Erfahrungsorientiertes Lernen in der Psychotherapie

Background

Based on principles of experiential learning, psychophysical exposure (PPE) on a tightrope course offers a promising intervention in the treatment of patients with mental disorders. A PPE program conducted on a hospital tightrope course is presented as an adjunct in inpatient psychotherapy.

Methods

The acceptance and effectiveness of the PPE were evaluated in a prospective controlled naturalistic study. A total of 155 patients, who were exposed at least once during their inpatient therapy, were compared with 92 control patients, who did not participate in the tightrope course. The main outcome criteria were self-reported depressive symptoms, state anxiety, locus of control, self-efficacy, and trait anxiety.

Results

The PPE was highly accepted by the participants. Patients who attended the tightrope courses showed greater improvement in the outcome criteria than patients who received inpatient treatment as usual. Particularly better effects were found on the personality variables.

Conclusions

Psychophysical exposure can successfully and effectively be integrated into a psychosomatic inpatient treatment program. Methodological limitations of the study, especially threats to internal validity, are discussed.     

Effectiveness of Consensus Information in Advertising: The Moderating Roles of Situational Factors and Individual Differences

Purpose

This study aims to investigate the influence of both individual consumer differences and the purchase decision context on the effectiveness of consensus information in advertising.

Design/Methodology/Approach

Three experiments explore the effectiveness of consensus information. In Experiment 1, gender serves as a moderator. Experiment 2 contains an examination of the susceptibility to interpersonal influence (SII) and purchase decision context as two potential moderators. Finally, Experiment 3 instead explores the need for cognitive closure (NFC) but again includes the purchase decision context as the two possible moderators.

Findings

In Experiment 1, female participants, but not male participants, generate higher purchase intentions for ads with consensus cues as opposed to those without them. With Experiment 2, this study demonstrates that the effectiveness of consensus cues increases for a group (vs. personal) purchase decision, but only for people with high susceptibility to individual influence. In Experiment 3, the effectiveness of consensus cues is relatively greater for a group (vs. personal) purchase decisions, but only for consumers with a high NFC.

Implications

Understanding what moderates the effectiveness of consensus information in advertising has the potential to help practitioners apply consensus information more effectively to improve their advertising returns.

Originality/Value

This study provides initial evidence about the impact of consensus information in advertising on purchase intentions, which is contingent on the situational context and individual differences.     

Cultural Participation and Individual Quality of Life: A Review of Research Findings

Objectives

To examine the research evidence for the contribution of cultural participation to individual quality of life; to discuss the utility of different types of QOL conceptualisation and measurement for cultural policy making.

Materials and Methods

A literature review of English language publications over the decade from 1995.

Results

There are few extant QOL studies, and very little empirical evidence to support the claims made by policymakers about culture and individual QOL.

Conclusions

The article suggests that a multi-dimensional, rather than a global, conceptualisation of QOL is best suited to the cultural policymaking context. Securing findings generalisable across all cultural forms, project types and all individuals or populations is not an achievable goal. Methodologies need to be developed and tested to understand how and why cultural participation affects individual QOL domains and these need to take into account differences in types of cultural participation, the quality of the experience, and between individuals in different social circumstances and in different life stages.     

The Experience of Failed Humor: Implications for Interpersonal Affect Regulation

Purpose

The purpose of this study was to investigate failed interpersonal affect regulation through the lens of humor. We investigated individual differences that influenced people’s affective and cognitive responses to failed humor and their willingness to persist in the interpersonal regulation of positive affect after a failed attempt.

Design/Methodology/Approach

Using well-established autobiographical narrative methods and surveys, we collected data at two time points. All participants (n = 127) received identical surveys at time 1. At time 2, they were randomly assigned to complete a narrative about either successful or failed humor as well as a second survey.

Findings

Using moderated regression analyses and SEM, we found significant differences between our failed and successful humor conditions. Specifically, individual differences, including gender, affective perspective taking, and humor self-efficacy, were associated with negative reactions to failed humor and the willingness of individuals to persist in the interpersonal regulation of positive affect. Moreover, affective perspective taking moderated the effect of gender in both the failed and successful humor conditions.

