Clinical Psychology Students’ Experiences of a Pilot Objective Structured Clinical Examination

There is a need to improve methods used to assess students’ clinical skills in postgraduate clinical psychology training, but research into the use of new competency‐based assessments are sparse. The current study examines the potential application of the objective structured clinical examination (OSCE) to clinical psychology training. Commonly used in medical training, the OSCE requires students to demonstrate clinical skills across a number of standardised stations with trained actors playing the part of patients. A pilot OSCE was conducted with nine students from a psychology doctoral program. Participants completed a brief student feedback questionnaire and attended a focus group after the OSCE. They also completed the State–Trait Anxiety Inventory before and after the OSCE. The results showed that students viewed the OSCE as a valid, realistic, and fair assessment method. They reported high levels of anxiety during the OSCE but noted that the OSCE was a positive learning experience. These results suggest that OSCEs should be considered in clinical psychology training programs for the assessment of clinical competence. Further evaluations of the validity and reliability of the clinical psychology OSCE using a larger sample size are required. Other limitations and implications of the study are discussed.     

Aging and mental health in the decade ahead: what psychologists need to know

Until relatively recently, most psychologists have had limited professional involvement with older adults. With the baby boomers starting to turn 65 years old in 2011, sheer numbers of older adults will continue to increase. About 1 in 5 older adults has a mental disorder, such as dementia. Their needs for mental and behavioral health services are not now adequately met, and the decade ahead will require an approximate doubling of the current level of psychologists' time with older adults. Public policy in the coming decade will face tensions between cost containment and facilitation of integrated models of care. Most older adults who access mental health services do so in primary care settings, where interdisciplinary, collaborative models of care have been found to be quite effective. To meet the needs of the aging population, psychologists need to increase awareness of competencies for geropsychology practice and knowledge regarding dementia diagnosis, screening, and services. Opportunities for psychological practice are anticipated to grow in primary care, dementia and family caregiving services, decision-making-capacity evaluation, and end-of-life care. Aging is an aspect of diversity that can be integrated into psychology education across levels of training. Policy advocacy for geropsychology clinical services, education, and research remains critical. Psychologists have much to offer an aging society.     

Carry on: spontaneous object carrying in 13-month-old crawling and walking infants

Carrying objects requires coordination of manual action and locomotion. This study investigated spontaneous carrying in 24 walkers who were 13 months old and 26 crawlers who were 13 months old during 1-hr, naturalistic observations in the infants' homes. Carrying was more common in walkers, but crawlers also carried objects. Typically, walkers carried objects in their hands, whereas crawlers multitasked by using their hands simultaneously for holding objects and supporting their bodies. Locomotor experience predicted frequency of carrying in both groups, suggesting that experienced crawlers and walkers perceive their increased abilities to handle objects while in motion. Despite additional biomechanical constraints imposed by holding an object, carrying may actually improve upright balance: Crawlers rarely fell while carrying an object, and walkers were more likely to fall without an object in hand than while carrying. Thus, without incurring an additional risk of falling, spontaneous carrying may provide infants with new avenues for combining locomotor and manual skills and for interacting with their environments.     

Can survival processing enhance story memory? Testing the generalizability of the adaptive memory framework

Research from the adaptive memory framework shows that thinking about words in terms of their survival value in an incidental learning task enhances their free recall relative to other semantic encoding strategies and intentional learning (Nairne, Pandeirada, & Thompson, 2008). We found similar results. When participants used incidental survival encoding for a list of words (e.g., "Will this object enhance my survival if I were stranded in the grasslands of a foreign land?"), they produced better free recall on a surprise test than did participants who intentionally tried to remember those words (Experiment 1). We also found this survival processing advantage when the words were presented within the context of a survival or neutral story (Experiment 2). However, this advantage did not extent to memory for a story's factual content, regardless of whether the participants were tested by cued recall (Experiment 3) or free recall (Experiments 4-5). Listening to a story for understanding under intentional or incidental learning conditions was just as good as survival processing for remembering story content. The functionalist approach to thinking about memory as an evolutionary adaptation designed to solve reproductive fitness problems provides a different theoretical framework for research, but it is not yet clear if survival processing has general applicability or is effective only for processing discrete stimuli in terms of fitness-relevant scenarios from our past.     

The development of norm-based coding and race-specific face prototypes: An examination of 5- and 8-year-olds’ face space

The current research investigated the organization of children’s face space by examining whether 5- and 8-year-olds show race-contingent aftereffects. Participants read a storybook in which Caucasian and Chinese children’s faces were distorted in opposite directions. Before and after adaptation, participants judged the normality/attractiveness of expanded, compressed, and undistorted Caucasian and Chinese faces. The method was validated with adults and then refined to test 8- and 5-year-olds. The 5-year-olds were also tested in a simple aftereffects paradigm. The current research provides the first evidence for simple attractiveness aftereffects in 5-year-olds and for race-contingent aftereffects in both 5- and 8-year-olds. Evidence that adults and 5-year-olds may possess only a weak prototype for Chinese children’s faces suggests that Caucasian adults’ prototype for Chinese adult faces does not generalize to child faces and that children’s face space undergoes a period of increasing differentiation between 5 and 8 years of age.     

