Book Review of Health and the Construction of the Individual. J. Ogden. London: Routledge, 2002. i–viii + 130 pages ISBN 0415233070

Abstract

Recent theoretical and empirical research has challenged the assumption of health psychologists employing social cognitive models that beliefs can confidently be inferred on the basis of questionnaire responses. It is charged that responses to questionnaires are a function of the intelligibility of the items, constructs and theoretical framework to survey participants. To investigate this contention, cognitions specified by Protection Motivation Theory (PMT) were measured with respect to intentions to use a condom and intentions to use dental floss. Three alternative formats of a questionnaire which varied the order of presentation of PMT items were distributed to student samples. Analyses showed that while questionnaire format did not affect the reliability of cognition measures, there was some variation in the significance and strength of correlations between PMT cognitions across formats. Individual differences in social desirability and salience of the target behaviour had small and predictable effects upon reliabilities and intercorrelations. Implications for the measurement of health beliefs and the status of questionnaire responses are outlined and suggestions are made for controlling bias associated with respondents' capacity to “read” a questionnaire.     

Forgiveness is an emotion-focused coping strategy that can reduce health risks and promote health resilience: theory,review, and hypotheses

Experimental evidence suggests that when people are transgressed against interpersonally, they often react by experiencing unforgiveness. Unforgiveness is conceptualized as a stress reaction. Forgiveness is one (of many) ways people reduce unforgiveness. Forgiveness is conceptualized as an emotional juxtaposition of positive emotions (i.e., empathy, sympathy, compassion, or love) against the negative emotions of unforgiveness. Forgiveness can thus be used as an emotion-focused coping strategy to reduce a stressful reaction to a transgression. Direct empirical research suggests that forgiveness is related to health outcomes and to mediating physiological processes in such a way as to support the conceptualization that forgiveness is an emotion-focused coping strategy. Indirect mechanisms might also affect the forgiveness-health relationship. Namely, forgiveness might affect health by working through social support, relationship quality, and religion.     

Exploring the Role of Spirituality in the Context of the Five Factor Model of Personality in a South African Sample

The study explored the relationship between the Five Factor Model of personality and spirituality by using the NEO PI-R (Costa & McCrae, 1992) and the Spiritual Transcendence Scale (STS) (Piedmont, 1999) respectively. Participants were 94 psychology undergraduate students at a large South African university (mean age = 19.1 years; SD =1.43, males =19, females=75). Data were analyzed using both correlations as well as principal components analysis with varimax rotation. Evidence from both correlations and factor analysis suggest separate domains within the FFM as well as a separate factor for spirituality. These results provide support for claims that aspects of spirituality are not accounted for by the FFM as operationalised by the NEO-PI-R and by implication the FFM may not be a complete taxonomy of personality.     

Resilience in Families Adapting to Autism Spectrum Disorder

This study explored adjustment and adaptation in families living with Autism Spectrum Disorder (ASD). Data on family resilience were collected from 19 biological mothers of children with ADS. The data were analysed qualitatively and quantitatively to yield information on factors that enable these families to bounce back from the diagnosis and accompanying challenges with regard to ADS. The findings from the qualitative analysis indicate that social support, the spousal relationship, and family time, togetherness and routines are the most important resilience-promoting factors with ASD. Family hardiness, family problem-solving communication, and family time and routines were significant resilience resources.     

Determinants of coach motivation and autonomy supportive coaching behaviours

ObjectiveThe objective of the present study is to build upon the existing literature examining the coaching context and how it relates to coaches' use of autonomy-supportive interpersonal behaviours (i.e. Stebbings, Taylor, Spray, & Ntoumanis, 2012) by identifying additional environmental factors and exploring the role of coach motivation.DesignAn academic model designed by Pelletier, Seguin-Levesque, and Legault (2002) to predict teacher motivation and autonomy-supportive styles in academic settings, was adapted to the coaching context.MethodsThe influence of pressure from above (sport administrations) and pressure from below (athlete motivation) on coach motivation and autonomy-supportive coaching behaviours was tested using structural equation modeling.ResultsResults support the fit of the model in a sport context.ConclusionsPressure from above, pressure from below, and coach motivation predict coaches’ reported use of autonomy-supportive behaviours.     