Implications

Our results suggest that failed humor is no laughing matter. Understanding individuals’ willingness to continue in attempts to regulate the affect of others contributes to the comprehension of an understudied phenomenon that has implications for interpersonal behavior in organizations such as helping, group decision making, and intragroup conflict.

Originality/Value

Studies of interpersonal affect regulation often focus on people’s ability to successfully regulate others’ emotions. In contrast, this is the first quantitative study to explore factors that influence individual’s willingness to persist in interpersonal affect regulation after failure, and to investigate how individual differences influence the personal outcomes associated with failed attempts.     

Conceptual and Statistical Interactions: An Illustration with the AB5C and CWBs

Purpose

The purpose of this study was to compare the criterion validity of conceptual interactions between the Big Five traits of agreeableness, conscientiousness, and emotional stability to the statistical interactions between these traits. For illustration purposes we focus on linking these interactions to counterproductive work behaviors (CWBs).

Design/Methodology/Approach

Data for Study 1 was obtained from 196 employed students and focuses on the interaction between agreeableness and conscientiousness. Data for Study 2 was obtained from 220 employees and expanded the interaction space examined to include emotional stability.

Findings

All of the circumplex traits representing conceptual interactions were related to CWBs but only the traits most closely associated with conscientiousness showed incremental validity beyond their associated Big Five traits. Dominance analysis highlights increased concurrent validity of the circumplex traits compared to the Big Five statistical interactions in relation to CWBs.

Implications

Understanding the unique circumplex blends of the Big Five traits offers opportunities to enhance the criterion validity of Big Five measures. Results question the similarity between the AB5C circumplex traits and Big Five interactions, with their contributions appearing to be unique but their justification drastically different.

Originality/Value

The validity of the AB5C circumplex traits are relatively unknown. The current results expand this knowledge and directly compare the circumplex traits to interaction terms between agreeableness, conscientiousness, and emotional stability.     

Kosteneffektivität ambulanter Psychotherapie

Background

There is a lack of cost-effectiveness analyses (CEA) of psychotherapeutic treatments.

Material and methods

Cost-effectiveness analysis was applied to a sub-sample of 122 psychotherapy outpatients who participated in a large longitudinal study on outpatient psychotherapy (TRANS-OP study). Participants received either psychodynamic psychotherapy (PD, n=69) or cognitive behavioral therapy (CBT, n=53). Effectiveness (change in symptomatic impairment over 2 years) was assessed via the German version of the Outcome Questionnaire (OQ-45.2). Direct health care costs during a 2-year period (psychotherapy and other health care utilizations) were obtained from health insurance claims. Cost-effectiveness analysis methods included incremental cost-effectiveness ratios (ICER) and the net benefit regression approach.

Results

Cost-effectiveness analyses showed no significant differences between the two treatments, neither head-to-head, nor with regard to advantages in certain subgroups of psychotherapy outpatients. A slight dominance of CBT in costs was not maintained after controlling for covariates.

Conclusion

Provided that pivotal covariates such as treatment need are taken into account, cost-effectiveness analyses can contribute to a more equitable distribution of psychotherapeutic resources.     

Dyadische Planungsintervention nach Prostatektomie

Background

Prostate cancer is one of the most prevalent forms of cancer in men. One treatment for localized prostate cancer is radical prostatectomy. Patients and partners have to deal with stressors associated with the diagnosis, the surgery and its consequences (e.g. incontinence). Dyadic planning prepares for the coping process with illness consequences in order to enhance self-regulation and reduce anxiety. Dyadic planning means generating plans together with a partner specifying when, where and how the target person wants to initiate a health behavior.

Patients and methods

In this longitudinal randomized controlled trial (RCT) 112 prostatectomy patients and their spouses were invited to participate in a dyadic planning intervention. Participants were randomly allocated to a dyadic pelvic floor exercise (pfe) planning group or one of three control groups (i.e., individual pfe planning, dyadic or individual nutrition planning). Patients and partners received questionnaires at baseline, 2 weeks and 6 months after surgery.

