Trajectories of public psycho-behavioural responses relating to influenza A(H7N9) over the winter of 2014-15 in Hong Kong

Objective: To explore trajectories of public psycho-behavioural responses over one influenza A(H7N9) epidemic wave, and examine the interplays among social norm influence, disease worry and protective behaviours.

Methods: Participants were 464 adults who completed the baseline and at least two follow-up assessments on their H7N9-related Perceived Susceptibility, Perceived Severity, Perceived Efficacy, Worry, Social Norms influence and Protective Behaviours in a five-phase longitudinal survey over one H7N9 epidemic wave. Latent growth modelling (LGM) identified trajectories of these psycho-behavioural responses while multi-process LGM examined the inter-relationships among trajectories of Social Norms influence, Worry and Protective Behaviours.

Results: Trajectories of Perceived Susceptibility, Worry, Social Norms and Protective Behaviours increased initially but declined as the epidemic decayed, while Perceived Severity increased linearly and Perceived Efficacy remained stable across the epidemic. Change in Social Norms influence was significantly associated with change in Worry (β?=?0.65) which was significantly associated with change in Protective Behaviours (β?=?0.62).

Conclusion: The public’s threat appraisal but not efficacy appraisal may have been well-informed by epidemic-related information. Social Norms may be important contributors of public emotional response to an epidemic. Communication via social networks during an epidemic could be important for regulating public emotional response and guiding their behavioural change.     

Creative Moments in Relational-Cultural Therapy

SUMMARY

Creative moments in therapy are those occasions when something new and growth-fostering occurs. This article offers three illustrations and a discussion of these characteristics. It is based on a panel discussion held at the Stone Center-Harvard Medical School/Cambridge Hospital “Learning from Women Conference” in April, 2000.     

Impairment of rhyme judgments by silent and overt articulatory suppression

Two experiments showed that articulating “blah” repeatedly aloud or silently interfered with the speed and accuracy of judging whether pairs of words rhymed. Articulation from another voice affected only accuracy, and foot tapping had no effect. This suggests that it is mainly the articulatory component of articulatory suppression that interferes with this task and that rhyme judgments of words depend on an articulatory code or an acoustic code accessed via articulation.

A third experiment confirmed these effects on speed of judgment, but there were no significant effects on errors in this experiment. Non-verbal use of the articulatory musculature in chewing also slowed performance. Similar results were obtained for word and non-word rhyme judgments, though the latter effects were somewhat weaker. It is argued that the results fail to support the theory that there are different methods of accessing phonology for words or non-words and indicate that access to phonology was via articulation, rather than a means to achieving articulation. If the task incorporated mechanisms employed in normal reading, the results refute suggestions that conversion of print to sound, whether for words or non-words, occurs prior to retrieval of an articulatory code.     

II—Confirmation and Adequacy-for-Purpose in Climate Modelling

Lloyd (2009) contends that climate models are confirmed by various instances of fit between their output and observational data. The present paper argues that what these instances of fit might confirm are not climate models themselves, but rather hypotheses about the adequacy of climate models for particular purposes. This required shift in thinking—from confirming climate models to confirming their adequacy-for-purpose—may sound trivial, but it is shown to complicate the evaluation of climate models considerably, both in principle and in practice.