PSYCHOLOGY AND HEALTH: CONTRIBUTIONS OF PSYCHOLOGY TO THE IMPROVEMENT OF HEALTH AND HEALTH CARE

Psychology as both a science and a profession has been closely identified with other disciplines in the broad field of health since the turn of the century. Recent advances in health care have reinforced the growing belief that the promotion of health and the prevention and treatment of illness can be greatly enhanced by incorporating the scientific findings and modern technology of psychology into everyday practices. Outlining the contributions of psychology to health care throughout the world is the primary purpose of this report. In this brief survey, only some of the most timely and relevant issues can be mentioned, together with examples of current work in the field. The reader interested in pursuing these psychological contributions more thoroughly is encouraged to review pertinent references from the citations at the end of this report. After an introductory overview, special attention is given to each of the major areas within the broad field of health care where psychological applications have been particularly useful.     

The case for place: Text arrangement and reading skill

To what extent does the reader integrate visual information from one fixation to the next and derive a spatially extended representation of text? Experimental studies of transsaccadic fusion in reading produce conflicting evidence. The results from work on “stepped-text” presentation, in which words appear in a single physical location, have been used to argue that readers secure no advantage from the spatially extended page and that reading may proceed without the computation of spatial coordinates. It is suggested that this conclusion may be inaccurate. A processing decrement is found for materials above a critical level of complexity when presented in a “stepped” mode. This appears to derive from the reader’s need at times to reinspect parts of previously presented text. Reinspections of this kind, which appear to characterize the fluent reader, demand a degree of spatial coding. Two classical issues in the study of perception come together in the study of reading. First, what segments the continuous stimulus flux into discrete perceptible objects? The second is, what is the nature of the control system for eye movements? - Kolers (1983) This research is supported by a grant from the Economic and Social Research Council.     

Impact of Institutional Review Boards on cancer research

The concepts of informed consent and surveillance of human research designed to protect human subjects is commendable. The regulations of the Institutional Review Board (IRB) are having a major impact on clinical cancer research. There is greater administrative time needed of the investigator, the mechanisms of patient care have become cumbersome and some patients reject optional medical management that could be life saving. IRB regulations must be flexible to meet the needs of human subjects as well as those of the clinical investigator.     

Training family therapists in observational skills

A study was conducted to develop procedures for training observational skills using concepts derived from structural family therapy. Experienced family therapists provided operational definitions of key concepts in family interaction, and videotaped segments of interactions were prepared which exemplified the concepts. A group of trainee family therapists was compared with a group of experienced therapists in the way they applied the concepts to interaction sequences in therapeutic sessions. In demonstrating that inexperienced trainees can be instructed relatively rapidly to identify and use structural concepts, the results suggested that this analytical approach to the training of family therapists shows considerable promise.     

Prismatic displacement and the remembered location of targets

Following adaptation, only the trained limb misreaches to the remembered location of targets. This suggests a change in the feit position of the trained limb, but conflicts with recent reports, and with the hypothesis that when a limb changes, the remembered location of targets encountered only by that limb undergo some change too. It suggests that information is stored independently of the mode of acquisition.