Toward a Comprehensive Strategy for Effective Practitioner–Scientist Partnerships and Larger-Scale Community Health and Well-Being

This article articulates joint priorities for the fields of prevention science and community psychology. These priorities are intended to address issues raised by the frequent observation of natural tensions between community practitioners and scientists. The first priority is to expand the knowledge base on practitioner–scientist partnerships, particularly on factors associated with positive outcomes within communities. To further articulate this priority, the paper first discusses the rapid growth in community-based partnerships and the emergent research on them. Next described is an illustrative research project on a partnership model that links state university extension and public school delivery systems. The article then turns to the second, related priority of future capacity-building for diffusion of effective partnership-based interventions to achieve larger-scale health and well-being across communities. It outlines two salient tasks: clarification of a conceptual framework and the formulation of a comprehensive capacity-building strategy for diffusion. The comprehensive strategy would require careful attention to the expansion of networks of effective partnerships, partnership-based research agendas, and requisite policy-making.     

Compatibility effects based on stimulus and response numerosity

Four choice reaction time experiments documented a stimulus-response (S-R) compatibility effect involving the numbers of stimuli and responses. In Experiment 1, the stimulus consisted of one or two tones, and the correct response was either one or two taps of a response key. Responses were much faster with a compatible S-R assignment, in which the number of taps matched the number of tones, than with an incompatible assignment in which these numbers mismatched. Experiments 2 and 3 replicated this effect, using visual stimuli and bimodal stimuli, respectively, suggesting that auditory/manual rhythmic compatibility is not essential to it. Experiment 4 showed that an analogous but smaller effect is obtained when stimuli are the digits 1 and 2. This new numerosity-based compatibility effect has general theoretical implications regarding the mechanisms responsible for compatibility effects and practical implications for interface design.     

Threshold estimation in two-alternative forced-choice (2AFC) tasks: the Spearman-Kärber method

The Spearman-K?rber method can be used to estimate the threshold value or difference limen in two-alternative forced-choice tasks. This method yields a simple estimator for the difference limen and its standard error, so that both can be calculated with a pocket calculator. In contrast to previous estimators, the present approach does not require any assumptions about the shape of the true underlying psychometric function. The performance of this new nonparametric estimator is compared with the standard technique of probit analysis. The Spearman-K?rber method appears to be a valuable addition to the toolbox of psychophysical methods, because it is most accurate for estimating the mean (i.e., absolute and difference thresholds) and dispersion of the psychometric function, although it is not optimal for estimating percentile-based parameters of this function.     

Effects of redundant visual stimuli on temporal order judgments

Four experiments were conducted in order to compare the effects of stimulus redundancy on temporal order judgments (TOJs) and reaction times (RTs). In Experiments 1 and 2, participants were presented in each trial with a tone and either a single visual stimulus or two redundant visual stimuli. They were asked to judge whether the tone or the visual display was presented first. Judgments of the relative onset times of the visual and the auditory stimuli were virtually unaffected by the presentation of redundant, rather than single, visual stimuli. Experiments 3 and 4 used simple RT tasks with the same stimuli, and responses were much faster to redundant than to single visual stimuli. It appears that the traditional speedup of RT associated with redundant visual stimuli arises after the stimulus detection processes to which TOJs are sensitive.     

A function of form: terror management and structuring the social world

Drawing on lay epistemology theory, the authors assessed a terror management analysis of the psychological function of structuring social information. Seven studies tested variations of the hypothesis that simple, benign interpretations of social information function, in part, to manage death-related anxiety. In Studies 1-4, mortality salience (MS) exaggerated primacy effects and reliance on representative information, decreased preference for a behaviorally inconsistent target among those high in personal need for structure (PNS), and increased high-PNS participants' preference for interpersonal balance. In Studies 5-7, MS increased high-PNS participants' preference for interpretations that suggest a just world and a benevolent causal order of events in the social world.     

A computer program for Spearman-Kärber and probit analysis of psychometric function data

PMETRIC is a computer program for the analysis of observed psychometric functions. It can estimate the parameters of these functions, using either probit analysis (a parametric technique) or the Spearman-Kärber method (a nonparametric one). For probit analysis, either a maximum likelihood or a minimum χ² criterion may be used for parameter estimation. In addition, standard errors of parameter estimates can be estimated via bootstrapping. The program can be used to analyze data obtained from either yes-no orm-alternative forced-choice tasks. To facilitate the use of PMETRIC in simulation work, an associated program, PMETGEN, is provided for the generation of simulated psychometric function data. Use of PMETRIC is illustrated with data from a duration discrimination task.     

Pain anxiety among chronic pain patients: specific phobia or manifestation of anxiety sensitivity?

Rather than viewing anxiety among chronic pain patients as simply a component of negative affectivity, investigators have developed a model of "pain anxiety" in which patients develop fear and avoidance of activity linked to pain. We examined whether pain anxiety can be conceptualized as a specific phobia, or whether evidence supported the notion that pain anxiety is better understood as a manifestation of anxiety sensitivity in the context of chronic pain. Chronic musculoskeletal pain patients (N=70) underwent cold pressor and mental arithmetic tasks while cardiovascular, self-report, and behavior indexes were recorded. They completed measures of pain anxiety, anxiety sensitivity, fear of negative evaluation, depression and trait anxiety. Correlation analyses showed pain anxiety was related to pain-relevant responses during cold pressor, but it was also related to evaluation-relevant responses during cold pressor, and to pain- and evaluation-relevant responses (including subtraction accuracy) during mental arithmetic. Regression analyses showed that almost all effects of pain anxiety on task responses were accounted for by anxiety sensitivity. Fear of negative evaluation, in contrast, correlated only with evaluation-relevant responses, and mostly during mental arithmetic. These effects remained significant when depression, trait anxiety, or anxiety sensitivity were statistically controlled. Pain anxiety may be an expression of anxiety sensitivity rather than a circumscribed phobia; a distinction that could profitably guide treatment strategies.     

Belief and recollection of autobiographical memories

In three experiments, undergraduates rated autobiographical memories on scales derived from existing theories of memory. In multiple regression analyses, ratings of the degree to which subjects recollected (i.e., relived) their memories were predicted by visual imagery, auditory imagery, and emotions, whereas ratings of belief in the accuracy of their memories were predicted by knowledge of the setting. Recollection was predicted equally well in between- and within-subjects analyses, but belief consistently had smaller correlations and multiple regression predictions between subjects; individual differences in the cognitive scales that we measured could not account well for individual differences in belief. In contrast, measures of mood (Beck Depression Index) and dissociation (Dissociative Experience Scale) added predictive value for belief, but not for recollection. We also found that highly relived memories almost always had strong visual images and that remember/know judgments made on autobiographical memories were more closely related to belief than to recollection.     

The analyst's participation: a new look

Over the past fifteen years or so, advocates of a relational theory of psychoanalytic process have developed a compelling challenge to the classical approach to clinical work. Their critique of a fixed "standard technique," applicable across the board to all analyzable patients, has been particularly effective. The new approach opens the possibility of tailoring technique to individual analysands, negotiating the best way of working within each unique analytic dyad. But despite the openness of relational theory, many of the most influential clinical vignettes in the recent literature emphasize the analyst's risk-taking, engaging patients in a highly personal way that breaks the traditional analytic frame. Various implications of the tendency of relational analysts to emphasize this sort of intervention are discussed, and questions raised about the way this may affect how relational thinking is received.