Federal Funds to Train Clinical Psychologists for Work with Underserved Populations: The Bureau of Health Professions Graduate Psychology Education Grants Program

This paper describes the Bureau of Health Professions (BHPr) Graduate Psychology Education program (GPE), which supports projects that train health service psychologists for work with underserved populations. BHPr history and funding criteria are discussed, as are those of BHPr's parent organization, the Health Resources Service Administration. BHPr objectives and methods for support of clinical psychology training parallel those that BHPr has used to support training in other heath professions. The paper also describes three psychology internship training programs in academic medical settings that competed successfully for BHPr GPE funding in 2002. The three training projects differ significantly in training rotation sites, target populations with which trainees work, and the other health care professions that partner with psychology in interdisciplinary training—but they are similar in that each project provides an example of a program that effectively satisfied BHPr criteria for expanding psychology's scope of practice with underserved populations.     

Positive and problematic dissertation experiences: The faculty perspective

We interviewed 14 clinical and counseling psychology faculty regarding their experiences chairing positive and problematic dissertations. Data were analyzed using consensual qualitative research (CQR). Participants reported that advisors’ roles involved guiding/facilitating dissertations and helping students shape research ideas; students’ roles included taking responsibility, working independently, and maintaining good relationships with the chair/committee. With positive dissertation experiences, chairs and students collaborated before the dissertation, worked together well during the dissertation, and students began the dissertation feeling competent and motivated; such dissertations positively affected participants. Problematic dissertation experiences evinced difficult relationships between chair and student, and students’ low research capability; such dissertations negatively affected participants.     

Cardiac morbidity risk and depression and anxiety: a disorder, symptom and trait analysis among cardiac surgery patients

The aim of this study was to examine depression and anxiety disorders and their characteristic symptoms (anhedonia/low positive affect and anxious arousal, respectively), along with measures of state negative affect (NA) and Type D personality, in relation to cardiac surgery related morbidity. Patients awaiting elective coronary artery bypass graft surgery (n=158; 20.9% female; 11.4% concomitant valve surgery; age M=64.7, SD=10.6) underwent the structured MINI International Neuropsychiatric Interview to determine current affective disorders. Patients also completed the Mood and Anxiety Symptom Questionnaire and a measure of Type D personality traits. Postoperative cardiac morbidity was confirmed after surgery during the index hospitalization and included stroke,renal failure, ventilation>24 h, deep sternal wound infection, reoperation, arrhythmia and 30-day mortality at any location (n=59, 37.3% of total). After adjustment for age, recent myocardial infarction, heart failure, hypertension, urgency of surgery and time spent on cardiopulmonary bypass generalized anxiety disorder was associated with cardiac morbidity (odds ratio [OR]=3.26, 95% confidence interval [CI] 1.10-9.67, p=0.03). Adjusted analysis of personality traits revealed the NA component of Type D personality was associated with cardiac morbidity (OR=1.07, 95% CI 1.01-1.14, p=0.03). The Mood and Anxiety Symptom Questionnaire subscales were not associated with increased morbidity risk. Affective disorders, affective phenotypes, and personality traits were differentially associated with post-cardiac surgery morbidity outcomes independent of cardiac surgery morbidity risk factors. Concurrent investigation of depression and anxiety with respect to cardiac outcomes warrants further research.     

Pragmatic difficulties in children with specific language impairment. The role of mentalistic tasks

Several subjects with Specific Language Impairment (SLI) show communicative and pragmatic problems. In this study, we suggested that mentalistic comprehension tasks would help us to find a deteriorated pragmatic profile among the population with SLI. To achieve this goal, a group of participants with conventional SLI (n=11) was compared to a group of SLI with more pragmatic problems (n=9) and their respective control group with typically developed language (n=13), of ages between 4 and 7 years. Results revealed that all the groups were able to attribute mental states in tasks where the context was structured. However, the subjects with predominant pragmatic SLI showed poorer performance than those with conventional SLI when tasks were communicative-oriented and they needed to process non-explicit information from the context. These findings suggest that it is possible to isolate a SLI subtype with more pragmatic problems and also that we can use mentalistic tasks to assess these difficulties more accurately.     

How accurately can older adults evaluate the quality of their text recall? The effect of providing standards on judgment accuracy

Adults have difficulties accurately judging how well they have learned text materials; unfortunately, such low levels of accuracy may obscure age‐related deficits. Higher levels of accuracy have been obtained when younger adults make postdictions about which test questions they answered correctly. Accordingly, we focus on the accuracy of postdictive judgments to evaluate whether age deficits would emerge with higher levels of accuracy and whether people's postdictive accuracy would benefit from providing an appropriate standard of evaluation. Participants read texts with definitions embedded in them, attempted to recall each definition, and then made a postdictive judgment about the quality of their recall. When making these judgments, participants either received no standard or were presented the correct definition as a standard for evaluation. Age‐related equivalence was found in the relative accuracy of these term‐specific judgments, and older adults' absolute accuracy benefited from providing standards to the same degree as did younger adults. Copyright © 2009 John Wiley & Sons, Ltd.     

Audiovisual bounce-inducing effect: When sound congruence affects grouping in vision

Two disks moving from opposite points in space, overlapping, and stopping at one another’s starting point can be seen as either bouncing off one another or streaming through one another. With silent displays, observers report streaming, whereas, if a sound is played when the disks are in the overlap region, observers report bouncing. The change in perception is thought to be modulated by a lack of attention that inhibits the integration of the motion signal when disks overlap and by the sound that increases the congruence of the display, in comparison with a real elastic bounce. Here, we accompanied the disks’ motion with either a bounce-congruent sound (a billiard ball) or with bounce-incongruent sounds (a water drop, a firework). When the sound was switched on 200 msec before the disks’ overlap, (1) all the audiovisual displays induced more bounce responses than did the silent display, but (2) the bounce-congruent sound induced more bounce responses than did the bounceincongruent sounds. However, when the sound was switched on at the disks’ overlap, only the first result was observed. These results highlight both the role of attention and that of sound congruence.     

Focusing on the bodily self: The influence of endogenous attention on visual body processing

The present study explores whether endogenous attention can modulate body perception. A modified version of the Posner paradigm was used to direct participants' attention toward the appearance of distinct body images, which differed only in detailed idiosyncratic features: one's own and another person's hands. Hand stimuli were preceded by symbolic cues that predicted their identity with high probability, which made it possible to compare the processing of expected (valid) and unexpected (invalid) targets. Results revealed that endogenous attention influenced the processing of participants' own hands by speeding participants' responses to valid in contrast to invalid trials. Crucially, no validity effect was found for the hands of another person. These findings cannot be explained in terms of perceptual familiarity, since an optimization of the processing for both familiar and unfamiliar faces by symbolic cues was observed. In light of these results, it is suggested that participants are able to anticipate particular stimuli within the same perceptual category as long as these stimuli appear to be remarkably distinct to them, which is probably the case for particular faces and their own bodies, in contrast to other people's bodies.