Racial healthcare disparities: A social psychological analysis

Around the world, members of racial/ethnic minority groups typically experience poorer health than members of racial/ethnic majority groups. The core premise of this chapter is that thoughts, feelings, and behaviours related to race and ethnicity play a critical role in healthcare disparities. Social psychological theories of the origins and consequences of these thoughts, feelings, and behaviours offer critical insights into the processes responsible for these disparities and suggest interventions to address them. We present a multilevel model that explains how societal, intrapersonal, and interpersonal factors can influence ethnic/racial health disparities. We focus our literature review, including our own research, and conceptual analysis at the intrapersonal (the race-related thoughts and feelings of minority patients and non-minority physicians) and interpersonal levels (intergroup processes that affect medical interactions between minority patients and non-minority physicians). At both levels of analysis, we use theories of social categorisation, social identity, contemporary forms of racial bias, stereotype activation, stigma, and other social psychological processes to identify and understand potential causes and processes of health and healthcare disparities. In the final section, we identify theory-based interventions that might reduce ethnic/racial disparities in health and healthcare.     

Interests and Leadership among Adolescents

The purpose of this study was to ascertain whether there is a differential relationship in the socialization of children with respect to gender identification when responses of children were examined with respect to race and sex (N = 596 fifth and sixth grade boys and girls). Strong father preference was found to have no effect on the choice a boy will make when choosing between male and female peers, during preadolescence, while a strong mother preference by a girl is related to the sex of the peers she chooses. Preadolescent girls who identify with their mothers chose girls with whom to interact in a variety of activities more frequently than they chose boys. A greater proportion of girls preferred to engage in activities with their mothers than boys preferred to engage in activities with their fathers. No differences were observed between racial groups in terms of girls' choices involving peers. Black boys, however, preferred to engage in activities with opposite-sex rather than same-sex peers to a greater extent than white boys.     

Variability and Determinism in Motor Behavior

In investigations into perception-action systems, variability of observable behavior may be considered to (a) interfere with inquiry, (b) be neither detrimental nor particularly useful to inquiry, or (c) play a crucial role in inquiry. The authors underscore recent suggestions that alternative (c) is a preferred strategy for the study of many motor behaviors. In tutorial fashion, the authors review the concepts of variability and determinism with respect to postural and rhythmic movements. Study of the variability of those behaviors has revealed crucial features suggestive of underlying mechanisms and control, such as particular blends of noise and determinism (piecewise determinism). It has also revealed general lessons (for example, more variable does not mean more random and more controllable does not mean more deterministic) that may extend to other classes of perceptual-motor behavior.     

Sequential Aiming with Two Limbs and the One-Target Advantage

Movement times to the first target in a 2-target sequence are typically slower than in 1-target aiming tasks. The 1-target movement time advantage has been shown to emerge regardless of hand preference, the hand used, the amount of practice, and the availability of visual feedback. The authors tested central and peripheral explanations of the 1-target advantage, as postulated by the movement integration hypothesis, by asking participants to perform single-target movements, 2-target movements with 1 limb, and 2-target movements in which they switched limbs at the first target. Reaction time and movement time data showed a 1-target advantage that was similar for both 1- and 2-limb sequential aiming movements. This outcome demonstrates that the processes underlying the increase in movement time to the 1st target in 2-target sequences are not specific to the limb, suggesting that the 1-target advantage originates at a central rather than a peripheral level.     

The Effects of Force and Direction Uncertainty on Choice Reaction Time in an Isometric Force Production Task

The two experiments reported examined the temporal organization of force and direction motor-programming processes in a step-input tracking type task. Both experiments observed a reduction in reaction time in the direction-uncertain conditions compared to the direction-certain ones. Thus it seems as though the direction decision does not have to precede the selection of the proper amount of force. Experiment 2 observed an underadditive interaction between levels of direction uncertainty (certain or uncertain) and levels of force uncertainty (certain or uncertain). This interaction was interpreted as support for a parallel organization of the processes responsible for the programming of force and direction and thus, strongly supports the parallel model of programming recently proposed by Klapp (1977a, b).     

A Cerebral Hyperventilation Index for Electroencephalography

This study was an attempt to determine the effect of drive on probability learning. Each of two groups of Ss was divided into high- and low-drive groups on the basis of MAS scores. Each S was given 200 trials on a probability learning task, with 70 per cent reinforcement on one side and 30 per cent reinforcement on the other. At the .05 level, there was no difference between groups in probability choices, and neither group differed from the objective probability scores. The results are discussed in terms of the number of trials involved, the introduction of emotional arousal, and Hullian theory. On the basis of a comparison with the results of previous studies, it was suggested that investigators be cautious in generalizing probability learning results from one species to another.     

A Natural Approach in Mental Health Practice: Occupational Adaptation Revealed

A single case study of the stories told by one occupational therapist about her clients in mental health settings is presented in this article. Qualitative analysis revealed key concepts of the role of the occupational therapist as defined by occupational adaptation theory, along with unique perspectives of occupational therapy in mental health settings. The outcome of this study is a demonstration of the unique insight occupational therapy brings to addressing client recovery in mental health settings, specifically from an occupational adaptation perspective. This insight should enlighten others as to the necessity of skilled occupational therapy in mental health settings.     

Inter-individual variability of forces and modular muscle coordination in cycling: A study on untrained subjects

The aim of this study was to investigate the muscle coordination underlying pedaling in untrained subjects by using the muscle synergies paradigm, and to connect it with the inter-individual variability of EMG patterns and applied forces. Nine subjects performed a pedaling exercise on a cycle-simulator. Applied forces were recorded by means of instrumented pedals able to measure two force components. EMG signals were recorded from eight muscles of the dominant leg, and Nonnegative Matrix Factorization was applied to extract muscle synergy vectors W and time-varying activation coefficients H. Inter-individual variability was assessed for EMG patterns, force profiles, and H. Four modules were sufficient to reconstruct the muscle activation repertoire for all the subjects (variance accounted for >90% for each muscle). These modules were found to be highly similar between subjects in terms of W (mean r = .89), while most of the variability in force profiles and EMG patterns was reflected, in the muscle synergy structure, in the variability of H. These four modules have a functional interpretation when related to force distribution along the pedaling cycle, and the structure of W is shared with that present in human walking, suggesting the existence of a modular motor control in humans.     

Sensory substitution: an approach to the experimental study of perception / Sustitución sensorial: un abordaje para el estudio experimental de la percepción

Abstract

Sensory substitution refers to the phenomenon where object and environment information normally acquired through one sense can be obtained by another sense. For example, visual input being provided by hearing or touching. Sensory substitution devices are technological designs that transform the characteristics of one sensory modality into stimuli of another sensory modality. These devices were developed with two purposes: (1) to assist people with sensory disabilities in daily tasks; and (2) to study the involved mechanisms of brain plasticity. This article reviews studies in which sensory substitution phenomenon is employed as a methodological strategy to study visual perception. Furthermore, its use is discussed as an experimental platform to contrast new perceptual theories and underlying neurophysiological mechanisms that are currently under review.     

The Soul Cluster: Reconsideration of a Millennia Old Concept

The article presents a comparative analysis of the theories on conceptions of soul in indigenous and early European traditions. The focal point of the study is the observation that the concept of soul is noticeably complex in aboriginal cultures, and its plural—especially tripartite—nature is the rule rather than the exception. Another observation is that the described pluralism, the number of soul components, and their attributes go through speculative changes as the tradition moves away of tribal origins, which have the shamanic state of consciousness as experiential source of knowledge instead of scholarly theorization. A three-network model of human experience is drawn to support the tripartition cum trilocation concept of soul.