The relative importance of patients’ decisional control preferences and experiences

Objective: Patients’ role in treatment decision-making can influence psychosocial and health-related outcomes (i.e. satisfaction, felt respect, adherence). We examined decisional control in a surgical context, identifying correlates of patients’ preferences and experiences.

Design: 380 patients and 7 surgeons were surveyed during initial surgical consultation visits in a low-income outpatient clinic.

Measures: Patients reported preferences for (pre-consultation) and experiences of (post-consultation) decisional control, demographics, satisfaction with care, and adherence to treatment recommendations. Surgeons rated patients’ health status.

Results: Preferences for and experiences of decisional control were unrelated, suggesting significant preference–experience misalignment. However, this misalignment did not appear to be consequential for patient outcomes. Rather, more decisional control, regardless of patients’ preferences, predicted greater satisfaction with care and greater self-reported adherence as assessed at a post-surgical appointment.

Conclusions: Decisional control predicts better outcomes for patients, regardless of their preferences for control over treatment decisions. These findings suggest that interventions should aim to increase patients’ degree of decisional control when feasible and appropriate.     

How consumers “see” a visually warm store: Differences between affective and cognitive processors

Store atmosphere can influence shoppers' perceptions and behaviors. This research contributes to the literature by showing that a visually warm store atmosphere can induce psychological warmth perception among in‐store consumers. An empirical study was conducted to investigate the effect of warmth through a visually warm or cold store atmosphere on consumers' perceptions/behaviors and the moderating role of consumers' processing styles. Results (N = 181) showed that a visually warm (vs. cold) atmosphere induces the perception of intimacy toward the store among affective processors and the perception of assortment similarity among cognitive processors. Such perceptions were found to mediate the effect of the visually warm atmosphere on consumers' approach behaviors toward the store. Based on the grounded cognition theory, this study extends the current knowledge of the warmth experience on psychological perceptions to a retail context. Findings not only contribute to the extant literature of store atmospherics and retailing but they also offer practical guidelines for retailers and designers of store environments.     

Retaliating against Customer Interpersonal Injustice in a Singaporean Context: Moderating Roles of Self‐Efficacy and Social Support

Few studies have examined the relationship between customer injustice and employees' retaliatory counterproductive behaviors toward customers, and those that have done so have been conducted in a Western setting. We extend these studies by examining the relationship in a Singaporean context where retaliatory behaviors by employees might be culturally constrained. While the previously established positive relationship between customer injustice and counterproductive behaviors was not replicated using peer‐reported data from employees across two hotels in Singapore, we found that individuals' self‐efficacy and perceived social support moderated it. Specifically, the injustice‐to‐counterproductive behaviors relationship was positive for individuals with high self‐efficacy, and for those who perceived high levels of supervisor social support. The findings offer insights into when Singaporean employees and, potentially, employees from other Confucian Asian societies will retaliate against customer injustice, and provide practical implications of how managers can help employees cope with customer injustice.     

Book Reviews

From prejudice to intergroupemotions: Differentiated reactions to social groups
Diane M. Mackie and Eliot R. Smith (Eds). Psychology Press, NewYork, 2002. 299 pp.
ISBN 1-84169-047-3. Price US $75.00, hardcover.     

Ethical Considerations for Clinical Research and Off-label Use of Ketamine to Treat Mood Disorders: The Balance Between Risks and Benefits

Previous research conducted in 1999 highlighted ethical concerns behind challenge studies inducing psychosis with ketamine and made recommendations to enhance ethical standards. Recently, a plethora of clinical trials have evaluated the efficacy of ketamine to treat mood disorders, which lead to complex ethical issues. Pharmaceutical companies and researchers hope to profit by developing patentable variations on ketamine for treating depression. Media have labeled ketamine as a “miracle” antidepressant. Some clinics offer expensive off-label use of ketamine to treat mood disorders. This article examines the ecological validity of ketamine trials, measures to protect patients, informed consent procedures, financial inducements to participants and conflict of interest of researchers, therapeutic misconception, concealment, and deception. Further recommendations are purposed to improve ethical standard of clinical research involving ketamine.     

Saving for your future self: The role of imaginary experiences

Despite increased longevity, many people fail to save the funds necessary to support their retirement. In an attempt both to elucidate and remedy this failing, research exploring the “future-self continuity” hypothesis has revealed that temporal discounting is decreased and saving increased when connections between one’s current and future self are strengthened. Here, we explored the possibility that a basic component of mental imagery – spatial visual perspective – may be an important determinant of people’s decisions to spend now or save for the future. The results of two experiments supported this prediction. Rates of saving were enhanced when a distant-future event was generated from a third-person vs. first-person vantage point, an effect that was mediated by visual bodily awareness during mental imagery.     

Using spatial vibrotactile cues to direct visual attention in driving scenes

We report two experiments designed to investigate the potential use of vibrotactile warning signals to present spatial information to car drivers. Participants performed an attention-demanding rapid serial visual presentation (RSVP) monitoring task. Meanwhile, whenever they felt a vibrotactile stimulus presented on either their front or back, they had to check the front and the rearview mirror for the rapid approach of a car, and brake or accelerate accordingly. We investigated whether speeded responses to potential emergency driving situations could be facilitated by the presentation of spatially-predictive (80% valid; Experiment 1) or spatially-nonpredictive (50% valid; Experiment 2) vibrotactile cues. Participants responded significantly more rapidly following both spatially-predictive and spatially-nonpredictive vibrotactile cues from the same rather than the opposite direction as the critical driving events. These results highlight the potential utility of vibrotactile warning signals in automobile interface design for directing a driver’s visual attention to time-critical events or information.     

Evidence for hypodescent and racial hierarchy in the categorization and perception of biracial individuals

Individuals who qualify equally for membership in two racial groups provide a rare window into social categorization and perception. In 5 experiments, we tested the extent to which a rule of hypodescent, whereby biracial individuals are assigned the status of their socially subordinate parent group, would govern perceptions of Asian-White and Black-White targets. In Experiment 1, in spite of posing explicit questions concerning Asian-White and Black-White targets, hypodescent was observed in both cases and more strongly in Black-White social categorization. Experiments 2A and 2B used a speeded response task and again revealed evidence of hypodescent in both cases, as well as a stronger effect in the Black-White target condition. In Experiments 3A and 3B, social perception was studied with a face-morphing task. Participants required a face to be lower in proportion minority to be perceived as minority than in proportion White to be perceived as White. Again, the threshold for being perceived as White was higher for Black-White than for Asian-White targets. An independent categorization task in Experiment 3B further confirmed the rule of hypodescent and variation in it that reflected the current racial hierarchy in the United States. These results documenting biases in the social categorization and perception of biracials have implications for resistance to change in the American racial hierarchy.     

Positive Approaches to Coping with the Challenges of Ageing: Research Priorities

This article identifies research priorities in respect of the social dimension of ageing. Three areas are explored; ageing in one's own community; ageing in another community as a consequence of migration and ageing in a residential community. Exemplar research studies, conducted by the authors (singly) are presented briefly and contextualised in the literature to reveal key research priorities. The determination of research priorities should take account of those aspects of social functioning that are associated with factors amenable to change. Key research priorities identified include the development of a better understanding of the importance of social networks; how these are created, maintained to promote the successful social ageing of individuals.