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Towards a balanced social psychology: causes, consequences, and cures for the problem-seeking approach to social behavior and cognition.

Mainstream social psychology focuses on how people characteristically violate norms of action through social misbehaviors such as conformity with false majority judgments, destructive obedience, and failures to help those in need. Likewise, they are seen to violate norms of reasoning through cognitive errors such as misuse of social information, self-enhancement, and an over-readiness to attribute dispositional characteristics. The causes of this negative research emphasis include the apparent informativeness of norm violation, the status of good behavior and judgment as unconfirmable null hypotheses, and the allure of counter-intuitive findings. The shortcomings of this orientation include frequently erroneous imputations of error, findings of mutually contradictory errors, incoherent interpretations of error, an inability to explain the sources of behavioral or cognitive achievement, and the inhibition of generalized theory. Possible remedies include increased attention to the complete range of behavior and judgmental accomplishment, analytic reforms emphasizing effect sizes and Bayesian inference, and a theoretical paradigm able to account for both the sources of accomplishment and of error. A more balanced social psychology would yield not only a more positive view of human nature, but also an improved understanding of the bases of good behavior and accurate judgment, coherent explanations of occasional lapses, and theoretically grounded suggestions for improvement.

Cognition↗

Social comparison preferences among cancer patients as related to neuroticism and social comparison orientation.

Effects of neuroticism and social comparison orientation on social comparison among cancer patients were examined. A computer program that enabled patients to access information about fellow patients' disease-related experiences was developed. Patients selected more interviews concerning more as compared to less fortunate others, spent more time reading, and showed more favorable reactions to such information. Individuals with a strong comparison orientation in particular tended to engage in and to respond to social comparison. Neuroticism was associated with higher interest in social comparison and with less favorable reactions, regardless of its direction. High-neurotic individuals reacted more positively to upward than to downward comparisons, whereas the reactions of low-neurotic individuals were unaffected by comparison direction. The latter effect was replicated using a general affect measure, but solely among individuals with a strong comparison orientation.

Adaptation, Psychological↗

Social-cognitive determinants of physical activity: the influence of social support, self-efficacy, outcome expectations, and self-regulation among participants in a church-based health promotion study.

A social-cognitive model of physical activity was tested, using structural equation analysis of data from 999 adults (21% African American; 66% female; 38% inactive) recruited from 14 southwestern Virginia churches participating in the baseline phase of a health promotion study. Within the model, age, race, social support, self-efficacy, and self-regulation contributed to participants' physical activity levels, but outcome expectations did not. Of the social-cognitive variables, self-regulation exerted the strongest effect on physical activity. Independent of self-regulation, self-efficacy had little effect. Social support influenced physical activity as a direct precursor to self-efficacy and self-regulation. The model provided a good fit to the data and explained 46% of the variance in physical activity among the diverse group of adults.

Adolescent↗

Effectiveness of a peer-helper intervention to increase children's social interactions. Generalization, maintenance, and social validity.

Peer-mediated interventions are being used increasingly with a variety of populations. This study examined the impact of a peer-helper intervention on the low rates of prosocial interactions of three-elementary-school children. Two peers from each child's classroom were trained as helpers to increase the social interactions of the socially isolated children. A multiple-baseline across-subjects design was used to demonstrate the impact of the intervention, and a within-subject A-B-A withdrawal design was used to assess maintenance. Behavioral observations during recess periods indicated that positive interactions with peer helpers and other classmates increased during intervention and were maintained in withdrawal and follow-up phases. Increases in positive interactions generalized to a second recess setting in which the peer-helper intervention was not introduced. The positive social interactions of all subjects reached social-validation levels of comparison groups of peers in the observation settings. Classroom sociometric assessment and teacher and self-report measures provided variable support for the effectiveness of intervention.

Behavior Therapy↗

Social networks and use of social supports of minority elders in East Harlem.

