The factor structure of the Maslach Burnout Inventory in two Swedish human service organizations

The Maslach Burnout Inventory, MBI, is a well established measure of burnout. Its validity outside the USA is, however, uncertain. The aim of the present study was therefore to apply the MBI on personnel in two Swedish human service organizations, comparing factor solutions and scoring norms to the original results. The population consisted of 5730 employees in the Social Insurance Organization (SIO) and the Individual and Family Care section (IFC) of the social welfare agencies. Principal components analysis, principal axes and alpha factor analyses were performed, all with varimax rotation. The suggested three factor solution showed to be remarkably stable irrespective of type of analysis. Score levels were somewhat lower on two subscales in the Swedish population. The conclusion is that the psychometric properties of the MBI seem to be very satisfactory and stable, at least in comparison between Sweden and USA. It is suggested that the dimensionality of MBI is rather invariant, but that the score levels covary with national, cultural, or professional contexts within the human services.     

Research as a family therapy intervention technique

The utilization of the research process as an intervention has recently been described in the family therapy literature. However, it is important to draw a distinction between research as intervention and research as a unique family therapy intervention technique. From a family systems perspective, research as an intervention technique may make therapy more palatable for some families. A case study is presented in which this technique created the context for change for a family involved in a chronic illness research project.The author would like to thank Dr. Wendy L. Watson for her participation as a member of the clinical team and Drs. Fabie Duhamel and Wendy L. Watson for their helpful critiques on earlier drafts of this paper.Supported by a grant from the Albert Foundation for Nursing Research.     

Scotopic contrast hues displaced toward blue

Abstract.— Pre-stimulation with a neutral white light, in a dark-adapted state, produced a disposition for a scotopic hue of violet of about 463 nm. The observation may be explained on the basis of Helmholtz's theory of complementary negative afterimages, provided that (1) the assumption that neutral white is observed when the three types of cone receptors are activated to about the same degree, is rejected, and (2) the origin of the scotopic contrast hues is assumed to be located centrally to the photochemical systems of the receptors.     

The effect of stimulus preexposure upon the context effect in taste-aversion learning in noradrenaline-depleted rats

The present investigation was designed to study the effect of preexposure to a saccharin plus noisy bottle stimulus compound, or to each element by itself, upon the extinction-dependent "context effects" (due to the presencelabsence of the noisy bottle contextual cue) in taste-aversion learning, following noradrenaline (NA) depletion via a single systemic DSP4 injection. Since contextual manipulations have provided a reliable means of studying selective attentional processes the current theorising on the role of noradrenaline can be effectively accommodated. It was found that, under the No Preexposure and Noisy Bottle Preexposure conditions, the "context effect" during the saccharin preference tests, after reinstatement of the noisy bottles for all groups, was totally absent for the NA-depleted rats; in the Saccharin plus Noisy Bottle Preexposure condition the "context effect" was partially blocked for the NA depleted rats and in the Saccharin Preexposure condition it was at least as strong as in the control condition, These findings may be interpreted as supporting our conclusions, concerning NA-depleted rats derived from several different investigations, i.e. that following NA loss rats fail to attend sufficiently to contextual cues in taste-neophobia and taste-aversion situations. Thus, the attentional deficit may be described as an inability to attend to all aspects of the taste stimulus plus exteroceptive context stimulus compound. Although the selective attentional hypothesis of noradrenaline function requires a good deal of alteration, it remains the most parsimonious account that can be described at present.     

Documentary Bioethics: Visual Narratives for Generations X and Y

Narrative bioethics is primarily understood to involve storytelling through the use of literature. This article suggests that other forms of media are necessary to convey stories of an ethical nature to an audience broader than one being trained as medical professionals. "Documentary bioethics" is a manner to present and interpret stories of an ethical nature using forms of popular electronic media in a reality-based documentary style to society at large, specifically Generations X and Y.     

Mueller-Lyer illusion and size estimation performance in schizophrenics compared to normal controls

A size estimation (SE) paradigm and the Mueller-Lyer (ML) illusion were used to examine perceptual disturbances in schizophrenics. 35 reliably diagnosed (DSM III-R) schizophrenics were compared to 20 subjects with no history of psychiatric illness. Perceptual distortions found in previous studies of schizophrenics were only to a certain extent confirmed in the present results. More overestimators were found among the schizophrenics than among the normals on the SE task. The schizophrenics, first of all the chronic patients, also proved to be more prone to the Mueller-Lyer illusion. A reason why the very clear differences between schizophrenics and normals found in previous examinations were not confirmed in the present study, might be that a reliable diagnostic instrument was for the first time used in this kind of study.     

