exploring drug users' illness representations of hiv,hepatitis b and hepatitis c using repertory grids

Abstract

Hepatitis B and C viruses are more prevalent among injecting drug users than HIV. This study explored drug users' illness representations of hepatitis B and C using repertory grid methodology. Initially, nine drug users were presented with six elements including hepatitis B and C, and HIV. Constructs were elicited via the sequential form variation of the method of triads. Elements were rated on elicited constructs using a five-point scale, and analyzed using “Flexigrid”. In a second quantitative research stage, 52 drug users were presented with six elements and supplied constructs. Results of the first stage indicated participants were able to generate constructs relating to Leventhal et al.'s (1980) features of illness representations. Most constructs, however, were causal in nature. Participants perceived hepatitis B, C and HIV similarly along the causal component. This similarity on the causal component was largely replicated in the second research stage. Participants, however, distinguished HIV from hepatitis B and C along serious, cure and timeline features. Participants did not distinguish hepatitis B from hepatitis C. The implications of these results for health promotion are discussed.     

Episodic future thinking in children compared to adolescents

Episodic thinking involves the ability to re-create past and to construct future personal events, which contain event-specific (episodic) and general (semantic) details. The richness of episodic thought for past events improves as children move into adolescence. The current study aims to examine changes in episodic future thinking and to establish the cognitive underpinning of these changes. Typically developing children (n = 14) and adolescents (n = 15) were tested using an adapted version of the Child Autobiographical Interview (CAI) that required generation of past and future personally relevant events. Relational memory and executive skills were also examined. Significant developmental gains were found in richness of events recall across temporal directions (past and future) and across different types of details (episodic and semantic). Developmental gains in richness of past events were also shown to correspond to developmental gains in generation of future events. Moreover, developmental changes in relational memory and (to a lesser extent) executive functions were found to relate to increases in the amount of episodic (but not semantic) details provided. Our study highlighted the similarities between past and future episodic thinking in typically developing children and adolescents. It also raises a possibility that children with developmental and neurological disorders with impaired relational memory and/or executive skills may be at risk of difficulties with episodic thinking.     

Multiple Attachment Representations in Clinical Practice: Case Study of a Six-Year-Old Maltreated Child

Research on attachment predominantly traces the effect of a single or primary attachment and/or attachment style on working models and behavior. However, most children form multiple attachments. This article reviews research on multiple attachment representations in children and considers how such information can usefully be applied to clinical settings. Through the case study of a six-year-old adopted boy with a history of maltreatment, it explores how those internal working models can be assessed in treatment and the clinical value of recognizing different attachment representations and styles. Implications for treatment interventions are explored.     

Flexibility over automaticity: Separable representations for colours and words

This study demonstrates that associations between colour words and the colours they denote are not mandatory. Experiments 1–3 used a go/no-go task in which participants responded to one print colour and one word and withheld response from another print colour and another word. In Experiment 1, the content of the words denoted noncolour entities. In Experiment 2 the two words denoted two colours that were different from the target print colours. In Experiment 3, the words denoted the same colours as the target print colours but each response set included incompatible print colour and word (e.g., one response to the print colour blue and the word “green” and another response to the print colour green and the word “blue”). Participants performed equally well in all the experiments. Experiment 4a used Arabic digits and words denoting numbers, two formats that are known to have shared representations. Here, participants had difficulties separating their responses to the digits and words. These results suggest that representations of words are distinct from the content that they represent, supporting the existence of distinct verbal and colour modules.     

Two facets of cognitive control in analogical mapping: The role of semantic interference resolution andgoal-driven structure selection

The study used scene analogies to investigate two component processes of analogical thinking: resolution of semantic interference, which emerges when the proper mapping between analogically matching objects is incoherent with their categorical features (e.g., stereotypical functions), and goal-driven selection of the key relational structure, by directing attention to the most promising objects which constitute that structure among many other candidate objects. We manipulated interference by placing in corresponding scenes the objects from one category in different relational roles. Selection was loaded by including additional, relationally irrelevant objects in a scene. We also manipulated relational complexity and the presence of salient objects (people) in relations. Increased load on both interference resolution and selection decreased the accuracy of analogical mapping, but these factors did not interact. Moreover, the factors yielded opposite patterns of interaction with relational complexity. Finally, salience eased selection, but tended to negatively influence interference resolution. In summary, inference resolution and selection seem to constitute two relatively independent facets of cognitive control involved in analogical thinking. Selection may act before mapping occurs, while interference influences analogy making only if an interfering object takes part in mapping.     

