Teaching psychological knowledge and skills to family physicians

Psychological problems (e.g., anxiety, depression, substance abuse) are prevalent in primary care medical settings. Family physicians (FPs) treat more patients than any other primary care medical specialists. Thus, FPs can play an extremely important role in providing psychological services to their patients. In contrast to other specialists (e.g., internists, obstetricians), FPs are required to complete behavioral science training in their residencies. In this paper, we describe standard undergraduate, graduate, and postgraduate training of FPs. We present our unique program for teaching psychological principles and skills to family practice residents at the University of Kansas Medical Center. And finally, we introduce an instrument, the Interview Rating Scale (IRS), for evaluating the interviewing skills of physicians and residents.     

Defining Work Stress in Young People

Stress experienced by young workers can be very different from stress experienced by adults because of differing psychosocial developments. It is important to understand how early workplace experiences shape young workers' subsequent attitudes and behaviors, which may affect their psychological well‐being. This study examined how 18 young workers ages 17–29 perceive work stress. The authors found that young workers view job stress in 3 dimensions: lack of opportunity to learn, poor social interaction, and lack of opportunity to exercise initiative. Young workers also view work demands as challenging tasks and become job crafters to find more satisfaction in routine tasks.     

Exercise and Diet as Potential Moderators Between Trauma,Posttraumatic Stress,Depression, and Relationship Quality Among Emerging Adults

Exercise and diet have not been examined as potential protective factors between trauma and trauma-related sequelae. Using data collected from emerging adults (N = 321), we tested a path analysis to determine if exercise and diet would moderate the association between the number of potentially traumatic life events experienced and posttraumatic stress, depression, and relationship quality. More exercise was directly associated with higher posttraumatic stress and depressive symptoms. A healthier diet was directly associated with lower posttraumatic stress, lower depressive symptoms, and higher relationship quality. Results suggest there may be value in highlighting exercise and diet in family therapy.     

Apathy is associated with lower mental and physical quality of life in persons infected with HIV

HIV infection is associated with lower health-related quality of life (HRQoL), which is influenced by immunovirological factors, negative affect, neurocognitive impairment, and functional dependence. Although apathy is a common neuropsychiatric sequela of HIV infection, emerging findings regarding its unique role in lower HRQoL have been mixed. The present study was guided by Wilson and Cleary's (1995), model in examining the association between apathy and physical and mental HRQoL in 80 HIV+ individuals who completed a neuromedical examination, neuropsychological assessment, structured psychiatric interview, and a series of questionnaires including the SF-36. Apathy was measured using a composite of the apathy subscale of the Frontal Systems Behavioral Scale and the vigor-activation subscale of the Profile of Mood States. Independent of major depressive disorder, neurocognitive impairment, functional status, and current CD4 count, apathy was strongly associated with HRQoL. Specifically, apathy and CD4 count were significant predictors of physical HRQoL, whereas apathy and depression were the only predictors of mental HRQoL. All told, these findings suggest that apathy plays a unique role in HRQoL and support the importance of assessing and managing apathy in an effort to maximize health outcomes among individuals with HIV disease.     

Moral Evaluations of Lying for One's Own Group

This study investigated the development of moral judgments of blue lies, which occur when a speaker makes false statements to benefit a group of which he or she is a member. We investigated this issue in China, where there is substantial emphasis on the nature of children's associations with groups they belong to. Participants ranged in age from 9 to 17, and we asked them to evaluate lies that were told to benefit a team representing a speaker's class, school, or country. Judgments varied systematically as a function of age, with the 17‐year‐olds rating lying for any form of collective less negatively than did the younger age groups. In addition, across the age groups, children's affinity tended to shift from smaller groups to broader and more abstract collectives: 9‐ and 11‐year olds were least critical of blue lies told to benefit a speaker's class, 13‐year olds were least critical of blue lies told to benefit a speaker's school, and 17‐year olds were least critical of blue lies told to benefit a speaker's country. Copyright © 2015 John Wiley & Sons, Ltd.     

The robust self-esteem proxy: Impressions of self-esteem inform judgments of personality and social value

People use impressions of an evaluative target’s self-esteem to infer their possession of socially desirable traits. But will people still use this self-esteem proxy when trait-relevant diagnostic information is available? We test this possibility in two experiments: participants learn that a target person has low or high self-esteem, and then receive diagnostic information about the target’s academic success or failure and positive or negative affectivity (Study 1), or watch a video of the target’s extraverted or introverted behavior (Study 2). In both experiments, participants’ impressions of the target’s traits accurately tracked diagnostic information, but impressions also revealed an independent self-esteem proxy effect. Evidently, the self-esteem proxy is robust and influences person perception even in the presence of vivid individuating information.     

Saving Face for Darwin: The Functions and Uses of Embarrassment

In this article, we review diverse studies of the antecedents, facial display, and social consequences of embarrassment. These studies indicate that embarrassment serves an appeasement function, reconciling social relations when they have gone awry. We then speculate about how embarrassment is elaborated into more complex social interactions, such as teasing and flirtation. We conclude by raising questions about the blush and embarrassment that await empirical consideration.