Parent-adolescent health conversations as action: Theoretical and methodological issues

Abstract

A qualitative research method based on action theory is proposed and illustrated for use in health psychology and health promotion research. Action refers to the goal-directed and intentional behaviors of individual and groups. Action theory has the advantage of using the perspectives provided by manifest behavior, internal processes, and social meaning in the analysis of action. In this article, the actions under consideration are the health-related conversations of parents and their adolescent children. The approach is premised on an understanding of health promotion as a family task constructed through actions such as conversations between family members. Health conversations in two parent-adolescent dyads are used to illustrate the method. The analysis includes the identification of goals, functional steps, and elements and their relation to the family health promotion project. Specific attention is paid to data gathering and analysis issues and their implications for health promotion research.     

Stress,coping, and depressive symptomatology in Latina and Anglo aids caregivers

In a survey of 432 AIDS caregivers, we examined differences in the stress and coping process and predictors of depressive symptomatology by ethnicity and gender. Our sample included 192 Anglo gay and bisexual male partners, 86 Anglo women, and 154 Latina family caregivers. We examined differences in primary and secondary stressors as predictors of depression; differences in sociodemographic and background factors, and differences in the predictive value and mediating influences of factors that may attenuate the relationship between stress and depression. Results indicate substantial differences in predictors and mediators of depression across groups. While all groups evidenced moderate levels of depression, background factors influenced depression mostly for Latinas. Depression in gay and bisexual partners was more influenced by primary objective stressors such as assisting with activities of daily living (ADLs). Service acquisition appears to be shaped by access, knowledge, and cultural acceptance. Based on our findings, we suggest that service provision for caregivers must also vary and be attuned to cultural and gender differences that may influence perception of stress and depression for caregivers.     

A scale to measure wisdom

Abstract

The present study's purpose was to refine and test a newly developed self‐report instrument to assess wisdom. The empirical study was based on a sample of undergraduates recruited at two universities and Buddhists recruited at two temples. This sample filled out 23 items of the wisdom scale and, in addition, several other psychological self‐report scales. Items from the wisdom scale were factor analyzed and the following seven factors emerged: Balance/Harmony, Flow, Spirituality, Warmth, Care for Environment, Appreciation, and Intelligence. These dimensions were statistically significantly related to various outcome measures such as depression, perceived stress, and optimism scales. Statistically significant differences were found between various religious and socio‐demographic groups on the different factor scores. This study suggests that wisdom is a multidimensional and complex construct worthy of scientific investigation.     

Optimizing Prediction of Attrition With the U.S. Army's Assessment of Individual Motivation (AIM)

The regression framework is often the method of choice used by psychologists for predicting organizationally relevant outcomes from test scores. However, alternatives to regression exist, and these techniques may provide better prediction of outcomes and a more effective means of classifying examinees for selection and placement. This research describes two of these alternatives—decision tree methodology and optimal appropriateness measurement (OAM)—and how they were used to optimize the prediction of attrition among a sample of first-term enlisted soldiers (N?=?22,537) using a temperament inventory called the Assessment of Individual Motivation (AIM). Results demonstrated that the OAM approach provided better differentiation between “stayers” and “leavers” after 12 months than either the traditional logistic regression or the decision tree methods.     

Psychopathological and Behavior Impairments in Williams-Beuren Syndrome: The Influence of Gender,Chronological Age,and Cognition

The aim of this study was to explore psychopathological and behavior impairments in Williams-Beuren syndrome (WBS) by focusing on individual differences rather than group tendencies. Parent/Guardian ratings on the Child Behavior Checklist were analyzed in order to examine the influence of gender, chronological age, and cognitive abilities on psychopathological impairment within WBS. In line with predictions, and consistent with cognitive heterogeneity in WBS, psychopathological and behavioral abnormalities were variable, with gender and specific cognitive abilities making significant and independent contributions to this variance. For gender, females were significantly more likely than males with WBS to display difficulties with externalizing problems. For specific cognitive abilities, those cognitive functions characteristic of the classic WBS cognitive profile (a strength in verbal skills and a weakness in spatial skills) related to significantly greater internalizing difficulties. Future studies should explore underlying genetic and neurological differences in individuals with WBS in order to help explain the variability in psychopathological and cognitive functions.     