Noradrenaline loss and the disruption of between-CS stimulus generalisation effects in aversion learning

In stimulus blocking the previous conditioning to one stimulus, A, followed by conditioning to the compound stimulus, AB, results in less conditioning to the other stimulus, B. Three experiments were performed to study the effect of the prior pairing of a stimulus A (noisy bottle) with lithium chloride followed by stimulus AB (saccharin plus noisy bottle) and lithium chloride pairings upon the strength of the aversion to the target stimuls B (saccharin) in NA-depleted and control rats. The results obtained were not in keeping with a "blocking" explanation since enhancement, rather than blocking, of the saccharin aversion was obtained, and confirm several recent demonstrations of the "anti-blocking" effect from investigations using the conditioned suppression procedure. DSP4 treatment attenuated the aversion-enhancement ("anti-blocking") effects in all three experiments. The possibility that DSP4-induced noradrenaline depletions may cause some disruption of between-CS associations leading to a lesser higher order conditioning or stimulus generalisation is discussed and the present findings do add further evidence to the conclusion that noradrenaline is intimately involved in attentional processes.     

Visual speech processing: Word-decoding and word-discrimination related to sentence-based speechreading and hearing-impairment

Two aspects of visual speech processing in speechreading (word decoding and word discrimination) were tested in a group of 24 normal hearing and a group of 20 hearing-impaired subjects. Word decoding and word discrimination performance were independent of factors related to the impairment, both in a quantitative and a qualitative sense. Decoding skill, but not discrimination skill, was associated with sentence-based speechreading. The results were interpreted such that, in order to represent a critical component process in sentence-based speechreading, the visual speech perception task must entail lexically induced processing as a task-demand. The theoretical status of the word decoding task as one operationalization of a speech decoding module was discussed (Fodor, 1983). An error analysis of performance in the word decoding/discrimination tasks suggested that the perception of heard stimuli, as well as the perception of lipped stimuli, were critically dependent on the same features; that is, the temporally initial phonetic segment of the word (cf. Marslen-Wilson, 1987). Implications for a theory of visual speech perception were discussed.     

NARROW HEDONISM

Narrow hedonism is defined and defended, as a view according to which pleasurable states are individuated as concrete and total experiential situations of a sentient being at a time. Typical of such situations is that, when we are in them, we are at a certain hedonic level. They feel in a certain way for the creature in them. On this understanding of narrow hedonism, which is the only one making good sense of the theory and which was probably also intended by classical hedonists such as Bentham and Edgeworth, standard objections to hedonism, based on the claim that different pleasures have nothing in common, can be set to one side as misplaced and irrelevant. It is also hard to see how this kind of hedonism can be refined, or revised, in the direction indicated by J.S. Mill, when he wants to distinguish “higher” pleasures from “lower” ones. On this understanding of hedonism, we must claim that, those who want to follow Mill will have to rely on non-hedonistic intuitions and thus desert the hedonist camp altogether.     

Is there an optimal factor structure of the Positive and Negative Syndrome Scale in patients with first‐episode psychosis?

The Positive and Negative Syndrome Scale (PANSS) is the most widely used scale to assess a variety of symptoms in patients with schizophrenia and other psychoses. The factor structure of the PANSS has been examined with confirmatory factor analyses in several studies, but not in a well‐defined first‐episode psychosis sample. The aim of this paper is to examine the statistical fit of five different PANSS models in a first‐episode, non‐affective psychosis sample. Confirmatory factor analyses were performed on PANSS data (n = 588). A main criterion for best fit was defined as the Expected Cross Validation Index (ECVI). No tested model revealed an optimally satisfactory model fit index. The Wallwork/Fortgang five‐factor model demonstrated the most optimal psychometric properties. The corresponding subscales of all evaluated five‐factor models were strongly intercorrelated. The Wallwork/Fortgang five‐factor model was found to be statistically and clinically ideal among patients with first‐episode psychosis. Therefore, we recommend this model in forthcoming studies among patients with first‐episode psychosis. However, to prevent the loss of clinically valuable information on an item level, we do not recommend removing any items from the original form. Our study also implies that the specific choice of model will not have a substantial effect on outcome results in studies on the course and outcome in first‐episode psychosis.