Structuralism vs. functionalism An opposing school of thought – functionalism – was led by William James and John Dewey. While structuralists essentially wanted to determine ‘’what is consciousness? functionalists wanted to determine ‘what is consciousness used for?’ – in other words, they wanted to study the purpose, or function, of consciousness and basic mental processes. The two camps debated passionately over which approach to psychology was best, each hoping to shape the direction of their fledging academic subject. Although neither won the war, the creative tensions led to the establishment of the first psychology lab in the USA (Johns Hopkins University). Behaviorism Around 1913, American psychologist John B. Watson founded a new movement that changed the focus of psychology. He believed that internal mental processes should not be studied, because they cannot be observed; instead, Watson advocated that psychology focus on the study of behavior and thus his movement became known as behaviorism. As Watson saw it, behavior was not the result of internal mental processes, but rather the result of automatic response to stimuli from the environment. Behaviorism became focused on how conditions of the environment affect behavior and, specifically, how humans learn new behavior from the environment. The language of psychology Psychology has its own terms including some words, phrases and approaches that may be familiar to you but mean different things to psychologists from normal (sick) people. For example, if a person says ‘behavior’ then a psychologist would say ‘define the behavior’. If a person says ‘personality’ then a psychologist will ask ‘which aspect of personality?’. What is a science? One common misconception about science is that it is all about statistics and hard math's! It is not – there are plenty of scientists that produced scientific theories without reaching for the calculator (think of Darwin or Piaget for example). Science is about technology – there are plenty of examples of technology that have no scientific basis (e.g. ‘lie detector’) and plenty of science that has no technology (e.g. Darwin once again). Researching psychology Psychology, as you would imagine, generates a considerable number of research questions and consequently requires a range of methods for gathering evidence to answer them. Between groups design Allocates matched groups of people to different treatments. If the measures are taken at one time this is a cross-sectional design, whereas if they are tested over two or more time periods then this would be a longitudinal design. For example, if we want to see whether a certain psychological approach (e.g. behavioral) to pain management works we would have one group that has the intervention (the experimental group) and another group (the control group) that does not. Cont.… If we followed these people over time to see whether the behavioral intervention worked then it would be a longitudinal design. We also have to remember to use an appropriate control group – we could not give the group nothing as the mere fact that the experimental group were receiving the intervention might be enough to cause improvement. Within participants design This type of design is used when the same people provide measures at more than one time and differences between the measures at the different times are recorded. An example would be a measure taken before an intervention and again after the intervention. For example, you introduce a psychological intervention to try to improve the mental health of a group of people with learning disabilities living in supported accommodation. Cont.… You measure the levels of mental health before the treatment, and then again after you have undertaken the intervention. There are obvious problems with this – did we keep everything else constant? How can you be sure that it was to down to the intervention specifically? Cross-sectional studies These studies obtain the responses from a group of participants on one occasion only. With appropriate randomized sampling methods, the sample can be assumed to be a representative cross-section of the population under study. Cont.… So, for example, we can explore how many people are under stress at any one point in time. If we collect enough participants then we can probably also compare specific subgroups: is stress greater in men than women, is it greater in nurses or doctors (or psychologists)? These studies are quite common, but we must make sure the sample is representative and we cannot infer any cause and effect. Observations A simple kind of study involves observing behavior in a relevant setting. Hence, we can explore interactions within a consultation setting: how do patients react to bad news? How do nurses react to giving good news? Structured interviews An interview schedule is prepared with a standard set of questions that are asked of each person, by telephone or by face-to-face interview. A semi-structured interview is more open ended and allows the interviewee to address issues that they feel are relevant to the interview. Longitudinal design These designs involve measuring responses of a single sample on more than one occasion over a period of time. These can either be prospective (where the recordings are taken and then planned for the future) or retrospective (where the recordings are obtained from already collected records). These types of designs are among the most powerful designs available for the evaluation of treatment and of theories about human behavior. Meta-analysis This is a statistical analysis of the results from a number of studies already completed, and it’s defined as ‘A statistical analysis that combines or integrates the results of several independent clinical trials considered by the analyst to be “combinable”.‘ Questionnaires This is a popular and frequently employed method of study in psychology. Questionnaires consist of a standard set of items with accompanying instructions. Ideally a questionnaire will be both reliable (i.e. measure the same thing on more than one occasion) and valid (i.e. measure the thing that they say they are measuring). Surveys This is a systematic method for determining how a sample of participants respond to a set of questions (or questionnaires) at one or more times. For example, we may want to know what people with alcohol problems think of the service they are receiving and how this compares to the views of the service providers. In this case we would do two surveys – one with the service users, and one with the service providers. Randomized controlled trials Randomized controlled trials (RCTs), involve the systematic comparison of interventions using a fully controlled application of one or more ‘treatments’ with a random allocation of participants to the different treatment groups. This design is the ‘gold standard’ to which much research in psychology and healthcare aspires. People are allocated at random (by chance alone) to receive one of several interventions. Qualitative techniques The methods discussed so far are quantitative techniques favored by many in psychology and healthcare. However, there are also a number of qualitative techniques that may be of use. For example, there are diary studies which can help the researcher collect information about the temporal changes in health status (e.g. dealing with a life limiting condition).There are also narrative approaches in which the desire is to seek insight and meaning about health and illness through the acquisition of data in the form of stories concerning personal experiences (e.g. dealing with substance abuse). Cases studies provide a ‘thick description’ of a phenomenon that would not be obtained by the usual quantitative or qualitative approach. Focus groups are a common approach which involves a group of participants discussing a focused question or topic which can lead to the generation of interactive data. Action research This basic principle of a spiral of steps lives on in the design of many action research studies. A simple diagram of the action research spiral is shown in Figure 1.4. Many action research studies now aim to empower the disempowered and to challenge the social structures that create such power imbalances. These developments have led to what has become known as ‘participatory action research’. Participatory action research is built on the concept of a group of co- researchers working together as equal participants trying out various actions, evaluating and reflecting on their effectiveness as a group and then developing and, hopefully, improving their actions. Through this process the co-researchers begin not only to analyze the situation they are in, but also to build a sense of empowerment as they are able to take action to respond to their analysis.