Integrated Primary Care: An Inclusive Three-World View Through Process Metrics and Empirical Discrimination

Integrating behavioral health services within the primary care setting drives higher levels of collaborative care, and is proving to be an essential part of the solution for our struggling American healthcare system. However, justification for implementing and sustaining integrated and collaborative care has shown to be a formidable task. In an attempt to move beyond conflicting terminology found in the literature, we delineate terms and suggest a standardized nomenclature. Further, we maintain that addressing the three principal worlds of healthcare (clinical, operational, financial) is requisite in making sense of the spectrum of available implementations and ultimately transitioning collaborative care into the mainstream. Using a model that deconstructs process metrics into factors/barriers and generalizes behavioral health provider roles into major categories provides a framework to empirically discriminate between implementations across specific settings. This approach offers practical guidelines for care sites implementing integrated and collaborative care and defines a research framework to produce the evidence required for the aforementioned clinical, operational and financial worlds of this important movement.     

Validation of the Behavioral Activation for Depression Scale (BADS) in a Community Sample with Elevated Depressive Symptoms

The Behavioral Activation for Depression Scale (BADS) was previously developed to measure changes in avoidance and activation over the course of Behavioral Activation for depression. Initial scale development, definition of the factor structure and confirmation of the factor structure was performed with a non-depressed undergraduate sample. These prior results revealed four factors (Activation, Avoidance/Rumination, Work/School Impairment, and Social Impairment) with good factor structure, internal consistency, and test–retest reliability. The purpose of the current study was to evaluate the psychometric properties, factor structure and construct validity of the BADS with a community sample with elevated depressive symptoms (N = 193). Results indicated good psychometric properties, additional evidence for construct validity of the total scale and subscales, and adequate fit of the data to the original factor structure. Normative data are also provided separately for depressed men and women, and for Caucasians and African Americans.     

Thinking About Me: How Social Awareness Evolved

ABSTRACT— Humans seem unique in their consideration of others' goals, motivations, intentions, and needs. But the human form of social awareness did not spring from nowhere; certain mechanisms shared across primates formed the foundation from which these processes derived. A review of recent nonhuman primate research points to particular ancestral mechanisms, including an interest in images moving in synchrony with self, a mirror neuron system that responds in the same way to actions made by the self and by others, and inherited social tolerance that provided the bases for social thinking. Still there is a gap in tracking social awareness from these basic beginnings to the ability to think about self and other with respect to intentions and goals. Comparative and clinical work will fill in this gap and will map brain processes onto social thinking.     

What Can Experiments Reveal About the Origins of Music?

ABSTRACT— The origins of music have intrigued scholars for thousands of years. In this article I discuss the role of experiments in discussions of these issues. I argue that potentially useful kinds of evidence are those that address the innateness and the specificity of different components of musical behavior. At present there is some evidence for innate influences on music, but little evidence for capacities that are clearly specific to music. Although future experiments could potentially alter this picture, there is currently little unambiguous support for the notion that music is an adaptation.     

Averting the Tragedy of the Commons: Using Social Psychological Science to Protect the Environment

ABSTRACT— Many local and global environmental challenges are tragedies-of-the-commons dilemmas in which private and collective interests are frequently at odds. Recent developments in social psychological theory and research suggest that in such commons dilemmas people are not just motivated by narrow (economic) self-interest but that they also consider the broader implications of their decisions for others and for the natural environment. Based on a core-motives analysis, I identify four necessary components for designing interventions to protect the environment: (a) information, (b) identity, (c) institutions, and (d) incentives, and discuss their utility and the feasibility of incorporating them.     

Social cues for creativity: The impact of behavioral mimicry on convergent and divergent thinking

We present behavioral mimicry as a social cue for creative thinking. Specifically, we argue that being mimicked by an interaction partner cues convergent thinking by signalling a social opportunity for collaboration, while not being mimicked cues divergent thinking by signalling a social demand for improvisation and innovation. To test this theory, we experimentally manipulated whether individuals were subtly mimicked or not by an experimenter during a 5 min social interaction, and subsequently measured participants’ capacity for convergent thinking (Experiment 1) and divergent thinking (Experiment 2). The results point to the importance of understanding how social relationships influence the creative processes and contributes to the growing understanding of the social function of behavioral mimicry.     

Behavioral and Emotional Rating Scale: Two Studies of Convergent Validity

As the field of mental health services shifts its focus to early intervention, the need to develop valid and reliable measures of young children's behavioral functioning is clear. Traditional assessment instruments have focused on deficits, problems, and pathologies to the exclusion of strengths and competencies. However, assessing child strengths provides parents, direct service providers, and educators with a more holistic view of the child's functioning and an understanding of skills from which individualized treatment and education plans may be written. The Behavioral and Emotional Rating Scale (BERS; Epstein & Sharma, 1998) is a strength-based instrument designed to identify children's behavioral and emotional strengths. The psychometrics of the BERS has been demonstrated through several studies; however, the focus has mainly been on older age students. We sought to assess the convergent validity of the BERS with kindergarten children. The results of these two studies provide further support of the psychometric characteristics of the BERS and indicate its appropriateness with young children.     

Evolution: Journey or Random Walk?

Though early ideas of evolution saw it as progressive, most modern theories see it as a random walk. The theories of Richard Dawkins, Stephen Jay Gould, Edward O. Wilson, Stuart Kauffman, Steven Rose, and Robert Wesson are surveyed, showing their agreement on the fact of evolution but not on the mechanism. Evolution is an incomplete theory. Any theology should therefore be based only on its broadest features. Generally, evolution is the development of complex forms from simple ancestors. Within a Christian context, it can be seen as a journey toward the unification of all things in Christ, the ultimate complexity.