"Trust Me...": Psychological and Behavioral Predictors of Perceived Physician Empathy.

A sociocognitive model of distal and proximal predictors of empathic judgments was tested among 100 physicians. The authors hypothesized that physician perceived control would affect empathy ratings via physician communication style. Specifically, physicians with high perceived control would use more open communication and be rated as more empathic. Physicians with low perceived control would use a controlling communication style and be rated as less empathic. Physicians completed a medical attribution questionnaire prior to a structured patient consultation exercise, during which patients and assessors rated physician empathy. The exercise was audiotaped, transcribed, and content analyzed for verbal behaviors. Support was found for the hypotheses; however, patients, but not medical assessors, associated empathy with reassurance and provision of medical information. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Crossing the Quality Chasm in Behavioral Health Care: The Role of Evidence-Based Practice.

The concept of evidence-based practice (EBP) is one receiving increasing attention from providers, managers, payers, and regulators of care, yet practical guidelines for professional psychologists who may be interested in incorporating EBPs into their own work settings are not available. The author explores the pragmatics of EBP adoption within the broad context of quality problems in American health care, particularly as described in a heralded 2001 publication by the Institute of Medicine. Concrete suggestions are offered to help practitioners locate EBP resources for specific clinical problems, use an evidence hierarchy to infer "best practices," address the science-to-service management challenge, and generate outcomes data and feedback loops to continuously improve clinical effectiveness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Evolution of the Biopsychosocial Model: Prospects and Challenges for Health Psychology.

Although advances have been made in specifying connections between biological, psychological, and social processes, the full potential of the biopsychosocial model for health psychology remains untapped. In this article, 4 areas that need to be addressed to ensure the continued evolution of the biopsychosocial model are identified and a series of recommendations concerning initiatives directed at research, training, practice and intervention, and policy are delineated. These recommendations emphasize the need to better understand and utilize linkages among biological, psychological, social, and macrocultural variables. Activities that facilitate the adoption of a multisystem, multilevel, and multivariate orientation among scientists, practitioners, and policymakers will most effectively lead to the kinds of transdisciplinary contributions envisioned by the biopsychosocial perspective. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Do not discount lay opinion": Comment.

Comments on the article by S. M. Kassin et al (see record 2001-17140-001) which discussed eye witness testimony. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Contracting for supervision.

The changing job market has increased the demand for psychologists to serve as clinical supervisors of other mental health service provides; however, such supervisory arrangements inevitably increase legal exposure and pose unique ethical challenges for the supervising psychologist. A detailed sample supervision contract incorporating ethical and practice standards of psychology is offered. Although such contracts may not be legally binding, these agreements help facilitate (a) an adherence to these professional and ethical standards, (b) effective supervisory practices, and (c) the quality of care for the persons receiving psychological services. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavioral medicine: 2002 and beyond.

This article highlights future directions for research and practice in behavioral medicine. Topics addressed include social and environmental issues, the role of technology, translational research, improving and developing interventions, and professional training and retraining. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavioral research in HIV/AIDS primary and secondary prevention: Recent advances and future directions.

Great advances have been made over the past decade in behavioral research on how to help persons avoid contracting HIV infections (primary prevention) and how to reduce or alleviate adverse consequences among persons who are living with HIV disease (secondary prevention). Within the primary prevention areas, research has shown the effectiveness of risk-reduction interventions undertaken with individuals, couples, small groups, communities, and at a social policy/structural level. Advances in HIV medical care have also created important new challenges and roles for behavioral scientists in the area of HIV secondary prevention. This article concludes by identifying key emerging issues in HIV behavioral research that will require attention in the years ahead. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Behavioral differences among 129 substrains: Implications for knockout and transgenic mice": Erratum.

