Changing the System by Changing the Workforce: Employing Consumers to Increase Access, Cultural Diversity, and Engagement

Services to families have traditionally been delivered in a medical model. This presents challenges including workforce shortages, lack of cultural diversity, lack of training in strength-based work, and difficulty in successfully engaging and retaining families in the therapy process. The system of care (SOC) effort has worked to establish formal roles for caregivers in SOC to improve services. This paper provides an example of one community's efforts to change the SOC by expanding the roles available to caregivers in creating systems change. It describes the model developed by Communities of Care (CoC), a SOC in Central Massachusetts, and its evolution over a 10 year period. First person accounts by system partners, caregivers hired into professional roles as well as a family receiving services, demonstrate how hiring caregivers at all levels can change systems and change lives, not only for those being served but for the caregiver/professionals doing the work. It also demonstrates, however, that change at the system level is incremental, takes time, and can be fleeting unless an ongoing effort is made to support and sustain those changes.     

The effects of behavioral inhibition/approach system as predictors of Internet addiction in adolescents

This study aimed to determine how the Behavioral Inhibition System (BIS) and the Behavioral Approach System (BAS) affect Internet addiction in adolescents. Two hundred and eleven high school students participated in this study and completed the Young’s Internet Addiction Test (IAT), BIS/BAS scales, and several self-administered questionnaires about depression, anxiety, and impulsivity. Hierarchical regressions showed that BIS and BAS × BIS emerged as significant predictors of IAT; however, only BAS-fun seeking subscale predicted IAT among BAS related subscales. In further analyses, the BAS-fun seeking subscale was mediated by impulsivity and anxiety, and BIS was mediated by anxiety and depression. The current findings imply that BIS and BAS interdependently influence vulnerability to Internet addiction through both shared (anxiety) and different (depression and impulsivity, respectively) pathways.     

Introduction

There are very significant conceptual links between theories of social macroevolution and theories of the World System development. It is shown that the growth of the World System complexity and integrity can be traced through a system of phase transitions of macroevolution. The first set of phase transition is connected with the agrarian, industrial, and information-scientific revolutions (that are interpreted as changes of “production principles”). The second set consists of phase transitions within one production principle. These phase transitions are analyzed on the basis of the World System urbanization dynamics, but they can be traced with respect to the other (cultural, economic, technological, demographic, political, etc.) dimensions of the World System development.     

Supplementary Study of Superstitious Belief Among College Students

A brief, reliable measure of sexual knowledge would be of obvious value in studies of family planning, population, and related issues. A 49-item test of sexual information was created by Miller and Fisk in 1969. Analysis of this device on a sample of 104 Ss suggested that a shorter and more convenient version could be developed. Deletion of 25 questions with weak or unacceptable statistical properties left 24 items for retention in a revised questionnaire. This 24-item version was then administered to new samples including 287 males and 246 females, permitting specification of provisional normative and interpretational data.     

Interpreting President Barack Obama's Facial Displays of Emotion: Revisiting the Dartmouth Group

Charismatic presidents like John F. Kennedy, Ronald Reagan, and now Barack Obama have been able to overcome stereotype‐based barriers to political power by connecting emotionally with viewers, particularly through their nonverbal skills. In this study we focus on the facial displays of emotion by President Obama and how participants interpret them. This study builds upon the pioneering research of the Dartmouth Group concerning response to displays of happiness‐reassurance by political leaders. It will first replicate and extend upon existing research by using Ekman and Friesen's Facial Action Coding System (FACS) to characterize facial displays by President Obama, specifically three neutral displays and three different types of smiles. Second, this study replicates research carried out over two decades ago concerning individual differences in sex, ethnicity, and age cohort on response to political candidates culturally defined as Black. Video focusing on the head and torso were FACS coded and presented in a web‐based experiment to 79 participants working at a southern institution of higher education. The participants identified the emotions felt by President Obama on a scale ranging from “not at all” to “extremely” focusing on the basic emotion terms of: “Happy” and “Playful” (happiness‐reassurance) and “Angry” and “Disgusted” (anger‐threat). Findings suggest participants differentiate between subtle facial‐display differences and that there are differences based upon ethnicity and support for President Obama when they interpret his facial displays of emotion.     

