Development of the Diabetes Education, Counseling, Information Delivery and Evaluation (DECIDE) Program: A Health Promotion Intervention For Preadolescents with Type 1 Diabetes

Careful attention to self-care behaviors is crucial to achieving good health outcomes in children and adolescents with type 1 diabetes. Despite the unequivocal research findings that adolescence is a time of poor metabolic control among affected individuals, there have been few prevention efforts geared toward health promotion in this age group. The diabetes education, counseling and information delivery, and evaluation (DECIDE) Program is intended to prevent the deterioration of self-care behaviors often evident during adolescence by intervening during the earlier, more stable time period of preadolescence. This paper describes the foundation for the DECIDE Program and outlines intervention development, current study recruitment, and preliminary program evaluation data. Findings indicate that enrollment into the program is feasible among children and their parents; early feedback suggests that parents and children are also satisfied with their participation. The challenges of conducting randomized controlled trials in health promotion for childhood diabetes are discussed, and ideas are offered for future research directions to improve the integration of child health psychology with public health approaches in this population.     

Exploring In-Session Process with Qualitative and Quantitative Methods in Psychotherapy with an Adolescent

ABSTRACT

There is emerging evidence for the effect of psychotherapy in adolescents with depression. Research indicates that therapists often use techniques from different theoretical models when working with adults. Research on the therapy process in adolescents is scarce. We explore the therapist’s interventions in a time-limited psychodynamic adolescent therapy with Susanna suffering from major depression. Susanna quite suddenly became worse at mid-treatment, with self-harming and suicidal ideations. Rating scales for analyzing in-session relational processes included the Structural Analysis of Social Behavior (SASB), the Adolescent Psychotherapy Q-set (APQ), and the Transference Work Scale (TWS). Self-reports on symptoms, interpersonal problems, and working alliance were obtained before, during, and at the end of and one year after treatment. Different tools seemed to expose different aspects of the process and the patient’s development. Only patient-rated questionnaires revealed the mid-treatment crises. Combining different and pan-theoretical rating scales on here-and-now interventions (TWS and SASB) and whole sessions (APQ), as well as clinician-rated measures and a variety of self-reports, indicated that different psychotherapeutic techniques were integrated in the therapy and seemed beneficial to patient’s outcome. The therapist adhered to the treatment manual. This way of exploring the therapy process may be used for different treatment modalities.     

Neural mechanisms of sensitivity to peer information in young adult cannabis users

Though social influence is a critical factor in the initiation and maintenance of marijuana use, the neural correlates of influence in those who use marijuana are unknown. In this study, marijuana-using young adults (MJ; n = 20) and controls (CON; n = 23) performed a decision-making task in which they made a perceptual choice after viewing the choices of unknown peers via photographs, while they underwent functional magnetic resonance imaging scans. The MJ and CON groups did not show differences in the overall number of choices that agreed with versus opposed group influence, but only the MJ group showed reaction time slowing when deciding against group choices. Longer reaction times were associated with greater activation of frontal regions. The MJ goup, compared to CON, showed significantly greater activation in the caudate when presented with peer information. Across groups, caudate activation was associated with self-reported susceptibility to influence. These findings indicate that young adults who use MJ may exhibit increased effort when confronted with opposing peer influence, as well as exhibit greater responsivity of the caudate to social information. These results not only better define the neural basis of social decisions, but also suggest that marijuana use is associated with exaggerated neural activity during decision making that involves social information.     

Item type,occlusion, and gender differences in mental rotation

Two experiments were conducted to examine the role of item type in mental rotation. In each experiment, participants completed two computerized mental rotation tasks, one with blocks as stimuli and one with human figures as stimuli. The tasks were formatted either as a multiple-choice psychometric test (Experiment 1) or as a same–different type task (Experiment 2). Aside from the expected replication of a decreased effect of occlusion on women's accuracy when processing human figures compared to block figures, it was hypothesized that response times would increase when processing the complex but familiar human figures, compared to the simple but unfamiliar block figures. In Experiment 1, the results relevant to occlusion were replicated. However, the presence of a speed–accuracy trade-off suggested that participants processed human figures faster but less accurately than block figures. In Experiment 2, both men and women performed faster and more accurately when processing occluded human figures than when processing nonoccluded human figures. The effect of item type, its potential link to embodied cognition, and the role of strategy selection on gender differences in mental rotation are discussed.     

