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.     

For the Good of the Group? Balancing Individual and Collective Risks and Benefits in Community Psychology Research

Balancing risks and benefits is a necessary ethical task for social science researchers. Community psychologists must often consider risks and benefits not just for individual participants, but also for the group, system, or society that those individuals inhabit. Little ethical guidance currently exists for how to navigate this ethical challenge across these multiple levels. In this article, we use a case example of social network research incorporating multiple levels of analysis to identify common risks and benefits and understand their relationship to each other. We conclude by discussing distinctive ethical considerations revealed by this case example.     

Personal Value Priorities and National Identification

We examine relations of personal value priorities to identification with one's nation. We hypothesize that relations of values to identification depend on the motivations that can be attained by identifying with a nation. Study 1 confirmed the hypothesis that identification with one's nation correlates positively with conservation values and negatively with openness to change values in Israel and the USA. Moreover, values predicted identification with the nation above and beyond Right‐Wing Authoritarianism. Study 2 showed that increasing the salience of conservation values produced higher identification with Israel, whereas increasing the salience of openness to change values produced lower identification. Study 3 tested the hypothesis that when identification with a national group conflicts with social expectations it has different, even reversed relations with value priorities. We examined identification of recent immigrants to Israel. The more pressure immigrants felt to assimilate, the more positive the correlation of conservation values with identification with the country of residence (Israel) and the more negative the correlation of conservation values with identification with the country of origin (Russia). Taken together, the findings point to the utility of values in revealing the motivational functions of identification with a nation.     

Categorization by groups and individuals

Categorization is a core psychological process that is central to decision making. While a substantial amount of research has been conducted to examine individual categorization behavior, little is known about how the outputs of individual and group categorization may differ. Four experiments demonstrate that group categorization differs systematically from individual categorization in the structural dimension of category breadth: categorizing the same set of items, groups tend to create a larger number of smaller categories than individuals. This effect of social context is a function of both taskwork and teamwork. In terms of taskwork, groups’ greater available knowledge mediates differences in category breadth between individuals and groups by increasing utilized knowledge (study 2). In terms of teamwork, task conflict moderates the effect of social context on category breadth (study 3). Moreover, the experience of categorizing individually or in a group influences individuals’ subsequent judgments (study 4).     

Can confidence come too soon? Collective efficacy,conflict and group performance over time

Groups with a strong sense of collective efficacy set more challenging goals, persist in the face of difficulty, and are ultimately more likely to succeed than groups who do not share this belief. Given the many advantages that may accrue to groups who are confident, it would be logical to advise groups to build a high level of collective efficacy as early as possible. However, we draw on Whyte’s (1998) theory of collective efficacy and groupthink, to predict that when confidence emerges at a high level toward the beginning of a group’s existence, group members may be less likely to engage in process conflict; a form of conflict that may be beneficial in the early phase of a group project. We found support for this prediction in two longitudinal studies of classroom project teams.     

Diversity’s harvest: Interactions of diversity sources and communication technology on creative group performance

Our research is based on arguments that three different diversity sources in groups – agreeableness, openness, and ethnicity – might simultaneously possess separation properties that result in social categorization and variety properties that provide non-redundant and value-adding information resources. To help understand how these diversity sources interact with the additive and reductive features of communication technology to impact group creativity, we designed two studies involving computer mediation, nominal group technique, and face-to-face (control) communication. Our findings suggest that agreeableness, openness, and ethic diversity possess both negative separation and positive variety properties. Whereas the separation properties of all three diversity sources, as well as the variety properties of openness diversity, are evident in newly-formed groups, the variety properties of agreeableness and ethnic diversity are only manifest in mature groups. Finally, the additive and reductive features of communication technology interact with all three diversity sources to impact creative group performance in different ways.     

Behavioural group therapy for obsessive-compulsive disorder in Norway. An open community-based trial

The aim of the current study was to test the effectiveness of ERP-based 12 weeks group therapy for OCD patients in a community-based, general Norwegian outpatient clinic. The sample consisted of 54 patients diagnosed with OCD. The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), the Beck Depression Inventory (BDI) and the Spielberger State Anxiety Inventory (STAI-S) were administered before treatment, after treatment and at 3- and 12-month follow-ups. Analyses with mixed models for repeated measurements showed that group behavioural therapy offered to OCD patients significantly improved ratings of obsessive-compulsive symptoms, depression and anxiety. These improvements were maintained at 3- and 12-month follow-ups and an additional reduction in obsessive-compulsive symptoms was observed from post-treatment to 3-month follow-up. However, the delayed effect of therapy was no longer present at 12-month follow-up. The results also revealed that the patients had a lower chance for an increased outcome category (e.g. from unchanged to improved or recovered) with high scores on STAI-S at the given observation times (post-treatment, 3- and 12-months follow-ups). Depressive symptoms (BDI) at post-treatment and follow-ups had no significant influences on the three categories of outcome for OCD. In conclusion, the results indicate that behavioural group therapy can successfully be delivered to patients with considerable comorbidity in a real world setting conducted by therapists with limited training in the CBT.     

情绪感染理论研究述评

情绪是一种具有组织性, 深刻内涵, 并且持续变化的心理状态。人们可以通过捕捉他人的情绪来感知周边人的情感变化, 这一交互过程被称为情绪感染。当前关于情绪感染形成机制的理论假设主要包括模仿-回馈机制、联想-学习机制、语言调节联想机制、认知机制、直接诱导机制等, 其中模仿-回馈机制得到了大多数学者们的接受。在情绪感染的形成过程中, 个体差异性、性别、文化构成了主要的调节变量, 它们影响着个体情绪感染的强度变化。近年来, 情绪感染理论研究从个体情绪感染的机制研究转向群体内部个体间的情绪感染交互作用研究, 循环效应被用于解释成员间的情绪感染过程。在未来的研究中, 应注意以下方面：1)个体差异性对情绪感染的感知程度的系统研究; 2)群体成员间的情绪感染机制研究, 特别是群体负面情绪的交互作用研究; 3)情绪感染理论在服务管理等人员交互性强的行业内的实践应用问题。     

Focused group therapy: An integrative approach

Focused Group Therapy (FGT) was developed within a research project on treatment for burned out patients on long-term sick leave. The core of FGT is to find and formulate an individual focus expressed in behavioural terms. This focus is then worked with in the here-and-now of the group therapy. It is argued that the use of common factors in group therapy, rather than a special technique, improves the clinical work. Thesupport factor in group therapy is understood in terms of cohesion, therapeutic alliance and goal-corrected empathic attunement. Thelearning factors that are stressed are the experience of being a part of a developing group, building on similarities instead of differences, affective communication and the implicit knowledge developed in new ways of dealing with interpersonal relations. Theaction factor is considered to consist of challenging interpersonal situations corresponding to the individual focus, which are mastered in the here-and-now of the group.     

Intuitive theories of group types and relational principles

Three studies investigated perceivers’ beliefs about the principles by which different kinds of social groups govern interactions among group members. In Study 1, participants rated a sample of 20 groups on a set of group properties, including measures of relational principles used within groups. Results showed that people believe that interactions in different types of groups are governed by different blends of relational principles unique for each type of group. Study 2 experimentally demonstrated that perceivers could use minimal group property characteristics of different types of groups (i.e., extent of group member interaction, group size, duration, and permeability) to make inferences about the relational principles used in different types of groups. Study 3 demonstrated that relational style information influences people’s judgments of a group’s entitativity and collective responsibility.