Theorising Interventions as Events in Systems

Conventional thinking about preventive interventions focuses over simplistically on the “package” of activities and/or their educational messages. An alternative is to focus on the dynamic properties of the context into which the intervention is introduced. Schools, communities and worksites can be thought of as complex ecological systems. They can be theorised on three dimensions: (1) their constituent activity settings (e.g., clubs, festivals, assemblies, classrooms); (2) the social networks that connect the people and the settings; and (3) time. An intervention may then be seen as a critical event in the history of a system, leading to the evolution of new structures of interaction and new shared meanings. Interventions impact on evolving networks of person-time-place interaction, changing relationships, displacing existing activities and redistributing and transforming resources. This alternative view has significant implications for how interventions should be evaluated and how they could be made more effective. We explore this idea, drawing on social network analysis and complex systems theory.     

On being eager and uninhibited: narcissism and approach-avoidance motivation

This article demonstrates the validity and utility of conceptualizing narcissistic personality in terms of relative approach-avoidance motivation. Across three studies (N = 1,319), narcissism predicted high approach and low avoidance motivation. That is, narcissists reported being strongly motivated to approach desirable outcomes but only weakly motivated to avoid negative outcomes. Relative approach-avoidance motivation was shown to be useful in terms of explaining behavioral tendencies associated with narcissism (i.e., functional and dysfunctional impulsivity) and distinguishing different "flavors" of narcissism (i.e., overt and covert narcissism). Discussion focuses on how approach-avoidance motivation may be used to explain prior findings in the narcissism literature and generate novel future hypotheses.     

A Deleuzian rethinking of time in healthy lifestyle advice and change

Time is a powerful but under‐examined element in healthy lifestyle advice, particularly in the promise of stable states of future health achievable through sustained lifestyle change. But such linear, sequential time frames reinforce notions of rational choice, personal control, and responsibility despite common experiences of diet and exercise regimens as non‐linear, effortful, and difficult to maintain. An over‐simplification of time thus contributes to the logic of blame when people fail to achieve healthy lifestyle goals, producing spoiled health identities and abject bodies as people struggle to sustain what can be unsustainable. Addressing these problems, we argue that Deleuze's philosophy offers tools to develop an alternative approach in health promotion. Deleuze affords a conceptualisation of multidimensional, embodied, and affective temporalities of health, which give rise to plural subjectivities and disrupt linear models of time. This framework affords a recognition of multiple time frames, such as histories and imagined futures that form part of a living present and shape lifestyle behaviours and identities. Deleuzian concepts that tie into his philosophy of time and form his process ontology, including monism and rhizomes, affect, becoming, and assemblages, are discussed in relation to health promotion. The article concludes that Deleuze offers a critical theory of time that enables a mapping of the ways that people embody multiplicity, non‐linearity, and fluidity as they negotiate healthy lifestyle advice. His concepts illuminate ways in which people can be oppressed and limited by discourses of healthy living, but also point to new, more affirmative directions for health promotion and healthy lifestyle advice.     

A terminal diagnosis: The carers’ perspective

This qualitative study explored the views of spouse carers in relation to the emotional impact of caring for a partner with a chronic or terminal illness. The study population consisted of nine full‐time spouse carers, recruited using a snowball sampling strategy. Semi‐structured interviews took place in the carers’ homes. These were recorded and transcribed verbatim. The data were then analysed using constant comparative analysis. Themes identified included the emotional and physical health of the carer, personality changes in the spouse, relationship issues, denial, anticipating death, accessing support and coping strategies. Findings indicate that these carers experienced a whole range of feelings and emotions, which impacted on their health and well‐being. They included fatigue, stress, distress, anxiety, depression, feelings of isolation and suicidal thoughts. These were particularly profound around the time of diagnosis, end of treatment, during a relapse and most particularly around the time of death. An increasing number of terminally ill people are now expressing a preference to be cared for at home. The potential risks to the health of caregivers therefore need to be taken into account. This study highlights the importance of assessing the needs of carers in order to identify those at risk of compromised health, which would then allow those requiring support to be offered prompt referral to specialist services.     

Young mothers' play with their toddlers: individual variability as a function of psychosocial factors

There is no one style of parenting which characterizes young mothers as a group. In addition, life circumstances play an important role in shaping maternal behaviour. The aim of this study was to identify patterns of maternal play behaviour and contextual (social and personal) factors associated with these different patterns. In this study, 107 young mothers were observed at home during play with their toddlers; maternal behaviour was coded for joint attention (shared focus of mother and toddler attention) and emotional availability (e.g. sensitivity, intrusiveness, hostility). Mothers reported on aspects of their childhood history and current personal functioning and social support. A person‐centred analytic approach, using cluster analysis, revealed three distinct groups of maternal play behaviour: (1) ‘sensitive‐engaged’ (2) ‘inconsistent‐directive,’ and (3) ‘intrusive‐prohibitive’. Multivariate analyses revealed that contextual factors in mothers' lives (e.g. childhood abuse, depressive symptomatology, partner violence, social support, and parenting self‐confidence) were differentially associated with parenting clusters. Copyright © 2007 John Wiley & Sons, Ltd.     

