Film Review

The American Journal of Psychoanalysis -     

A cluster randomised controlled trial of an intervention based on the Health Action Process Approach for increasing fruit and vegetable consumption in Iranian adolescents

Objective: To evaluate an intervention programme based on the Health Action Process Approach and designed to increase the intake of fruit and vegetables (F&V) among Iranian adolescents aged 13 to 18.

Design: A randomised controlled trial with three arms examined the short- (1 month) and long-term (6 months) effects of the intervention. There were two intervention groups (one included adolescents only [A group; n = 510]; the second included mothers and adolescents [M + A group; n = 462]) and a control group (n = 483). All participants were recruited from schools.

Main outcome measures: Social cognitions, self-regulatory processes and F&V intake.

Results: The intervention led to an increase in F&V intake for adolescents in the short and long terms. Adolescents in the M + A group increased their F& V intake more than adolescents in the A group. Outcome expectancies, self-monitoring, intentions, action and coping planning, perceived social support and behavioural automaticity mediated the effect of the intervention on F&V intake.

Conclusion: The theory-based intervention led to an increase in F&V intake and promoted more positive social cognitions and self-regulatory processes among Iranian adolescents. The findings also provide evidence that involving mothers in an intervention can confer additional benefit.     

Teacher perceptions of stuttering

The attitudes of 521 teachers in the Tuscaloosa, Alabama City School (82% of the teacher population) toward stuttering were assessed using the Teachers' Perceptions of Stuttering Inventory (TPSI). The TPSI consists of five teacher identification questions and 10 attitudinal statements about which teachers are asked to indicate their strength of agreement. Results indicated that a significant number of teachers hold unsubstantiated beliefs concerning the etiology of stuttering and the personality characteristics of stutterers. Teachers having experience with stutterers or having had course work in speech disorders indicated more realistic attitudes toward stutterers and expressed more demanding attitudes toward stutterers in the classroom situation. In view of the potential positive role teachers can play in assisting stutterers, the results were interpreted as suggesting a need for teachers to receive either preservice or inservice instruction with respect to the problem of stuttering.     

A Survey of Patients’ Experiences with the Cancer Genetic Counseling Process: Recommendations for Cancer Genetics Programs

In order to promote ongoing quality improvement of not only the Penn State Cancer Genetics Program, but also other cancer risk assessment programs throughout the country, we developed, piloted and conducted a survey to explore patient expectations, experiences, and satisfaction with the cancer genetic counseling process. The comprehensive survey was mailed to 340 eligible patients, 156 (45.9%) of whom returned the completed survey within the allotted time. Responses to closed-ended questions were tallied and open-ended questions were content analyzed. Major findings show that: (1) Patients were seeking cancer-related information and support throughout the cancer risk assessment process and were interested in participating in available research studies; (2) The setting in which patients are seen for cancer risk assessment may pose potential emotional ramifications; (3) Misperceptions regarding insurance discrimination and lack of insurance coverage persist; (4) Patients view the genetic counselor as responsible for updating them about new discoveries. Specific recommendations for cancer genetics programs are included.     

The control of saccade trajectories: direction of curvature depends on prior knowledge of target location and saccade latency

Recent reports have shown that saccades can deviate either toward or away from distractors. However, the specific conditions responsible for the change in initial saccade direction are not known. One possibility, examined here, is that the direction of curvature (toward or away from distractors) reflects preparatory tuning of the oculomotor system when the location of the target and distractor are known in advance. This was investigated by examining saccade trajectories under predictable and unpredictable target conditions. In Experiment 1, the targets and the distractors appeared unpredictably, whereas in Experiment 2 an arrow cue presented at fixation indicated the location of the forthcoming target prior to stimulus onset. Saccades were made to targets on the horizontal, vertical, and principal oblique axis, and distractors appeared simultaneously at an adjacent location (a separation of +/- 45 degrees of visual angle). On average, saccade trajectories curved toward distractors when target locations were unpredictable and curved away from distractors when target locations were known in advance. There was no overall difference in mean saccade latencies between the two experiments. The magnitude of the distractor modulation of saccade trajectory (either toward or away from) was comparable across the different saccade directions (horizontal, vertical, and oblique). These results are interpreted in terms of the time course of competitive interactions operating in the neural structures involved in the suppression of distractors and the selection of a saccade target. A relatively slow mechanism that inhibits movements to distractors produces curvature away from the distractor. This mechanism has more time to operate when target location is predictable, increasing the likelihood that the saccade trajectory will deviate away from the distractor.     

Eye movements during transitive action observation have sequential structure

In this paper, we explore how observers of a reach-to-grasp action can identify and distinguish between the agent and patient (i.e. target) of the action. We investigate the hypothesis that there is a characteristic sequential structure to the observer’s pattern of saccades, with the agent being fixated first, and then the target. We report an experiment which indicates that this sequence of saccades, while not ubiquitous, is overwhelmingly more likely than chance. The experiment also sheds some light on the mechanisms which allow the observer to saccade from the agent of the action to the target.     

Curiosity and exploratory behaviour towards possible and impossible events in children and adults

In four experiments with 4‐, 6‐, and 9‐year‐old children and adults, the hypothesis was tested that, all other conditions being equal, a novel and unusual event elicits stronger curiosity and exploratory behaviour if its suggested explanation involves an element of the supernatural than if it does not (the impossible over possible effect – the I/P effect). Participants were shown an unusual phenomenon (a spontaneous disintegration of a physical object in an apparently empty box) framed in the context of either a magical (the impossible event) or scientific (the possible event) explanation. In the verbal trial, participants showed a clear understanding of the difference between the effect of genuine magic and the effect of a trick. In the behavioural trial, both children and adults showed the I/P effect. They were more likely to run the risk of losing their valuable objects in order to explore the impossible event than the possible event. Follow‐up experiments showed that the I/P effect couldn't be explained as an artifact of the different degrees of cost of exploratory behaviour in the possible and impossible conditions or as a result of misinterpreting magic as tricks. The I/P effect emerged when the cost of exploratory behaviour was moderate and disappeared when the cost was perceived as too high or too low.     

Wallas’ Four-Stage Model of the Creative Process: More Than Meets the Eye?

Based on a detailed reading of Graham Wallas’ Art of Thought (1926 Wallas, G. (1926). The art of thought. London, UK: Jonathan Cape. [Google Scholar]) it is argued that his four-stage model of the creative process (Preparation, Incubation, Illumination, Verification), in spite of holding sway as a conceptual anchor for many creativity researchers, does not reflect accurately Wallas’ full account of the creative process. Instead, it is suggested that a four-stage model that gives due recognition to the detailed treatment Wallas gave to the Intimation stage is a more authentic representation of his explanation of creativity. A version of this model with three levels of proximity to consciousness (nonconsciousness; fringe consciousness; consciousness) and five stages (Preparation; Incubation; Intimation; Illumination; Verification) is presented as a general conceptual architecture within which relevant concepts and theories from more recent creativity research, including neuroscience and intuition, are positioned and from which a number of implications are drawn.