Counting the stitches that count: Preventive intervention promises and public health

Continued public support for the design, implementation, and dissemination of preventive interventions depends on achievement of four major criteria: (a) Reductions in the incidence or prevalence rates of diagnosable emotional and behavioral disorders, (b) reductions in the need for mental health services through effective primary and secondary interventions, (c) enhancement of the effectiveness of obtained services as screening and early detection efforts are implemented, and (d) reductions in the nation's health care costs associated with emotional and behavioral dysfunctions. Strategies including risk reduction, risk avoidance, health promotion, empowerment, and resource development are preventive insofar as they contribute to achievement of the aforementioned outcomes.     

Effects of exposure to sexist humor on perceptions of normative tolerance of sexism

The results of an experiment supported the hypotheses that (1) for men high in hostile sexism, exposure to sexist humor creates a perceived social norm of tolerance of sexism relative to exposure to nonhumorous sexist communication or neutral humor, and (2) due to this ‘relaxed’ normative standard in the context of sexist humor, men high in hostile sexism anticipated feeling less self‐directed negative affect upon imagining that they had behaved in a sexist manner. Finally, exposure to sexist humor did not affect the evaluative content of men's stereotypes of women relative to exposure to neutral humor or nonhumorous sexist communication for participants high or low in hostile sexism. Copyright © 2001 John Wiley & Sons, Ltd.     

Prevention and public health. Psychology's response to the nation's health care crisis

Psychology as a scientific and applied discipline has a unique responsibility to participate in the pursuit of strategies that reduce the nation's health care needs. As a social and behavioral science, psychology can contribute to unraveling the processes underlying conditions of health and disorder. As an applied discipline, psychology can work to design effective interventions to promote human health and to avoid disease and dysfunction. Insofar as these endeavors are unsuccessful, psychology can help reduce significant contributors to the nation's morbidity and mortality. Achieving such success, however, challenges psychologists to collaborate effectively, to combine science with practice and policy, and to address complex philosophical and ethical issues concerned with individual freedom and public responsibility.     

Targeting preventive interventions: Enhancing risk estimates through theory

Incorporation of mediational screening procedures within targeted preventive interventions must be grounded in a substantial theoretical and epidemiological knowledge base. Essential information includes an etiological model of the disorder(s) to be prevented and epidemiological confirmation that risk factors used for the selection of intervention recipients have been prospectively confirmed. Targeting these recipients using a combination of indicated and selective criteria is expected to increase the base rate at which the disorder(s) to be prevented occurs in the intervention population and thus the power of the evaluation design used to confirm reductions in proximal and distal indices of disorder(s). Caution is urged, however, to consider the potential iatrogenic effects of overly focused targeting and the potential reductions in intervention effectiveness resulting from application to homogeneous vs. heterogeneous populations. Mediational screening's heuristic contribution to theory is discussed.