Considerable empirical research substantiates the importance of social networks on health and well-being in later life. A study of ethnic minority elders living in two low income public housing buildings in East Harlem was undertaken to gain an understanding of the relationship between their health status and social networks. Findings demonstrate that elders with supportive housing had better psychological outcomes and used significantly more informal supports when in need. However, elders with serious health problems had poorer outcomes regardless of their level of social support. This study highlights the potential of supportive living environments to foster social integration and to optimise formal and informal networks.

Black or African American↗

Decree No. 88-390/PCMS/MSP/AS/CF determining the duties of the Secretary of State for Public Health and Social Affairs, charged with social affairs and the status of women, 24 November 1988.

This Order provides that the Secretary of State of the Niger is charged with the following, among other things: 1) overseeing the formulation and implementation of legislation relating to social affairs, family planning (FP), and the condition of women; 2) contributing to the formulation of a Family Code in concert with the concerned ministries; 3) promoting research in FP; 4) participating in the promotion of information, sensitization, and education of the population, particularly youth, with a view of combating social diseases, in concert with concerned ministries; 5) ensuring the integration of women into the process of the economic, social, and cultural development of the country; 6) promoting the organization and mobilization of women with a view towards their full participation in carrying out activities and programs that work toward their development, in collaboration with women's institutions, movements, and associations; 7) intensifying and/or supervising all development projects essentially executed by women, in collaboration with concerned ministries; 8) ensuring the supervision and control of women's associations, movements, and institutions; and coordinating the activities undertaken by these organizations with respect to women; and 9) controlling the management of projects relating to social affairs, FP, and the status of women.

Africa↗

Executive Order No. 123 reorganizing the Ministry of Social Services and Development, now referred to as Ministry of Social Welfare and Development, 30 January 1987.

This Order reorganizes the Ministry of Social Services and Development. Among the bureaus of the Ministry are the following: "b) Bureau of Family and Community Welfare--assistance to socially disadvantaged families and communities including family planning, planning outreach programs to develop their capability in defining needs and formulating solutions as well as setting up viable community structures which bring about desired social changes..."d) Bureau of Women's Welfare--promoting women's welfare, with specific attention to the prevention or eradication of exploitations of women in any form, such as but not limited to prostitution and illegal recruitment; as well as the promotion of skills for employment and self naturalization; e) Bureau of Child and Youth Welfare--care and protection of abandoned, neglected, abused or exploited children and youth, delinquents, offenders, the disturbed, street children, victims of prostitution and others, for their social adjustment and economic self-sufficiency." The Order authorizes the Ministry to establish regional offices providing, among other things, day care centres, street children centres, centres for youth with special needs, homes for the aged, and homes for unwed mothers. Attached to the Ministry is a Population Commission, which "shall continue as the population planning and coordinating agency."

Adolescent↗

When ambiguity hurts: social standards moderate self-appraisals in generalized social phobia.

Thirty-nine individuals with generalized social phobia (social anxiety disorder) and 39 nonclinical controls performed a public speech after receiving cues about social standards. Using a novel video manipulation paradigm, one third of participants received cues indicating that standards for performance were high, one third received cues that standards were low, and the remaining third were given no explicit information about expected standards (i.e., standards were ambiguous). Individuals with social phobia performed objectively worse than controls in all conditions, but rated their performance as being worse only in the high and ambiguous standards conditions. These results suggest that in social phobia, negative self-perception is context-dependent. Implications for the cognitive model and treatment are discussed.

Adolescent↗

Perception of arousal in social anxiety: effects of false feedback during a social interaction.

Cognitive models suggest that during social interactions, socially anxious individuals direct their attention to internal cues of arousal and use this information to erroneously infer how they appear to others. High (N=36) and low (N=36) socially anxious adults had a conversation with a stooge, and were led to believe by false feedback that they were experiencing either an increase or decrease in arousal, or evaluating the comfort level of the feedback equipment. Compared to the other groups, participants who believed their arousal had increased, reported greater anxiety, poorer perceived performance, more physical cues of anxiety, and greater underestimation of their performance and overestimation of the visibility of their anxiety. The effects were not specific to participants with high social anxiety. Observers rated the behaviour of participants who believed that their arousal had decreased most favourably. The results have implications for the treatment of social phobia.

