Personal, Medical, and Healthcare Utilization Among Homeless Veterans Served by Metropolitan and Nonmetropolitan Veteran Facilities

This study assessed differences in personal, medical, and health care utilization characteristics of homeless veterans living in metropolitan versus nonmetropolitan environments. Data were obtained from a Veterans Health Administration (VHA) network sample of homeless veterans. Chi-square tests were used to assess differences in demographics, military history, living situation, medical history, employment status, and health care utilization. Moderator analyses determined whether predictors of health care utilization varied by metropolitan status. Of 3,595 respondents, 60% were residing in metropolitan areas. Age, sex, and marital status were similar between metropolitan and nonmetropolitan homeless. Metropolitan homeless were less likely to receive public financial support or to be employed, to have at least one medical problem, one psychiatric problem, or current alcohol dependency, but more likely to be homeless longer. Of the 52% of the sample who used VHA care in the last 6 months, 53% were metropolitan versus 49% nonmetropolitan (p = .01). Metropolitan status predicted at least one VHA visit within the prior 6 months (OR:1.3, CI:1.1, 1.6). Significant differences occur in the personal, medical, and health care utilization characteristics of homeless veterans in metropolitan versus nonmetropolitan areas.     

Automatic imitation of biomechanically possible and impossible actions: effects of priming movements versus goals

Recent behavioral, neuroimaging, and neurophysiological research suggests a common representational code mediating the observation and execution of actions; yet, the nature of this representational code is not well understood. The authors address this question by investigating (a) whether this observation-execution matching system (or mirror system) codes both the constituent movements of an action as well as its goal and (b) how such sensitivity is influenced by top-down effects of instructions. The authors tested the automatic imitation of observed finger actions while manipulating whether the movements were biomechanically possible or impossible, but holding the goal constant. When no mention was made of this difference (Experiment 1), comparable automatic imitation was elicited from possible and impossible actions, suggesting that the actions had been coded at the level of the goal. When attention was drawn to this difference (Experiment 2), however, only possible movements elicited automatic imitation. This sensitivity was specific to imitation, not affecting spatial stimulus-response compatibility (Experiment 3). These results suggest that automatic imitation is modulated by top-down influences, coding actions in terms of both movements and goals depending on the focus of attention.     

How communication goals determine when audience tuning biases memory

After tuning their message to suit their audience's attitude, communicators' own memories for the original information (e.g., a target person's behaviors) often reflect the biased view expressed in their message--producing an audience-congruent memory bias. Exploring the motivational circumstances of message production, the authors investigated whether this bias depends on the goals driving audience tuning. In 4 experiments, the memory bias was found to a greater extent when audience tuning served the creation of a shared reality than when it served alternative, nonshared reality goals (being polite toward a stigmatized-group audience; obtaining incentives; being entertaining; complying with a blatant demand). In addition, the authors found that these effects were mediated by the epistemic trust in the audience-congruent view but not by the rehearsal or accurate retrieval of the original input information, the ability to discriminate between the original and the message information, or a contrast away from extremely tuned messages. The central role of epistemic trust, a measure of the communicators' experience of shared reality, was supported in meta-analyses across the experiments.     

Disgust as embodied moral judgment

How, and for whom, does disgust influence moral judgment? In four experiments participants made moral judgments while experiencing extraneous feelings of disgust. Disgust was induced in Experiment 1 by exposure to a bad smell, in Experiment 2 by working in a disgusting room, in Experiment 3 by recalling a physically disgusting experience, and in Experiment 4 through a video induction. In each case, the results showed that disgust can increase the severity of moral judgments relative to controls. Experiment 4 found that disgust had a different effect on moral judgment than did sadness. In addition, Experiments 2-4 showed that the role of disgust in severity of moral judgments depends on participants' sensitivity to their own bodily sensations. Taken together, these data indicate the importance-and specificity-of gut feelings in moral judgments.     

Building Communities, Bridging Gaps: Alexander George's Contributions to Research Methods

This article assesses Alexander L. George's seminal contributions in six areas of political psychology and qualitative case study methods. These include George's work on psychological inputs in political processes, the intersection of history and political science, methods of within-case analysis such as process tracing, the use of structured, focused case comparisons (SFCC), the development of typological theories, and the connections among theory, empirical research, teaching, and policy. The article concludes with an analysis of four ongoing dimensions of George's research agenda: the need to integrate theories on purposive, cognitive, social, and motivational dynamics of decision making; the importance of methodological safeguards against our own cognitive biases as researchers; ways of integrating qualitative, quantitative, formal, and experimental research methods; and ways of modeling and testing theories on causal complexity.     