Subjective Screening of Stuttering severity, locus of control and avoidance: research edition

This article describes the Subjective Screening of Stuttering (SSS): research edition that is designed to quantify the selected self-reports of people who stutter (PWS) prior to, during, and following their treatment. The three areas screened by the SSS are perceived stuttering severity, the level of internal or external locus of control, and reported word or situation avoidance. Each of the areas has two or three items rated for three audiences on a one to nine rating scale. Other available measures were reviewed and the need for a single instrument that provides quantified screening of each of the areas was recognized. Results of a research project using the SSS with 16 PWS indicated that percent of syllables stuttered correlated with stuttering severity (r=0.75) and with locus of control (r=0.43) but did not correlate with avoidance. These results were interpreted to indicate a need for other types of therapy following the experimental treatment studied. Reliability and validity of the SSS were judged adequate for research and clinical screening. The possible role of screening self-reports of PWS in combination with more extensive self-report instruments and with objective measures of stuttering is discussed. EDUCATIONAL OBJECTIVES: The reader will be able to (1) assess the perception of stuttering severity, avoidance and locus of control of people who stutter (PWS), and (2) determine from the PWS the self-reported outcome of treatment.     

Motion sickness preceded by unstable displacements of the center of pressure

We exposed standing participants to optic flow in a moving room. Motion sickness was induced by motion that simulated the amplitude and frequency of standing sway. We identified instabilities in displacements of the center of pressure among participants who became sick; these instabilities occurred before the onset of subjective motion sickness symptoms. Postural differences between Sick and Well participants were observed before exposure to the nauseogenic stimulus. During exposure to the nauseogenic stimulus, sway increased for participants who became sick but also for those who did not. However, at every point during exposure sway was greater for participants who became motion sick. The results reveal that motion sickness is preceded by instabilities in displacements of the center of pressure.     

Perceptual behavior: recurrence analysis of a haptic exploratory procedure

Various object properties are perceptible by wielding. We asked whether the dynamics of wielding differed as a function of the to-be-perceived property. Wielding motions were analyzed to determine if they differed under the intention to perceive or not perceive rod length (experiment 1), to perceive object height versus object width (experiment 2), and to perceive the length forward of where the rod was grasped versus the position of the grasp (experiment 3). Perceiving these different properties is known to depend on different components of the object's inertia tensor. Analyses of the subtle recurrent patterns in the phase space of the hand motions revealed differences in wielding across the different perceptual intentions. Haptic exploratory procedures may exhibit distinct exploratory dynamics.     

Deterministic variability and stability in detuned bimanual rhythmic coordination

We examined the effects of crossing different degrees of cooperation and competition on inphase and antiphase 1:1 frequency locked coordination of left- and right-hand-oscillated pendulums. Degree of cooperation was manipulated through the joint frequency of oscillation specified by a metronome (the higher the frequency, the weaker the cooperation), and degree of competition by length (and, therefore, preferred frequency) differences between the two pendulums (the greater the difference, the stronger the competition). Increasing competition was accompanied by either decreasing cooperation (for six participants) or increasing cooperation (for six different participants). On each trial, a participant attempted to produce a steady-state phase relation phi for a given combination of competition and cooperation. Numerical simulations of the extended Haken-Kelso-Bunz (HKB) equation were used to predict (a) the patterns of shift in phi from either 0 or pi radians due to the different competition-cooperation relations and (b) the patterns of variability in phi. It was expected that the HKB equation would be successful in respect to (a), which it was, but not in respect to (b). The observed failure to confirm (b) was expected from the variability due to the different nonharmonic dynamics of the component oscillators, a source of variability not included in the HKB equation. The experimental results together with simulations and analyses of the phase-plane trajectories of the component oscillators suggest the operation of deterministic in addition to stochastic variability in the phase relation of contralateral limbs.     

Self-Induced Motion Sickness and Body Movement During Passive Restraint

From both direct-realist and motor-theoretic perspectives, the objects of speech perception are construed as articulatory events. We offer the alternative view that it is the auditory properties of phonetic events to which listeners are primarily sensitive. Evidence for this alternative view comes from a variety of sources, including studies of phonetic and phonological universals, comparisons of the perception of speech and nonspeech signals, cross-language perceptual experi- ments, and studies of phonetic categorization by nonhuman animals.