The Influence of Reduced Visual Acuity on Age-Related Decline in Spatial Working Memory: An Investigation

ABSTRACT

To investigate the relationship between visual acuity and cognitive function with aging, we compared low-vision and normally-sighted young and elderly individuals on a spatial working memory (WM) task. The task required subjects to memorise target locations on different matrices after perceiving them visually or haptically. The haptic modality was included as a control to look at the effect of aging on memory without the confounding effect of visual deficit. Overall, age and visual status did not interact to affect WM accuracy, suggesting that age does not exaggerate the effects of visual deprivation. Young participants performed better than the elderly only when the task required more operational processes (i.e., integration of information). Sighted participants outperformed the visually impaired regardless of testing modality suggesting that the effect of the visual deficit is not confined to only the most peripheral levels of information processing. These findings suggest that vision, being the primary sensory modality, tends to shape the general supramodal mechanisms of memory.     

In Pursuit of Happiness: How Some Young South African Children Construct Happiness

The purpose of the study was to explore the ways in which young South African children construct the notion of happiness. The small-scale study was conducted with children (n=42) in middle childhood between the ages of 6 and 13 years. Four fieldworkers were trained to elicit responses from young children through face-to-face, semi-structured interviews and six open-ended questions. This data collection strategy was twinned with the elicitation of graphic representations of ‘happiness’ as expressed and projected by the young children. Observations and audiotape data capturing served as secondary data sources. Interviews were transcribed verbatim and analysed through theme analysis. Axial coding followed open coding as themes emerged. Graphic representations were analysed using basic psychological analysis techniques and then correlated with established themes from the interview data. Results from the study indicate that the participants in the study constructed ‘happiness’ predominantly in terms of relationships, recreation and the attainment of material possessions.     

Programming of time-to-peak force for brief isometric force pulses: Effects on reaction time

According to the parallel force unit model (PFUM) the programming of an isometric force pulse requires the specification of the number of force units and force unit duration. The programming of a force pulse with minimal time-to-peak force is an exception, however, as force unit duration is limited by the minimal possible value, which should be easier to adjust than larger force unit durations. Therefore, the duration of the programming process should be shorter for these force pulses and hence should result in shorter reaction time (RT). Four experiments assessed this prediction using a response precueing procedure. In each experiment the participants produced isometric flexions with their left or right index finger, and time-to-peak force was manipulated within a block. The results are consistent with the predictions of PFUM. The results, however, are at variance with alternative accounts which assume that RT depends primarily on response duration or rate of force production.     

Producing and recognizing words with two pronunciation variants: Evidence from novel schwa words

This study examined the lexical representations and psycholinguistic mechanisms underlying the production and recognition of novel words with two pronunciation variants in French. Participants first learned novel schwa words (e.g., /??nyk/), which varied in their alternating status (i.e., whether these words were learned with one or two variants) and, for alternating words, in the frequency of their variants. They were then tested in picture-naming (free or induced) and recognition memory tasks (i.e., deciding whether spoken items were learned during the experiment or not). Results for free naming show an influence of variant frequency on responses, more frequent variants being produced more often. Moreover, our data show an effect of the alternating status of the novel words on naming latencies, with longer latencies for alternating than for nonalternating novel words. These induced naming results suggest that both variants are stored as lexical entries and compete during the lexeme selection process. Results for recognition show an effect of variant frequency on reaction times and no effect of variant type (i.e., schwa versus reduced variant). Taken together, our findings suggest that participants both comprehend and produce novel French schwa words using two lexical representations, one for each variant.     

Mental Representations in Stressful Situations: The Calming and Distressing Effects of Significant Others

According to attachment theory, attachment figures serve a safe haven function in stressful situations by reducing anxiety through physical proximity. The current study tested the effects of cognitive safe haven in adulthood. Thoughts of a significant other who was not physically present were hypothesized to reduce feelings of anxiety in a stressful situation. Participants imagined and described either a significant other or an acquaintance while waiting to take part in a potentially stressful task. An interaction between working models of attachment and experimental condition was found for distress scores. Thinking about a significant other led to lower levels of distress for individuals with a positive model of self, but higher levels of distress for individuals with a negative model of self.