Puja as One Dimension of a Sensitive,Relational Approach to Community Health Care Provision

This article compares two projects designed to train groups of rural Rajasthani women as community health workers. Through ethnographic research conducted during the training periods of each project I highlight stark differences in the management and structural approaches. The successful project recognised the importance of rituals, specifically puja, in the daily lives of participants. Both the NGO management and the trainees performed daily rituals that helped foster a supportive network. Sensitivity combined with a wider insight into the practical realities and constraints facing women in rural Rajasthan contributed to the long-term success of the second project. The first project has folded. I argue a lack of open dialogue and real connection with participants meant the project’s management were unable to adapt /tailor the program to the needs and experiences of the women involved.

Both predator and prey: emotional arousal in threat and reward

This research examined the psychophysiology of emotional arousal anticipatory to potentially aversive and highly pleasant outcomes. Human brain reactions (event-related potentials) and body reactions (heart rate, skin conductance, the probe startle reflex) were assessed along motivational gradients determined by apparent distance from sites of potential punishment or reward. A predator-prey survival context was simulated using cues that signaled possible money rewards or possible losses; the cues appeared to loom progressively closer to the viewer, until a final step when a rapid key response could ensure reward or avoid a punishing loss. The observed anticipatory response patterns of heightened vigilance and physiological mobilization are consistent with the view that the physiology of emotion is founded on action dispositions that evolved in mammals to facilitate survival by dealing with threats or capturing life-sustaining rewards.     

Integrating Mental Health and Primary Care Services in the Department of Veterans Affairs Health Care System

Integrating mental health care in the primary care setting has been identified in the literature as a model for increasing access to mental health services and has been associated with enhanced clinical and functional patient outcomes and higher patient satisfaction. The Department of Veterans Affairs (VA), which operates the nation’s largest integrated health care system, has taken a leadership role in creating a health care system in which mental health care is provided in the primary care setting. This article examines VA’s efforts and progress to date in implementing evidence-based models of integrated mental health services nationally in community based outpatient clinics, home based primary care, and outpatient primary clinics at medical facilities. Psychology plays an important role in this progress, as part of an overall interdisciplinary effort, in which all professions are crucially important and work together to promote the overall well-being of patients. This article is based in part on a presentation by the first author at the 3rd National Conference of the Association of Psychologists in Academic Health Centers (APAHC) in May of 2007 in Minneapolis, Minnesota.     

The latent structure of anxiety sensitivity--revisited

Anxiety sensitivity has been implicated as a risk factor for the development and maintenance of panic and other anxiety disorders. Although researchers have generally assumed that anxiety sensitivity is a dimensional, rather than categorical, variable, recent taxometric research has raised questions concerning the accuracy of this assumption. The present study examined the latent structure of anxiety sensitivity by applying four taxometric procedures (MAXEIG, MAXCOV, MAMBAC, and L-Mode) to data collected from two large nonclinical samples (n = 1,025 and n = 744) using two distinct measures of anxiety sensitivity (Anxiety Sensitivity Profile and Anxiety Sensitivity Index-Revised). In contrast to previous taxometric analyses of anxiety sensitivity, results of the present research provided convergent evidence for a latent anxiety sensitivity dimension. Several potential explanations for the discrepancy between these findings and those of previous research are discussed, as well as the implications of these findings for the conceptualization and measurement of anxiety sensitivity.     

HOW TO PREDICT FUTURE DURATION FROM PRESENT AGE

The physicist J. Richard Gott has given an argument which, if good, allows one to make accurate predictions for the future longevity of a process, based solely on its present age. We show that there are problems with some of the details of Gott's argument, but we defend the core thesis: in many circumstances, the greater the present age of a process, the more likely a longer future duration.     

Parent’s Social Support for Children’s Outdoor Physical Activity: Do Weekdays and Weekends Matter?

In this study we examined the relationships among parental social supportive behaviors for children’s weekday and weekend outdoor physical activity (OPA). Thirty-nine girls and 29 boys 8 to 11 years wore pedometers for 7 days. Sixty-five mothers and 50 fathers responded to a social support questionnaire about OPA that was comprised of four dimensions: encouragement, playing with, use of activity as family recreation, and watch. After controlling for age and sport participation, regression analyses indicated that mothers’ use of activity as recreation was positively associated with girls’ weekday OPA. On the weekend, fathers’ play with son was positively related to OPA. The effectiveness of family-based activity interventions depends on when parents have opportunities to be present for their child’s activity and gender differences in the support provided.     

The neural consequences of semantic richness: when more comes to mind, less activation is observed

Some concepts have richer semantic representations than others. That is, when considering the meaning of concepts, subjects generate more information (more features, more associates) for some concepts than for others. This variability in semantic richness influences responses in speeded tasks that involve semantic processing, such as lexical decision and semantic categorization tasks. It has been suggested that concepts with richer semantic representations build stronger attractors in semantic space, allowing faster settling of activation patterns and thus faster responding. Using event-related functional magnetic resonance imaging, we examined the neural activation associated with semantic richness by contrasting activation for words with high and low numbers of associates in a semantic categorization task. Results were consistent with faster semantic settling for words with richer representations: Words with a low number of semantic associates produced more activation than words with a high number of semantic associates in a number of regions, including left inferior frontal and inferior temporal gyri.     

Externalizing problems in fifth grade: relations with productive activity, maternal sensitivity, and harsh parenting from infancy through middle childhood

This study used data from the National Institute of Child Health and Human Development's Study of Early Child Care and Youth Development to examine relations between parenting, self-control, and externalizing behavior from infancy through 5th grade. Results indicate that self-control measured during middle childhood mediates relations between maternal sensitivity, opportunity for productive activity, and parental harshness and both mother-reported and teacher-reported externalizing behavior. Results showed that parenting measured during middle childhood was more strongly related to 5th-grade externalizing behavior compared with parenting measured during infancy and early childhood. However, there was evidence that parenting during the preschool years was related to 5th-grade externalizing behavior through later parenting and self-control.     

Interactive Effects of Proactive and Reactive Service Recovery Strategies: The Case of Rapport and Compensation1

Researchers have recently investigated the efficacy of different strategies for recovery from service failure. This paper reports 2 studies that test the effects of a reactive (compensation) and a proactive recovery strategy (establishing prior rapport between service provider and customer). These strategies, plus aspects of the service problem, were manipulated using written scenarios. Consistent with predictions based on justice theory and the service recovery literature, customer evaluations were more favorable following high rapport, high compensation, minor service failures, and nonfinancial losses. Rapport and compensation interacted in a manner consistent with the fair process effect, although this interaction varied with failure severity and the dependent variable studied. The research underscores the importance of relationship building in the management of service failures.