Results

Patients in the dyadic pfe planning group reported higher dyadic pfe planning 2 weeks after surgery than patients in the nutrition planning groups. No such differential effects were found in partners. Additionally, there were no group differences in patient reports on anxiety 6 months after surgery, whereas partners in the dyadic pfe planning group reported lower anxiety levels compared to partners in the individual pfe planning group. Self-reported pfe planning did not, however, mediate the effects of the intervention on partners?? anxiety.

Conclusion

Economical dyadic planning interventions may not only support change of health-relevant behaviour in target persons but also emotional adjustment of their partners.     

The Moderating Role of Locus of Causality in the Relationship Between Source of Information and Psychological Contract Breach Perceptions

Purpose

The purpose of this study was to investigate the role of information-seeking behaviors on the relationship between personality and psychological contract (PC) breach.

Approach

This study takes an interactionist (person × situation) perspective to examine how PC breach can be reduced in organizations. Survey data were obtained from 184 graduate students from psychology departments across the United States on variables related to personality, information-seeking behaviors, and PC breach.

Findings

Results indicated that external locus of causality (LoCa) is positively associated with PC breach, while information seeking from supervisors is negatively associated with breach. From an interactionist perspective, the positive association of external LoCa attribution style with breach was lessened as information seeking from supervisors increased, but heightened for participants who obtained information from peers, but not supervisors.

Implications

Such knowledge can potentially be used to help inform norm-setting strategies of organizations to possibly reduce the unwanted negative effects of PC breach.

Originality

This finding helps advance our theoretic understanding of the intersection between individual differences and situations and is the first study to examine interactions between LoCa and information sources with respect to PC breach.     

Assessing Workgroup Norms for Civility: The Development of the Civility Norms Questionnaire-Brief

Purpose

This research describes the development and validation of the Civility Norms Questionnaire-Brief (CNQ-B), a 4-item measure designed to assess workgroup climate for civility. Climate for civility is defined as employee perceptions of norms supporting respectful treatment among workgroup members.

Design/Methodology/Approach

Five samples (N?=?2,711) of adult employees, including two from distinct organizations and three from multiple organizations, responded to the CNQ-B and additional measures.

Findings

Evidence for the internal consistency, and convergent and discriminant validity of the CNQ-B was observed. Additionally, evidence for the criterion-related and incremental validity of the CNQ-B was demonstrated as it was a significant predictor of later-assessed incivility experiences and accounted for significant variability in work attitudes beyond incivility experiences and related measures.

Implications

The CNQ-B is a psychometrically sound instrument despite being composed of only four items. The CNQ-B can be used by researchers and practitioners alike to assess climate for civility, to study climate for civility as a precursor to incivility experiences, and to target workgroups that could benefit from interventions (e.g., training) to enhance civility and reduce incivility.

Originality/Value

This is one of the first studies to conduct a rigorous psychometric assessment of a measure of workgroup climate for civility that is grounded in theory and research on workplace civility and incivility. At four items, the CNQ-B is the shortest assessment tool currently available that is designed for this purpose.     

Impact of Organizational Identification and Psychological Safety on Initial Perceptions of Coworker Trustworthiness

Purpose

Initial trustworthiness perceptions serve as anchored reference points for subsequent trust perceptions and associated behavioral choices in organizations. Examining the relationship between the employee and the organization is an underexplored influence on such perceptions. This study is an investigation of how perceived psychological safety (PS) in the work environment and level of organizational identification (OI) influence initial perceptions of others?? trustworthiness.

Design/Methodology/Approach

Data were obtained through survey and scenario methods from a sample of high-potential managers (n?=?155) during participation in a leadership development training course.

Findings

Results demonstrate that both disposition to trust and PS have positive relationships with initial perceptions of others?? trustworthiness. There is also a significant negative moderating effect of OI on the relationship between psychology safety and perceived trustworthiness. PS has a strong positive significant relationship with initial perceptions of others?? trustworthiness when OI is low. This relationship is non-significant when OI is high.