The role of system-justification motivation, group status and system threat in directing support for hate crimes legislation

We examine factors that explain variability in attitudes toward hate crimes legislation. We find that one's posture toward the current social system directs the conditions under which characteristics of hate crimes exert the most influence. System-justification motivation is negatively related to support for hate crimes legislation (Studies 1-3). This relation is partially mediated by perceptions of harm from hate crimes. Specifically, when hate crimes target low-status groups, system-justification motivation is negatively related to perceived harm and support for hate crimes legislation. Attitudes are unaffected when high-status groups are targeted. The status of the group targeted, perceptions of hate crimes as representative of the status quo, and temporarily enhanced feelings of system threat moderate this relation (Studies 2-4).     

More than fair: Outcome dependence, system justification, and the perceived legitimacy of authority figures

Legitimacy is a source of power for authorities because it promotes voluntary deference on the part of followers. From a system justification perspective, there is also reason to believe that power is a source of perceived legitimacy. We report five studies demonstrating that in addition to procedural fairness and outcome favorability, outcome dependence is an independent contributor to perceived legitimacy. In two cross-sectional field studies and one panel study, we hypothesized and found that dependence on an authority figure is positively associated with appraisals of legitimacy, measured in terms of trust and confidence in, empowerment of, and deference to authority. These effects were demonstrated in educational, political, and legal settings. Two additional experiments provided direct causal evidence for the hypothesized effect on both perceived legitimacy and voluntary deference (i.e., acquiescence to additional requests). We also found that participants assigned to a high (vs. low) dependence condition judged their outcomes to be more favorable, despite the fact that the outcomes were identical in the two conditions; this effect was mediated by perceived legitimacy. Taken as a whole, these findings suggest that perceived legitimacy is enhanced not only when authorities exercise fair procedures and deliver favorable outcomes, but also when subordinates are dependent on them. Implications for society and the study of legitimacy and social power are discussed.     

Using Participatory System Dynamics Modeling to Examine the Local HIV Test and Treatment Care Continuum in Order to Reduce Community Viral Load

Achieving community‐level goals to eliminate the HIV epidemic requires coordinated efforts through community consortia with a common purpose to examine and critique their own HIV testing and treatment (T&T) care system and build effective tools to guide their efforts to improve it. Participatory system dynamics (SD) modeling offers conceptual, methodological, and analytical tools to engage diverse stakeholders in systems conceptualization and visual mapping of dynamics that undermine community‐level health outcomes and identify those that can be leveraged for systems improvement. We recruited and engaged a 25‐member multi‐stakeholder Task Force, whose members provide or utilize HIV‐related services, to participate in SD modeling to examine and address problems of their local HIV T&T service system. Findings from the iterative model building sessions indicated Task Force members’ increasingly complex understanding of the local HIV care system and demonstrated their improved capacity to visualize and critique multiple models of the HIV T&T service system and identify areas of potential leverage. Findings also showed members’ enhanced communication and consensus in seeking deeper systems understanding and options for solutions. We discuss implications of using these visual SD models for subsequent simulation modeling of the T&T system and for other community applications to improve system effectiveness.     

Psychophysiological reactivity to sleep-related emotional stimuli in primary insomnia

The present study examined psychophysiological reactivity to emotional stimuli related and non-related to sleep in people with primary insomnia (PPI) and in good sleepers (GS). Twenty-one PPI and 18 GS were presented with five blocks of neutral, negative, positive, sleep-related negative and sleep-related positive pictures. During the presentation of the pictures, facial electromyography (EMG) of the corrugator and the zygomatic muscles, heart rate (HR) and cardiac vagal tone (CVT) were recorded. Subjective ratings of the stimuli were also collected. We found that only PPI exhibited greater inhibition of the corrugator activity in response to sleep-related positive stimuli compared to the other blocks of stimuli. Furthermore, PPI rated the sleep-related negative stimuli as more unpleasant and arousing and showed higher CVT in response to all stimuli as compared to GS. Results were interpreted as indicating that PPI exhibit craving for sleep-related positive stimuli, and also hyper-arousability in response to sleep-related negative stimuli, as compared to GS. Our results suggest that psychological treatment of insomnia could benefit by the inclusion of strategies dealing with emotional processes linked with sleep processes.