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This paper presents an analysis, from a philosophical point of view, of three psychological models describing how one adopts a health behaviour. More specifically, this analysis makes it possible to explain the role of habit in therapeutic adherence. By clarifying the notions of intention and decision, this novel analysis may be useful for understanding the dynamics of diabetes care.
Improvements in women's cancer-screening behaviours can lead to a reduction in the incidence of breast and cervical cancer. This paper considers the utility of three social psychological models as predictors of such behaviours. Almost 400 women throughout Northern Ireland completed a questionnaire designed to measure the extent of their cancer-screening behaviour, their health beliefs about cancer, their health locus of control and their emotional control. It was found that several components of the health belief model and of locus of control were predictors of the behaviours. The most important predictor of breast self-examination was confidence in how to practise BSE while the most important predictor of attendance for cervical smears was lack of fear of the consequences of the investigation. The findings are discussed with reference to attempts to promote these practices.
A psychological model of mediational processes based on the derivation of the meaning of perceptual or linguistic signs predicts increased processing times for signs that have negative affective meaning and conjoined signs with incongruent affective meanings. The procedure used in the experiments enables identical responses for positive and negative signs. The postulated effects are shown to be valid for perceptual as well as conjoined perceptual and linguistic cognitions, using schematic drawings of facial expressions and quotations attributed to persons with the expressions. The findings suggest that perceptual and linguistic cognitions share the same semantic systems, although the latter are more specific.
A psychological model portrays substance abuse as the result of efforts to self-medicate for particularly painful affect states. Long-term psychotherapy is the treatment of choice for the hypersensitization to affects. The important role of group psychotherapy in substance-abuse treatment is discussed in light of clinical results.
This paper describes the prevalence and incidence of psychiatric disorders in IBS patients using a standardized psychiatric interview, and proposes a psychological model for investigating one aspect of IBS. Forty-four IBS patients and 28 nonclinical participants received a psychiatric interview (Diagnostic Interview Schedule) and completed the Lie Scale of the Eysenck Personality Inventory (L-EPI). Results indicated that a significant percentage (59%) of the IBS group met DSM-III criteria for a psychiatric disorder within the last year, far more than occurred in the matched nonclinical comparison group. Relative to the comparison group, the IBS group also had significantly higher lie scores on the EPI indicating a response style of social desirability. On the basis of these findings, together with earlier work by Latimer's group, a conceptual model was formulated on the notion that some IBS patients may have a self-schema (i.e. knowledge of self, stored in memory) characterized by social desirability. We suggest that the construct of self-schema may be helpful in differentiating IBS from psychiatric groups both conceptually and therapeutically.
Based on the theoretical work of Dulany and Fishbein, two major problems for understanding health behaviors were delineated: (1) the identification of those variables that determine an individual's intention to perform a health behavior; and (2) the extent to which these intentions are predictive of behavior. An analysis of factors affecting the relation between health intentions and behavior was presented and its implications for health education discussed. A social psychological model specifying two major determinants of behavioral intentions was contrasted with the Health Belief Model.
This research develops and tests a comprehensive social-psychological model which is capable of predicting individual differences in psychoactive drug use. A questionnaire assessing drug use, opportunities for goal attainment, normative constraints against deviance, perceived opportunities for drug use, attitudinal tolerance of deviance, and expectations about the consequences of drug use was administered to two separate subject populations: a "College Sample" and a "Street Sample.". Consistent with predictions, the more extensive an individual's drug use: (1) the less the participation in prosocial groups, (2) the greater the perceived opportunities for drug use, (3) the more time spent using drugs with friends, (4) the greater the tolerance of deviance, and (5) the more positive the expectations about drug use. Results are discussed in terms of the utility of the model for the prediction of patterns of drug use and the need for expanding the schema in future research to include measures of socialization practices.
The rehabilitation of drug dependent people has undergone drastic changes since first attempts were made to curb the abuse of illegal drugs. The isolated law-enforcement model proved to be of no use in this area. So, too, the medical model, the psychological model and the public health model proved disappointingly low in their results. During the last ten years, a so-called "metabolic replacement model" has had its upsurge, creating a controversy still under discussion. The Drug Abuse Rehabilitation Programs of the West Philadelphia Community Mental Health Consortium, Inc. have been in the forefront with its treatment models. Established in 1968 as a purely methadone maintenance program, it has evolved into becoming a model, applying community mental health principles. This paper will explore this model further, describing the mechanics of its changes. From a municipal hospital-based methadone dispensing station, the program has developed into a multi-modality project. Three decentralized drug-free outpatient services are located in the midst of the community where the drug abuse problem is more accute. Outreach is emphasized and case-funding is applied. A possibly unique river-front motel was just acquired for the development of a community-based treatment modality. The 94 rooms were converted into a first-floor alcoholism program which also has a "highway safety program" and an intermediate care facility for alcoholics. The second floor of this facility contains outpatient services for the treatment of drug addicts, including a methadone maintenance program, counselling, family therapy and group therapy. The place where most of the emphasis has been placed is the Work Rehabilitation Center (a novel approach whereby patients will spend up to six hours in "partial hospitalization"). Clients will be tested for vocational aptitude and four workshops will be developed on the premises - carpentry, automotive, electricity and clerical. A huge cafeteria with a semi-automatic kitchen will allow further training in cooking and kitchen aids. The third floor of this renovated motel will include highly sophisticated clinical research area where computer utilization is already giving us very meaningful data. Clinical research is rapidly developing, and new drugs for the rehabilitation of drug addicts will be used. Further comments on the usefulness of methadone as a tool will be included in this paper and general comments as to the outcome of treatment further explored.
