THE GOOD TOOTHBRUSHING GAME: A SCHOOL-BASED DENTAL HYGIENE PROGRAM FOR INCREASING THE TOOTHBRUSHING EFFECTIVENESS OF CHILDREN

There has been a serious lack of experimentally verified, effective dental hygiene programs in the schools. In and of themselves, the instruction-alone programs which comprise children's dental education do not produce proper toothbrushing skills. In the present study, a school-based contingency dental hygiene program designed to increase the effectiveness of children's toothbrushing skills at home was implemented with grade one and two classes. Each class was divided into teams and participated in the “Good Toothbrushing Game.” Each day four children from each team had the cleanliness of their teeth assessed according to the Simplified Oral Hygiene Index (Greene & Vermillion, 1964). The team with the lowest mean oral hygiene score was declared the daily winner. Winning teams received stickers and had their names posted. A multiple baseline across classrooms single-subject group design (Hersen & Barlow, 1976, pp. 228–229) established that the good toothbrushing game greatly increased the effectiveness of children's oral hygiene skills. The treatment terminal level for the grade one scores was 2.0 as compared to a baseline terminal level of 5.0, and for the grade two's was 2.3 compared to 5.7 at the end of baseline. A 9-mo follow-up indicated that these results were maintained. The data strongly suggest that proper implementation of behavioral principles is essential to the success of oral hygiene programs.     

Toward a Sustainable Society: Waste Minimization Through Environmentally Conscious Consuming1

The experiment was an educational intervention that promoted and described an ongoing environmental tagging program located in a chain of three local grocery stores. Model Community, a nonprofit community organization, originated the environmental product tagging program that was present throughout the experimental educational intervention and was also responsible for sponsoring educational efforts in the local elementary schools and in the media. Over the period of a year, the experimental intervention was expected to stimulate self-reported environmentally conscious consuming above the level generated by the tagging program alone and above the levels reported by shoppers who did not shop at the experimental stores. Environmentally conscious consuming or precycling implies buying products packaged in recyclable materials, buying least waste packaged (bulk or minimally packaged) products, and buying “safer earth” (nontoxic or alternatives to harsh chemicals) products. Contrary to expectations, there was no significant interaction effect of year (preintervention vs. postintervention) and group (experimental store vs. control group) on self-reported environmentally friendly consuming, implying that the experimental educational intervention did not have an effect. An investigation of the significant main effect of shopping at the environmentally tagged stores showed a significant positive effect on purchasing less toxic products, knowledge about Model Community, and awareness of the environmental tagging program. An examination of more aggressive educational campaigns in future studies is warranted because of more overall positive (although not significant) environmental shopping behaviors reported in 1990, when there was an active education program for Model Community, than in 1991, when the program ceased.     

Perceptions of women related to food choice

Male and female subjects (predominately white) provided impression ratings of body shape, personality traits, and total caloric consumption for a female target based on her preference for a low fat or high fat diet. Results showed that meal type significantly affected impression ratings: the target who preferred low fat foods was viewed more favorably than the one who preferred high fat fare. Compared with male subjects, female subjects perceived the target who preferred a high fat diet to be significantly less conscientious. Males were significantly more accurate than females in their caloric estimations of targets' total daily consumption. The results will be discussed in terms of the social pressure on women to restrict not only their weight to acceptable levels, but their food consumption as well.Portions of this paper were presented at the meeting of the Eastern Psychological Association, Providence, Rhode Island, April 14–17, 1994.The authors wish to thank Justina Bradley, Loraina Ghiraldi, and two anonymous reviewers for their thoughtful comments on an earlier version of this paper. Melissa Van Brocklin's help during the data collection was also greatly appreciated.     

The use of structural equation modeling in generative research: Toward the design of a preventive intervention for bereaved children

Describes a generative study of processes which may lead to symptomatology in children who have experienced the death of a parent. Based on existing literature, four putative mediating variables were identified: parental demoralization, family warmth, negative family events, and positive stable family events. Structural equation modeling techniques were used to compare several potential causal models involving these variables. The results were most consistent with a model in which bereavement was not directly related to the child symptomatology, but rather its effects were transmitted through these four mediational mechanisms. The implications of the results of the structural modeling for the design and evaluation of preventive interventions are discussed briefly.     

Small theory and the strategic choices of prevention research

Our comments on the discussion of mediational screening for prevention research highlight two issues: (a) There are advantages to giving a high priority to theory in a strategic sequence of prevention research studies. (b) Screening to identify a subgroup that is experiencing problems on processes the program is designed to change may be useful in accomplishing specific goals within an overall strategy of prevention research studies.     

An outcomes model of medical decision making

In the traditional fix-it model of medical decision making, the identified problem is typically characterized by a diagnosis that indicates a deviation from normalcy. When a medical problem is multifaceted and the available interventions are only partially effective, a broader vision of the health care endeavor is needed. What matters to the patient, and what should matter to the practitioner, is the patient's future possibilities. More specifically, what is important is the character of the alternative futures that the patient could have and choosing among them so as to achieve the best future possible, with the ranking of outcomes determined by the patient's preferences. This paper describes the fix-it model, presents and defends the outcomes-based model, and demonstrates that the latter is useful in developing normative conceptions of informed consent and decision making and in establishing a basis for societal involvement in the decision making process. Finally, several shortcomings of the model will be acknowledged.     

On the need for structurally competent counselling and psychotherapy: Neoliberal ideology,disability and the psy disciplines

This article highlights and problematises the psy disciplines' articulations with neoliberalism, with a particular focus upon disability and upon counselling and psychotherapy. Recent years have witnessed burgeoning scholarly interest in the potential complicities of the psy professions in a neoliberal agenda of individualisation, pathologisation and responsibilisation of human suffering. Such complicities are, in state therapy settings, driven by a growing need for these professions to offer cost-effective, evidence-based interventions to secure funding in an increasingly competitive market. Whilst the entwining of neoliberal ideology with therapy practices may be innocuous for some, it is contended that disabled people may be at particular risk of harm. A case is then made for training and practice to foreground structural competency, an awareness of how therapy encounters and client concerns are shaped by socio-structural factors, including, but not limited to, politics and political ideology. This would require not only an appreciation of the sociopolitical context in which therapy unfolds and its indubitable shaping of subjectivities, but also greater recognition of disability as a source of social inequity and oppression, as opposed to an individual phenomenon. Moreover, structural competency would require theoretical and demographic diversity in training and practice, which, in turn, would necessitate identifying and addressing barriers to inclusion for disabled people. Points raised are deemed of particular importance given the emergence of long COVID.     

Social constructionism in the study of career: Accessing the parts that other approaches cannot reach

In this article we consider the contribution of a social constructionist perspective to our understandings of career. We examine this approach in relation to two studies: a study of women's career transition from organizational employment to portfolio work, and a study of the careers of research scientists. Within the career literature a dichotomy has emerged between what are seen as “traditional” and “new” careers. On the face of it these studies seem to neatly illustrate this dichotomy. However, when examined from a social constructionist perspective, questions are raised about the viability of this binarism. In this article we argue this approach enables us to transcend dualisms which have prevailed in career theory, facilitates analyses of the relationship between careers and the social contexts in which they are embedded, and illuminates issues of power and ideology which are often eclipsed by more positivistic research approaches.