Domestic violence in primary care: The psychologist's role

This paper highlights the difficulties facing medical and mental health professionals in helping families in which there is violence. Emphasis is placed on how domestic violence presents in primary care medical settings. Physician and patient characteristics that interfere with domestic violence detection are reviewed. A role is outlined for psychologists in primary care settings to facilitate detection and treatment. Facilitative efforts include educating physicians through collaboration and serving as an on-site resource for information and consultation.     

The use of decision analysis for organizational design: reorganizing a community hospital.

Organizational design is presented as a decision process, with specific structures seen as providing alternative choices. To illustrate this, the authors present the case of a major metropolitan hospital that used the process to coordinate service delivery (nursing care versus patient care) and service focus (product oriented versus function oriented). Through interviews with more than 40 hospital administrators and staff, the authors created a list of 20 attributes, and used simple multi-attribute utility analysis to generate six design alternatives. The decision makers unanimously chose one alternative, even though potential for significant conflict existed because of differing values and objectives. The authors find decision analytic techniques useful for both the problem formulation and for generating and evaluating structural alternatives, and conclude that in this case consensus was facilitated by the decision process used.     

False physiological feedback and emotion: Experimenter demand and salience effects

Four experiments examined the hypothesis that the Valins (1966) false physiological feedback effect with attractiveness ratings of slides is due to experimenter demand. Experiments 1 and 2 showed significant feedback effects with 5-sec feedback periods, previously reported by Barefoot and Straub (1971) to be too brief a time to search the slides for a cause of the apparent physiological arousal. Experiments 3 and 4 had 17 variations of instructions (emotional, nonemotional), stimuli (slides of people, scenic tourist slides), and type of feedback information (heart rate, eyeblink, or none). The typical false feedback effect was found under many conditions that did not seem to meet the presumptive attributional requirements for the effect. In Experiment 4, only subjects who said they were supposed to rate feedback slides higher showed the effect, regardless of instructions, stimuli, or type of feedback. The overall results are interpreted in terms of experimenter demand and stimulus salience effects.     

Bizarre imagery, interference, and distinctiveness

Previous studies have shown that bizarre and common images produce equivalent levels of recall in unmixed-list designs. Using unmixed lists, we tested the view that bizarre images would be less susceptible than common images to common sources of interference. In all experiments, subjects imaged a list of either bizarre or common sentences and then performed some kind of interfering task before recalling the initial list of sentences. Experiment 1 showed that bizarre images were better accessed than common images after imaging an intervening list of common sentences. Also, components of common images tended to be better recalled than those of bizarre images after imaging an intervening list of bizarre sentences. Experiments 2a and 2b showed that interfering tasks consisting of studying lists of common concrete nouns did not differentially affect memory for bizarre and common images. In Experiment 3, labeling and imaging an interfering list of common pictures produced higher recall of bizarre images. Generally, bizarre images appeared to be less susceptible than common images to interference from certain types of common encodings. Importantly, the superior recall of bizarre images was always due to greater image (sentence) access, whereas higher recall of common images was associated with greater recovery of the image (sentence) constituents. Explanation of the precise pattern of results requires consideration of the distinctive properties of bizarre images.     

The development of area discrimination and its implications for number representation in infancy

This paper investigates the ability of infants to attend to continuous stimulus variables and how this capacity relates to the representation of number. We examined the change in area needed by 6-month-old infants to detect a difference in the size of a single element (Elmo face). Infants successfully discriminated a 1:4, 1:3 and 1:2 change in the area of the Elmo face but failed to discriminate a 2:3 change. In addition, the novelty preference was linearly related to the ratio difference between the novel and familiar area. Results suggest that Weber's Law holds for area discriminations in infancy and also reveal that at 6 months of age infants are equally sensitive to number, time and area.     

Weber's Law influences numerical representations in rhesus macaques (Macaca mulatta)

We present the results of two experiments that probe the ability of rhesus macaques to match visual arrays based on number. Three monkeys were first trained on a delayed match-to-sample paradigm (DMTS) to match stimuli on the basis of number and ignore continuous dimensions such as element size, cumulative surface area, and density. Monkeys were then tested in a numerical bisection experiment that required them to indicate whether a sample numerosity was closer to a small or large anchor value. Results indicated that, for two sets of anchor values with the same ratio, the probability of choosing the larger anchor value systematically increased with the sample number and the psychometric functions superimposed. A second experiment employed a numerical DMTS task in which the choice values contained an exact numerical match to the sample and a distracter that varied in number. Both accuracy and reaction time were modulated by the ratio between the correct numerical match and the distracter, as predicted by Weber's Law.     

Habitual Prospective Memory and Aging: Remembering Intentions and Forgetting Actions

Routine or habitual prospective memory tasks (e.g., taking medication) have the potential for creating confusions regarding whether or not an action has already been performed. We developed a laboratory paradigm for examining the kinds of processes thought to be operating in these kinds of tasks. Younger and older participants were asked to perform an action once and only once on each of 11 trials. The results showed that age and divided attention contributed to both omission and repetition errors. This new paradigm reveals memory failures in a habitual prospective memory task, and the results demonstrate that older adults are particularly susceptible to these memory problems.     

Within-family reproductive technologies as a solution to childlessness due to infertility: Psychological issues and interventions

Patients choosing new reproductive technologies benefit from psychological consultation as they face unforeseen emotional and interpersonal sequalae from these procedures. This paper focuses on those patients who choose family members or close friends (i.e., known donors) to donate sperm or eggs or uteri in order to conceive and produce their babies. Medical family therapy offers these patients and families a framework from which to examine the biological, psychological, and interpersonal issues involved in these within-family solutions to childlessness due to infertility.This paper is a revision of a talk, Medical Family Therapy, Infertility, and the New Reproductive Technologies, given at the 1994 annual meeting of the American Psychological Association on August 4 in Los Angeles, CA, as part of the Mini-convention on Families panel on Clinical Issues in Families and Health.