Moral Development and Higher States of Consciousness

This paper discusses possible relationships between the cognitive–moral development theory of Lawrence Kohlberg and Charles Alexander's life-span model. Central to Alexander's model is the role which levels of mind and higher states of consciousness play throughout the general periods of development. Parallel to Kohlberg's cosmic perspective Stage 7—which goes beyond the representational logic and reasoning identified by Piaget's highest stage—are the postrepresentational stages of development, described by Vedic psychology and Alexander's model as "higher states of consciousness"—transcendental consciousness, cosmic consciousness, God consciousness, and unity consciousness. Research indicates that EEG brainwave coherence is associated with the development of higher states of consciousness and Kohlberg's Stage 7. Studies on the Transcendental Meditation (TM) and TM-Sidhi programs as effective technologies for promoting moral development are further discussed.     

Is visual lexical access based on phonological codes? Evidence from a picture-word interference task

The claim that lexical access for visual words is mandatorily mediated by their phonological codes was investigated. Ninety-six subjects performed timed naming responses to pictures while instructed to ignore printed words superimposed on the pictures. Distractor words were either semantically related to the picture label or were homophones of a word semantically related to the picture name. On the basis of the claim that homophones initially activate multiple semantic codes, we hypothesized that the homophone and semantic distractors would yield comparable interference. Picture-word stimulus onset asynchrony (SOA) was varied between subjects as 0 or +100 msec. For an SOA of 0 msec, semantic interference, but no effect from the homophones, was obtained. For an SOA of +100 msec, no effect was obtained in either condition. In combination, these findings indicate a limited role of phonological codes in visual lexical access. It is suggested that the role of phonology in written word identification may vary dependent on procedure and utility to the task.     

Driving skills after whiplash

Previous studies have shown that some persons with longlasting problems after whiplash have changed eye movements. These changes have been related to disturbance of the posture control system. The question raised in the present study is whether such disturbances can influence daily life functions connected with balance, position and external movements, such as car driving. A group of 23 persons with disturbed eye movements due to whiplash injury, was tested in a driving simulator, together with a closely matched control group. The results revealed significant differences between the two groups with respect to response times to the traffic signs presented, identification of type of sign, as well as steering precision while the subjects’ attention was directed to the process of identifying the signs. Alternative explanations such as driving experience, pain, medication or malingering are at least partly controlled for, but cannot completely be ruled out. A distorted posture control system leading to disturbance of eye movements seems to be the most likely primary causative factor, but these disturbances are most certainly complexly determined. Reduced attention capacity is considered to be a mediating secondary factor. Registration of eye movements may be a useful diagnostic tool to evaluate driving skill after whiplash.     

Discrimination Against Competent Women1

Although women have complained about job discrimination, the experimental literature has revealed little discrimination against competent women. On the thesis that discrimination would only occur when a competent woman was in interaction with a man, a 2 × 3 × 2 × 2 experiment factorially varied sex of subject, type of interaction (competition, cooperation, observation), sex of others, and competency of others. As predicted, males like the competent woman only when they observed her performance and were not involved in the interaction. Furthermore, both males and females were more likely to exclude a competent women from their group than a competent man, and to include an incompetent woman than an incompetent man. Although competent women were not discriminated against on a leadership measure, it was clear that an atmosphere conducive to low performance by women was established. These findings were interpreted in terms of the disconfirmation of stereotypic beliefs regarding the relative competencies of men and women, and ethnocentrism.