Charting the process of change: A primer on survival analysis

Survival analysis is a powerful and useful technique for understanding qualitative change. This article provides a practical, nontechnical introduction to the use of survival analysis for social scientists. Important issues in using survival analysis are discussed, including research design, data preparation and management, and data analysis. Attendance data from a self-helf organization are used to illustrate common survival analysis tasks such as describing the overall survival and hazard functions, examining covariate effects, and modeling the form of the hazard function over time. An appendix that discusses the strengths and weaknesses of current survival analysis computer programs is included. Editor's note: Edward Seidman served as action editor for this article while serving as Associate Editor for Methodology.I thank William Davidson, Susan Englund, Bruce Rapkin, Kurt Ribisl, and three anonymous reviewers for their helpful comments on earlier drafts. The example data presented here were collected with the support of an NIMH grant (MH37390) awarded to Julian Rappaport and Ed Seidman.     

TEACHING THE HANDICAPPED TO EAT IN PUBLIC PLACES: ACQUISITION,GENERALIZATION AND MAINTENANCE OF RESTAURANT SKILLS

This study examined classroom-based instruction in restauranting skills for handicapped persons. Three male students were taught each of four skill components in sequential order: locating, ordering, paying, and eating and exiting. Training was implemented in a multiple baseline design across subjects and consisted of modeling and role playing in conjunction with photo slide sequences and a simulated ordering counter. The use of a menu containing general item classes and a finger matching procedure for identifying errors in the delivery of change greatly reduced the reading and math skills necessary to enter and complete the program. Periodic probes were conducted in a McDonald's restaurant prior to, during, and up to one-year following the termination of training. In addition, two probes (overt and covert observation) were conducted in a Burger King restaurant to assess further generalization to a location different from the one depicted throughout training. Results showed that students' performance on restaurant probes improved as a result of training, generalized to novel settings, maintained over an extended period of time, and was comparable to that of a normative sample of nonretarded persons.     

Narrating survival and change in Guatemala and South Africa: the politics of representation and a liberatory community psychology

Peace accords and international interventions have contributed to the suspension of armed conflict and the censuring of repressive regimes in many parts of the world. Some governments and their opposition parties have agreed to the establishment of commissions or other bodies designed to create historical records of the violations of human rights and foster conditions that facilitate reparatory and reconciliatory processes. This paper explores selected roles that community psychologists have played in this process of remembering the past and constructing new identities towards creating a more just future. With reference to two community groups (in Guatemala and South Africa) we show how efforts to speak out about one's own experiences of political and military repression involve complex representational politics that go beyond the simple binary opposition of silencing versus giving voice. The Guatemalan group consisted of Mayan Ixil women who, together with the first author, used participatory action research and the PhotoVoice technique to produce a book about their past and present struggles. The South African group, working within the ambit of the Truth and Reconciliation Commission and in collaboration with the third author and others, explored ways of speaking about their roles in apartheid and post-apartheid society. Although both these initiatives can be seen as moments in on-going struggles to overcome externally-imposed repressive practices that censor the voices of marginalized communities, they also serve to dispel overly romanticized notions of univocal communities now liberated to express themselves in an unmediated and unequivocal fashion. The paper discusses how each group of women instead entered into subtly nuanced relationships with community psychologists involving a continual interplay between the authenticity of their self-representational accounts and the requirements of the discursive technologies into which they were being inducted and the material conditions within their sites of struggle. In both cases the group's agenda also evolved over time, so that what emerged was not so much a particular account of themselves, or even the development of a particular voice for speaking about themselves, but an unfolding process—for the groups and for the community psychologists who accompanied them—of becoming active players in the postmodern, mediated world of self-representational politics and social struggle.     

The effect of aging on the memory enhancement of the survival judgment task

This study investigated whether or not aging affected the benefit of a survival judgment task. Sixteen young adults and 16 older adults participated in this experiment. In the survival task, participants were requested to judge whether a word was necessary or not in a survival situation. In the self‐referent judgment task, participants were requested to judge how easily the word brings to mind an important personal experience. Participants in each condition were presented 18 concrete nouns at 4‐s intervals. Our results showed that even though the survival judgment task enhanced the memory performance in both the young adults and the older adults, the young adults outperformed the older adults in the survival and self‐referent judgment tasks.     

