Psychosocial Stimulation: A Qualitative Study on Kenyan Mother’s Motives and Challenges to Promote Children’s Development

Interventions designed to enhance the mental and socio-emotional development of children in low and middle income countries through improving psychosocial stimulation are the subject of national and international organizations research and programs. Before new interventions can be designed and tested in low income countries, it is important to understand what psychosocial stimulation mothers are already providing, how beliefs influence the stimulation used, and what challenges are faced by mothers when trying to do this. We aimed to find out what types of stimulation are being commonly used by mothers in Kenya, alongside exploring the beliefs and associated challenges in providing psychosocial stimulation. This is a qualitative study using focus group discussions held in Kisumu, a regional urban centre in Western Kenya, with 35 mothers caring for at least one child under the age of 5 years. Mothers in this study identified four key themes of commonly employed stimulation: singing, play, dancing and story-telling. A range of challenges were raised such as ensuring their child’s basic physiological needs were met, managing marital conflict, and trusting non-familial caregivers, with mothers concerned that their child may be mistreated through accidental or purposeful harm. Findings indicate that mothers in a low income country are faced with multiple challenges when trying to provide psychosocial stimulation for their child’s development. It is important to consider these results when designing an intervention for this setting.     

Seeing through The Bell Jar: Investigating Linguistic Patterns of Psychological Disorder

As a means of conveying difficult personal experiences, illness narratives and their analysis have the potential to increase awareness of patients' lives and circumstances. Becoming sensitised to the linguistic texture of narrative offers readers a means of increasing narrative understanding. Using the fictional narrative of The Bell Jar, this paper outlines a novel method for exploring the language of illness narratives. Corpus stylistics provides new insights into narrative texture and demonstrates the importance of recurrent linguistic features in shaping meaning. The paper concludes by proposing the application of a similar methodology to non-fictional illness narratives in therapeutic contexts.     

Health-related behavioural change—a test of a new model

Abstract

Numerous studies have demonstrated that planned health education and health promotion interventions are not particularly successful in bringing about behavioural change. It is suggested that the reasons for this are the fallacious theoretical assumptions underlying many intervention strategies and the failure to place sufficient emphasis on the context in which health-related behaviours occur. Studies of self-initiated behavioural change suggest that the antecedents of change are often events or processes which bring a previously routinised and unremarked behaviour into new focus.

This paper describes a preliminary test of a new model of behavioural change in which a group of lay people were recruited to act as paid interviewers on a food survey in their own area. The survey was particularly concerned with the consumption of high fibre foods. he and post-test measures of the interviewers' own food habits as compared with those of a control group indicated modest support for the proposed model. Implications of this study for health education and promotion are discussed.     

Behavioral Self-Management as a Supplement to External Sales Force Controls

Salesforce control systems tend to focus on outcomes rather than behaviors. The use and effectiveness of behavior-based control systems is limited, particularly with industrial sales-people, who generally operate in the field much of the time where their behavior cannot be closely observed or supervised by management. The authors propose Behavioral Self-Management (BSM) as a means of controlling the methods salespeople use to achieve results. Specific BSM techniques applicable to selling and strategies for encouraging salespeople to engage in self- management are reviewed.     

Cognitive vulnerability to depression in never depressed subjects

The purpose of this study was to investigate whether dysfunctional cognitions could be measured in never-depressed individuals after a sad mood prime, and if these dysfunctional cognitions would predict future depression. Subjects were first screened for current or past depression. Never-depressed subjects were randomly assigned to a prime or no-prime condition and completed the Dysfunctional Attitudes Scale. After one month, subjects completed the Beck Depression Inventory. The mood induction was successful in producing a sad mood, but had no effect on accessibility of dysfunctional cognition. Dysfunctional cognitions did predict depressive symptoms one month later, for the women in the sample, but not the men. These results were actually stronger for the unprimed subjects. The results provide some support for the cognitive diathesis-stress model, and suggest that cognitive vulnerability to depression may exist prior to a clinically significant depressive episode. However, mood priming does not appear to be a useful strategy with never-depressed subjects.     

Long-term effects of testing on the recall of nontested materials

The isolation paradigm is a staple in the study of distinctiveness and memory. Isolated items are better remembered than non-isolated controls, and the standard interpretation of this effect is that subjective experience of salience recruits extraordinary processing to the isolated item. This interpretation is at odds with data showing an isolation effect when the isolate is not perceived as salient (e.g., von Restorff, 1933). All available research on the early isolation effect has tested memory after a relatively short retention interval. Perhaps the effect of salience on memory in the isolation paradigm would be revealed following longer retention intervals. The experiment reported here examines the effect of isolation following a 48-hour retention interval when the isolate evokes an experience of salience compared to when the isolate does not evoke that reaction. The isolation effect was substantial after the 48-hour delay but equally so for early and late isolation. Salience appears to have nothing to do with the memory processes even at the longer retention intervals.     

Book Review

Uncertainty is a major source of psychological strain during organizational change. This study tested a model of change-related communication, uncertainty, and control and their relationship with psychological strain, job satisfaction, and turnover intentions. Self-report data were obtained from staff at a psychiatric hospital undergoing restructuring. Results indicated that uncertainty had a direct and an indirect (via feelings of lack of control) relationship with psychological strain. Partialling out common method variance led to a complete mediation of this relationship by control. Other predictions about the relationship of these variables with psychological strain, job satisfaction, and turnover intentions were supported. Implications for future research and practice of change communication are discussed.     

Navigating the Relational Psychic Economy of Disability: The Case of M

This paper presents a theoretically-informed psychosocial analysis of the case of M, a physically disabled man from South Africa. We use M’s account as a platform from which to consider projection, melancholic suspension and grief, as these are played out in the negotiation of dependency in relationships for disabled people. Making use of a case study methodology, we examine the various strategies through which M manages those disability stereotypes which are ascribed to him, creating a picture of how identity is negotiated in the face of interpersonal dependency as well as disablist prejudice. A central proposition is that, for M, upholding relationships which bring much-needed assistance means caring for the emotional lives of his carers, in a manner which leaves him more vulnerable to internalizing identity insults, and less able to resist his own oppression. Employing a psychoanalytic frame, we suggest that the “melancholic suspension” which some disabled people may be subject to, may lead to the necessity to “take on” certain projections, in the process of accessing much-needed care. As shall be seen, M maneuvers creatively through this relational realm by engaging in trade-offs between positive identity and physical need, employing strategies which include self-deprecation, the performance of mastery, playing with gender, and humor. With these and other techniques, he navigates the relational and psychic economy of his dependency.