Satisfaction in generalist care: An individualist approach

Physician dissatisfaction with primary care practice is influenced by many external factors—income, work hours, and an increased burden of paper work. It may be possible to use psychometric tests to select medical students with a strong internal locus of control who might adapt better to the work of primary care practice.     

Managing stress and managing illness: Survival and quality of life in chronic disease

Interest has been steadily building in the impact of stress on psychological and physiological functioning, in particular on immune system responses, furthering the concept of a strong connection between the mind and the body. Implications for prevention of disease onset or treatment of stress-induced illness or immunocompromised conditions have been explored through the implementation of stress management techniques. Cognitive behavioral stress management interventions, biofeedback, relaxation, guided imagery, hypnosis, individual and group psychotherapy, aerobic exercise, and guided self-efficacy treatment are briefly reviewed to identify possible treatment mechanisms that may affect immune function and promote quality of life. The application of behavioral techniques to reduce distress and sharpen coping skills has great promise in reducing the costs associated with chronic disease and in enhancing quality of life among those afflicted.Presented at the APA Presidential Miniconvention, To Your Health: Psychology Through the Life Span, Session VIII, Assuring a Healthy Lifestyle: Psychology Delivers. Chair: Diane J. Willis, Ph.D. The third author received partial funding through the Terry Fox Research Fellowship 5257, National Cancer Institute of Canada.     

Posturally related variations in the hand preferences of the ruffed lemur (Varecia variegata variegata)

The hand preferences of 5 semi-free-ranging black-and-white ruffed lemurs were assessed by using three distinct testing procedures. Testing conditions varied in the extent to which they required animals to make a whole body postural adjustment prior to making a reach. Minimal bodily adjustment was necessary for free foraging, whereas discrete food presentations on land (DFP-land) and in a moat (DFP-moat) promoted a gross reorientation of the animal's entire body. In the DFP-moat condition 4 animals exhibited exclusive use of the left hand, and only 1 of 515 reaches was made with the right hand. Similarly, all 5 animals showed a pronounced left hand preference in the DFP-land condition. The free-foraging condition revealed a hand preference for only 1 of the 5 subjects, and that preference was weak in comparison with those measured in the other two test conditions. These findings indicate that whole body postural adjustments critically influenced the expression of hand preference and should be taken into consideration in future studies of primate hand preferences.     

Mathematical models of central pattern generators in locomotion: II. Single limb models for locomotion in the cat

Three mathematical models of central pattern generation for locomotion in the single limb of the cat are presented. In each model, the activities in populations of neurons controlling limb joint flexors and extensors are described by a system of nonlinear differential equations. Each solution of the system for a different set of parameters corresponds to a simulation of some gait of the cat. Model I is based on unit generators for each limb joint muscle group and assumes that flexors inhibit their paired extensors, but not vice-versa. Model IIa assumes that flexors and extensors are mutually inhibitory, but that only the flexors have inherent oscillatory capability. Model IIb assumes flexors and extensors are mutually inhibitory and that both flexors and extensors have oscillatory capability. The properties of each of these models are explored, compared and contrasted, and discussed in relation to the experimental literature. All three models are shown to be capable of generating patterns consistent with various stepping rates of the cat and to show appropriate muscle sequencing and flexor-extensor interactions. Further, all three models exhibit smooth initiation and termination of stepping. However, Model I seems to provide a more parsimonious account of producing changes in stepping rate and is preferred, therefore, over models IIa and IIb.     

A pilot study of the effects of expressive writing on psychological and behavioral adjustment in patients enrolled in a Phase II trial of vaccine therapy for metastatic renal cell carcinoma.

Forty-two patients with metastatic renal cell carcinoma who were participating in a Phase II clinical trial were randomly assigned to an expressive writing (EW) or neutral writing (NW) group. Patients in the EW group wrote about their cancer, and patients in the NW group wrote about health behaviors. No statistically significant group differences were found in symptoms of distress, perceived stress, or mood disturbance, except for the Vigor subscale of the Profile of Mood States. However, patients in the EW group reported significantly less sleep disturbance, better sleep quality and sleep duration, and less daytime dysfunction compared with patients in the NW group. The results suggest that EW may have sleep-related health benefits in terminally ill cancer patients.     

Is the word length effect in STM entirely attributable to output delay? Evidence from serial recognition

Although it is generally accepted that the word length effect in short-term memory operates through output delay or interference, there is less agreement on whether it also influences performance through its impact on rehearsal. We investigated this issue by studying the effect of word length on recall and on a recognition task in which output delay was controlled. Word sequences were repeated exactly, or with one pair of words reversed. Two experiments using auditory presentation showed clear word length effects for both recall and serial recognition, although the magnitude of the effect tended to be less for recognition. A third experiment using visual presentation studied the effect of articulatory suppression during the recognition test; again we found a clear word length effect. It is concluded that the word length effect can influence retention through both rehearsal and output factors, as proposed by the phonological loop hypothesis.