Implications

This study provides evidence that the relationship between the employee and the organization can influence individual perceptions of initial trustworthiness in others.

Originality/Value

Aspects of the relationship between the trustor and the organization have not previously been considered as influences on initial trustworthiness perceptions. PS, often investigated as a direct influence on learning and performance, has not been previously examined as a socialized influence on trustworthiness perceptions.     

Transformational and Transactional Leadership and Followers’ Achievement Goals

Purpose

Achievement goals, or the standards of competence employees pursue in their work, have far-reaching consequences for employee and organizational functioning. In the current research, we investigated whether employees’ achievement goals can be predicted from their supervisor’s leadership style.

Design/Methodology/Approach

A multilevel study was conducted in which followers of 120 organizational leaders completed measures of their leader’s transformational leadership (focusing on individual needs and abilities, on intellectual development, and on a common team mission), transactional leadership (focusing on monitoring and achievement-related rewards), and their own mastery goals (aimed at learning, developing, and mastering job-relevant skills), and performance goals (aimed at doing better than others).

Findings

Group-level transformational leadership predicted followers’ mastery goals, whereas group-level transactional leadership predicted followers’ performance goals. Within-group differences in transformational leadership also predicted mastery goals.

Implications

These findings suggest that leadership style plays an important role in the achievement goals followers adopt. Organizations may promote transactional leadership in contexts requiring that employees outperform others. In contrast, in contexts requiring learning and development, organizations may promote transformational leadership.

Originality/Value

This research is the first to examine the relationships between leadership styles and specific follower goals, and the first to highlight the role of leadership as a social variable involved in employees’ adoption of achievement goals.     

Suchttherapie bei abhängigen Ärzten

Background

International studies indicate an increased incidence of substance abuse disorders among physicians. This article investigates specific variables in the work field and describes existing treatment programs.

Patients and methods

In a cross-sectional study 107 physicians with and 468 without substance abuse disorders were compared. Two highly developed treatment programs in Germany and Canada are described.

Results

The high work-load associated with the medical work environment leads to reduced performance and social isolation. Treatment programs for addicted physicians work with the concept of ?help before restriction“. The abstinence rate of the 5-year Canadian program is over 90%.

Conclusions

As a form of prevention, medical students should be systematically informed about work-related stress in the medical profession. Structured treatment programs should be implemented nationwide. The expert team ?Risk of addiction in physicians“ of the German Addiction Foundation, whose members are authors of this article, may be a small step in this direction.     

Strategies for Coping with Work Stressors and Family Stressors: Scale Development and Validation

Purpose

Both individuals and organizations benefit when workers can effectively cope with stressors in the work and family domains. This study takes an inductive approach to the development of a work stressor coping scale and a family stressor coping scale.

Design/Methodology/Approach

In phase one, a comprehensive list of coping strategies was generated through a multi-step content analysis of qualitative interviews. In phase two, the content validity of the work stressor and family stressor coping strategy scales was established using data from three samples; and in phase three, convergent, discriminant, and criterion-related validity evidence were obtained using data from two samples.

Findings

A multi-step content analysis of qualitative interview data was used to develop a list of 365 coping strategy statements (182 work and 183 family) representing 11 work and 14 family stressor coping strategies. Multiple samples were used to reduce the number of scale items, and establish evidence for the scales’ content, construct, and criterion-related validity. The final work stressor coping scale consisted of 36 items assessing 12 different strategies, and the final family stressor coping scale consisted of 45 items assessing 15 different strategies.

Implications

Findings from the present study suggest that individuals may use a wider variety of strategies to cope with work stressors and family stressors than previously thought, and these strategies may be differentially effective depending on the stressor domain (i.e., work or family) and outcome (e.g., work-to-family conflict vs. family-to-work conflict).

Originality/Value

The inductive nature of our study resulted in a comprehensive and domain-specific scales assessing how individuals cope with work stressors and family stressors.     

