The dilemma of primary prevention in mental health services: Rationalize the status quo or bite the hand that feeds you

That primary prevention has been ‘inappropriately marginalised’ is seen to be an inevitable outcome of reliance on government support. Policy makers and service providers can never be expected to give prevention a higher priority than direct service. Preventionists have developed two strategies for doing their work. One, based on the logical positivist ideal, seeks specific causal models for specific disorders. This sort of prevention research, while it will always remain less well funded than direct services, tends not to challenge the status quo belief in individual responsibility, or the acceptable methods of mainstream science, and thus will tend to be more acceptable than other forms of prevention research and services. An alternative, based on a social constructivist paradigm engages in social action research through collaboration with a variety of grass roots organizations and people outside the mainstream of power. This latter approach, brings to preventionists ideas from feminists, ethnic minority leaders, neighborhood organizers, and self and mutual help group leaders. It is a sensible way to use the resources available to those professionals interested in social change oriented prevention.     

Reviews

H. Helfrich (ed.), Time and Mind
Hans Eysenck, Genius: The Natural History of Creativity     

Soft tissue anatomy of the tongue and floor of the mouth: An ultrasound demonstration

Ultrasound technology has not been used extensively in the study of normal and abnormal oral physiology and speech. Features such as soft tissue detail, real-time motion display, and subject safety make ultrasound ideal for imaging the tongue and the floor of the mouth. This study demonstrates visualization of the muscles of the tongue and floor of the mouth for a normal subject using ultrasound imaging. By employing submandibular transducer placement of real-time sector scanners, tongue anatomy and motion were continuously visualized in sagittal or coronal planes. In addition to the entire tongue surface, much of the intrinsic anatomy was identified including: the genioglossus, geniohyoid, mylohyoid, and digastric muscles; fascial boundaries such as the median fibrous septum, floor intermuscular septum, and paramedian septums; and the hyoid bone. A tongue excised from a human cadaver was scanned using ultrasound and dissected to confirm the anatomy seen in the live tongue. Tongue surface shape and configuration of the intrinsic tissue structures were observed and compared for the phonemes /k/, /u/, and /i/. Anatomical landmarks in the resting and speaking tongue are discussed as well as applications in the fields of speech science and speech pathology.     

The actual and retrospective-occupational self-concept dimensions of retired educators

A 20-item adjective checklist was used by 118 retired educators to describe their actual and retrospective-occupational self-concepts. The men made their retrospective ratings for middle-aged and preretired occupational roles. The intercorrelations among the self-concept ratings were multiple-set factor analyzed, and seven common dimensions were identified: (1) stability, (2) conventionality, (3) independence, (4) practicality, (5) status, (6) confidence, and (7) cleverness. The results suggested that the retired educators had used the same dimensions in describing their actual and retrospective-occupational self-concepts. The percentages of variance contributed by the dimensions within the self-concept structures were also reported and discussed within the framework of career development.     

Effects of computer-mediated vocational guidance procedures: Accuracy of self-knowledge

To assess the effectiveness of vocational guidance procedures proposed for inclusion in a computer-based vocational exploration system, 128 11th-grade male subjects were randomly assigned to three experimental groups and a control group. One group was given a computer-generated accuracy of self-knowledge feedback, another group was taught on occupational classification scheme, a third group experienced both. Measures of self-knowledge showed increased accuracy about intelligence, but not about interests, after treatments that included the feedback. Increases were largely due to changes in subjects who originally underestimated their intelligence. A delayed posttest indicated that the increases did not persist.     

Age,sex, training,and the measurement of field dependence

This study was designed to: (a) examine the effects of age and sex on a person's susceptibility to field dependence training; (b) determine whether the field dependence phenomenon is a function of “cognitive style” or of a person's general inability to make correct judgments in the face of too much confusing and inaccurate information. Traditional Rod and Frame scoring is based on the latter assumption. Interpretation of results, however, has traditionally been based on the “cognitive style” assumption. Results indicate that Rod and Frame results are not a function of cognitive style. This seems particularly true of two aspects of the field dependence phenomenon: (a) the sex difference effect and (b) the correlation between Rod and Frame and Embedded Figures results. Age, more than sex, may be a function of both cognitive style and general ability to perceive the upright. A training effect was not demonstrated. Hypotheses were put forward to explain the nature of field dependence, the magnitude of field dependence errors, and the lack of a training effect.     

The role of sex and personality in the prenegotiation stage of coalition formation

Research in the area of sex differences in coalitional behavior has produced inconsistent results that may be partially resolved through an examination of personality and attitudinal differences between males and females. The responses of males and females to the Shure and Meeker Personality/Attitude Schedule were analyzed and the sexes differed in their elevation on six major factors. A subsample of each sex participated in a coalition game situation. Four of the six personality and attitude factors were related to prenegotiation stage indices of coalition formation. It was suggested that the role of sex differences in coalitional behavior may be mediated by sex role socialization differences.