Adult↗

Social deprivation, income inequality, social cohesion and dental caries in Brazilian school children.

This ecological study investigated the associations between social deprivation, income inequality and social cohesion and dental caries levels in school children of the Distrito Federal, Brazil. Three sources of data were used: (1) area-based data from a 1997 social survey carried out on 13,000 families, (2) 1995 census data collected for the Government of the Distrito Federal (GDF), and (3) dental caries data from a 1997 oral health survey on 7296 6-12-year-old school children. Results of simple linear regression showed that percent with less than eight years of education (P = 0.03) and percent who did not have a maid (P = 0.009), were negatively statistically significantly associated with the percent of children free of caries. None of the deprivation measures were statistically significantly associated with mean DMF-T scores (P > 0.05). GINI coefficient, an indicator of social inequalities, was negatively statistically significantly associated with both measures of dental caries experience, percent of caries free (P = 0.003) and mean DMF-T scores (P = 0.01). Per thousand number of homicides or attempted homicides, an indicator of social cohesion was of marginal statistical significance associated with caries experience. Results of multiple linear regression analyses showed that only the Gini coefficient remained statistically significantly associated with both dental clinical measures used, after adjusting for potential confounding. In conclusion, relative rather than absolute levels of income were stronger determinants of the onset of caries in this study.

Brazil↗

Measuring social relationships. The Interview Schedule for Social Interaction.

It is generally recognized that social relationships occupy a central position in psychiatry. To examine the role of social relationships in the onset of minor psychiatric morbidity it is necessary to construct an instrument which will meet the need for a valid, reliable and comprehensive index of social relationships. Such an instrument has now been developed and used in a sample of the general population. The Interview Schedule for Social Interaction arose from a research need, and was constructed to assess the availability and perceived adequacy for any individual of a number of facets of social relationships. These consist both of persons and of the provisions obtained through them. Data from a general population sample suggest this instrument to be sufficiently valid and reliable, and also sensitive to predictable variations between sociodemographic groups, to justify its use in clinical and epidemiological studies, both in psychiatry and general medicine.

Adolescent↗

The Brief Infant-Toddler Social and Emotional Assessment: screening for social-emotional problems and delays in competence.

OBJECTIVE: To examine the reliability and validity of the 42-item Brief Infant-Toddler Social and Emotional Assessment (BITSEA), a screener for social-emotional/behavioral problems and delays in competence. METHOD: Parents in a representative healthy birth cohort of 1,237 infants aged 12 to 36 months completed the Infant-Toddler Social and Emotional Assessment (ITSEA)/BITSEA, the Child Behavior Checklist (CBCL)/1.5-5, the MacArthur Communication Developmental Inventory vocabulary checklist, and worry questions. In a subsample, independent evaluators rated infant-toddler behavior. RESULTS: Test-retest reliability was excellent and interrater agreement (mother/father and parent/child-care provider) was good. Supporting validity, BITSEA problems correlated with concurrent evaluator problem ratings and CBCL/1.5-5 scores and also predicted CBCL/1.5-5 and ITSEA problem scores one year later. BITSEA measures of competence correlated with concurrent observed competence and predicted later ITSEA competence measures. Supporting discriminant validity, only 23% of high BITSEA problem scorers had delayed vocabulary. Moreover, the combined BITSEA problem/competence cutpoints identified 85% of subclinical/clinical CBCL/1.5-5 scores, while maintaining acceptable specificity (75%). CONCLUSIONS: Findings support the BITSEA as a screener for social-emotional/behavioral problems and delays in social-emotional competence.

Child Behavior Disorders↗

The efficacy of the selective serotonin reuptake inhibitors for social anxiety disorder (social phobia): a meta-analysis of randomized controlled trials.

