Improving fairness in coverage decisions: performance expectations for quality improvement

Patients and physicians often perceive the current health care system to be unfair, in part because of the ways in which coverage decisions appear to be made. To address this problem the Ethical Force Program, a collaborative effort to create quality improvement tools for ethics in health care, has developed five content areas specifying ethical criteria for fair health care benefits design and administration. Each content area includes concrete recommendations and measurable expectations for performance improvement, which can be used by those organizations involved in the design and administration of health benefits packages, such as purchasers, health plans, benefits consultants, and practitioner groups.     

The team halo effect: why teams are not blamed for their failures

In this study, the existence of the team halo effect, the phenomenon that teams tend not to be blamed for their failures, is documented. With 2 studies using both real teams and controlled scenarios, the authors found evidence that the nature of the causal attribution processes used to diagnose failure scenarios leads to individuals being more likely to be identified as the cause of team failure than the team as a collective. Team schema development, as indexed by team experience, influences this effect, with individuals who have more team experience being less likely to show the team halo effect     

The theory of uncertainty orientation: a mathematical reformulation

In this paper, we present a mathematical formulation derived from the theory of uncertainty orientation (In R.M. Sorrehtino, & E.T. Higgins (Eds.), the handbook of motivation and cognition: Foundations of social behaviour, Vol. 1 (pp. 379-403). New York: The Guilford press; The uncertain mind: Individual differences in facing the unknown. London: Erlbaum (UK), Taylor & Francis). This formulation integrates affective and informational influences on thought and action. It is a model of self-regulation where the need to maintain clarity and the need to attain clarity are considered as two independent informational tendencies. These informational tendencies are influenced by the degree of self-relevance and the amount of perceived situational uncertainty. In addition, they are multiplicative with affective approach and avoidance tendencies, leading to accentuation or inhibition of behaviors expressed in action. It is further demonstrated that when the nondominant action tendency is instigated, secondary sources of motivation are expressed. This model not only accounts for past data, but also permits exploration using computer simulation. In addition, many new and testable hypotheses, including those related to affect and dynamical decision theory, are generated.     

Uncertainty orientation in the group context: categorization effects on persuasive message processing

Persuasive messages often originate from in-group or out-group sources. Theoretically, in-group categories could facilitate heuristic-based message processing (because of the attractiveness of in-groups and their social reality cues) or systematic-based processing (because of high personal relevance of the message). The authors expected individual differences in uncertainty orientation and socially based expectancy congruence to be important variables in understanding these processes. Participants were exposed to strong or weak, in-group or out-group messages that were either expectancy congruent (in-group agreement, out-group disagreement) or expectancy incongruent (in-group disagreement, out-group agreement). As predicted, uncertainty-oriented participants increased systematic information processing under incongruent conditions relative to congruent (i.e., relatively certain) conditions; certainty-oriented individuals processed systematically only under congruent conditions. These findings suggest that uncertainty that has been created through social-categorization conflicts is treated differently by people of different personality styles.     

Power and Psychological Well-Being in Late Adolescent Romantic Relationships

Using Olsen and Cromwell's (1975) three facetsof interpersonal power (power in resources, process, andoutcomes), we examined the balance of power in lateadolescent romantic relationships and the associations between interpersonal power, adolescents'self-esteem, and depression. Participants were 61adolescent couples who were primarily European-American(90% of girls and 93% of boys), with the remainder being comprised of approximately 2-3% each of NativeAmerican, Asian, African American, and Hispanicindividuals. We assessed power in terms of access toemotional resources, control during video-tapedinteraction, and control over decision-making. Overall,couples were more likely to be described by themselvesand by independent observers as egalitarian, with themajority of couples equally contributing emotional resources, sharing power in interaction, andsharing decision-making responsibility. However,romantic relationships characterized by inequality inthe contribution of emotional resources and indecisionmaking were associated with greater psychologicalsymptomatology, especially for females.     

Undermining the Undermining Effect of Reward on Sustained Interest1

Sometimes, without recourse to controlling rewards, it is difficult to secure desirable behaviors. Yet, much work has demonstrated the damaging effect that such rewards can have on subsequent independent interest in the reward-induced behavior. Therefore, one who feels required to use controlling rewards to increase desirable action in another faces a dilemma: Failing to employ the rewards means foregoing the desired conduct in the immediate situation, hut applying them risks undermining the other's long-term interest in the conduct. We tested a technique designed to avoid this dilemma by (a) providing a controlling reward to obtain the desired action, but (b) then attributing the action to an abiding trait of the actor. Using this technique, we were able to reverse the damaging impact of a controlling reward on children's motivation to write well.     