American Medicine as Religious Practice: Care of the Sick as a Sacred Obligation and the Unholy Descent into Secularization

Modern medicine serves a religious function for modern Americans as a conduit through which science can be applied directly to the human body. The first half of this paper will focus on the theoretical foundations for viewing medicine as a religious practice arguing that just as a hierarchical structured authoritarian church historically mediated access to God, contemporary Western medicine provides a conduit by which the universalizable truths of science can be applied to the human being thereby functioning as a new established religion. I will then illustrate the many parallels between medicine and religion through an analysis of rituals and symbols surrounding and embedded within the modern practice of medicine. This analysis will pay special attention to the primacy placed on secret interior knowledge of the human body. I will end by responding to the hope for a “secularization of American medicine,” exploring some of the negative consequences of secularization, and arguing that, rather than seeking to secularize, American medicine should strive to use its religious features to offer hope and healing to the sick, in keeping with its historically religious legacy.     

Memory for intergroup apologies and its relationship with forgiveness

This paper examines memory for collective apologies. Our interest was in determining whether people are aware of intergroup apologies and whether this contributes to forgiveness for offending groups. Surveys conducted in three nations affected by Japanese World War II aggression found that participants were more likely to believe (incorrectly) that Japan had not apologized for WWII than to believe (correctly) that they had (Study 1). In contrast, participants were eight times more likely to believe that a corporation had apologized for misconduct than to (correctly) recall that they had not (Study 1). Forgiveness levels were higher among those who believed the group had apologized than among apology deniers, although the effect was weak and inconsistent. However, in a follow‐up study that measured identification with the victim group it was found that high identifiers were significantly less likely to “remember” an apology (Study 2). Results suggest that memories for collective apologies are fluid and may not be causally related to intergroup forgiveness. Copyright © 2010 John Wiley & Sons, Ltd.     

Self-reflection and feelings of self-worth: When Rosenberg meets Heisenberg

The more people think about their attitude toward some issue, the stronger their attitude becomes. The present research examined whether this strengthening effect also applies to self-evaluative attitudes. In four studies, we had some participants complete a self-evaluation measure before rating their momentary feelings of self-worth (Studies 1, 2, and 4) or implicit self-feelings (Study 3). In all four studies, evaluative self-reflection led low self-esteem participants to feel worse about themselves and high self-esteem participants to feel better about themselves. We did not find this self-esteem polarization effect when more general emotions of happiness and sadness were measured (Study 2) or when participants reflected on non-evaluative aspects of themselves (Study 4). These findings suggest that evaluative self-reflection has different consequences for low self-esteem people than for high self-esteem people, and that order effects in personality research may represent actual changes in self-feelings rather than methodological confounds.     

The power of generosity to change views on social power

Intergroup helping behavior by high status group members typically functions to support and further entrench systems of social hierarchy (Nadler, 2002). This research examined whether the virtue of generosity could increase support for more egalitarian group relations, as indexed by reduced social dominance orientation (SDO; Pratto, Sidanius, Stallworth, & Malle, 1994). Pilot testing (N = 367) revealed a negative relationship between self-reported generosity and SDO. In Study 1, two long-term experimental manipulations of generosity in 110 college students reduced SDO. One manipulation involved a nine week community service learning project, and the other involved a five-part reflection paper assignment on generous individuals. In Study 2, a brief generosity prime in 58 college students reduced SDO scores. The potential benefits of targeting SDO directly, and the importance of examining the motives behind generosity are discussed.     

The Delinquency Outcomes of Boys with ADHD with and Without Comorbidity

This study examined the association between childhood ADHD and juvenile delinquency by examining data from the Pittsburgh ADHD Longitudinal Study (PALS), a follow-up study of individuals diagnosed with ADHD in childhood (ages 5–12) and recontacted in adolescence and young adulthood for yearly follow-up (age at first follow-up interview M = 17.26, SD = 3.17). Participants were 288 males with childhood ADHD and 209 demographically similar males without ADHD who were recruited into the follow-up study. Delinquency information gathered yearly during the second through eighth follow-up provided a comprehensive history of juvenile delinquency for all participants. Four childhood diagnostic groups [ADHD-only (N = 47), ADHD + ODD (N = 135), ADHD + CD (N = 106), and comparison (N = 209)] were used to examine group differences on delinquency outcomes. Analyses were conducted across three dimensions of delinquency (i.e., severity, age of initiation, and variety). Individuals with childhood ADHD + CD displayed significantly worse delinquency outcomes than the other three groups, across almost all indices of offending. When compared to comparison participants, boys with ADHD-only and ADHD + ODD in childhood displayed earlier ages of delinquency initiation, a greater variety of offending, and higher prevalence of severe delinquency. These findings suggest that although childhood ADHD + CD creates the greatest risk for delinquency, boys with ADHD-only and ADHD + ODD also appear at a higher risk for later offending. The patterns of offending that emerged from the PALS are discussed in the context of the relationship between ADHD, comorbidity, and delinquency.