive and possess limited education. The authors provide procedures, techniques, and case examples from the New Beginnings program for working with women in a detention facility.     

Speech perception as categorization

Speech perception (SP) most commonly refers to the perceptual mapping from the highly variable acoustic speech signal to a linguistic representation, whether it be phonemes, diphones, syllables, or words. This is an example of categorization, in that potentially discriminable speech sounds are assigned to functionally equivalent classes. In this tutorial, we present some of the main challenges to our understanding of the categorization of speech sounds and the conceptualization of SP that has resulted from these challenges. We focus here on issues and experiments that define open research questions relevant to phoneme categorization, arguing that SP is best understood as perceptual categorization, a position that places SP in direct contact with research from other areas of perception and cognition.     

Effects of Attention on the Strength of Lexical Influences on Speech Perception: Behavioral Experiments and Computational Mechanisms

The effects of lexical context on phonological processing are pervasive and there have been indications that such effects may be modulated by attention. However, attentional modulation in speech processing is neither well documented nor well understood. Experiment 1 demonstrated attentional modulation of lexical facilitation of speech sound recognition when task and critical stimuli were identical across attention conditions. We propose modulation of lexical activation as a neurophysiologically plausible computational mechanism that can account for this type of modulation. Contrary to the claims of critics, this mechanism can account for attentional modulation without violating the principle of interactive processing. Simulations of the interactive TRACE model extended to include two different ways of modulating lexical activation showed that each can account for attentional modulation of lexical feedback effects. Experiment 2 tested conflicting predictions from the two implementations and provided evidence that is consistent with bias input as the mechanism of attentional control of lexical activation.     

When You Care Enough to Do Your Very Best: Genetic Counselor Experiences of Compassion Fatigue

Compassion fatigue is a phenomenon that occurs when a caregiver feels overwhelmed by repeated empathic engagement with distressed clients (Figley, 2002). Research demonstrates its existence among nurses, physicians, and mental health professionals, but to date no published study has specifically investigated the nature and prevalence of compassion fatigue among genetic counselors. The present study was an initial attempt to identify and describe the phenomena in genetic counseling by conducting focus group interviews with 12 genetic counselors. Data analysis yielded several themes: a) compassion fatigue occurs and may compromise professional and personal functioning; b) prevalent triggers include delivering bad news and difficult patient issues (e.g., terminal illness, anger, psychopathology); c) effective coping strategies include consulting with colleagues, setting boundaries, and humor; and d) risk factors include personality characteristics and traumatic memories. Training, practice, and research recommendations are provided.     

Cross-examination of the expert witness: Do hostile tactics affect impressions of a simulated jury?

Ninety-one introductory psychology students viewed a videotape of a simulated personal damage trial in which a psychologist expert witness testified about a plaintiff's psychological problems resulting from trauma. The defense attorney's cross-examination tactics, employed against the expert witness, were varied in the videotape. A 2 × 2 factorial design was used, with leading versus nonleading questions and a hostile versus nonhostile attorney. An interaction effect was obtained, in which a hostile attorney using leading questions and a nonhostile attorney using nonleading questions were perceived as least effective.