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.     

The varieties of fear

Conclusion I shall conclude with a methodological moral. I have tried to show that there are several fundamentally different kinds of fear. One is a pure propositional attitude, one is partially a bodily state, and one is a relation between a person and a nonpropositional object. Other emotions come in similar varieties, such as hope and happiness, but with significant differences. The state of happiness, for example, does not entail any particular bodily state or feeling. So one lesson is this: it is hard to generalize about the emotions. Further detailed, analytical studies of particular emotions are needed before a general theory of the emotions can be fruitfully attempted.     

Modification of Type A behavior through aerobic exercise

This psychophysiological evaluation of an aerobic exercise program examined specifically whether aerobic training modified Pattern A for those individuals at behavioral risk for developing coronary heart disease, i.e., young Type A individuals. At pretest and posttest of this secondary prevention study, Type A and Type B subjects were assessed in three conditions: aerobic exercise program, nonaerobic activity (Aikido, a martial art) control, and notreatment control. After 10 weeks, Type A but not Type B subjects exhibited lower Pattern A behavior in the aerobic program than in control conditions. Average workout pulse rates and differentially reliable increases in aerobic capacity indicated that aerobic training was indeed aerobic, whereas aikido activity was not. Even though selected nonaerobic factors, such as locus of control and group participation, did not mediate the Pattern A decrease for Type A's when comparing aikido and aerobic conditions, changes in aerobic capacity may have been the mediator. Generalizability of the results and implications for theoretical development and clinical intervention are discussed.     

Sex typing and division of labor as determinants of marital change across the transition to parenthood

This investigation examines the proposition that wives who describe their personality in ways that deviate from sex stereotypes will become less positive and more negative about their marriage from before to after they become mothers, particularly when the transition to parenthood is accompanied by an increase in the traditionalism of marital roles. Sixty-one couples were studied longitudinally from the last trimester of pregnancy through the third postpartum month. The wives completed the Personal Attributes Questionnaire (Spence & Helmreich, 1978), which measures the extent to which they ascribe personality attributes stereotyped as "masculine" (i.e., instrumental, agentic) and "feminine" (expressive, affectional) to themselves, and several questionnaires assessing the marital relationship at both times of measurement. Results revealed that the more division of labor changed toward traditionalism, the greater the decline in wives' evaluations of the positive aspects of marriage and that changes in wives' evaluations of both positive and negative aspects of marriage can be significantly predicted by the interaction of the wives' expressivity and changes toward increased traditionalism in division of labor. Additional analyses showed that wives who do not ascribe female sex-typed attributes to themselves (relative to those who see themselves in sex-stereotyped ways) are more apt to evaluate their marriage less favorably from before to after parenthood when roles shift toward greater traditionalism.     

Locus of control,choice, and satisfaction with an assigned task

P. E. Spector's (1982, Psychological Bulletin, 91, 482–497) hypothesis that under conditions of freedom of choice persons characterized by an internal locus of control will experience greater satisfaction with an undesirable task than persons characterized by an external locus of control is considered in light of distinctions between perceived control and perceived choice. Perceived choice is proposed as an intervening variable implicit in Spector's argument. This reasoning was tested with 46 male and female college student participants in a 2 (Choice) × 2 (Locus of Control) factorial design experiment. An interaction of Choice × Locus of Control on task satisfaction was obtained such that internals tended to be more satisfied when given a choice while externals experienced greater satisfaction when not given a choice. The implications of this result for Spector' hypothesis and for the manner in which undesirable work is assigned are discussed.     

Constrained classification: The use of a priori information in cluster analysis

In many classification problems, one often possesses external and/or internal information concerning the objects or units to be analyzed which makes it appropriate to impose constraints on the set of allowable classifications and their characteristics. CONCLUS, or CONstrained CLUStering, is a new methodology devised to perform constrained classification in either an overlapping or nonoverlapping (hierarchical or nonhierarchial) manner. This paper initially reviews the related classification literature. A discussion of the use of constraints in clustering problems is then presented. The CONCLUS model and algorithm are described in detail, as well as their flexibility for use in various applications. Monte Carlo results are presented for two synthetic data sets with appropriate discussion of the resulting implications. An illustration of CONCLUS is presented with respect to a sales territory design problem where the objects classified are various Forbes-500 companies. Finally, the discussion section highlights the main contribution of the paper and offers some areas for future research.We wish to thank C. Mallows and J. D. Carroll for some helpful technical discussion and L. Clark and D. Art for their valuable computer assistance. We also wish to thank H. Pollak, R. Gnanadesikan, and J. Kettenring for their thorough reviews of a previous draft of this paper. Finally, we acknowledge helpful comments of the editor and two anonymous reviewers.     

