The Prevention Delivery System: Organizational Context and Use of Comprehensive Programming Frameworks

The purpose of this exploratory study is to investigate organizational‐level mechanisms in the Prevention Delivery System (PDS) and their influence on implementing comprehensive programming frameworks (e.g., Communities that Care‐CtC) as the innovation. The PDS is part of the Interactive Systems Framework for Dissemination and Implementation (ISF) and describes key characteristics of innovation implementation and dissemination. The study addresses two research questions: (1) What types of organizational characteristics are related to successful use of each of the programming processes (i.e., planning, implementation, evaluation, and sustainability) that are part of comprehensive programming frameworks?; and (2) What are the similarities and differences in the organizational patterns correlated with use of each of the programming processes? Surveys, interview data, and other documents designed to assess organizational characteristics and extent of use of a comprehensive programming framework over time, were collected from 8 Community boards and 23 provider agencies. These organizations were responsible for planning and delivering substance abuse prevention services as part of a statewide initiative in Ohio. Data were analyzed using Spearman rho (and rank‐biserial) correlations, with an emphasis on effect sizes. Results indicated that leadership, shared vision, process advocates, and technical assistance were common correlates of use across programming processes. However, the role played by these organizational variables differed for each programming process, pointing to complex interactions of the organizational infrastructure with other variables (i.e., characteristics of the innovation itself and external macro‐level factors). This exploratory study provides preliminary data on the organizational‐level mechanisms of the PDS and the complexity of their relationships with the other Systems in the Interactive Systems Framework.     

Interoceptive Cue Exposure for Depersonalization: A Case Series

Cognitive-behavioral treatment for panic disorder relies heavily on interoceptive exposure. Specifically, therapists induce physical symptoms associated with panic in order to produce habituation to those sensations. Many common symptoms of panic are easily induced, such as increased heart rate and dizziness. However, depersonalization is a difficult symptom to induce in the office. Three uncontrolled cases are presented here where a novel intervention, the use of 3D glasses, was used to successfully induce depersonalization with positive effect. The application of the procedure resulted in rapid habituation within session, and all three patients had significant reductions in panic following treatment. Additional research is necessary to examine the application of this, and other, novel methods for inducing depersonalization as part of a comprehensive approach to treating panic and other psychiatric conditions where depersonalization is present.     

Social support group attendance is related to blood pressure, health behaviours, and quality of life in the Multicenter Lifestyle Demonstration Project

Changes in coronary risk factors, health behaviours, and health-related quality of life (HRQOL) were examined by tertiles of social support group attendance in 440 patients (21% females) with coronary artery disease. All patients participated in the Multicenter Lifestyle Demonstration Project (MLDP; eight hospital sites in the USA), an insurance-covered multi-component cardiac prevention program including dietary changes, stress management, exercise and group support for 1 year. Significant improvements in coronary risk factors, health behaviours, and HRQOL were noted at 1 year. Several of these improvements (i.e. systolic blood pressure, health behaviours, HRQOL) were related to social support group attendance, favoring those who attended more sessions. The associations between support group attendance to systolic blood pressure and to four HRQOL subscales (bodily pain, social functioning, mental health, and the mental health summary score) remained significant when controlling for changes in health behaviours, but dropped to a non-significant level for the HRQOL subscales 'physical functioning', 'general health' and 'role-emotional'. These results suggest an independent relationship of social support group attendance to systolic blood pressure while improvements in quality of life may be in part due to improved health behaviours facilitated by increased social support group attendance.     

Evolution and Personality: What Should a Comprehensive Theory Address and How?

Personality is arguably the most integrative area of psychology; yet, it is an area about which evolutionary psychologists have had comparatively little to say. This is unfortunate because evolutionary theory holds great potential as a framework that can link together the disparate aspects that make up a person. We suggest that progress in evolutionary personality psychology will be helped by clarification of precisely what an evolutionary theory of personality would need to address. To this end, we first describe and assess some extant contributions by theorists attempting to understand personality from an evolutionary perspective. Next, we endorse a working definition of what personality entails and outline three types of personality differences – character traits, goals/motives, and selves/identities – that any comprehensive evolutionary theory of personality should address. Finally, we suggest an approach forward, one where evolved species‐typical motives orient people toward adaptive ends and result in the differentiation of individuals’ unique selves.     

When knowing can replace seeing in audiovisual integration of actions

The ability to predict the effects of actions is necessary to behave properly in our physical and social world. Here, we describe how the ability to predict the consequence of complex gestures can change the way we integrate sight and sound when relevant visual information is missing. Six drummers and six novices were asked to judge audiovisual synchrony for drumming point-light displays where the visual information was manipulated to eliminate or include the drumstick–drumhead impact point. In the condition with only the arm information novices were unable to detect asynchrony whereas drummers were able to. Additionally, in the conditions that included the impact point drummers perceived the best alignment when the sight preceded the sound, while in the arm only condition they perceived the best alignment when the sound occurred together with or preceded the sight, as it would be expected if they were predicting the beat occurrence. Taken together these findings suggest that humans can acquire, through practice, internal models of action which can be used to replace missing information when integrating multisensory signals from the environment.     

