Expansive and contractive communication scope: A construal level perspective on the relationship between interpersonal distance and communicative abstraction

People adopt an expansive relational scope when communicating with psychologically distant audiences and a contractive relational scope when communicating with psychologically near audiences. We review recent research that has adopted a Construal Level Theory perspective to examine the impact of psychological distance of an audience on interpersonal communication. People communicate more abstractly when communicating with a distant audience and more concretely when communicating with an audience that is more proximal; correspondingly, communicating abstractly orients people toward more distant others and communicating concretely toward more proximal others. Furthermore, evidence suggests that the relationship between distance and communicative abstraction is dynamic and is influenced by communication goals and situational contexts. Moreover, a communicator's level of abstraction is consequential, influencing both how the communicator is perceived by observers and the potential effectiveness of the communication. We close by pointing to additional open questions and areas for future research.     

Developing an efficient clinical information system for a comprehensive psychiatric institute: I. Principles,design, and organization

The principles, design considerations, and components of a clinical information system intended to support and enhance the patient care, educational, and research missions of a comprehensive psychiatric institute are presented. Major characteristics of the system are its emphases on efficiency, simplicity, and intensive user involvement throughout the development of the system.     

Prevention of nonadherence to nonsteroidal anti-inflammatory medications for newly diagnosed patients with juvenile rheumatoid arthritis.

Adherence to medications for chronic pediatric diseases decreases overtime. This randomized controlled trial evaluated a clinic-based, nurse-administered educational and behavioral intervention to prevent the anticipated drop in adherence to nonsteroidal medications among newly diagnosed patients with juvenile rheumatoid arthritis. Thirty-four participants completed the study (mean age = 8.44 years, SD = 3.96), including 19 in the experimental group and 15 in the standard-treatment (education) control group. There were significant group and Group x Time effects for adherence (assessed with an electronic monitor over a 13-month period) favoring the experimental group. In contrast, the groups did not differ significantly in disease activity or functional limitations. Factors that may have prevented detection of differences in these health parameters are dicussed.