Relationship between poverty and health among adolescents

Although the effect of low socioeconomic status on the health of adolescents has been documented, the mechanism by which this occurs is not well understood. Furthermore, improving adolescent health through public health policy typically requires the presence of one or more modifiable risk factors which can be targeted for intervention. In spite of the well-documented negative associations between poverty and health, few modifiable risk factors have been identified. This study used the Evans-Stoddart Model of Health and Well-Being as a framework to examine data on 1,759 adolescents, aged 12 to 19, collected as part of the 1994 National Population Health Survey. Results not only confirm the relationship between income and health, but suggest how the pathway operates through the social environment, lifestyle differences, access to health care, and a reduced sense of self-esteem and self-mastery. Bivariate and multivariate analyses found positive associations between physical activity levels and self-esteem and mastery. We interpret these findings as preliminary evidence that it might be possible to buffer the impact of poverty on health through policies which increase physical activity levels among those living in poverty. Such policies could also include a secondary goal of increasing the activity levels among inactive adolescents who are not living in poverty, as they will derive benefits from this increase, both psychologically and physiologically.     

Revelation and Transparency in Colour Vision Refuted: A Case Oo Mind/Brain Identity and Another Bridge over the Explanatory Gap

Russell (1912) and others have argued that the real nature of colour is transparentto us in colour vision. It's nature is fully revealed to us and no further knowledgeis theoretically possible. This is the doctrine of revelation. Two-dimensionalFourier analyses of coloured checkerboards have shown that apparently simple,monadic, colours can be based on quite different physical mechanisms. Experimentswith the McCollough effect on different types of checkerboards have shown thatidentical colours can have energy at the quite different orientations of Fourierharmonic components but no energy at the edges of the checkerboards, thusrefuting revelation. It is concluded that this effect is not explained by a superveniencedispositional account of colour as proposed by McGinn (1996). It was argued that theMcCollough effect in checkerboards was an example of a local mind/body reduction(Kim 1993), by which the different characteristics of identical colours falsifies revelation. This reduction being based on both physical and neurological mechanisms led to a clear explanation of the perceive phenomenal effects and thus laid a small bridge over the explanatory gap.     

Individuality and social influence in groups: inductive and deductive routes to group identity

A distinction between forms of social identity formation in small interactive groups is investigated. In groups in which a common identity is available or given, norms for individual behavior may be deduced from group properties (deductive identity). In groups in which interpersonal relations are central, a group identity may also be induced from individual group members' contributions, making individuality and individual distinctiveness a defining feature of the group (inductive identity). Two studies examined the prediction that depersonalization produced by anonymity has opposite effects for groups in which social identity has been induced or deduced. Results confirmed the prediction that depersonalization increases social influence in groups whose identity was more deductive. In contrast, depersonalization decreases social influence in inductive identity groups. Implications for the role of social identity in small groups are discussed. ((c) 2005 APA, all rights reserved).     

A Review of the Children’s Inventory of Anger (ChIA): A Needed Measure

A review and critique of the Children’s Inventory of Anger (ChIA) is presented. The ChIA is a 39-item measure that operationalizes anger according to the conceptualization set forth by Ellis in Rational Emotive Behavior Therapy. The ChIA consists of four subscales (Frustration, Physical Aggression, Peer Relationships, and Authority Relations) which provide information regarding situations that are commonly associated with the experience of anger. Preliminary validity studies demonstrate that the ChIA has excellent reliability and high face validity. The forms are user friendly and easily scored, with norms tables conveniently located within the form. A computer-scoring program is available which significantly reduces clerical errors. The application of the instrument in practice is discussed. Due to the fact that the ChIA attempts to link assessment and intervention it should be useful in advancing the field in regard to treatment evaluation and substantiation of treatment validity. It is also expected to have considerable research utility.     

Personality characteristics of partner violent men: a Q-sort approach

Our objective was to develop a personality profile of men who are violent toward their partners. A total of 52 experienced clinicians described either a current male patient who was violent toward his partner (and only toward his partner) or who was maritally distressed but nonviolent using the Shedler-Westen Assessment Procedure-200 (SWAP-200), a Q-sort instrument designed to harness the judgments of clinicians. Partner-violent patients showed significantly higher scores on the SWAP-200 antisocial and borderline personality disorder scales. In contrast, patients who were maritally distressed evidenced higher scores on the SWAP-200 obsessive, avoidant, and high-functioning depressive scales. The men who were violent toward their partners were more antisocial and emotionally dysregulated, which is consistent with theory, and less obsessive, which has not been theoretically explored. The groups did not differ on theoretically important dimensions of personality including paranoid, dependent, and hostile features.     

The vanished pregnant body in psychoanalytic female developmental theory

The author contends that the pregnant body-the premier icon of the mature female body-has vanished from our psychoanalytic theory of female development. Until we are able to restore this missing entity on a par with the phallus, the developmental theory for both sexes remains fixated in phallocentricism. The author traces some of the evidence for this claim in a brief overview of the literature, a study of the relevant aspects of the case of Little Hans, and a look at the history of medical teaching, in particular illustrations from the first dissections of female bodies in the sixteenth century, which demonstrate a view of the female body as essentially male. A puzzle remains about the marked tendencies that both males and females had, and still have, to distort the female body image. The author offers a clinical example, and the suggestion that the plasticity of the female form in all its developmental phases may underlie the paradoxical requirement that stable mental representations be established upon an elusive set of shifting images.     

Listening comprehension and working memory are impaired in attention-deficit hyperactivity disorder irrespective of language impairment

This study investigated listening comprehension and working memory abilities in children with attention-deficit hyperactivity disorder (ADHD), presenting with and without language impairments (LI). A 4-group design classified a community sample (n = 77) of boys aged 9–12 into ADHD, ADHD + LI, LI, and Normal groups. Children completed tests of basic language and cognitive skills, verbal and spatial working memory, and passage-level listening comprehension. Multivariate analyses and post hoc comparisons indicated that ADHD children who did not have co-occurring LI comprehended factual information from spoken passages as well as normal children, but were poorer at comprehending inferences and monitoring comprehension of instructions. ADHD children did not differ from normal children in verbal span, but showed significantly poorer verbal working memory, spatial span, and spatial working memory. The ADHD + LI and LI groups were most impaired in listening comprehension and working memory performance, but did not differ from each other. Listening comprehension skills were significantly correlated with both verbal and spatial working memory, and parent–teacher ratings of inattention and hyperactivity/impulsivity. Findings that children with ADHD but no LI showed subtle higher-level listening comprehension deficits have implications for both current diagnostic practices and conceptualizations of ADHD.     

Measuring Judgments of Professionals: Using Vignettes in a Social Survey About Patient Confusion

The use of a factorial survey to measure the clinical judgments of professionals is described. This design allows the researcher to partial out the effects of variables on clinical decision making while using probability sampling. Methods frequently used to study judgments are reviewed and a study of nurses' judgments about patients' confusional episodes are used to illustrate the application of the factorial survey. Acute confusion in patients is a common clinical problem for nurses working in medical-surgical units in acute care hospitals. Using the factorial survey to study a real-life problem such as confusion demonstrates how this design can be used to test judgments in complex clinical situations, to aid in concept development, and to identify consensus among professionals.