Reports an error in the original article by M. N. Cook et al (Behavioral Neuroscience, 2002[Aug], Vol 116[4], pp. 600-611). In Figure 2A, an asterisk appears beside the habituation score (.56) for the P3 substrain. The result was not significant. An asterisk should appear beside the habituation score (.39) for the S6 substrain. (The following abstract of this article originally appeared in record 2002-17253-009.) Most knockout (KO) mice are produced with embryonic stem cells derived from a 129 strain. Because most KO strains are backcrossed to B6 yet retain a portion of their genome from 129, especially around the ablated target locus, phenotypes previously attributed to the ablated locus may be due to passenger 129 genes. Thus, the authors decided to test several 129 substrains for their behavioral characteristics. Seven 129 substrains were put through a battery of tasks to determine their behavioral profiles. Differences were found in anxiety-related behaviors in the zero-maze, habituation to the open field, and cued fear conditioning. All strains successfully performed the rotorod task. The behavioral differences observed may have important implications for the interpretation of data and show divergence of behavioral performance in these 129 substrains. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavioral medicine and aging.

A brief history of behavioral medicine and aging is followed by a series of perspectives that help to understand how age is used as a variable in this research, the relative importance of age to declines in cognitive functioning, and the impact of behavioral risk indicators on healthy survival. The authors discuss Alzheimer's disease and the role of age in clinical practice. Also discussed are potential problems in age-related research, ways to improve the knowledge base in behavioral medicine and aging, and thoughts about future challenges to enhance work in behavioral medicine and aging. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Reasons to leave shiftwork and psychological and psychosomatic complaints of former shiftworkers": Correction to Frese and Okonek.

Reports an error in "Reasons to leave shiftwork and psychological and psychosomatic complaints of former shiftworkers" by Michael Frese and Klaus Okonek (Journal of Applied Psychology, 1984[Aug], Vol 69[3], 509-514). On p. 510, first column, third line from the bottom of the page, the N for the OR group should be 96, not 36. (The following abstract of the original article appeared in record 1984-32942-001.) 191 male blue-collar workers who had previously worked nights and shifts were differentiated into 3 groups: a group that had left night- and shiftwork because of health reasons; another that left it for various other reasons; and a middle group that had a combination of health and other reasons for leaving. Ss completed measures of environmental and psychological stress, psychosomatic and other health complaints, and irritation and strain. Findings show that the 1st group had more health complaints than the one that left for other reasons. They were less skilled, had been unemployed less often, and were typically told by their physician to leave shiftwork. They had also stayed in shiftwork longer than the group that left shiftwork for other reasons. It is suggested that studies on former shiftworkers should differentiate between these groups so as not to underestimate the real problems of former shiftworkers who left for health reasons. (13 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Standards of ethical behavior for psychologists: Report of the committee on ethical standards of psychologists.

Most dissatisfaction with the present code involves its "cumbersome length" and the codifying of professional courtesies rather than the "hard core of ethical issues." 7 criteria adopted by the committee in its efforts at revision of the code are specified. "Containing only 18 major principles, the proposed revision retains the essence of the original code tentatively adopted in 1953." The proposed revision is presented with a preamble. Principles are titled as follows: General, Competence, Moral and Legal Standards, Misrepresentation, Public Statements, Confidentiality, Client Welfare, Client Relationship, Impersonal Services, Advertising, Interprofessional Relationship, Remuneration, Technique Security, Test Interpretation, Test Publication, Harmful After-effects, Publication Credit, Organizational Material. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"When clients seek treatment for same-sex attraction: Ethical issues in the 'right to choose' debate": Comment .

Comments on an article by M. A. Yarhouse (see record 1998-11146-011), which addressed the ethics of providing treatment of a reparative nature to persons who struggle with same-gender attraction. Dahl commends the editor for providing a forum for these ideas to be presented, and guesses there will be considerable objection raised by those who disagree and who favor "gay-affirmative" therapy only. As a licensed clinical social worker, Dahl works with people who want to change. His professional experience has demonstrated that change is possible for same-gender clients and that these clients are appreciative of the help received, contrary to "popular opinion." He was also heartened to read an article that supports the client's right to choose treatment and also to read that religious and spiritual convictions ought to be considered as a part of treatment considerations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Telehealth Brain Injury Training for Rural Behavioral Health Generalists: Supporting and Enhancing Rural Service Delivery Networks.