Voting at 16? 16–17-Year-Old Germans Vote as Correctly as Adults

Lowering the voting age from 18 to 16 years has recently been a hot topic of the political debate in many democratic countries. This study investigated whether the voting quality of 16–17-year-olds is inferior to that of the voting population. Shortly before the 2021 German federal election, two samples, representative for age and gender, indicated personal preferences about various political issues and weighted them according to importance, allowing for the calculation of individual expected values for political parties. Participants then indicated their voting choice. These choices were normatively correct when individuals voted for the party that best reflected their preferences, that is, the one maximizing the expected value. Results show that the voting decisions of 16–17-year-olds were as good as those by eligible voters. The study indicates that the exclusion of 16–17-year-old Germans in democratic elections cannot be justified by their lack of decision-making ability.     

Über Wahrnehmungsverhalten beim 8- bis 10wöchigen Säugling

Zusammenfassung Im Rahmen einer Systemtheorie des Verhaltens und der Persönlichkeit und auf dem Hintergrund der Ergebnisse der Berner Längsschnittuntersuchungen wird eine Hypothese über die Genese der Wahrnehmung entwickelt, wonach die frühesten Wahrnehmungen im wesentlichen Verarbeitungen der Reizwirkungen in einer von zwei Klassen von Verhaltenssystemen sind, nämlich der Abwendung und Selbstsicherung (A-Systeme) bzw. der Zuwendung zur Außenwelt (Z-Systeme).In einem Experiment mit 8-, 9- und l0wöchigen Säuglingen wurde das Wahrnehmungsverhalten in Abhängigkeit von verschiedenen Reizfiguren, von der individuellen Eigenart und vom Aktivationsniveau des Kindes mit Hilfe eines Zeitstichprobenverfahrens beobachtet. Der auf die Differenzierung zwischen den verschiedenen Reizfiguren entfallende Varianzanteil steigt mit zunehmendem Alter an, während die Wirkung der autonomen Aktivationsprozesse allmählich zurücktritt. Mit 10 Wochen kann eine geordnete Form oder gute Gestalt leichter verarbeitet werden als eine mehr zufällige Form.Einige Probleme im Zusammenhang mit Annahmen, Methoden und Ergebnissen des Experiments werden diskutiert, darunter die Theorie der Formwahrnehmung, die Genese von Subjekt- und Objektsystem und die beschränkte Bedeutung der Methode der bevorzugten Fixierung in der Erforschung der Säuglingswahrnehmung.

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Summary Within the framework of a System Theory of behavior and personality and against the background of the results of the Bernese Longitudinal Studies, a hypothesis of the genesis of perception is developed. It states that the earliest perceptions are essentially integrations of the effects of stimuli into one of two classes of behavioral systems, viz. withdrawal and self-preservation (A-systems) or, respectively, approach to the outer world (Z-systems).The perceptual behavior of 8-, 9-, and 10-week-old infants as a function of different stimulus forms, individuality, and activation level was observed by means of a time-sampling rating method. The proportion of variance accounted for by the differences between stimuli was found to increase with age; at the same time the effect of autonomic activation processes was decreasing. At the age of 10 weeks the infant can work up an orderly form or good Gestalt more readily than a more irregularly-shaped form.Some problems in connection with the assumptions, methods, and results of the study are then discussed, including form perception theory, the genesis of subject- and object-system, and some restriction of the method of preferred fixation in the study of infant perception.

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Gegenwärtig als Canada Council Postdoctoral Fellow an der York University in Toronto, Ont., Canada. Der Verfasser möchte seinem verehrten Lehrer Richard Meili seinen herzlichen Dank für die Anregung dieser Arbeit ausdrücken.     

Rehearsal grouping and hierarchical organization of serial position cues in short-term memory

Lists of 8, 9, or 10 digits were presented at the rate of 1 digit/sec. to subjects instructed to rehearse silently the digits in non-overlapping groups of 1, 2, 3, 4, or 5 digits, after hearing each digit. Subjects were instructed not to rehearse any digits outside the group currently being presented. Rehearsing in 3's was optimal, irrespective of list length. Both recall of items and recall of the correct positions of items improved from 1's to 2's to 3's. Recall of items declined very little from 3's to 4's to 5's, but recall of position declined sharply. Errors in positioning digits tended, above chance, to be in the same group or the same position in a different group. The results suggest that both item-to-item associations and serial positin-to-item associations are formed in short-term memory, that only two or three serial position cues are used, but that these serial position cues can be hierarchically organized into a beginning, middle, and end group and a beginning, middle, and end position within a group.