From the Galleries to the Clinic: Applying Art Museum Lessons to Patient Care

Increasingly, medical educators integrate art-viewing into curricular interventions that teach clinical observation—often with local art museum educators. How can cross-disciplinary collaborators explicitly connect the skills learned in the art museum with those used at the bedside? One approach is for educators to align their pedagogical approach using similar teaching methods in the separate contexts of the galleries and the clinic. We describe two linked pedagogical exercises—Visual Thinking Strategies (VTS) in the museum galleries and observation at the bedside—from “Training the Eye: Improving the Art of Physical Diagnosis,” an elective museum-based course at Harvard Medical School. It is our opinion that while strategic interactions with the visual arts can improve skills, it is essential for students to apply them in a clinical context with faculty support—requiring educators across disciplines to learn from one another.     

Meta‐stereotypes,Social Image and Help Seeking: Dependency‐Related Meta‐stereotypes Reduce Help‐Seeking Behaviour

People who need help can be reluctant to seek it. This can be due to social image concerns. Here, we investigate if these concerns may be prompted by a salient negative meta‐stereotype: the belief that one's group is judged negatively by another group. Specifically, we researched group members' help‐seeking behaviour in the context of a dependency‐related meta‐stereotype. In a two‐condition study (N = 45), we manipulated participants' belief that their national group was judged dependent by a significant out‐group. We then examined their subsequent help‐seeking behaviour on a real‐world task. Participants whose social identity as a group member was salient showed greater reluctance to seek help when the meta‐stereotype was made prominent compared with when it was not. This suggests that, in a context where social image and social identity concerns are relevant, group members are willing to sacrifice the possibility of accessing needed help in order to avoid confirming a negative stereotype of their group. The implications of these results for helping transactions and community development are discussed. Copyright © 2012 John Wiley & Sons, Ltd.     

Oxytocin increases willingness to socially share one's emotions

Oxytocin (OT) is a neuropeptide that is attracting growing attention from researchers interested in human emotional and social behavior. There is indeed increasing evidence that OT has a calming effect and that it facilitates pair‐bonding and social interactions. Some of OT's effects are thought to be direct, but it has been suggested that OT also may have indirect effects, mediated by changes in behavior. One potentially relevant behavioral change is an increased propensity for “emotional sharing” as this behavior, like OT, is known to have both calming and bonding effects. In this study, 60 healthy young adult men were randomly assigned to receive either intranasal placebo (PL; n = 30) or oxytocin (OT; n = 30). Participants were then instructed to retrieve a painful memory. Subsequently, OT and placebo participants’ willingness to disclose to another person event‐related facts (factual sharing) vs. event‐related emotions (emotional sharing) was evaluated. Whereas the two groups were equally willing to disclose event‐related facts, oxytocin was found to specifically increase the willingness to share event‐related emotions. This study provides the first evidence that OT increases people's willingness to share their emotions. Importantly, OT did not make people more talkative (word counts were comparable across the two groups) but instead increased the willingness to share the specific component that is responsible for the calming and bonding effects of social sharing: emotions. Findings suggest that OT may shape the form of social sharing so as to maximize its benefits. This might help explain the calming and bonding effects of OT.     

Worry about terror among young adults living in ongoing security uncertainty

The aim of the current study was to investigate worry about terror as a mediating variable, with the exogenous variables being media viewing, differentiation of self, and trait anxiety, and the endogenous variables being somatic symptoms and perceptions of security‐related stress. Participants were divided into two groups by age/academic level: 248 high school students and 191 university students. A pathway correlation model was used to investigate worry about terror as a mediating variable. The central finding was that worry about terror was a significant mediating variable in the relationship between the extent of media viewing following terror events and the level of perception of security‐related stress. That is, young people who said they worried a lot reported a high level of stress relating to the terror events they saw covered in the media. In addition, trait anxiety was found to have an effect on stress perception only via the level of worry about terror. This means that high levels of stress are not experienced by all highly trait‐anxious people, but only by those who suffer from higher levels of worry about terror.     

Examination of ethnic group differential responding on a biodata instrument

Biodata is a selection device that is often cited for high criterion validity and low adverse impact, yet little research examines the latter point. Further, little is known about whether differential biodata item responding by ethnic group occurs, and if so, whether this impacts ethnic group differences, predictive bias, adverse impact, and criterion validity. Data from 5,242 applicants for a government agency position indicated that elimination of biodata item response options with differential ethnic group selection rates from scoring consideration resulted in a large decrease in ethnic group differences, no predictive bias, less potential adverse impact, and a nonsignificant decrease in criterion validity. Results are compared to a general mental ability measure. Implications and future research directions are discussed.     

Common Fears: A Comparison of Adolescents' Self-Generated and Fear Survey Schedule Generated Fears

Investigations into normative fear in adolescence have indicated that the most common fears are consistently death-related and danger-related. Assessments have most commonly been made from self-reports on fear survey schedules. The aim of the present study, therefore, was to determine whether adolescents would provide responses comparable to those generated through the use of a fear survey schedule when asked to list their 3 greatest fears. A total of 439 adolescents aged 11 to 18 years (237 girls, 201 boys, 1 sex not reported) listed their greatest fears; then they completed the 78-item Fear Survey Schedule for Children-II (E. Gullone & N. J. King, 1992). Consistent with past research, the 10 most common fears generated via the fear schedule related to death and danger. However, on the whole, the self-generated fears deviated from the death and danger theme, also including fear of failure, fear of animals, and fear of the unknown. A tendency toward global responses in self-generated fears appeared to encompass the majority of specific death-related fears included in the fear schedule, thus allowing for other predominant fears to be listed among the 3 most common.     

Evaluating the Invariance of the Factor Structure of the EPQ–R–N Among Adolescents

We examined the factor structure of the Neuroticism scale of the Eysenck Personality Questionnaire (EPQ–R–N; S. B. G. Eysenck, Eysenck & Barrett, 1985) and its factor invariance across sex and racial/ethnic groups in a sample of 1,979 adolescents. Using confirmatory factor analyses, we compared a hierarchical model to previous models of the EPQ–R–N and to single-factor and 3-factor structures. The hierarchical factor structure in which a general factor coexists with 3 group factors (depression, social concerns, and worry) was superior to alternative models. The general factor accounted for more than 60% of the variance in EPQ–R–N total scores and was invariant across sex and ethnicity. The 3 group factors varied across ethnicity and sex. We discuss the implications of these findings for conceptualization and assessment of neuroticism using the EPQ–R–N.     

Cross-Ethnic Measurement Equivalence of the RCMAS in Latino and White Youth With Anxiety Disorders

In normal vision, the various “gestalt-free” combinations which form early in a percept, are repressed by the emergence of the veridical composite perception; but in schizophrenic vision, with its inadequate repressive powers, the early combinations emerge as the completed composite. This completed composite, if at all veridical, is so only partially. Rorschach studies support the idea of a range of perceptual abortions among schizophrenics, varying directly with the process-reactive range.     

Posttraumatic Stress in Women with Breast Cancer and Their Daughters

Using the PTSD Reaction Index, posttraumatic stress was assessed in 133 women with breast cancer and 64 of their daughters. Twenty-one percent of patients and 13% of daughters reported symptoms consistent with PTSD. PTSD in these patients without bone marrow transplants may be higher than reported in other samples, and the prevalence of PTSD symptoms in the daughters appear comparable to women with breast cancer. For patients, cancer stage at diagnosis was positively associated with posttraumatic stress severity. Mothers experiencing PTSD symptoms were significantly more likely to have daughters experiencing PTSD symptoms. Intergenerational patterns in reaction to breast cancer are discussed.