Steven Wear,Informed Consent: Patient Autonomy and Clinician Beneficence Within Health Care

Theoretical Medicine and Bioethics -     

MARITAL SATISFACTION AND DEPRESSION:

Abstract— A sample of 150 recently married couples provided data egarding marital satisfaction and depressive symptoms. Approximately 18 months later, 116 of these couples provided complete information on marital satisfaction and depression once again. The data were examined using three sets of causal models, which yielded converging results. For men, causal paths emerged from depression to marital satisfaction, whereas for women causal paths were from satisfaction to depression. The results are discussed in relation to the marital discord model of depression.     

Exercise Stage of Change and Self-Efficacy in Primary Care: Implications for Intervention

Multiple chronic diseases are caused or complicated by a sedentary lifestyle. Thus, an important and challenging application of psychology in clinical settings is changing the behavior of sedentary primary care patients. This study focused on exercise stage of change and self-efficacy in a sample of adult family practice patients recruited while waiting for their scheduled physician appointment. Regarding exercise stage of change, 15% of respondents were in the Precontemplation stage, 26% in the Contemplation stage, 50% in the Preparation stage, 7% in the Action stage, and 13% in the Maintenance stage. Mean self-efficacy scores for exercise were significantly higher among respondents in the Action and Maintenance stages of change. These cross-sectional data are consistent with the hypothesis that movement through the exercise stages of change could be encouraged by clinical interventions that increase exercise self-efficacy. The identification of multiple personal opportunities for increasing exercise self-efficacy may be clinically useful in this context. Recommendations for psychologists in primary care settings in their work with physicians are offered.     

Conditioned and unconditioned defensive burying in the rat

When rats first encountered a mouse-trap or a flashbulb in a chamber to which they had been habituated, they buried it with bedding material from the floor of the chamber, whereas rats previously habituated to the trap or the flashbulb did not. Conversely, rats did not bury a stationary, wire-wrapped wooden prod or a length of polyethylene tubing, even on first encounter. However, almost every rat struck by the trap, shocked by the prod, exposed to an airblast from the tube, or to a flash of the bulb, buried the respective source of aversive stimulation with the bedding material, even when a comparable control object was present during conditioning and testing. Thus, the phenomenon of defensive burying is not restricted to situations in which neutral objects serve as the source of painful electric shock. Rats seem to enter the experimental environment with an already established tendency to bury some objects (unconditioned defensive burying) but not others, and they readily learn to selectively bury an object that has been the source of any one of a variety of aversive stimuli (conditioned defensive burying).     

"I need to talk about it": a qualitative analysis of trauma-exposed women's reasons for treatment choice

A significant proportion of individuals suffering from posttraumatic stress disorder do not seek or receive effective treatment. Understanding the reasons why an individual chooses to seek treatment or prefers one treatment to another is a critical step to improve treatment seeking. To begin to understand these reasons, we conducted a qualitative analysis of the reasons women gave for choosing a cognitive-behavioral treatment, prolonged exposure (PE), or a pharmacological treatment, sertraline (SER). A community sample of women with trauma histories were asked to view standardized rationales, to choose among PE, SER, or no treatment, and to give 5 reasons for their choice. Women indicated that they were more likely to prefer the psychotherapy to the medication. Across reasons given, the most commonly cited reason for treatment preference highlighted why or how the treatment worked (e.g., I need to talk about it); and this reason emerged as the strongest predictor of preference for PE. Understanding this role of perceived treatment mechanism may aid clinicians and public health policy officials to identify and address help-seeking barriers regarding treatment.     

Third-party support for strike action

Labor strikes are often seen as battles for public support. Members of the public are asked to show respect for a strike by refusing to cross the picket line or by joining strikers on the picket line. Such public support may affect the morale of strikers and influence the strike's duration. Despite the perceived importance of the public in labor disputes, members of third parties have not been considered in previous strike research. In 2 studies, the authors show that a new measure of third-party strike support is unidimensional and highly reliable. In both cases, union attitudes and perceptions of distributive justice were significant predictors of support for strike action. Those who are more supportive of unions in general and believe that the contract offered to the strikers was unfair were more likely to support the strike by engaging in such actions as conversing with strikers, writing letters, and refusing to cross the picket line.     

Speech Perception Within an Auditory Cognitive Science Framework

ABSTRACT— The complexities of the acoustic speech signal pose many significant challenges for listeners. Although perceiving speech begins with auditory processing, investigation of speech perception has progressed mostly independently of study of the auditory system. Nevertheless, a growing body of evidence demonstrates that cross-fertilization between the two areas of research can be productive. We briefly describe research bridging the study of general auditory processing and speech perception, showing that the latter is constrained and influenced by operating characteristics of the auditory system and that our understanding of the processes involved in speech perception is enhanced by study within a more general framework. The disconnect between the two areas of research has stunted the development of a truly interdisciplinary science, but there is an opportunity for great strides in understanding with the development of an integrated field of auditory cognitive science.     

The shape of thought

When children learn the name of a novel object, they tend to extend that name to other objects similar in shape – a phenomenon referred to as the shape bias. Does the shape bias stem from learned associations between names and categories of objects, or does it derive from more general properties of children's understanding of language and the world? We argue here for the second alternative, presenting evidence that the shape bias emerges early in development, is not limited to names, and is intimately related to how children make sense of categories.