PSYCHOLOGY AND HEALTH: CONTRIBUTIONS OF PSYCHOLOGY TO THE IMPROVEMENT OF HEALTH AND HEALTH CARE

Psychology as both a science and a profession has been closely identified with other disciplines in the broad field of health since the turn of the century. Recent advances in health care have reinforced the growing belief that the promotion of health and the prevention and treatment of illness can be greatly enhanced by incorporating the scientific findings and modern technology of psychology into everyday practices. Outlining the contributions of psychology to health care throughout the world is the primary purpose of this report. In this brief survey, only some of the most timely and relevant issues can be mentioned, together with examples of current work in the field. The reader interested in pursuing these psychological contributions more thoroughly is encouraged to review pertinent references from the citations at the end of this report. After an introductory overview, special attention is given to each of the major areas within the broad field of health care where psychological applications have been particularly useful.     

Case Study: New Directions For the College Counselor at CCNY

Community mental health concepts suggest that college counselors may move towards preventive activity rather than remaining focused primarily on response to established symptoms in troubled students. Preventive activity views the college, its policies, and its administration as legitimate areas of counselor-involvement. Experience indicates there is room on the campus for both functions: (a) traditional one-to-one interactions within the counseling office; and (b) outreach programs affecting large numbers of students and administrators. Outreach has shown itself effective in reaching students who might not spontaneously seek out the counseling office. Several areas of counselor involvement at City College in which the staff has experimented with the outreach philosophy are discussed.     

Memorabeatlia: A naturalistic study of long-term memory

Seventy-six undergraduates were given the titles and first lines of Beatles' songs and asked to recall the songs. Seven hundred and four different undergraduates were cued with one line from each of 25 Beatles' songs and asked to recall the title. The probability of recalling a line was best predicted by the number of times a line was repeated in the song and how early the line first appeared in the song. The probability of cuing to the title was best predicted by whether the line shared words with the title. Although the subjects recalled only 21% of the lines, there were very few errors in recall, and the errors rarely violated the rhythmic, poetic, or thematic constraints of the songs. Acting together, these constraints can account for the near verbatim recall observed. Fourteen subjects, who transcribed one song, made fewer and different errors than the subjects who had recalled the song, indicating that the errors in recall were not primarily the result of errors in encoding.     

Sources of difficulty in deductive reasoning: The THOG task

The THOG task presents four designs constructed from two shapes and two colours. Subjects are told that the experimenter has written down one of the shapes and one of the colours and are provided the rule that if, and only if, any design has either the shape or the colour, but not both, written down, then it is a THOG. Finally, they are given an exemplar and are asked to classify the remaining designs. Successful solution requires construction of hypotheses, reasoning under each hypothesis, and comparison of the results under each to reach a final conclusion. Few subjects are able to provide adequate responses on the standard version of the task. We present the results of four experiments, with 160 undergraduates each presented with one of eight versions of the task. Experiments 1 and 2 indicate that (1) some subjects think that the properties that are written down are identical to those of the exemplar, although these are not the same subjects who exhibit the modal error pattern, (2) many subjects correctly understand the disjunction of the rule but fail to consider the hypotheses, and (3) poor initial encoding of the problem is not easily corrected. Experiment 3 investigates the sufficiency of the claim of Griggs and Newstead (1982) that appropriate problem solution follows from explicit presentation of all problem information (including use of positive labels for properties that are not written down), and Experiment 4 investigates the necessity of the claim. The results of Experiments 3 and 4 show that presenting positive category labels does increase the frequency of correct solution; however, positive category labels are not necessary for such improvement. Separation of the labels of the THOG rule from those of the exemplar, or informing subjects that only one other design is a THOG, also increases the frequency of successful solution. The results suggest that many people have some fairly sophisticated reasoning skills. but application of these skills is easily discouraged when the features of the task lead to poor initial encoding.     

False memories of childhood experiences

We conducted two experiments to investigate if college students would create false memories of childhood experiences in response to misleading information and repeated interviews. In both experiments we contacted parents to obtain information about events that happened to the students during childhood. In a series of interviews we asked the students to recall the parent-reported events and one experimenter-created false event. In the second experiment we varied the age at which we claimed the false event occurred. In both experiments we found that some individuals created false memories in these circumstances and in the second experiment we found no effect of age of attempted incorporation. In the second experiment we also found that those who discussed related background knowledge during the early interviews were more likely to create a false recall. Generalizations to therapy contexts are discussed.     

Depression and the soul

Clergy are often confronted by challenges in dealing with the depressed congregant. This paper addresses the interface between psychology, psychiatry, and religion in a discussion of two cases. Models are suggested for dealing with the issues raised by the depressed congregant. The paper developed from a symposium on “The Depressed Congregant: Three Pastoral Responses to a Case Vignette” presented at a conference for cleargy onDepression and The Soul, at Temple Sholom in Chicago.     

The effects of memory load and the contrast of the rod signal on partial report superiority in a Sperling task

Subjects participated in a Sperling task. The independent variables included delay of report cue, dark background field vs. a light background field intense enough to nearly saturate the rod system (duration of rod icon), and whether or not subjects were required to retain a list of letters or words (memory load) while performing in the Sperling task. Partial report superiority is normally taken as an indication of iconic memory. However, the main result was that memory load, which presumably does not affect the duration of the icon, increased partial report superiority. The effect of luminance of the background field was to reduce the partial report superiority. The results show that the existence of a partial report superiority and/or a decaying partial report curve does not necessarily imply the existence of an icon or visual storage.