Healthcare Policy in the United States: A Primer for Medical Family Therapists

As family therapists increasingly practice in healthcare settings, they need to be aware of forthcoming changes in healthcare policy and the impact of these changes on their clinical work and the lives of their clients. In this paper, we provide a primer on healthcare policy for family therapists, which describes current and proposed changes in healthcare that will potentially revolutionize healthcare delivery for families. We describe three key initiatives: (1) Triple Aim; (2) the Accountable Care Organization; and (3) the Patient Centered Medical Home. We conclude with a discussion about future directions and healthcare policies that include families.     

The epistemic force of perceptual experience

What is the metaphysical nature of perceptual experience? What evidence does experience provide us with? These questions are typically addressed in isolation. In order to make progress in answering both questions, perceptual experience needs to be studied in an integrated manner. I develop a unified account of the phenomenological and epistemological role of perceptual experience, by arguing that sensory states provide perceptual evidence due to their metaphysical structure. More specifically, I argue that sensory states are individuated by the perceptual capacities employed and that there is an asymmetric dependence between their employment in perception and their employment in hallucination and illusion. Due to this asymmetric dependence, sensory states provide us with evidence.     

Distinct processes shape flashbulb and event memories

In the present study, we examined the relation between memory for a consequential and emotional event and memory for the circumstances in which people learned about that event, known as flashbulb memory. We hypothesized that these two types of memory have different determinants and that event memory is not necessarily a direct causal determinant of flashbulb memory. Italian citizens (N = 352) described their memories of Italy’s victory in the 2006 Football World Cup Championship after a delay of 18 months. Structural equation modeling showed that flashbulb memory and event memory could be clearly differentiated and were determined by two separate pathways. In the first pathway, importance predicted emotional intensity, which, in turn, predicted the frequency of overt and covert rehearsal. Rehearsal was the only direct determinant of vivid and detailed flashbulb memories. In the second pathway, importance predicted rehearsal by media exposure, which enhanced the accuracy and certainty of event memory. Event memory was also enhanced by prior knowledge. These results have important implications for the debate concerning whether the formation of flashbulb memory and event memory involve different processes and for understanding how flashbulb memory can be simultaneously so vivid and so error-prone.     

Gender Differences in the Perception of Honour Killing in Individualist Versus Collectivistic Cultures: Comparison Between Italy and Turkey

Gender differences in the perception of honour killing were investigated in two countries, both traditionally considered honour cultures but with differing degrees of individualism and collectivism: Italy and Turkey. Ninety-six Turkish undergraduate students attending Istanbul University (40 % males, mean age?=?21.2 years) and 68 Italian undergraduate students attending Turin University (34 % males, mean age?=?24.6 years) filled in a questionnaire which assessed the perception of three honour killing scenarios (scenario 1: alleged adultery, scenario 2: adultery, scenario 3: adultery in flagrante delicto). The questionnaire measured the attribution of assailant and victim responsibility, the proposed punishment for the assailant, and the evaluation of the incidents as crimes. Results showed that regardless gender Turkish participants attributed more responsibility to the victim and less responsibility to the assailant, and proposed less severe punishments than the Italian participants. Moreover, Turkish men attributed less responsibility to the assailant and proposed less severe punishments than Turkish women. Finally, there was an interaction of gender by culture by scenario: Turkish women attributed less responsibility to the victim in the case of alleged adultery, compared to their male counterparts. These results are discussed in terms of the complex interaction between gender roles and the individualist versus collectivist social organization of Italy and Turkey, and the profound social changes that both countries have undergone in recent decades.     

Initial Psychometric Properties of a Brief Parent-Report Instrument for Assessing Tic Severity in Children with Chronic Tic Disorders

This article describes the development and initial psychometric properties of the Parent Tic Questionnaire (PTQ)—a new measure assessing the number, frequency, and intensity of motor and vocal tics in children and adolescents with Chronic Tic Disorder (CTD). Parents of 40 children with a CTD completed the PTQ as part of a larger assessment battery. Results show the PTQ to have excellent internal consistency and good to excellent 2-week test-retest reliability. The motor tic severity subscale, vocal tic severity subscale, and total severity score of the PTQ correlated highly with the corresponding scales of the gold-standard clinician-rated Yale Global Tic Severity Scale (YGTSS), indicating excellent convergent validity. Correlations between the YGTSS and PTQ remained strong after controlling for measures of obsessive-compulsive disorder and inattention, suggesting good discriminant validity. The PTQ is a promising supplement to current methods for assessing tic severity and further research on the validity, reliability, and clinical utility of the scale are warranted.     

“With a Little Help from My Friends”: Affect Regulation and Emergence of Group Experience in Treatment of Young Adolescents

The pair group provides a powerful and most useful regulatory function for adolescents. A group-based approach aims to create an inter-subjective field in which an adult group conductor and the individual group members interact with the complex dynamics of the pair group. The author maintains that the core task in her approach is to understand and follow the pair group and help it learn to self-regulate and self-organize so that each member becomes aware of the affective meaning of “belonging to the group system.” The group members thus develop the ability to explore new ways of relatedness—with self and others—through coconstruction of an environment of shared intimacy and safety. Clinical vignettes illustrate an approach that aims to strengthen affect regulation in young adolescent groups in the public school setting.     

The Inner Eye and the Inner Scribe of Visuo-spatial Working Memory: Evidence from Developmental Fractionation

Abstract

Evidence for two major hypotheses that attempt to explain the development in memory span with age is reviewed: the identification time hypothesis and the rehearsal hypothesis. The rehearsal hypothesis is also strongly related to the recent application of the working memory model to memory development. In this model, rehearsal is assumed to occur from an extremely young age. This assumption is critically evaluated. It is concluded that there is no strong support for the identification time hypothesis, except as a facet of familiarity. Neither was there good evidence that very young children use verbal rehearsal, although it did appear to be a factor later on. A revised model is proposed, based on three factors. The first is a speech perception system and phonological store; the second is a speech output system which can be used for sublexical segmentation and later rehearsal. The third system is long-term memory with links to both the speech perception and speech output systems. These links enable active strategies to be developed.     

Attention and Attachment Related Behavior Toward Professional Caregivers in Child Care Centers: A New Measure for Toddlers

The authors attempted to develop and validate the Toddler Attention Questionnaire (TAQ) by examining the relationship between attention and attachment to a professional caregiver. The psychometric reliability and validity of the TAQ was tested with 72 children ranging from 20 to 36 months old. Attentive processes were also measured by the Italian Questionnaire on Temperament, while attachment behaviors to professional caregivers were measured by the Attachment Q-Sort. Factor analysis supported four identifiable factors reflecting different concepts, theoretically discussed, related to attentive processes: attentive flexibility, attentive lability, attentive detachment, and attentive disorientation. Attachment security to professional caregivers is predicted through attentive flexibility and negative emotionality. Secure attachment behaviors were found to be related to flexibility of attention. The implications of the findings for future theoretical and empirical development of research in this field are also discussed.     

Color Vision in Relation to Artistic Ability

The present experiment tests Hobbes' superiority theory of humor in relation to identification classes (a replacement for the construct of reference group)—i.e., a vicarious superiority theory of humor is examined. Joke content concerns Canadian-American relations. Ss were selected so as to be either pro-Canadian Canadians or pro-American Americans. Consistent with prediction (p < .01) each of the two groups tended to find that permutation of jokes funnier in which its positive identification class was victorious and its negative the butt than was the opposite permutation in which the negative identification class was victorious and the positive the butt.