Cheating,Reactions, and Performance in Remotely Proctored Testing: An Exploratory Experimental Study

Purpose

We sought to provide empirical insight and develop theory for a new organizational phenomenon: remote proctoring for Internet-based tests. We examined whether this technology is effective at decreasing cheating and whether it has unintended effects on test-taker reactions, performance, or selection procedures.

Design/methodology/approach

Participants (582) were randomly assigned to a webcam proctored or honor code condition and completed two (one searchable, one non-searchable) cognitive ability tests online. Complete data were collected from 295 participants. We indirectly determined levels of cheating by examining the pattern of test-score differences across the two conditions. We directly measured dropout rates, test performance, and participants’ perceived tension and invasion of privacy.

Findings

The use of remote proctoring was associated with more negative test-taker reactions and decreased cheating. Remote proctoring did not directly affect test performance or interact with individual differences to predict test performance or test-taker reactions.

Implications

Technological advances in selection should be accompanied by empirical evidence. Although remote proctoring may be effective at decreasing cheating, it may also have unintended effects on test-taker reactions. By outlining an initial classification of remote proctoring technology, we contribute to the theoretical understanding of technology-enhanced assessment, while providing timely insight into the practice of Internet-based testing.

Originality/value

We provide timely insight into the development and evaluation of remotely proctored tests. The current study utilizes a unique randomized experimental design in order to indirectly determine levels of cheating across two conditions. Following the results of the current study, we outline an integrative model for future research on remotely proctored tests.     

Demographic Question Placement: Effect on Item Response Rates and Means of a Veterans Health Administration Survey

Purpose

This study examined whether demographic question placement affects demographic and non-demographic question completion rates, non-demographic item means, and blank questionnaire rates using a web-based survey of Veterans Health Administration employees.

Methodology

Data were taken from the 2010 Voice of the Veterans Administration Survey (VoVA), a voluntary, confidential, web-based survey offered to all VA employees. Participants were given two versions of the questionnaires. One version had demographic questions placed at the beginning and the other version had demographic questions placed at the end of the questionnaire.

Findings

Results indicated that placing demographic questions at the beginning of a questionnaire increased item response rate for demographic items without affecting the item response rate for non-demographic items or the average of item mean scores.

Implications

In addition to validity issues, a goal for surveyors is to maximize response rates and to minimize the number of missing responses. It is therefore important to determine which questionnaire characteristics affect these values. Results of this study suggest demographic placement is an important factor.

Originality/Value

There are various opinions about the most advantageous location of demographic questions in questionnaires; however, the issue has rarely been examined empirically. This study uses an experimental design and a large sample size to examine the effects of demographic placement on survey response characteristics.     

Generational Differences in Work-Related Attitudes: A Meta-analysis

Purpose

Differences among generations on a wide variety of outcomes are of increasing interest to organizations, practitioners, and researchers alike. The goal of this study was to quantitatively assess the research on generational differences in work-related attitudes and to provide guidance for future research and practice.

Design/Methodology/Approach

We conducted a meta-analysis of generational differences on three work-related criteria: job satisfaction, organizational commitment, and intent to turnover. Our review of published and unpublished research found 20 studies allowing for 18 generational pairwise comparisons across four generations (Traditionals, Baby Boomers, Generation Xers, and Millennials) on these outcomes using 19,961 total subjects.

Findings

Corrected mean differences for job satisfaction ranged from .02 to .25, for organizational commitment they ranged from ?.22 to .46, and for intent to turnover the range was ?.62 to .05. The pattern of results indicates that the relationships between generational membership and work-related outcomes are moderate to small, essentially zero in many cases.

Implications

The findings suggest that meaningful differences among generations probably do not exist on the work-related variables we examined and that the differences that appear to exist are likely attributable to factors other than generational membership. Given these results, targeted organizational interventions addressing generational differences may not be effective.

Originality/Value

This is the first known quantitative review of research on generational differences in the workplace.     

Transformational Leadership and Follower Task Performance: The Role of Susceptibility to Positive Emotions and Follower Positive Emotions

Purpose

The aim of the present study is to examine transformational leadership (TFL) from an emotion-based perspective. We apply susceptibility to positive emotions (STPE) as the moderator and follower positive emotions (PE) as the mediator in the relationship between follower perceptions of TFL and follower task performance (TP).

