PSYCHOLOGY AND HEALTH: CONTRIBUTIONS OF PSYCHOLOGY TO THE IMPROVEMENT OF HEALTH AND HEALTH CARE

Psychology as both a science and a profession has been closely identified with other disciplines in the broad field of health since the turn of the century. Recent advances in health care have reinforced the growing belief that the promotion of health and the prevention and treatment of illness can be greatly enhanced by incorporating the scientific findings and modern technology of psychology into everyday practices. Outlining the contributions of psychology to health care throughout the world is the primary purpose of this report. In this brief survey, only some of the most timely and relevant issues can be mentioned, together with examples of current work in the field. The reader interested in pursuing these psychological contributions more thoroughly is encouraged to review pertinent references from the citations at the end of this report. After an introductory overview, special attention is given to each of the major areas within the broad field of health care where psychological applications have been particularly useful.     

Adjustment to rape

This questionnaire study of rape victims' reactions, causal attributions for the rape, coping behaviors after the rape, and psychological adjustment to the rape were examined. As in previous research, high levels of behavioral and characterological self-blame for rape were found. Contrary to prior hypotheses, behavioral self-blame was not associated with good adjustment. Rather, both behavioral and characterological self-blame were associated with poor adjustment. Societal blame was the only causal attribution for rape that was unassociated with adjustment. Remaining at home and withdrawing from others were both associated with poor adjustment, and the use of stress reduction techniques was associated with good adjustment. The implications of the results for theories of victimization and for clinical interventions with rape victims are discussed.     

Real and virtual features in texture perception

The texton theory of preattentive texture perception was recently adopted over a prior model based on the global computation of dipole statistics. It is shown here that the dipole model remains a necessary adjunct unless the texton theory is modified to distinguish real from virtual features of texture perception.     

Does placebo response mediate runner's high?

It is proposed that runner's high is mediated by increased endorphin release as induced by placebo responses arising from subjective expectancies and setting.     

The case for place: Text arrangement and reading skill

To what extent does the reader integrate visual information from one fixation to the next and derive a spatially extended representation of text? Experimental studies of transsaccadic fusion in reading produce conflicting evidence. The results from work on “stepped-text” presentation, in which words appear in a single physical location, have been used to argue that readers secure no advantage from the spatially extended page and that reading may proceed without the computation of spatial coordinates. It is suggested that this conclusion may be inaccurate. A processing decrement is found for materials above a critical level of complexity when presented in a “stepped” mode. This appears to derive from the reader’s need at times to reinspect parts of previously presented text. Reinspections of this kind, which appear to characterize the fluent reader, demand a degree of spatial coding. Two classical issues in the study of perception come together in the study of reading. First, what segments the continuous stimulus flux into discrete perceptible objects? The second is, what is the nature of the control system for eye movements? - Kolers (1983) This research is supported by a grant from the Economic and Social Research Council.     

Impact of Institutional Review Boards on cancer research

The concepts of informed consent and surveillance of human research designed to protect human subjects is commendable. The regulations of the Institutional Review Board (IRB) are having a major impact on clinical cancer research. There is greater administrative time needed of the investigator, the mechanisms of patient care have become cumbersome and some patients reject optional medical management that could be life saving. IRB regulations must be flexible to meet the needs of human subjects as well as those of the clinical investigator.     

Hyperactive behavior in english schoolchildren: A questionnaire survey

The differences in apparent prevalence of childhood hyperactivity between England and North America are more than 20-fold. This paper seeks to illuminate the reasons for the difference by applying a standard measure [Conners Teacher Rating Scale] to 437 English schoolchildren, aged 6 to 9 years, and comparing them with published surveys from the United States and Australasia. The rating scale had moderate interrater reliability and stability over time; it distinguished between children referred for psychiatric treatment and normal schoolchildren. Component analysis yielded a factor of hyperactivity-inattentiveness, distinct from conduct disorder. The mean hyperactivity scores of English children were higher than in most U.S. surveys but lower than in New Zealand. The national differences in rates of diagnosed hyperactivity are likely to reflect diagnostic inconsistency rather than true differences in children's behavior.     

Representation of linear orders

Two binary classification tasks were used to explore the associative structure of linear orders. In Experiment 1, college students classified English letters as targets or nontargets, the targets being consecutive letters of the alphabet. The time to reject nontargets was a decreasing function of the distance from the target set, suggesting response interference mediated by automatic associations from the target to the nontarget letters. The way in which this interference effect depended on the placement of the boundaries between the target and nontarget sets revealed the relative strengths of individual interletter associations. In Experiment 2, students were assigned novel linear orders composed of letterlike symbols and asked to classify pairs of symbols as being adjacent or nonadjacent in the assigned sequence. Reaction time was found to be a joint function of the distance between any pair of symbols and the relative positions of those symbols within the sequence. The effects of both distance and position decreased systematically over 6 days of practice with a particular order, beginning at a level typical of unfamiliar orders and converging on a level characteristic of familiar orders such as letters and digits. These results provide an empirical unification of two previously disparate sets of findings in the literature on linear orders, those concerning familiar and unfamiliar orders, and the systematic transition between the two patterns of results suggests the gradual integration of a new associative structure.