Group interventions for patients with cancer and HIV disease: part IV. Clinical and policy recommendations

Group interventions have assumed a growing role in primary prevention and supportive care for cancer and HIV disease. Earlier sections of this Special Report examined empirical findings for these interventions and provided recommendations for future research. The current section offers brief recommendations for service providers, policymakers, and stakeholders. Group services now occupy an increasingly prominent place in primary prevention programs and medical settings. In previous sections of this Special Report (Sherman, Leszcz et al., 2004; Sherman, Mosier et al., 2004a, 2004b) we examined the efficacy of different group interventions at different phases of cancer or HIV disease, considered characteristics of the intervention and the participants that might influence outcomes, and discussed mechanisms of action. Methodological challenges and priorities for future research were highlighted. In this, the final section, we offer brief recommendations for service providers, policymakers, and other stakeholders. We consider some of the barriers that constrain use of empirically-based group interventions and note how these programs might be implemented more widely and effectively.     

Culture and social support: who seeks it and why?

Are Asians and Asian Americans more or less likely to seek social support for dealing with stress than European Americans? On the one hand, the collectivist orientation of Asian countries might favor the sharing of stressful problems; on the other hand, efforts to maintain group harmony might discourage such efforts. In 2 studies, Koreans (Study 1) and Asians and Asian Americans in the United States (Study 2) reported using social support less for coping with stress than European Americans. Study 3 examined potential explanations for these effects and revealed that relationship concerns accounted for the cultural differences in use of support seeking. Discussion centers on the potential benefits and liabilities of seeking social support.     

Hot or not: do professors perceived as physically attractive receive higher student evaluations?

Previous research investigating the influence of perceived physical attractiveness on student evaluations of college professors has been limited to a handful of studies. In this study, the authors used naturally occurring data obtained from the publicly available Web site www.ratemyprofessors.com. The data suggested that professors perceived as attractive received higher student evaluations when compared with those of a nonattractive control group (matched for department and gender). Results were consistent across 4 separate universities. Professors perceived as attractive received student evaluations about 0.8 of a point higher on a 5-point scale. Exploratory analyses indicated benefits of perceived attractiveness for both male and female professors. Although this study has all the limitations of naturalistic research, it adds a study with ecological validity to the limited literature.     

Stimulus generation, ratings, phoneme counts, and group classifications for 696 famous people by British adults over 40 years of age

Matching stimuli across a range of influencing variables is no less important for studies of face recognition than it is for those of word processing. Whereas a number of corpora exist to allow experimenters to select a carefully controlled set of word stimuli, similar databases for famous faces do not exist. This article, therefore, provides researchers in the area of face recognition with a useful resource on which to base their stimulus selection. In the first phase of the investigation, British adults over 40 years of age were requested to generate the names of famous people (or celebrities) that they thought they would recognize and to write these down. The most frequently named celebrities were then rated by adults from the same age population for familiarity, distinctiveness, and age of acquisition. The result is a database of 696 famous people, with an indication of their relative eminence in the public consciousness and rated for these important variables. Phoneme counts are also provided for each famous person, together with family name frequency counts in the general population, where available. Materials and links may be accessed at www.psychonomic.org/archive.     

Reactance, Compliance, and Anticipated Regret

The current work explored the relations among reactance, regret, and behavioral choice. A possible mechanism for reactance in opposition to persuasion attempts involves people anticipating greater regret for negative outcomes after complying with an agent of persuasion than for negative outcomes after reacting against an agent of persuasion. Some participants were asked to anticipate regret prior to making a behavioral choice in the face of an influence attempt. These participants anticipated greater regret for negative outcomes that would be experienced after reacting against rather than complying with the influence attempt. Accordingly, these participants subsequently exhibited behavioral compliance. On the other hand, participants who made choices without explicitly being asked to anticipate possible future regret showed far greater reactance. Interestingly, in all cases compliance led to significantly greater regret than did reactance once a negative outcome actually occurred. These data indicate that people do not spontaneously anticipate the regret that they may experience in an influence situation. Furthermore, when asked to anticipate such regret, they misanticipate their future feelings. The implications of complying with and reacting against the demands of others are discussed.     

Perceived entitativity,stereotype formation,and the interchangeability of group members

The authors investigated the effects of perceived entitativity of a group on the processing of behavioral information about individual group members and the extent to which such information was transferred to other group members. The results of 3 experiments using a savings-in-relearning paradigm showed that trait inferences about a group member, based on that member's behavior, were stronger for low entitative groups and for collections of individuals. However, the transference of traits from 1 group member to other members of the group was stronger for high entitative groups. These results provide strong evidence that the perception of high entitativity involves the abstraction of a stereotype of the group and the transfer of that stereotype across all group members. Implications for group impression formation and stereotyping are discussed.     

Who needs control? A cultural perspective on the process of compensatory control

Compensatory control theory (CCT) provides a framework for understanding the mechanisms at play when one's personal control is challenged. The model suggests that believing the world is a structured and predictable place is fundamental, insofar as it provides the foundation upon which people can believe they are able to exert control over their environment and act agentically towards goals. Because of this, CCT suggests, when personal control is threatened people try to reaffirm the more foundational belief in structure/predictability in the world, so that they then have a strong foundation to reestablish feelings of personal control and pursue their goals. This review seeks to understand how the basic assumptions of these compensatory control processes unfold in different cultural contexts. Drawing on research and theorizing from cultural psychology, we propose that cultural models of self and agency, culturally prevalent modes of control, and culture-specific motivations all have implications for compensatory control processes. Culture determines, in part, whether or not personal control deprivation is experienced as a threat to perceiving an orderly world, how/whether individuals respond to low personal control, and the function that responses to restore a sense of order in the world serve. A theoretical model of compensatory control processes across cultures is proposed that has implications for how people cope with a wide range of personal and societal events that potentially threaten their personal control.     

Achievement motivation, achieving styles, and morale in the elderly

This research extends the literature on variables predictive of morale from the often-researched demographic, physical, and social factors to the psychological variables of achievement motivation and achieving styles. A sample of 115 older adults completed the Work and Family Orientation Questionnaire, the L-BLA Achieving Styles Inventory, and the PGC (Philadelphia Geriatric Center) Morale Scale. Regression analysis indicated that five variables were predictive of morale: (a) direct achieving style, (b) instrumental achieving style, (c) health, (d) social participation, and (e) age. The instrumental achieving style and age were inversely related to morale, although the direct and instrumental achieving styles were the two best predictors of morale.     

Threats of suicide

For patients in treatment, how do suicidal feelings emerge, how do we judge the seriousness of suicide threats and what do we do? The literature on suicidal thinking, suicidal threats and suicidal acts is reviewed as well as some of the accumulated statistics for adults, adolescents and children. Some treatment principles and countertransference reactions are presented. The values of the therapist and the therapist's feelings toward death are seen as coloring the therapist's reaction to suicidal patients.