Rural psychologists are frontline primary behavioral health care providers for nearly 60 million Americans, but they face limited access to peer consultation and continuing education. This article describes a program that matched 70 rehabilitation inpatients who had new brain injury with rural clinicians from patients' home communities. Neuropsychologists provided one-on-one training for clinicians through telehealth video teleconferencing. Clinicians showed gains in brain injury knowledge, and clients rated trained providers higher than untrained providers. Families seeking brain injury services can connect with these trained rural providers through a Web site, which receives more than 800 hits per month. Telehealth offers potential for rural clinicians to receive support, reduce professional isolation, gain working knowledge of specialty conditions, and deliver high-quality services for their rural clients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavioral Medicine: Past, Present, and Future.

After a brief historical overview of the development of the field of behavioral medicine, the format and background for the Special Issue of the Journal of Consulting and Clinical Psychology devoted to behavioral medicine is outlined. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Consultation and Collaboration: An Action Research Model for the Full-Service School.

Growing concerns with issues such as youth violence and delinquency have led to more investment in schools as points of human service delivery as well as education centers, especially in urban areas (L. Cuban, 1989; W. Damon, 1997; W. E. Davis, 1995a, 1995b). These "full-service schools"--also known as "community schools"-- provide on-site medical, dental, psychological, social, and other services in partnership with community-based organizations (R. F. Kronick, 2000). This article describes an action research approach to a complex case study, demonstrating the application of innovative methods and strategies available to the mental health consultant in full-service school settings. It highlights critical issues such as forming alliances among parents, administrators, teachers, counselors, and other stakeholders and basing behavioral management team decisions on clearly explained data. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavioral medicine and clinical health psychology: Introduction to the special issue, a view from the decade of behavior.

This collection of articles follows prior special issues on behavioral medicine published in the Journal of Consulting and Clinical Psychology in 1982 and 1992. From the vantage point of the Decade of Behavior, the field has grown in scope, depth of basic science foundations, and evidence of applied utility. Yet many challenges remain--especially in addressing a wide range of health problems across diverse populations and in a health care context characterized by rapid changes in technology and by a growing concern with costs and evidence-based practice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Executive coaching and consulting: "Different strokes for different folks".

Increasing frustration with the politics and economics of traditional mental health care has led many psychologists to consider shifting to or adding executive coaching as a core competency in their practices. Experience with work-related issues in clinical practice makes this appear to be a logical extension of traditional clinical and counseling work. There are many types of executive coaching and consulting, however, and only some of these relate to traditional mental health services. The authors propose a 4-category model of executive coaching defined by the intersection of focus (business vs. personal) and technique (brief-directive vs. extended-Socratic). Developmental coaching, which addresses long-standing behavior problems in both personal and work settings, is most likely to fit with traditional psychological training. Training or experience in the upper levels of the business world is essential to developing the capability to help corporate leaders with a broad range of needs and situations in which they find themselves. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pay for performance in primary and specialty behavioral health care: Two "concept" proposals.

Incipient pay-for-performance (P4P) plans offer to improve the quality of general medical care, but they have not yet begun to influence clinical outcomes in the behavioral health care arena. Following a brief review of the quality chasm in behavioral health care and some initial applications of P4P programs, this article presents 2 bird's-eye view proposals with which the primary and behavioral specialty care sectors of the American health care system can begin to design and implement P4P incentives. Discussion of the value of behavioral health care, the Provider Quality Index, P4P implementation issues, implications for practicing psychologists, and some cautionary notes conclude the article. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Evolution of Behavioral Primary Care.

The financing, organization, and delivery of behavioral health care services has undergone dramatic change in the past 25 to 30 years. The authors trace the evolution of behavioral health care delivery in the United States over the past several decades and find (a) that the value of mental health "carve-outs" has diminished greatly and that they are being replaced by "carve-ins," (b) that primary care physicians (PCPs) are becoming a primary source of mental health care secondary to the introduction of new medications, and (c) that PCP treatment of mental health disorders is suboptimal. The authors conclude that the behavioral health care system is entering an era of flux as it experiments with ways of integrating behavioral and primary care. Opportunities for psychologists are explored. (PsycINFO Database Record (c) 2010 APA, all rights reserved)