The future roles for psychotherapy in the medical-surgical arena.

Discusses the role of psychotherapy in medical treatment, focusing on preventative health care. Risk for many medical conditions is tied to pathologic and habituated behavioral patterns that cannot be effectively addressed without psychological intervention. Factors such as depression and anxiety and corollary factors of eating and vigilance account for an impressive number of health risk components. Among the objectives targeted by the US Department of Health and Welfare for the next decade in which psychotherapy can play a major role are (1) reduction of sedentary behaviors and increase in physical activity; (2) reduction of obesity; (3) reduction of ongoing cigarette smoking and initiation of smoking; and (4) reduction of drug and alcohol use and alcohol-related motor vehicle deaths. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Using memory and fuzzy rules in a co-operative multi-thread strategy for optimization

In this article, we analyze a co-operative multi-thread search-based optimization strategy, where each solver thread represents a different optimization algorithm (or the same one with different settings), and they are all controlled by a centralized co-ordinator. We also propose the use of memory to keep track of both the state of the individual threads and the obtained solutions. Based on this memory, a very simple fuzzy rule base is used to control the system behavior.We also present the results of three computational experiments. The first of these checks the strategy by comparing it with an independent search strategy and a sequential algorithm, and the superiority of the co-operative scheme is confirmed. The second analyzes how definition of the threads affects the quality of the results, and the importance of there being a balanced set between intensification and diversification is corroborated. The third explores the use of memory with two different fuzzy rules, and the results indicate that the best combination is to use memory together with two rules (solver dependent and solver independent ones) (although this combination should not be activated at the beginning of the search in order to avoid premature convergence).     

Evaluating reactivity to ecological momentary assessment during smoking cessation.

Ecological momentary assessment (EMA) consists of assessing phenomena in real time in the natural environment. EMA allows for more fine-grained analyses of addictive behavior and minimizes threats to internal validity, such as recall biases and errors. However, because of the intensive monitoring involved in EMA, measurement reactivity is a concern. To test whether EMA with palmtop personal computers induces reactivity, the authors compared smoking-related outcomes between smokers using EMA and those not using EMA during a quit attempt. The use of no-EMA control groups has been rare in reactivity investigations to date. The EMA protocol included event-contingent assessments (smoking episodes, urge episodes) and random assessments. Outcomes included biologically confirmed abstinence and self-report measures of withdrawal, self-efficacy, motivation, affect, and temptations. Participants were smokers motivated to quit (N = 96). They were randomized to 1 of 3 groups: EMA for the week preceding a planned quit date, EMA for the week following the quit date, and no EMA. Abstinence rates did not differ between the groups at Day 7 or at Day 28 postcessation. For the 20 subscales assessed at each of 3 assessment times, there were significant differences between participants with and without EMA experience for 3 subscales at the 1st of 3 assessment times, and significant differences for 3 different subscales at the 3rd assessment time. These differences suggest some reactivity to EMA, although the inconsistent pattern across time indicates that further research is needed to definitively conclude that EMA induces reactivity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Hypnosis and clinical pain.

Hypnosis has been demonstrated to reduce analogue pain, and studies on the mechanisms of laboratory pain reduction have provided useful applications to clinical populations. Studies showing central nervous system activity during hypnotic procedures offer preliminary information concerning possible physiological mechanisms of hypnotic analgesia. Randomized controlled studies with clinical populations indicate that hypnosis has a reliable and significant impact on acute procedural pain and chronic pain conditions, Methodological issues of this body of research are discussed, as are methods to better integrate hypnosis into comprehensive pain treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Recognizing, assessing, and intervening with problems of professional competence.

Working collaboratively, psychologist educators and trainers at the doctoral, internship, and postdoctoral levels; credentialers; practitioners; and students offer 8 proposals for psychologists to consider in recognizing, assessing, and intervening with problems of professional competence in students and practicing professionals. In the proposals, the authors address the following topics: definitions and categories; preparing the system; self-assessment; remediation; diversity; communication across various levels of the system; confidentiality; and ethical, regulatory, and legal underpinnings. They also propose future directions for the assessment of problems in professional competence in both students and practicing psychologists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Anion Sensing Porphyrin Functionalized Nanoparticles

Disulfide and dithiocarbamate functionalized porphyrins have been synthesized and used as protecting ligands for gold nanoparticle formation either via ligand substitution reactions or by direct synthesis. These nanoparticles have been shown to recognize anions via changes in the absorbance spectrum of the surface adsorbed porphyrin moieties. Association constants, derived from quantitative titrations, indicate a remarkable surface enhancement effect where the surface bound porphyrins bind anions much more strongly than the free receptor in solution.     

Evaluation of capital cost data. part 7: Liquid waste disposal with emphasis on physical treatment

Capital cost correlations are given for oil-water separators, equalization basins, primary clarifiers, clarifiers and clarifier mechanisms, reverse osmosis unit, ultrafiltration units, gravity filters and miroscreens. Data are included for raw sewage, intermediate and recirculation pumping stations and for preliminary treatment (or bar screens, grit removal, overflow and bypass chamber and Parshall flume), for grit removal, comminution and gas stripping. The correlations are accurate to ± 30%, expressed in Canadian dollars and adjusted to a Marshall and Swift value of 1000. Details as to what components are included in the cost are given. Data are given for the labour and material costs to create a working process module. For inflation indices, a critique of the Engineering News Record, EPA small city, Marshall and Swift, Chemical Engineering and Southam inflation indices suggested that the Marshall and Swift index is most appropriate for the construction and process equipment studied here. Concerning the currency exchange, for the equipment and processes in this study, equipment costs the same whether expressed directly in US or Canadian dollars. To put the current data into perspective, several hundred sources of cost data were analyzed. The major correlations are compared, on a consistent basis, with current data.     

President’s column.

This presidential column announces the significant internal changes of Division 13 of the Consulting Psychology Journal. The journal is now published by the Educational Publishing Foundation, which is associated with the American Psychological Association in order to increase the quality, quantity, and diversity of submissions to the journal. The author outlines the steps that will be taken to make the Division a more viable and inviting organization for members in ways that are obvious and easily accessible to them. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Tandem queues with general blocking: A unified model and comparison results

We study tandem queues with finite intermediate buffers and develop a general blocking scheme that unifies and generalizes various blocking schemes previously studied in the literature, such as manufacturing blocking, communication blocking, kanban blocking and its variations. In the general blocking scheme, job movement and service at each stage are controlled by three parameters, which represent, respectively, the upper limits (at that stage) on work-in-process inventory, finished goods inventory, and buffer space. We derive a set of recursive equations that characterize the dynamics of the system, in terms of the job completion and departure processes, and establish comparison results for these processes in the settings of stochastic ordering, variability ordering and stochastic convexity. Free of distributional assumptions, the results provide characterization of system behavior with respect to the control parameters as well as to the arrival and service processes. We also compare system performance under two different modes of operation: make-to-order versus make-to-stock, and demonstrate the trade-off between improving service and reducing inventory. Numerical studies are also presented to illustrate the diversity of performance trade-off, including composition of inventory, offered by the general model.Supported in part by NSF under grant ECS-89-96201.