This article reviews all available studies on the use of selective serotonin reuptake inhibitors (SSRIs) for the pharmacotherapy of social anxiety disorder. Using the search methods laid out by the Cochrane Collaboration, 25 published reports of SSRI effectiveness for social anxiety disorder were identified, of which eight were randomized, double-blind, placebo-controlled trials (RCTs). The odds ratios of responder status ('much improved' or 'very much improved' on the Clinical Global Impression Scale) for SSRI versus placebo varied between 2.1 and 26.2. In no RCT was the lower confidence limit less than 1. The number needed to treat varied from 1.6 to 4.2. The number of patients who responded to drug was approximately twice the number who responded to placebo. Comparing the change in mean Liebowitz Social Anxiety Scale score in patients treated with drug versus those treated with placebo, the effect sizes of the RCTs varied from 0.3 to 2.2. In four RCTs the effect size was 'large', in one 'moderate' and in two 'small'. Furthermore, response rates and effect sizes for SSRIs were larger than those seen in trials of the reversible monoamine oxidase inhibitors (RIMAs). It may be concluded with a high degree of confidence that SSRI treatment for social anxiety disorder is effective, both in reducing total levels of social anxiety and in improving patients' overall clinical condition.

Clinical Trials as Topic↗

A development in social psychiatry. The systematic study of social bonds.

Psychiatric epidemiology has not until now reached the stage at which the individual's immediate social environment can be examined as a principal independent variable. That handicap may now be overcome by a recent development in social psychiatry: the systematic study of social bonds. Work in this area is providing a method for identifying those elements in social relationships which, when deficient, may be causally related to neurosis. There are considerable technical difficulties in teasing apart cause and effect. These can be tackled by designing intervention trials and by fitting structural equation models to longitudinal data. The evidence so far is at least consistent with, but cannot yet prove, the hypothesis that a deficiency in social bonds is a cause of neurosis.

Community Psychiatry↗

Drugs in development for social anxiety disorder: more to social anxiety than meets the SSRI.

Individuals with social phobia (SP) fear and avoid a wide variety of social and performance situations in which they are exposed to unfamiliar persons or to possible scrutiny by others. The lifetime prevalence of SP is estimated to be as high as 13%. It is frequently co-morbid with and usually precedes the onset of other psychiatric illnesses and is associated with significant occupational and social impairment, including academic and vocational underachievement. Fortunately, there are effective treatments for this common and debilitating condition. There is currently considerable evidence for the efficacy of pharmacotherapy and especially the monoamine oxidase inhibitors (MAOIs) and selective serotonin re-uptake inhibitors (SSRIs) in the treatment of this disorder. However, SSRIs are generally preferred as the first-line treatment of choice due to the advantages of SSRIs over MAOIs in terms of safety and tolerability. Despite encouraging results, current treatments most often produce partial symptomatic improvement, rather than high end-state functioning. While current first line treatments for social phobia target the serotonergic system, it is important to remember that different social fears are likely to have different developmental roots and may be based on quite different neurobiological systems. In this article we provide a review of current pharmacotherapeutic options for SP, current knowledge of the neurobiology of SP, and a review of new and promising directions in pharmacological research. It is increasingly clear that serotonin (5-HT) is unlikely to be the whole story in SP and that other brain chemical systems, especially the dopaminergic, noradrenaline-corticotropin releasing hormone and gamma-aminobutyric acid (GABA) dependent systems, most probably have an important role to play in a substantial percentage of cases. A number of new and novel agents, including the substance P antagonists, GABA agonists and CRF antagonists show considerable promise in the treatment of SP. However, in order to enhance the understanding of the neurobiology and treatment response of SP, we need to develop more sophisticated theory-driven typologies of SP.

Animals↗

[Social risk factors for rheumatoid arthritis (epidemiologic social-medical study)].