Sense of Time and Executive Functioning in Children and Adults

A number of patient studies suggest that impairments in frontal lobe functions are associated with disorders in temporal information processing. One implication of these findings is that subjective experience of time should be related to executive functions regardless of etiology. In two experiments, we examined sense of time in relation to components of executive functioning in healthy children and adults. In Experiment 1, children between 8 to 12 years completed six experimental tasks that tapped three components of executive functioning: inhibition, updating, and mental shifting. Sense of time was examined in a duration judgment task in which participants reproduced stimulus durations between 4 to 32 s. In Experiment 2, adult participants completed the time reproduction task under varying concurrent task demands. Both experiments showed selective effects in that time reproduction errors were related to the inhibition and updating, but not to the shifting, components of executive functioning. However, the observed effects were modulated by task demands and age-related differences in cognitive competence. We conclude that individual differences in executive functioning are only weakly related to time reproduction performance in healthy children and adults.     

Clinical Commentary

Abstract

This paper is the narrative of a first-time father with a son born seven weeks early by Caesarean section. Against the anxiety and trauma of his infant's birth and his wife's illness, another inner darker drama is being relived. Michael shows all the wounds of a battered child. He asks two awesome questions - Will I be to my son as my father was to me? Will my son be to me as I was to my father? Fearful and at first unvoiced questions, the developing interviews gave them a voice. We respected Michael's sharing of the early and fearful days and nights when his infant first came home. We sometimes found it hard to empathize with his running away to hide in work, until we understood what he was hiding from. Most poignant was his struggle with his anger and hurt with his father and his desire to understand, ‘Why?’, so that he would not be like this to his son. We saw a sensitive revelation of life being born inside him anew, as he made contact with his real infant and his psychic infant within. Of particular interest was the therapeutic use of the research interview space and the interviewer.     

A Biodynamic Basis for Perceived Categories of Action

Actors must determine whether the properties of the surface layout are sufficient to meet their specific requirements for performing an action. Warren’s (1984) study of bipedal stair climbing has demonstrated the significance of intrinsic, body-scaled measures of environmental properties for defining perceptual categories relevant to action. Whereas the absolute measure of the perceptual boundary between “climbable” and “not climbable” varied according to the actor’s size and mass, the perceived boundary was a constant proportion of each actor’s leg length. Our current study examined the perceived maximum seat height (SHmax) for the act of sitting. Experiment 1 delineated the range of surface heights that were perceived to afford sitting on. When expressed as a function of each person’s leg length (L), SHmax was remarkably stable across individuals. Unexpectedly, it was quite close to the maximum riser height determined by Warren. Experiment 2 examined whether this similarity reflected a common biodynamic requirement, since climbing and sitting require actors to lift their center of gravity above the surface of support. Perceived critical heights were obtained for both acts using the same methods and apparatus. The perceived maximum heights for each act were virtually identical. These findings are consistent with the possibility that the information used in determining critical action boundaries is already scaled with reference to some physical dimension of the actor.     

An Evaluation of Equivalence in Body Dissatisfaction Measurement Across Cultures

We evaluated gender-based and cross-cultural equivalence of the Body Dissatisfaction Scale of the Body Change Inventory in a sample of 4,005 adolescents from 7 cultures that represent diverse body image ideals and response styles. Results of multigroup confirmatory factor analyses demonstrated equivalence of the scale across gender but not across cultures. Follow-up analyses identified small but significant cross-cultural differences in response styles (specifically, acquiescence and middle response option endorsement) as the source of this noninvariance. We recommend use of this scale for gender-based comparisons but caution that researchers should evaluate the presence of response biases before making substantive conclusions about cross-cultural differences in body dissatisfaction.