Skating down a steeper slope: fear influences the perception of geographical slant

Previous studies have shown that conscious awareness of hill slant is overestimated, but visually guided actions directed at hills are relatively accurate. Also, steep hills are consciously estimated to be steeper from the top than the bottom, possibly because they are dangerous to descend. In the present study, participants stood at the top of a hill either on a skateboard or a wooden box of the same height. They gave three estimates of the slant: a verbal report, a visually matched estimate, and a visually guided action. Fear of descending the hill was also assessed. Those participants who were scared (by the skateboard) consciously judged the hill to be steeper than unafraid participants. However, the visually guided action measure was accurate across conditions. These results suggest that explicit awareness of slant is influenced by the fear associated with a potentially dangerous action that could be performed on the hill.     

The effect of comparative context upon stereotype content: children's judgments of ingroup behavior

This study addresses self-categorization theory's contention that stereotype content varies as a function of the comparative context within which a given group is considered. A sample of 5-, 7- and 10-year-old children (n = 192) made judgments about gender ingroup behavior in one of two comparative contexts: either adults of the same sex as self or children of the opposite sex. Specifically, judgments were either of the perceived stereotypicality or central tendency of 12 types of behavior. Both types of judgment were found to differ as a function of comparative context in ways predicted by self-categorization theory. However, contrary to prediction, there was no effect of age on the extent of stereotype variability.     

The Relationship Between Emotional Resources and Emotional Labor: An Exploratory Study

The study examines the effects of a subtype of personal resources (i.e., emotional resources) on emotional labor strategies. We examined 2 variables, emotional intelligence and negative affectivity, as proxies for emotional resources. Largely consistent with predictions, results indicated that individuals with a high level of emotional resources (indicated by high emotional intelligence) are more likely than others to deep act, and individuals with comparatively low emotional resources (indicated by high negative affectivity) are more likely than others to surface act. The differential effects of surface acting and deep acting on strain and job satisfaction were examined. Depressed mood was found to mediate the relationship between surface acting and job satisfaction.     

Synthesis of studies of co-occurring disorder(s) in criminal justice and a research agenda

The studies reported in this special issue were designed to take advantage of the unique opportunity that the Criminal Justice Drug Abuse Treatment Studies (CJDATS) cooperative provides to the systematic study of several key issues in programming for co-occurring disorder(s) (COD) in the criminal justice system. These papers present findings from CJDATS studies pertaining to co-occurring disorder(s), identify clinical initiatives to strengthen efforts to treat the population with co-occurring disorder(s), and point to a direction for the elaboration of a future research agenda. Four key areas of investigation are presented: Screening and Diagnosis; the Relationship of Co-Occurring Disorder(s) to Violence; Gender Differences; and the Delivery of Services for Co-Occurring Disorder(s). The first section of this article summarizes the studies included in this special issue within the context of the research literature already available. The second section suggests a future research agenda for the study of offender populations with co-occurring disorder(s), and concludes with a broad statement of clinical advancements to date.     

Genetics Education for Health Professionals: Strategies and Outcomes from a National Initiative in the United Kingdom

The National Health Service (NHS) National Genetics Education and Development Centre was established by the Department of Health in 2004 to help drive and co-ordinate genetics education for health professionals working outside specialist genetic services. This paper reviews the experiences and lessons learned to date. At the outset, it was clear that understanding the learning ethos, preferred delivery methods and attitudes towards genetics of different NHS healthcare groups was vital. We collected evidence by undertaking needs assessments with educators, practitioners and patients. We have determined the genetics knowledge, skills and attitudes which they said were needed and translated these into learning outcomes and workforce competences in a continuum of education. Beginning with core concepts introduced (and examined) pre-registration, the continuum continues with development of concepts post-registration as appropriate for role, leading to practical application and assessment of competences in the workplace. These are supported by a portfolio of resources which draw heavily on patient based scenarios to demonstrate to staff that genetics is relevant to their work, and to convince educators and policy makers that genetic education is likely to result in real clinical benefit. A long term educational policy, inclusive of learners, educationalists and their institutions must be evidence based, flexible and responsive to changes in workforce structure, provision of clinical services and conceptual and financial commitments to education. The engagement of national policy, regulatory and professional bodies is vital ().