The health needs of the majority versus the health needs of the individual: The reorganization of medical education in Colombia

The challenge of excellence in community health services has been taken up by medical educators in Colombia. Confronted with a nation where the primary indicators of disease mortality and morbidity (cardiovascular disease and infant mortality) were characteristic of First and Third World patterns, respectively, the Ministry of Health and La Asociacion Colombiana de Facultades de Medicina (ASCOFAME), representatives of institutions of medical education, have collaborated to conduct a needs assessment of the country's health needs and devised an implementation plan designed to better address the needs of the majority of that nation's people.As a model, the Colombian reorganization of medical education is an example which could be emulated by the U.S. where policy makers are struggling with troublesome questions of cost, equity and quality.     

Contributions of Social Psychology to the Study of Appetltive Behaviors1

Social psychology has contributed substantially to the study and understanding of appetitive behaviors. This paper focuses on three major lines of social psychological research that have made particularly important contributions to appetitive behaviors: Hovland's work on attitudes and attitude changes, Bandura's social learning theory, and Schachter's studies of obesity and cigarette smoking. The relevant work of these three social psychologists and the research following from each line of inquiry are reviewed. Additional potential applications of these social psychological approaches to the study of appetitive behaviors are discussed.     

Professional involvement in self-help groups for parents of high-risk newborns

Patterns of professional involvement and control in self-help groups were studied through a questionnaire completed by representatives of 63 self-help groups for parents of high-risk newborns located throughout the United States. Results indicated that when professionals began a group, they were likely to continue to maintain control over it. Groups controlled by professionals were more likely to utilize professional counseling as a form of support and less likely to provide outreach services to parents following hospital discharge of their infants. Group stability, growth, and innovation were associated with more consultation between parents and professionals in the planning process.     

Context and strategy in acquiring temporal connectives

There has been considerable debate over the role of comprehension strategies in the acquisition of temporal connectives. This study examined the role of caluse logic and interpretational strategies in the acquisition of temporal words; age-related changes were also considered. Thirty-two children between 3 and 5 years of age served as subjects. Sentences with a variety of temporal words were used to tap children's comprehension of before, after, when, while, just before that, and and after that. Clause logic was found to significantly improve the understanding of these sentences. However, the order of mention and main clause first strategies were used infrequently. Apparently, when children respond to sentences that describe information in a way that is consistent with that they normally hear, these strategies are seldom applied.I wish to express my thanks to Janice Bogen, who assisted in data collection, and to Erika Hoff-Ginsberg, who assisted in some of the data analysis.     

The relationship of affiliative arousal to dopamine release

Higher levels of affiliation motivation after exposure to affiliative films are significantly related to higher dopamine concentrations in saliva in one study of 61 college students of both sexes, and in plasma in another study of 47 adults of both sexes. Individuals high in dispositionaln Affiliation, if they also reported high life stress, showed high gains in dopamine concentration in plasma after exposure to an affiliative film significantly more often than other individuals. Since aroused affiliation motivation was not associated with higher concentrations of norepinephrine, epinephrine, or cortisol in either study, it appears likely that dopamine is especially associated with arousal of affiliation motivation, just as norepinephrine has been found to be associated with arousal of power motivation. Thus, different motives may be subserved by different hormones, making it unlikely that all motives lead to the same state of physiological arousal.This research was carried out when all the authors were connected with the Department of Psychology and Social Relations at Harvard University. We acknowledge with thanks the support of the John D. and Catherine T. MacArthur Foundation through a grant to the senior author.     

Attitude and personality characteristics of older stutterers

Attitude and personality characteristics of 29 stutterers (19 male, 10 female) aged 52–82 yr were assessed using five questionnaires. Results indicate that, while the older stutterers score approximately the same as young adult stutterers on scales assessing approach and performance behaviors, the large majority of older stutterers perceive their stuttering as less handicapping than when they were young adults. Self-perceived personality characteristics of the older stutterers were similar to a group of older nonstutterers. While a few of the subjects had experienced some degree of success as a result of treatment later in life, the majority of the subjects did not currently desire treatment.     

Day care: Promoting collaboration between research and policymaking

An agenda for day care research that is tailored to current policy concerns is presented. Familiar developmental issues related to the quality of day care are recast within a policy perspective. Largely unexamined issues pertaining to the costs and supply of day care, the preventative role of day care services, economic and employment-related effects, links between day care and other settings that comprise children's environments, and alternative approaches to day care such as employer-sponsored care, are also identified. It is argued that these issues extend current conceptualizations of interdisciplinary and ecological research. By way of introduction, an overview of recent sociodemographic trends and changes in federal day care policy is provided. A discussion of emerging policy issues that could profit from input by child development research then serves as background to detailed suggestions for research that can advance the dual goals of informing day care policy-makers and contributing to developmental theory.     

Implicit States of Connectivity in the Clinical Practice of Jungian Psychoanalysis and Andean Shamanism

This paper will describe the spiritual states of “oneness” experienced by Andean shamans in relation to oceanic states in early infancy and working with trauma in Jungian analysis. The author’s work exploring implicit energetic experience with Andean shamans will be referenced with comparisons made to depth psychology, in both theory and in practice. Definitions of Q’echua terms describing different psychic meditative states that Andean shamans enter into will be provided as Andean medicine people have a much more developed language for conceptualizing these experiences. A clinical vignette will be presented that demonstrates how the spaces of implicit connection that occur between an analyst and analysand in the analytic setting can be a catalyst for healing.