Change technology and the implementation of automation in mental health care settings

The problem of clinician resistance to automated systems in mental health care delivery settings is discussed. It is argued that this resistance is a natural part of the change process, an indicator of an inadequate change strategy. The theory of change is briefly reviewed. Previous efforts to install automated systems in mental health care delivery settings are discussed in terms of change theory. Suggestions for incorporating the technology of change into the implementation process are proposed.     

Attitude accessibility,attitude-behavior consistency,and the strength of the object-evaluation association

Two experiments were conducted in order to examine the accessibility of attitudes from memory as a function of the manner of attitude formation. The findings of the first experiment indicated that subjects could respond more quickly in a response-time task to inquiries about their attitudes when the attitudes were based upon direct behavioral experience with the attitude objects than when they were based upon nonbehavioral experience. It was suggested that, relative to indirect experience, behavioral experience may facilitate the attitude formation process and increase attitude accessibility once the attitude is formed. A second experiment found support for both of these notions. Two additional experiments indicated that repeated association of the attitude object and the attitudinal evaluation enhanced both attitude accessibility and attitude-behavior consistency. It was suggested that the strength of the object-evaluation association is a critical determinant of accessibility, which, in turn, acts as a central factor in the process by which attitudes affect later behavior. It was further suggested that the manner of attitude formation affects attitude-behavior consistency because direct experience produces a stronger object-evaluation association and, hence, a more accessible attitude than does indirect experience.     

Orienting versus learning instructions in children's free recall: New evidence

Ninety-six first graders were given a list of either words or pictures to process under three types of incidental orienting instructions (semantic, directed at list organization; semantic, directed at individual item characteristics; and physical) and an intentional-learning instruction. For pictures and words, list organizational instructions were the most effective, and were superior to intentional-learning instructions. In contrast, individual item-orienting instructions were not better than intentional-learning instructions on either list. Additionally, different patterns of instructional effects emerged on the two list types, which were interpreted with respect to both available data and contemporary processing theories.     

Functional constraints on sentence processing: A cross-linguistic study

English and Italian provide some interesting contrasts that are relevant to a controversial problem in psycholinguistics: the boundary between grammatical and extra-grammatical knowledge in sentence processing. Although both are SVO word order languages without case inflections to indicate basic grammatical relations, Italian permits far more variation in word order for pragmatic purposes. Hence Italians must rely more than English listeners on factors other than word order. In this experiment, Italian and English adults were asked to interpret 81 simple sentences varying word order, animacy contrasts between the two nouns, topicalization and contrastive stress. Italians relied primarily on semantic strategies while the English listeners relied on word order—including a tendency to interpret the second noun as subject in non-canonical word orders (corresponding to word order variations in informal English production). Italians also made greater use of topic and stress information. Finally, Italians were much slower and less consistent in the application of word order strategies even for reversible NVN sentences where there was no conflict between order and semantics. This suggests that Italian is ‘less’ of an SVO language than English. Semantic strategies apparently stand at the ‘core’ of Italian to the same extent that word order stands at the ‘core’ of English. It is suggested that these results pose problems for claims about a ‘universal’ separation between semantics and syntax, and for theories that postulate a ‘universal’ priority of one type of information over another. Results are discussed in the light of the competition model, a functionalist approach to grammar that accounts in a principled way for probabilistic outcomes and differential ‘weights’ among competing and converging sources of information in sentence processing.     

Response to Requests for Abortion: The Influence of Guilt and Knowledge1

Participants who varied in their levels of sex guilt and sexual knowledge indicated the extent of their approval for abortion in response to 10 case histories of abortion applicants. The case histories were varied in terms of the circumstances under which conception had occurred. Sex guilt was significantly related to abortion decisions while sexual knowledge registered little effect. Low sex guilt students were more favorable toward abortion requests than were high sex guilt students, but both groups were more favorable toward abortion when conception was the result of failure of a contraceptive method than when it was due to the applicant's inconsistent use of the method. In addition, high sex guilt students' abortion decisions were significantly influenced by the relationship of the applicant to her coital partner. When the relationship was “steady,” they approved the request, whereas abortion was denied to the applicant who conceived with a casual partner. The results were discussed within the context of the debate over the morality of abortion and the problem of unwanted adolescent pregnancy. It was suggested that sex guilt may play a larger role in these issues than has been previously recognized, and that presenting the “facts” (sexual knowledge) may have little impact in abortion related decisions.     

Assessment of social skills using a Thurstone Equal-Appearing Interval scale

Although Likert ratings of social skill are widely used in behavioral assessment, such ratings may have limited replicability potential and social validity. The present study compared the reliability of Likert and Thurstone Equal-Appearing Interval scales. The Thurstone-derived scale was slightly more reliable than its Likert counterpart. Moreover, the empirical and clinical potential of Thurstone scaling substantially exceeds that of Likert and other rating methods.     

Semantic memory: Searching for attributes vs searching for names

The purpose of this experiment was to determine whether searching for a word that has a particular attribute (a fruit that is yellow) involves a different process than searching for a word whose name has a particular form (a fruit whose name begins with "p"). Ss saw category nouns paired with adjectives or letter restrictors presented on a series of blocked trials and a series of mixed trials. The Ss had to produce a word that fell in the space defined by the noun and the restricting adjective or letter. RT was fastest when trials were blocked and when a letter followed the presentation of the noun. This finding suggested the existence of two retrieval plans that can be executed when S has knowledge of the forthcoming type of item.