A non-linear model of dynamics: A case of panic

This is a case report of a patient with panic who is on the edge of relapse into alcoholism. It is a case of general theoretical interest, because of the separate phases of containment of his desperation, involving psychopharmacology, sociotherapy, and psychotherapy. It extends the dynamic model into non-linear dynamics, an extension that allows the patient to come to face his amazement at the sudden eruption of unconscious forces, and that allows the psychotherapist to see the therapeutic path of backing up from walking forward, unwittingly, into catastrophe.     

Health Literacy,Health Inequality and a Just Healthcare System

Limited health literacy is a pervasive and independent risk factor for poor health outcomes. Despite decades of reports exhibiting that the healthcare system is overly complex, unneeded complexity remains commonplace and endangers the lives of patients, especially those with limited health literacy. In this article, we define health literacy and describe the empirical evidence associating health literacy and poor health outcomes. We recast the issue of poor health literacy from within the ethical perspective of the least well-off and argue that poor health outcomes deriving from limited health literacy ought to be understood as a fundamental injustice of the healthcare system. We offer three proposals that attempt to rectify this injustice, including: universal precautions that presume limited health literacy for all healthcare users; expanded use of technology supported communication; and clinical incentives that account for limited health literacy.     

Roles of Leisure in Coping with Stress Among University Students: A Repeated-Assessment Field Study

This article reports findings of a study to examine the effects of leisure coping on various stress coping outcomes including: immediate outcomes (perceived coping effectiveness, perceived satisfaction with coping outcomes, and perceived stress reduction) and distal or long-term outcomes (physical and mental ill-health and psychological well-being), above and beyond the contributions of general coping - coping not directly associated with leisure. A repeated-assessment field design was used to examine ways in which university students cope with stressors in their daily lives. The study found that leisure coping beliefs (leisure-generated dispositional coping resources) significantly predicted lower levels of mental and physical ill-health and greater levels of psychological well-being above and beyond the effects of general coping. Also, the use of leisure coping strategies (situation-specific stress coping strategies through leisure) was significantly associated with higher levels of perceived coping effectiveness and stress reduction when the effects of general coping were taken into account. Significant contributions of specific leisure coping dimensions were found as well.     

The multidimensionality of test anxiety: A test of different models

Abstract

Confirmatory factor analysis was employed to test the multidimensional structure of test anxiety. Starting with the traditional two-factor model, it was of interest whether additional dimensions could still be represented by a single higher-order factor of test anxiety or whether the additional dimensions represented correlates of test anxiety. The Revised Test Anxiety (RTA) scale and the German Test Anxiety Inventory (TAI-G) were combined collecting data from a binational sample of 218 American and 218 German university students. Considering the statistical and theoretical aspects of model fit, they indicated that a model consisting of three primary factors (worry, emotionality, and lack of confidence) fit the data best. While distraction and self-efficacy may be regarded as correlates of test anxiety, lack of confidence was substantiated as a component of test anxiety. Implications for the conceptualization of the content domain and hence area of test anxiety were discussed.     

Dissociation of sensory facilitation and decision bias in statistical learning

ABSTRACT

The detection of regularities in the sensory environment, known as statistical learning, is an important brain function that has been observed in many experimental contexts. In these experiments, statistical learning of patterned sensory stimulation leads to improvements in the speed and/or accuracy with which subsequent stimuli are recognized. That is, statistical learning facilitates the transformation of sensory stimuli into motor responses, but the mechanism by which this occurs is unclear. Statistical learning could improve the efficiency of sensory processing, or it could bias responses toward particular outcomes. The distinction is important, as these different hypotheses imply different functions and different neural substrates for statistical learning. Here we address this problem by studying statistical learning as a decision-making process, which allows us to leverage the extensive computational literature on this topic. Specifically we describe a method for applying the Diffusion Decision Model (DDM) to isolate different sensory and cognitive processes associated with decision-making. The results indicate that statistical learning improves performance on a visual learning task in two distinct ways: by altering the efficiency of sensory processing and by introducing biases in the decision-making process. By fitting the parameters of the DDM to data from individual subjects, we find that the prominence of these two factors differed substantially across the population, and that these differences were predictive of individual performance on the psychophysical task. Overall, these results indicate that different cognitive processes can be recruited by statistical learning, and that the DDM is a powerful framework for detecting these influences.