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FUTURE RESEARCH DIRECTIONS With changes in the racial/ethnic composition of the United States, trends in health technology, and a greater appreciation for the need to study health in women, ethnic minorities, and economically underserved populations, there are an endless number of directions for future research In summary, emerging areas of research on the relationship and impact of race/ethnicity, gender, and SES on health, disease, and health behaviors require a systems perspective for continued advancements in the eld Investigations that explore mechanisms linking SES and health could bene t from addressing questions such as: What is the relationship between SES, psychosocial factors, and health outcomes Is SES a social hierarchy that will inherently have toxic biopsychosocial effects How are SES and allostatic load related Research is needed to elucidate the relationship between SES and psychological traits/responses and coping resources.

psychotherapy, 46 47 training, 47 after World War II, 53 60 additional conferences, 70 Boulder Conference, 56 60 influence of World War II, 53 Michigan conference on postdoctoral training, 70 present status, 70 72 Salt Lake City Conference, 70 training, 56 Vail Conference, 52, 69 70 Hospitals: consultation in, 365 teaching in, 379 381 House-Tree-Person Technique, 246 Hull, Clark, 61 Humanistic approach, 62 63, 128 130, 136 active listening, 128, 129 case study, 136 client-centered perspective, 129 congruence, 128, 129 empathy, 128, 129 Gestalt perspective, 130 peak experiences, 128, 129 130 phenomenological approach, 128 self-actualization, 128, 129 unconditional positive regard, 128, 129 Human relations (ethical standard), 393 Hysteria, 87 Id, 118 Identified patient, 64 Impulse control disorders, 469 Individual Education Plan (IEP), 366 Individual psychotherapy, 274 276, 278 279. See also Psychotherapy Information (WAIS subtest description), 219 Informed consent: case study, 418 form for (example), 411 416 billing and payments, 415 contacting psychologist, 412 insurance reimbursement, 415 416 limits on confidentiality, 412 414 meetings, 412 minors and parents, 414 415 patient rights, 414 professional fees, 412 professional records, 414 psychological services, 411 Initial consultation, 270 272 Initial intake interview, 186 188 Inkblot test. See Rorschach Inkblot Test Inpatient group psychotherapy, 282 284 Insanity defense, 354 Insight, 119, 120 Instrumentation, 81 Insurance. See economic factors in health care Integrative approaches, 8, 66 68, 141 174 applications of biopsychosocial perspective, 159 172 cancer, 168 172 cardiovascular disease, 166 168 obsessive-compulsive disorder (OCD), 159 163, 196 panic disorder and anxiety, 161 166 school phobia, 165 166 biopsychosocial integration, 148 155 biological factors, 148 153 social factors, 153 155 call to integration, 143 148 commonalities among approaches, 144 145 eclecticism, 146 147 efforts toward integration, 145 146

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Laboratory and ambulatory monitoring studies would be instrumental in identifying the physiological (eg, cardiovascular, immune, and adrenocortical) responses associated with perceptions of chronic interpersonal and environmental stressors, between and within SES groups In addition, cross-cultural studies are needed to delineate biological, psychological, behavioral, and social correlates of health among persons in societies with varying degrees of social and economic orderings We also suggest examining the effect health promotion programs have on mitigating the relationship between SES and health outcomes and processes to further our understanding of how to overcome the impact of economic variability on health Considerations in the Study of Ethnicity, SES, Gender, and Health Much of the research on ethnicity, SES, gender, and health involves statistical analyses that compare group means One central assumption in these types of analyses is homogeneity of variance.

Algina, J, & Swaminathan, H A (1977) A procedure for the analysis of time series designs Journal of Experimental Education, 45, 56 60 Algina, J, & Swaminathan, H A (1979) Alternatives to Simonton s analysis of the interrupted and multiple-group time series designs Psychological Bulletin, 86, 919 926 Allison, A B, & Gorman, B S (1992, August) Calculating effect sizes for meta-analysis: The case of the single case Paper presented at the meeting of the American Psychological Association, Washington, DC Barlow, D H, & Hersen, M (1984) Single case experimental designs: Strategies for studying behavior change (2nd ed) New York: Pergamon Beguin, J M, Courieroux, C, & Monfort, A (1980) Identi cation of a mixed autoregressive-moving average process: The corner method In O D Anderson (Ed), Time Series: Proceedings of the International Conference held at Nottingham University (pp 423 436) Amsterdam: North-Holland.