The mark of adaptive memory in healthy and cognitively impaired older adults and elderly

The survival processing paradigm has recently drawn attention to the functional aspects of memory functioning. The survival effect, characterized by better memory performance when information is processed in a survival context, as compared with a variety of controls, is now well established in healthy populations. The main goal of this study was to test this paradigm in a group of cognitively impaired older adults and elderly; their data were compared to the data obtained in a group of healthy older adults and elderly. Seventeen cognitively impaired and 17 healthy participants performed a typical survival task using a blocked within‐subject design procedure and free recall as the memory test. The healthy older adults and elderly performed better on this memory task as well as on other tests included in a neuropsychological evaluation protocol. Importantly, both groups benefited from survival processing. These results provide further support for the power of survival processing, extending this phenomenon to cognitively impaired aging participants. The data also suggest that the survival effect is not simply a form of deep processing. Potential applied considerations are presented.     

手术治疗单一局部复发或远处转移病灶乳腺癌的临床观察

探索手术治疗单一局部复发或唯一远处转移病灶乳腺癌的临床价值。收集2006年6月至2013年6月湖南省人民医院乳甲外科收治的64例局部复发或术后远处转移乳腺癌患者,其中28例为单发病灶病例。根据是否采取了包含手术的综合治疗,将其分为手术组与非手术组。回顾性分析两组的临床资料和随访数据,分析手术治疗局部复发或远处转移乳腺癌有无临床意义。结果28例都采取了含化疗的综合治疗,8例局部单发病灶与9例远处单一脏器转移病例进行了手术治疗。手术组的局部缓解率与控制率明显优于非手术组,均为100％。两组无进展生存时间（PFS）和总生存时间（（）S）比较,手术组明显长于非手术组;但在单一远处脏器转移手术组中0S没有优势。2年生存率方面手术组与非手术组比较有统计学意义。对于术后单一局部复发病灶或唯一远处脏器转移的乳腺癌患者,采取含手术的综合治疗方案能带来明显的PFS优势,若有手术机会和条件成熟,手术仍是不应放弃的有效治疗方法。     

生存和死亡启动对自我参照加工的影响：ERP证据

死亡想法凸显会抑制个体的自我加工,而生存启动是否会对自我加工产生相似或是不同的影响尚不可知。本研究采用事件相关电位技术,以人格特质词自我判断任务为研究范式,探究死亡和生存启动对自我参照加工的影响。结果发现死亡启动时,自我加工所诱发的后期正成分（LPC）显著小于褒贬加工;生存启动时,自我加工的LPC成分显著大于褒贬加工。即死亡想法抑制自我加工,而生存想法促进自我加工。     

Does survival context enhance memory for source? A within-subjects comparison

ABSTRACT

Nairne, Thompson, and Pandeirada [2007. Adaptive memory: Survival processing enhances retention. Journal of Experimental Psychology: Learning, Memory, and Cognition, 33, 263–273] demonstrated that processing words according to their relevance to a survival scenario enhanced their subsequent retrieval in recall and recognition tasks compared to a variety of control scenarios. From an adaptive perspective, it is maintained that processing words in a survival context should also enhance memory for source; however, evidence in the literature is rather mixed regarding a survival context advantage for source memory. In the current study, we conducted four experiments to systematically investigate the survival advantage in source memory, when the context itself is the source, with both recall (Experiments 1A and 1B) and recognition tests (Experiments 2A and 2B). Results showed a survival advantage for item memory over the control contexts in all experiments. The survival context advantage was not extended to source memory performance in Experiment 1A. Results from all other experiments, however, indicated a survival context advantage for both item and source memory. Findings are discussed in relation to possible proximate mechanisms underlying the survival processing effect.