The purpose of this chapter is to discuss how genetics will affect gerontological nursing. The chapter will answer two questions: (1) Which aspects of genetics will be most relevant to future gerontological nursing practice? and (2) What will be the impact of genetics on the future of gerontological nursing education and research? MEDLINE was searched for relevant articles from 1995 to 2001 using the key words aging, genetics, geriatrics, nursing education, research, and gerontology. CRISP was searched using the thesaurus terms education/planning, genetics, health education, model design/development, psychological model, pubic health curriculum, behavioral/social science research, and research nursing/genetics. A total of 101 nursing and nonnursing articles were reviewed. Research reports were selected if they focused on issues related to gerontological nursing. Articles were reviewed that had application to genetic nursing, complex diseases, and genetics. The evolution of the science of genetics will revolutionize gerontological nursing and affect future nursing education and research as the concepts of genetic science and the technology they generate are translated into everyday clinical practice. Genetic discoveries in common complex diseases will affect care provided by gerontological nurses in the 21st century. Gerontological nurses must move quickly to recognize this genetic paradigm shift and to incorporate genetics issues into their nursing practice.
During the last three decades, the mechanisms implicated in face perception and recognition, have been investigated with an interdisciplinary approach. On one hand, in psychology, models of cognitive architectures have been developed in which the different kinds of mental operations in the processing of face have been identified. On the other hand, a lot of studies in neuropsychology have analyzed the deficits in visual processing of face, specifically due to lesions or dysfunctions of the central nervous system. Finally, research in neurophysiology (cellular recording in animal and functional cerebral imagery in man) have tried to highlight the complex assembly of cerebral areas implicated in these different operations. Besides a short summary of the principal data collected in this interdisciplinary approach, we present in this contribution results obtained in our laboratory and in the context of an "Action de recherche concertée", in the fields of neuropsychology and cerebral functional imagery.
This paper reviews several psychological models to explain disturbed food intake: the "psychosomatic theory", the "stimulus-binding theory", the "concept of restraint eating", closely related to the "concept of latent obesity", the "set-point-theory" and the "boundary model". All are based on the assumption that there are biological regulating processes of body weight (and with this also of feelings of hunger, appetite and satiation as the determinants of food intake), nevertheless the resulting body weight can be inconsistent with social standards and individual self-concepts. In this case a cognitive control of food intake (dieting behaviour) is activated for weight regulation, which in turn interacts with biological regulatory mechanisms, and as a result leads to specific behavioural dispositions which can be supported by experiments.
The present research was an attempt to test two hypotheses derived from a recently proposed social psychological model of suicide: The acceptability of suicide is a decreasing function of religiosity and fear of death. Questionnaire data were collected for 205 undergraduates at a midwestern university in 1978. The questionnaire included several measures of religiosity, a factor analysis multidimensional fear of death scale, and a suicide acceptability scale. Results, showing that all of the religiosity measures and certain types of fear of death were significantly related to the acceptability of suicide, supported to the hypotheses under examination.
Rationale, development, and validation studies for the Physical Estimation and Attraction Scales (PEAS) are dicussed. A psychological model for physical activity participation is advanced which utilizes Estimation (self-perceptions of physical ability) and Attraction (measured interest in physical activity) as mediating variables in physical ability, physical activity participation, self-esteem relationships. Tests of the model have inferred physical ability from performance at motor fitness tests, participation from paper and pencil self-reports, and self-esteem from several of the more widely used measures of general self-esteem. Conclusions developed from studying these variables in male adolescent samples are presented.
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To test a previous theoretical model, we studied the relationships between social, attitude, and psychological factors and adolescent contraceptive behavior over a 6-month period. A pretested questionnaire was administered to a random sample of 115 black females aged 12 to 18 years from a low socioeconomic population. Six months after the initial interview 113 of the subjects were administered a second questionnaire assessing their sexual and contraceptive behavior. Based on regression analysis, previous pregnancy and coital frequency explained 12.7% (p less than or equal to 0.0001) of the variation in engaging in unprotected coitus. When controlling for sexual activity, birth control knowledge and previous broken appointments explained an additional 5.5% of variation in the regression model (total R2 = 0.185). Coital frequency of the subjects was positively associated with Tanner stage, length of the relationship, effectiveness of previous contraceptive method(s), and degree of birth control knowledge. Coital frequency was inversely associated with a negative attitude toward pregnancy and negative parental attitudes toward adolescent pregnancy. The perceived risk of pregnancy was positively correlated with coital frequency and previous pregnancy. These findings support our model, but suggest that among low socioeconomic black female adolescents the interpretation of several model components depends on the subjects' attitude toward pregnancy and her perception of her parent's attitude toward adolescent pregnancy.
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This article describes a multidimensional model which may be applicable to study three types of loss, interpersonal loss, loss of a limb or function, and environmental loss or loss of peace of mind. It is a preliminary attempt to collate relevant variables associated with the three types of loss into one comprehensive model which assumes that the dynamic processes associated with and encountered in one area of loss can be extrapolated for use in comprehending other areas of loss. A number of testable hypotheses can be derived for future validation and research.
The present investigation examined three issues relevant to Golembiewski's phase model of psychological burnout. These were use of the mean versus median in creating high and low subgroups on Maslach Burnout Inventory subscales, use of different item structures on Maslach subscales, and different sequences of Maslach subscales proposed by Golembiewski and Maslach in the development of psychological burnout. Use of mean versus median, or different item structures on Maslach subscales, made relatively little difference. Golembiewski's ordering of the subscales, compared to Maslach's, produced a more linear progression over the 8 phases, as well as on three antecedents and consequences, but both sequences were related to these three variables in an almost identical fashion.