Object individuation in young infants: Further evidence with an event-monitoring paradigm

Recent results indicate that, when tested with an event-monitoring task, 7.5- and 9.5-month-olds give evidence that they can individuate objects in different-objects occlusion events – events in which two distinct objects appear successively on either side of an occluder (Wilcox and Baillargeon, in press). The present research sought to confirm and extend these findings. The experiments examined 7.5- and 4.5-month-olds’ ability to correctly interpret a different-objects (ball-box condition) and a same-object (ball-ball condition) occlusion event. The infants in the ball-box condition saw a test event in which a ball disappeared behind the left edge of a screen; after a pause, a box emerged from behind the screen's right edge. For half of the infants (wide-screen event), the screen was wide and could occlude the ball and box simultaneously; for the other infants (narrow-screen event), the screen was narrow and should not have been able to occlude the ball and box at the same time. The infants in the ball-ball condition saw identical wide- and narrow-screen events except that the ball appeared on both sides of the screen. The infants in the ball-box condition looked reliably longer at the narrow- than at the wide-screen event, whereas those in the ball-ball condition tended to look equally at the events. These results suggest that the ball-box infants (a) were led by the featural differences between the ball and box to view them as distinct objects; (b) judged that the ball and box could both be occluded by the wide but not the narrow screen; and (c) were surprised in the narrow-screen event when this judgment was violated. In contrast, the ball-ball infants (a) assumed, based on the featural similarities of the balls that appeared on either side of the screen, that they were one and the same ball, and (b) realized that the ball could be occluded by either the wide or the narrow screen. These results indicate that, by 4.5 months of age, infants are able to use featural information to correctly interpret different-objects and same-object occlusion events. These findings are discussed in the context of the newly-drawn distinction between event-monitoring and event-mapping paradigms (Wilcox and Baillargeon, in press).     

Affective communication differences between distressed and nondistressed mother-adolescent dyads

An assessment technique of having mothers and young adolescents describe in brief written form what they like and dislike about each other was evaluated. Distressed dyads (N=38) produced responses that were rated significantly more negative (Demanding, Personal Attack, Anger and Hostility, Complaining About Unfairness or Disrespect) and less positive (Good Relationship, Appreciation of Other, Complimentary, and Enjoyment) than nondistressed dyads (N=40). Evidence of reliability was reported. Ratings of the written responses correlated significantly with independently obtained codings of taperecorded interactions, thus offering support for validity of the method.The authors wish to thank Diane Follingstad and Peter Kilmann for their comments on an earlier draft.     

The Effects of Numerical and Logical Group Size on Computer-Mediated Idea Generation

A laboratory experiment investigated the effects of numerical group size and logical group size (i.e., group heterogeneity in regard to task demands) on the performance of groups addressing an idea generation task while using computer-mediated communication. Six different numerical group sizes were studied, which ranged from 5 to 10 members. Logical size was manipulated by varying the amount of task-relevant information given to a particular group member. Larger logical group sizes (heterogeneous groups) were induced by distributing unique task-relevant information among group members; smaller logical group sizes (homogeneous groups) were induced by providing all task information to all members. A significant main effect for numerical group size showed that larger groups outperformed smaller groups. Numerical group size interacted with logical group size resulting in greater performance gains for increased numerical group size within heterogeneous groups. Average contributions per group member diminished with increased numerical group size for homogeneous groups and increased for heterogeneous groups.     

Cigarette Smoking in Popular Films: Does It Increase Viewers' Likelihood to Smoke?1

The effect of viewing smoking in popular films was investigated. Participants were instructed to rate main characters in scenes from popular films on 12 characteristics (e. g., attractive, sexy, sociable). One group watched 6 scenes from popular films in which the main character they rated was smoking. The other group watched scenes from the same 6 films in which they rated the same main characters who were not smoking. The participants rated the female characters shown smoking less favorably on all rated characteristics, but not the male characters. The male regular and occasional smokers had a higher current desire to smoke if the film characters they had viewed smoked. Both female and male participants who viewed the characters smoking were more likely to indicate a likelihood to smoke than were the participants who viewed the nonsmoking scenes.