An epidemiological social-medical study was carried out in the section of IX polyclinic--Sofia, aiming at the establishment of the social risk factors effect upon the origination and course of the rheumatoid arthritis (RA), in view of the particularly social importance of the disease invalidity. The model is based on statistical methods for programmed computor processing. Two hundred and forty six subjects were examined, the basic group of 44 being with diagnosed RA according to the international criteria (0.35% from the population) and 2 control groups--patients with infectional alergic arthritis and healthy subjects. The assessment of the RA severity degree was performed according to the numeric method, elaborated for that purpose, based on the following criteria: number of the joints, kind of the joint involvement, functional capacity, patients' personal assessment of the difficulties due to the disease, disease duration, ESR, rheumatoid factor, X-ray changes according to the adopted four degrees. The following social factors were studied: occupation, kind of work, working conditions, financial status, education, home conditions, mode of life, activity in the leisure time. A statistically significant (correlation C with P less than 0,05--0,001) unfavourable effect of the following complex of risk social factors was established: 1. RA risk factors--unfavourable microclimatic working (C=0,24) and home (C=0.30) conditions: 2. Risk factors for RA invalidity--occupations with heavy physical work (C=0,40), wol income (C=0,31) and unfavourable home conditions (C=0,22). The results obtained will serve as a ground for concrete directed rheumatoid arthritis prophylaxis. That outlines the perspectives of similar studies for assessment of the effect of life environmental factors upon human health state.

Arthritis, Rheumatoid↗

Social deviance in autism: a central integrative failure as a model for social nonengagement.

Clinically, adult autistic and PDD individuals appear to have an uneasy relationship with their social environment no matter how much developmental progress they make. Many can work at modest jobs, many more do not, and even fewer are interested enough in the human environment to cohabitate and/or marry. A conversation with a young autistic man of 20 about a trip to visit a relative focuses more on the time the train left and how late it was in hypermnestic detail, including all details except the affective environment or the relationships to human beings. This is the human significance of the term autism. Autistics can speak and reference, but they seem not to understand the social requirements of a human interchange. If they do know it, they know it in a fragmentary or rudimentary way devoid of subtlety or nuance. Whatever we mean by social intercourse and whatever functions subsume it, they seem to emerge in interaction with cognition and language. They develop apace as human traverse those first 3 years of life and as they reach social maturity in adolescence. Autistic children appear not to integrate their knowledge of things in a representation that includes emotional and cognitive elements. They do not seem to understand that words necessarily refer to things of this world that others are also referencing in their words and sentences--shared reference is not natural to them. Intersubjectivity as a feature of common code use is not tacit or explicit in their behavior. They similarly do not use social referencing in the way in which normals do, and although they show some attachment to people, they seem to do so without benefit of affective display leading to reciprocity. There is little notion of the external that makes another human being distinguishable from a thing. Their treasured objects in early childhood are hard and lack comforting proximal receptor attractiveness as in normals. Hobson's extensive studies have elaborated a notion about the autistic child's knowledge of person. He comments on the lack of integration of the verbal and visual situational ties in which affective expression emerges and functions. He also comments on the deictic inabilities, inferring that the "I," "you," and "he" references do not have any significance for such children. We would like to note that while Vygotsky and others have observed that speech comes from the world of people, language comes from the maturing organism as an innate propensity.(ABSTRACT TRUNCATED AT 400 WORDS)

Affect↗

[Inpatient social therapy in adolescents with social behavior disorders].

This paper reports about 5 years experience with the therapy program of the social therapeutical ward/that was specially developed for adolescents with conduct disorders. Special attention is devoted to the problem behavior of the adolescents during the in-patient stay, the treatment, approaches and the future prospects of the adolescents after discharge from the social therapeutical ward. It is shown, that the major intentions of the concept of the social therapeutical ward could be put into practice. However, the analysis also displays problems with the application of this concept, that couldn't be overcome so far: on the one hand girls benefit much less from a stay on the social therapeutical ward than boys, on the other hand it was not possible to reduce the high number of running away from the social therapeutical ward. Finally it is pointed out that the opening of this ward had positive effects on the work of the others wards of the hospital.

Adolescent↗