Design/Methodology/Approach

Survey data were collected from multiple sources, comprising 304 supervisor-subordinate dyads in 42 functional units of the Taiwanese military. Hierarchical linear analysis (HLM) was performed to examine our proposed model.

Findings

The HLM results confirmed that follower perceptions of TFL were positively related to follower PE. Further, individual differences in STPE moderated the relationship between follower perceptions of TFL and follower PE. Finally, follower PE mediated the moderated relationship among TFL, STPE, and follower TP.

Implications

This study advances understanding of when, how, and why TFL can enhance follower TP. The findings also address the complex role of STPE and follower PE in the relationship between follower perceptions of TFL and follower TP.

Originality/Value

Emotions have attracted increasing attention in the leadership literature recently, particularly with regard to the transformational leader–follower relationship. This study enhances understanding of how TFL functions by accounting for followers’ STPE. In addition, we respond to Avolio et al.’s (Ann Rev Psychol 60:421–449, 2009) call to test the mediated-moderation effect that links TFL to follower outcomes.     

A Visual Illustration of Induction in Multilevel Methods: The Problem of Leaders Awarding Countervailing Merit Components

Purpose

The purpose of this study is to illustrate the use of a multilevel technique, Within and Between Analysis (WABA), for inductively investigating the impact of how supervisory groups influence the process of awarding merit raises (permanent) and performance bonuses (temporary). From a levels of analysis perspective, is this relationship best modeled at the individual subordinate, the whole supervisory-group, or the within-group level?

Design

Archival merit pay data for 2 years were obtained for 71 managers and professionals nested within 21 supervisory groups who encompassed the entire management hierarchy of a 500+ person-manufacturing plant.

Findings

What appeared to be a countervailing relationship at the individual level (r _total = ?.64***), in which raises and bonuses were negatively correlated, was found to be a countervailing relationship at the whole supervisory-group level (r _between = ?.79*** vs. r _within = ?.36*). Given the statistically significant differences between supervisory groups, an induction toward a whole-group effect was made. These countervailing findings were replicated at the group level in the subsequent year’s data.

Implications

The whole-group effect indicates that managers were attempting to create some type of within-group equity by (1) minimizing variability within their groups, and (2), at the same time, trading off raises for bonuses at the whole-group level.

Originality

The application of WABA focuses on testing entities as well as variables, and it can provide a generalizable method for investigating levels of analysis issues in merit pay programs without necessarily advocating that only one level of analysis is universally potent. WABA also allows for the inductive investigation of additional levels of analysis as well as a variety of boundary conditions.     

The Moderating Effect of Machiavellianism on the Psychological Contract Breach–Organizational Identification/Disidentification Relationships

Purpose

We explore whether Machiavellianism—a personality trait which describes the extent to which individuals ignore values and ethical considerations when the ends justify the means—will influence their responses to their employing organizations’ failure to fulfil promised obligations (psychological contracts). Specifically, we draw on psychological contracts theory and the group value model to argue that Machiavellianism will moderate the relationships between psychological contract breach and (1) organizational identification; and (2) organizational disidentification.

Design/Methodology/Approach

We tested our hypotheses in a study of 262 employees from various organizations at two points in time.

Findings

We found that psychological contract breach was negatively related to organizational identification and positively related to organizational disidentification. Furthermore, employees with higher levels of Machiavellianism tended to disidentify with their organizations to a greater extent (at Time 2) in response to psychological contract breach (at Time 1) than did employees with low levels of Machiavellianism. Machiavellianism did not moderate the relationship between psychological contract breach and organizational identification.

Implications

Our study contributes to extant research exploring the importance of Machiavellianism in the workplace. Specifically, we show that employees with high levels of Machiavellianism are more likely to disidentify in response to psychological contract breach but do not tend to identify to a lesser degree.

Originality/Value

This study builds on the extant research exploring individual differences in the psychological contract dynamics by considering Machiavellianism as a moderator of the breach–outcome relationship.