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At least 19 recordsLinked to original sources

[Health promotion and disease prevention: an individual responsibility or social responsibility].

This article is about some theoretical assumptions that have guided health promotion and disease prevention strategies. Some questions are raised in relation to the professional's interventions that consider health promotion as an individual responsibility. It is suggested that the focus should be on social changes through the professionals' consciousness in social, political, behavioral and economic aspects that exert influences over the population's health. These ideas ought to be incorporated to the nurse-client interaction.

Brazil

Feedback EEG reactivity and the social responsivity of psychiatric patients.

Social responsivity and spontaneous attentiveness to the environment were evaluated in a heterogeneous sample of psychiatric patients. Each of the 22 male inpatients was first seen in a nondirective, taped interview and then tested with a feedback electroencephalogram (EEG) measure of attention. It was predicted that those patients who were more responsive in the interview a) would initially be more reactive in terms of their EEG response to visual stimulation; and b) would maintain their attentiveness longer than would the less socially responsive group. The results indicated significant correlations (from +.49 to +.64) between the measures of interview responsivity and attentional reactivity for ranks across all Ss. In addition, when the sample was divided into two separate groups of high vs. low social responders, group differences were found with respect to both initial EEG reactivity and the measures of persistence of attentiveness. The results appear to have implications for the "trait" concept within personality theory, and less directly, for aspects of psychoanalytic theory. In addition, the clear group differences obtained on a variety of attentional parameters underline the potential usefulness of the method of feedback in the study of EEG and behavior.

Adult

A multivariate twin analysis of within-family environmental influences in infants' social responsiveness.

Observational measures of social responsiveness were obtained for twin infants. The structure of within-family environmental influences was assessed by correlating identical twin pair differences for 13 behaviors in seven social settings. Factor analysis of the difference score matrix yielded one interpretable factor. This factor indicated that within-family environmental influences were not completely random but may exert a systematic effect on social behavior in several situations.

Child, Preschool

Social Responsiveness as a Mediator in Adapted Cognitive Behavioral Therapy for Autistic Youth with Maladaptive and Interfering Anxiety.

Numerous adaptations to interventions have been included in cognitive behavioral therapy (CBT) for autistic youth. This study examines the degree to which CBT adapted to the social needs of autistic youth confers significant benefit by promoting social responsiveness. A secondary analysis was conducted on a multisite randomized clinical trial (Wood et al. in JAMA Psychiatry 77:474-483, 2020) comparing adapted CBT with standard-of-practice CBT and treatment-as-usual (TA). Autistic youth (N = 167; aged 7-13) with maladaptive and interfering anxiety participated. The adapted CBT (BIACA) uses a modular format, with an emphasis on supplementing common CBT practice elements (reframing and graded exposure) with social skill supports. The primary outcome measure was the Pediatric Anxiety Rating Scale. Social responsiveness was assessed with the Social Responsiveness Scale, Second Edition. Participants' general mental health was assessed as a secondary outcome using the Brief Problem Checklist. Mediation was tested using the SPSS PROCESS macro. Analyses suggested that the effect of adapted CBT on anxiety was mediated by its effects on social responsiveness, with a statistically significant indirect effect. Youth randomly assigned to adapted CBT exhibited better overall mental health at posttreatment compared to those randomized to the other conditions, and this effect was also mediated by improved social responsiveness. CBT adapted to address some of the social needs of autistic youth may enhance mental health outcomes by supporting social responsiveness, perhaps increasing the ease and effectiveness with which some youth can navigate potentially stressful situations such as entering and participating in group activities.

Humans

The biological impact of social responses to the AIDS epidemic.

This paper examines the extent to which social responses to the AIDS epidemic contribute to the continued transmission of the virus, thereby exacerbating the biological impact of the epidemic. Following the model of McGrath (1991), social responses to AIDS are examined in terms of their impact on potential transmission of HIV. Responses are evaluated using established criteria for decreasing disease transmission: eliminating the source of infection, eliminating contact necessary for infection, decreasing susceptibility of hosts, or decreasing the infectivity of infectious persons. The most frequent responses to AIDS have been scapegoating, resulting in ostracism, stigma, and blame; resignation; use of alternative therapies; political mobilization; and research. With the exception of political mobilization in some communities, the social responses to AIDS have not decreased the biological impact of the epidemic, and, therefore, may not be "biologically appropriate".

Acquired Immunodeficiency Syndrome

The effects of height on infants' social responses to unfamiliar persons.

The effects of absolute height of an approaching unfamiliar person and height of the person relative to the infants' viewing height on infants' social responsiveness were investigated. 48 infants, 9--12 months old, were observed as 2 tall (6 feet, 2 inches) and 2 short (5 feet, 6 inches) male strangers approached them. Infants were divided into 3 viewing height groups: low (35 inches from the floor), medium (53 inches), and high (72 inches). Facial expresion, gase aversion, fretting/fussing, and directional movement were measured as the strangers touched the infants. Infants did not respond more negatively to tall versus short strangers. However, they did respond more negatively as a function of viewing-height condition. Infants who were in the low and medium conditions showed more movement away, more gaze aversion, and less concentration than infants in the highest viewing condition. These observations are explained ethologically in terms of an inborn predisposition to respond negatively to towering stimuli in unfamiliar settings. The importance of a multideterminant model of infants' social responses to unfamiliar persons is emphasized.

Birth Order

Effects of maternal mobility, partner, and endocrine state on social responsiveness of adolescent rhesus monkeys.

The social behavior of rhesus monkeys raised for the 1st year of life with mobile (MS) or stationary (SS) cloth surrogate mothers was investigated when the animals reached 4-5 yr of age. The MS males generally refrained from social interaction during initial pairings with females, whereas SS males interacted frequently, but were more often the targets of attacks and chases from adult females than were MS males. The MS males were more likely to vary their social behavior according to the behavior of the social partner and seemed to benefit more from extended social exposure than their SS counterparts. The MS females were more similar to wild-born females than were SS females in nearly every behavior category and dimension tested. These results suggest that rearing with mobile artificial mothers improves the chances of later adaptive social adjustments in socially restricted monkeys.

Age Factors

Preinstitutional social deprivation, responsiveness to social reinforcement, and IQ change in institutionalized retarded individuals.

Mentally retarded individuals who had been examined on a task measuring responsiveness to social reinforcement after 3 weeks and after 3 years of institutionalization were examined after 6 years of institutionalization. IQ changes were also examined. For familially retarded subjects, a linear decrease in responsiveness to social reinforcement and a linear increase in IQ was found from the 1st to the 6th year of institutional life. No changes in responsiveness to social reinforcement or IQ were found over the 6 years for nonfamilially retarded subjects.

Hospitalization

Social reinforcement and the naturally occurring social responses of severely and profoundly retarded adolescents.

This study was designed to determine if the deficits in social behavior of retarded persons might be due, in part, to the failure of their environment to maintain that behavior. Using an ABAB design, we systematically ignored severely and profoundly retarded, institutionalized adolescents and gave them social reinforcement for appropriate social behavior. Social behavior decreased during nonreinforcement conditions and increased during reinforcement conditions. The data suggest that deficits in social behavior of retarded persons may be due to failure of their environment to maintain such behavior. Implications of these findings for staff behavior and the utility of the present procedure for increasing social behavior of institutionalized retarded persons were discussed.

Adolescent