Sensitizing Medical Residents to Fantasies and Alignments in the Family: Mastering Psychosocial Skills in the Medical Encounter

In this paper, it is proposed that a) psychosocial medicine is best taught in a setting that provides technical and emotional support, while seizing for teaching only those moments when the learner is most receptive; and b) that the setting should avoid the development of a separate psychosocial skills curriculum, but should take the student where he or she is and integrate the psychosocial skills into his or her everyday biomedical practice. The paper gives specific case examples in which family based psychosocial issues were preeminent in the clinical problem-solving medical residents faced.     

Values and Valences: Variables Relating to the Attractiveness and Choice of Food in Different Contexts1

This study investigated relations between values and the attractiveness and choice of food in different contexts for a sample of 464 participants who completed a mail survey distributed in 12 supermarkets in metropolitan Adelaide, South Australia. Participants responded to 5 hypothetical scenarios describing situations, each of which presented 2 alternatives relating to the presentation or consumption of different foods. Participants also completed the Schwartz Value Survey (Schwartz, 1992). Results showed that measures of the attractiveness (or valence) of each alternative and choice of alternative were related to specified value types for some scenarios, depending on context and structural relations among the value types engaged by each alternative. Results also implied that choice of alternative was mediated by the valences.     

Using computer-mediated conferencing to facilitate group projects in an educational psychology course

A course design is presented as a model for incorporating computer-mediated conferencing (CMC) in support of administering, organizing, and evaluating group projects in a psychology course. Students in an educational psychology course use e-mail and an electronic bulletin board system to communicate within and between student groups as well as with the instructor. Critical elements for the implementation of CMC are discussed, and suggestions for ways to avoid problems are offered.     

Embedding instructive feedback into teacher-student interactions during independent seat work

The effects of embedding a constant time delay procedure into an independent seat work activity and using instructive feedback were evaluated in this study. Seven students with mild disabilities participated in the study that occurred in their special education classroom. A multiple probe design across sets of target behaviors was used, and students' responses to instructive feedback stimuli were evaluated during each probe condition. The procedures were implemented with a high degree of fidelity, and the results indicate that (a) the students acquired the target behaviors taught with the constant time delay procedure that was embedded into independent seat work, and (b) the students acquired some but not all of the responses to the instructive feedback stimuli. These findings are discussed in terms of using instructive feedback in classrooms and future research on instructive feedback.     

The impact of confederate responsivity on social skills assessment

The current investigation examined the degree to which judges' ratings of skill, anxiety, and attractiveness are influenced by the responsivity of the confederate. High-, medium-, and low-skilled subject-pool groupings, as well as self-referred clinical groups, were exposed to either a moderately or a minimally responsive confederate. Results indicated that subjects were rated as more skillful when interacting with a moderately responsive confederate than when interacting with a minimally responsive confederate. Further, there was a groups × condition interaction for anxiety ratings such that both the high- and the medium-skilled groups appeared more anxious under the minimal condition, whereas the low-skilled and self-referred groups did not. Self-referred subjects received significantly lower attractiveness ratings than did the high- or medium-skilled groups. Implications of these results and future directions for research are discussed.This research is based on a M.S. thesis carried out by the first author under direction of the second author.     

Circadian factors during sustained performance: Background and methodology

Cornell University Medical College, Westchester Division, The New York Hospital, White Plains, New York It is well established that there is a complex timekeeping mechanism in the human brain. This mechanism is associated with a variety of physiological and psychological rhythms having a period of about a day, and thus referred to as circadian rhythms. The circadian system has recently been modeled in terms of two underlying oscillators, one much more resistant to changes in routine than the other. These oscillators are considered to be endogenous, that is, internal to the organism, and not reliant for their existence upon changes in the person’s environment or general behavior. They thus continue to run even when the sleep/wake cycle is suspended, as in sustained operations. Thus, by their very nature, sustained operations require the individual to override the inputs that are coming from his or her circadian system (especially the indication that sleep is required). The aim of this paper is to provide a background to the area of circadian rhythms research, including a section on the methodology, so that the impact of the circadian system on sustained operations can be better understood.     

Interpersonal Features of Interviews Between Psychiatric Patients and Nursing Staff1

Observer ratings of one-half hour interviews were undertaken to test two basic concepts of interpersonal relations in a sample of 51 randomly paired male psychiatric patients and female psychiatric nurses. It was hypothesized that the behavior of psychiatric patients could be organized around two orthogonal dimensions reflecting status and feeling, and that patients and nurses would exhibit complementary interpersonal behavior consistent with their institutionally ascribed roles. Interviews were rated with the Leary Interpersonal Checklist. Interjudge reliability was established for Leary's coding system. The hypothesis of status and feeling reference points for patient behavior received strong support when the results of analysis of variance were supplemented by factor analysis. Patient scores on the eight variables measured by the Leary Interperonsal Checklist and nurses' scores for 17 complementary variables were submitted to correlational analysis to test the hypothesis of interpersonal complementarity. As predicted, two hypothesized dependence-assistance response combinations provided the highest correlation coefficients. It was concluded that the study provided empirical support for the utility of an interpersonal model within psychiatric settings that has more commonly been identified with relationships free of psychiatric disturbance.     

CULTURAL VARIATION IN PROBABILISTIC THINKING: ALTERNATIVE WAYS OF DEALING WITH UNCERTAINTY*

This study reviews research on cultural differences in “probabilistic thinking” and presents some intra- and inter-cultural findings. Strong differences are shown to exist between people raised under Asian and British cultures on measures of this ability. These differences were found to out-weigh any influence of subculture, religion, occupation, arts/science orientation and sex. Generally, Asians were found to adopt a less finely differentiated view of uncertainty both numerically and verbally than did the British sample. Numerical probabilities assessed by the Asians were more extreme and less realistic than those assessed by the British sample. Possible antecedents of these differences are outlined, and cultural differences in probabilistic thinking are shown to be compatible with decriptions of cultural differences in business decision making. It is argued that there are qualitative cultural differences in ways of dealing with uncertainty.