Developmental shifts in children's sensitivity to visual speech: a new multimodal picture-word task

This research developed a multimodal picture-word task for assessing the influence of visual speech on phonological processing by 100 children between 4 and 14 years of age. We assessed how manipulation of seemingly to-be-ignored auditory (A) and audiovisual (AV) phonological distractors affected picture naming without participants consciously trying to respond to the manipulation. Results varied in complex ways as a function of age and type and modality of distractors. Results for congruent AV distractors yielded an inverted U-shaped function with a significant influence of visual speech in 4-year-olds and 10- to 14-year-olds but not in 5- to 9-year-olds. In concert with dynamic systems theory, we proposed that the temporary loss of sensitivity to visual speech was reflecting reorganization of relevant knowledge and processing subsystems, particularly phonology. We speculated that reorganization may be associated with (a) formal literacy instruction and (b) developmental changes in multimodal processing and auditory perceptual, linguistic, and cognitive skills.     

Anchoring in a novel bimanual coordination pattern

Anchoring in cyclical movements has been defined as regions of reduced spatial or temporal variability [Beek, P. J. (1989). Juggling dynamics. PhD thesis. Amsterdam: Free University Press] that are typically found at movement reversal points. For in-phase and anti-phase movements, synchronizing reversal points with a metronome pulse has resulted in decreased anchor point variability and increased pattern stability [Byblow, W. D., Carson, R. G., & Goodman, D. (1994). Expressions of asymmetries and anchoring in bimanual coordination. Human Movement Science, 13, 3-28; Fink, P. W., Foo, P., Jirsa, V. K., & Kelso, J. A. S. (2000). Local and global stabilization of coordination by sensory information. Experimental Brain Research, 134, 9-20]. The present experiment examined anchoring during acquisition, retention, and transfer of a 90 degrees phase-offset continuous bimanual coordination pattern (whereby the right limb lags the left limb by one quarter cycle), involving horizontal flexion about the elbow. Three metronome synchronization strategies were imposed: participants either synchronized maximal flexion of the right arm (i.e., single metronome), both flexion and extension of the right arm (i.e., double metronome within-limb), or flexion of each arm (i.e., double metronome between-limb) to an auditory metronome. In contrast to simpler in-phase and anti-phase movements, synchronization of additional reversal points to the metronome did not reduce reversal point variability or increase pattern stability. Furthermore, practicing under different metronome synchronization strategies did not appear to have a significant effect on the rate of acquisition of the pattern.     

The Significance of Identity in Muslim–Christian Encounter

Encounters between Muslims and Christians are influenced by many factors. In this article a contextual study of a religiously diverse neighbourhood in Leeds, a northern English city, is used to illustrate some of the patchwork of related and overlapping identities which Muslims and Christians negotiate in their everyday encounters. Ethnicity, socio-economic status, and encounter with people of other religions are all found to influence how Muslims and Christians relate to each other and to the secular environment.     

Visible Speech as a Function of Image Quality: Effects of Display Parameters on Lipreading Ability

Two experiments are reported that examine effects of certain visual display parameters on subjects' ability to lipread numbers. The quality of the image of the speaker's face is altered by varying temporal resolution (frame rate), spatial resolution (number of pixels) and contrast resolution (number of grey scale levels). In Experiment 1, combinations of these variables are examined in a repeated measures design and reliable effects of reducing both frame rate and number of grey levels are evident. In Experiment 2, the frame rate and grey scale settings are factorially combined on a between-subjects basis, and practice is given so that subjects can adapt to the display conditions to which they are exposed. Effects of frame rate and grey scale are again statistically significant, and additive. Lipreading performance improves over the short duration of the experiment, but both image variables continue to affect performance. The effect size of the grey scale factor decreases with practice, but not that of frame rate. The results are discussed with regard to the kinds of relevant visual cues that may be affected by image degradation. Implications for the planned development of low cost digital communication are also considered. Trading off one image variable at the expense of another may be necessary to meet bandwidth limitations, and data such as those presented will be necessary to decide on a combination of parameter values to satisfy human performance and technical criteria.     

Daily Reports of Stress,Mood, and Physical Health in Middle Childhood

Most empirical work examining stress in children focuses on major life events, like divorce of parents, while fewer studies consider the role of daily stressors, or the routine challenges of day-to-day living. Existing work on children’s daily stress is lacking such that it primarily: (1) focuses on children who are ill, disabled, or who face significant environmental risks, (2) relies on retrospective reports, (3) relies on parent or teacher reports of stressors experienced by children, or (4) does not comprehensively examine the role of stress on mood and health. In the current study, we explored daily experiences of stress, mood, and physical health symptoms across five consecutive days in 25 children between 8 and 10 years old. Results showed that children reported a variety of types of stressors, and that more stressors were reported by older children, girls, and on weekdays compared to weekends. Daily reports of stress were linked to same day reports of physical health symptoms but not mood, however the presence of both negative mood and daily stress was associated with even more same day health symptoms. This study extends prior work by examining children’s stress at the daily level as well as relying on children’s self-reports of their stress, mood, and physical health symptoms.