The Future of Psychology in Family Medicine

Psychology has been integral to the field of family medicine since its inception as a medical specialty in the 1960s. Psychologists and other behavioral scientists contribute to family medicine in teaching clinical skills, in defining research questions, in developing research methodology, and in creating integrated physical/mental health care delivery systems. Future developments in the field of psychology in family medicine are likely to emphasize development and evaluation of screening measures which identify mental health problems in primary care, development of early intervention for those mental health problems, and more precise measurement of process and quality of care and health outcomes. Psychologists have an important role to fulfill in educating physicians on alternatives to pharmacologic and medical interventions for common presenting problems in primary care. However, current economic forces shaping the practice of medicine may work against further enhancing the efficacy of the physician in dealing with psychosocial issues. The future role of psychology in family medicine is not yet delineated, and while the move toward parity of reimbursement for mental and physical health care delivery may enhance this collaboration, there is a need to continue to evaluate how the psychological well-being of patients is influenced in the evolution of new models of care delivery.     

Pediatric Psychology: Child Psychological Health in the Next Century

The future of pediatric psychology is reviewed and placed in brief historical context in relation to children's psychological health care. Contemporary trends affecting the delivery of psychological services, research, and clinical training are highlighted, with suggestions for future development. Pediatric psychology is a child-based, developmentally-focused multidisciplinary practice directed toward psychosocial and neuropsychological issues of health and illness in children and youth. Pediatric psychologists need to develop strong professional identities as health care psychologists combined with a collegial and collaborative arrangement with physicians to ensure the future growth and development of pediatric psychology in the next century as a major vehicle to promote children's health care.     

婴儿共同注意能力的发展

本研究采用严格的实验室测验法,从年龄趋势、学习能力、性别差异三方面考察了8～11个月婴儿共同注意能力的发展。结果表明：1）婴儿的共同注意力在8～11个月间逐步提高,9个月左右出现显著的发展性变化,但1岁以前,该能力的发展水平都较低;2）就共同注意而言,婴儿具有从练习经验中学习的可能性,且学习能力存在年龄差异,8个月的婴儿基本不能从练习中受益,而8个月以上的其他三组婴儿在练习后共同注意水平都有不同程度的提高;3）总体而言,女婴共同注意能力的发展水平显著地高于男婴。     

人性观对心理学理论与研究的影响

心理学的基本理论,尤其是人格理论,通常都蕴含着对人性的假设。人性观的差异常常导致其理论建构的差异。而且人性观影响心理学研究的方式、方法,影响对心理成因的认识、对心理疾病的理解、及对异常矫正策略的选择。     

8─11个月婴儿迂回行为发展特点与学习能力的研究

采用程序标准化的婴儿迂回行为测验,探讨了２４４名８－１１个月婴儿的迂回行为发展特点及学习能力。结果表明：（１）８－１１个月婴儿的迂回行为水平表现出随婴儿月龄的增长而提高的趋势。（２）８－１１个月的婴儿具有从反复尝试中学会迂回行为的可能性,其中９、１０个月的婴儿的学习可能性较大,而８个月婴儿的学习可能性较小。（３）８－１１个月婴儿的学习速度随月龄增大而提高。     

Relative sensitivity of the mutual exclusivity and novel-name-nameless category assumptions

The mutual exclusivity (ME) assumption states that children affix a novel label to only one unfamiliar object, while the novel-name-nameless category (N3C) assumption states that children affix a novel label to multiple unfamiliar objects. To compare the relative sensitivity of the two assumptions, two types of tasks, with two trials in each, were given to 5-year-olds. In the first trial of each task, all children selected only the unfamiliar object for a novel label, which was consistent with the ME assumption. For the task which did not have the same unfamiliar object in the two trials, 94% of the children selected the object with the same shape but black-white reversed image in the second trial, which was consistent with the N3C assumption. For the task which had the same unfamiliar object in the two trials, 43% of the children selected the same object in the second trial, which was consistent with the ME assumption, and 48% of them selected the object with the same shape but reversed image, which was consistent with the N3C assumption. The findings suggest that the ME and N3C assumptions can be flexibly applied to children's word learning.     

Stimulus control in the use of landmarks by pigeons in a touch-screen task

Pigeons were tested in a search task on the surface of a monitor on which their responses were registered by a touch-sensitive device. A graphic landmark array was presented consisting of a square outline (the frame) and a colored “landmark.” The unmarked goal, pecks at which produced reward, was located near the center of one edge of the frame, and the landmark was near it. The entire array was displaced without rotation on the monitor from trial to trial. On occasional no-reward tests, the following manipulations were made to the landmark array: (a) either the frame or the landmark was removed; (2) either one edge of the frame or the landmark was shifted; and (3) two landmarks were presented with or without the frame present. On these two-landmark tests, the frame, when present, defined which was the “correct” landmark. When the frame was absent, the “correct” landmark was arbitrarily determined. Results showed that pecks of 2 pigeons were controlled almost solely by the landmark, pecks of 3 were controlled primarily by the landmark but the frame could distinguish the correct landmark, and 1 bird's behavior was controlled primarily by the frame. Stimulus control in this search task is thus selective and differs across individuals. Comparisons to other search tasks and to other stimulus control experiments are made.     

Primary health care for women: What is it and who provides it?

Recent federal policy has highlighted historically underrecognized women's health issues. Women comprise the majority of the population, especially the elderly. Women's health care needs, utilization patterns, and outcomes vary from those of men, and often among each other. Primary health care services for women are multidisciplinary and emphasize prevention, education, and early intervention as well as treatment. Psychologists and other primary health care providers can collaborate to provide their services in a cost-effective manner that optimizes quality of care and comprehensive health care.     

Wisdom and abiding interest: Interviews with three noted historians in later life

This article explores the connections between wisdom-related attributes and abiding interest and draws upon material from interviews with three eminent historians in later life. It is proposed that one characteristic of wisdom, namely, the coordination of affective/attaching and cognitive/detaching modes of processing information, is related to abiding interest or the ability to self-regulate attention in a way that promotes lifelong learning. The article (a) reviews pertinent constructs in the literatures on adult development and wisdom; (b) presents selected excerpts from in-depth interviews; and (c) concludes by discussing the developmental implications of the ideas presented.     

Parenting stress in parents of children with attention-deficit hyperactivity disorder and parents of children with learning disabilities

Parenting a child with ADHD can challenge parenting resources and coping. Increasingly, researchers are examining the relationship between the behavior of the child with ADHD and family functioning. While studies have shown inceased parenting stress in parents of children with ADHD, these studies have compared children with ADHD to non-disabled children. This study compares reports of parenting stress among mothers of children with ADHD, mothers of children with learning disabilities and mothers of non-referred children. Results showed that parenting stress was highest for mothers of children with ADHD. Increased parenting stress was associated with child characteristics and, in particular, with externalizing behavior problems.