Governance Processes and Change Within Organizational Participants of Multi-sectoral Community Health Care Alliances: The Mediating Role of Vision,Mission, Strategy Agreement and Perceived Alliance Value

Multi-sectoral community health care alliances are organizations that bring together individuals and organizations from different industry sectors to work collaboratively on improving the health and health care in local communities. Long-term success and sustainability of alliances are dependent on their ability to galvanize participants to take action within their ‘home’ organizations and institutionalize the vision, goals, and programs within participating organizations and the broader community. The purpose of this study was to investigate two mechanisms by which alliance leadership and management processes may promote such changes within organizations participating in alliances. The findings of the study suggest that, despite modest levels of change undertaken by participating organizations, more positive perceptions of alliance leadership, decision making, and conflict management were associated with a greater likelihood of participating organizations making changes as a result of their participation in the alliance, in part by promoting greater vision, mission, and strategy agreement and higher levels of perceived value. Leadership processes had a stronger relationship with change within participating organizations than decision-making style and conflict management processes. Open-ended responses by participants indicated that participating organizations most often incorporated new measures or goals into their existing portfolio of strategic plans and activities in response to alliance participation.     

Power motivates interpersonal connection following social exclusion

Research has systematically documented the negative effects of social exclusion, yet little is known about how these negative effects can be mitigated. Building on the approach-inhibition theory of power (Keltner, Gruenfeld, & Anderson, 2003), we examined the role of power in facilitating social connection following exclusion. Four experiments found that following exclusion, high power (relative to low power) individuals intend to socially connect more with others. Specifically, following exclusion, individuals primed with high power sought new social connections more than those primed with low power (Studies 1–4) or those receiving no power prime (Study 1). The intention to seek social connection as a function of power was limited to situations of exclusion, as it did not occur when individuals were included (Studies 3 and 4). Approach orientation mediates the effect of power on intentions to connect with others (Studies 2 and 4).     

Empower my decisions: The effects of power gestures on confirmatory information processing

Recent research has shown that social power systematically influences information processing in many ways, and can be induced simply via powerful gestures or postures. The current studies investigated the impact of embodied power on confirmatory information processing after decision making. Based upon previous social power research, we hypothesized that individuals who posed in powerful ways (making a clenched fist or sitting in an open, expansive posture) would systematically prefer decision-consistent over decision-inconsistent information; an effect known as selective exposure, or biased assimilation. Four studies consistently indicated that bodily positioning associated with high levels of power induced greater confirmatory tendencies in the evaluation and search stages of a subsequent, decision-relevant information task (Studies 1–4). This tendency is unlikely to be due to mere physical strain (Study 4), and was mediated by differences in experienced decision certainty (Studies 3 and 4); indicating that the embodiment of high power makes people more confident regarding the validity of their decisions. Consequently, high-power posers systematically prefer information that is consistent with their decision preference.     

组织中权力如何促进亲社会行为?责任感知的中介作用

如何善用权力惠及于民既是一个重要的科学问题, 也是一个关键的管理实践问题。以往学者主要关注组织情境中权力对亲社会行为的消极作用, 对积极作用的发生机制尚不清楚。梳理组织中权力正向影响亲社会行为的相关文献, 发现责任感知在权力促进亲社会行为中起中介作用; 掌权者在行使权力时会考虑自身需求、与他人的关系, 以及与组织的关系, 从而增强责任感知, 且不同路径会受个体层面、人际层面和组织层面的潜在因素影响。权力通过责任感知促进亲社会行为的综合模型, 对组织以及掌权者如何善用权力具有重要的启示意义。     

Changes in Attitudes and Self-Confidence in the Women's and Gender Studies Classroom: The Role of Teacher Alliance and Student Cohesion

Previous research provides evidence that women's and gender studies (WGS) classes are successful in helping students to develop more egalitarian gender role attitudes, appreciation and acceptance of diversity, awareness of sexism and other social inequities, and agentic self-confidence in both women and men. The mechanisms by which these changes take place were the focus of this study. WGS students (n = 328) from 23 classes on four college campuses participated. Results indicated that (a) student readiness (positive WGS class expectations and capacity for positive interpersonal relationships) predicted the development of alliances with teachers and cohesion with classmates, (b) alliance and cohesion were associated with changes toward more egalitarian attitudes, (c) cohesion was associated with increases in confidence, and (d) links between student readiness and change were mediated by alliance and cohesion developed within the WGS classroom.     

Relationships Among Self,Others, and Persecutors in Individuals With Persecutory Delusions: A Repertory Grid Analysis

The purpose of the current study was to examine the way individuals with persecutory delusions construe the self, others, and their main persecutor with reference to the constructs of malevolence and omnipotence, and examine the extent to which these interpersonal beliefs link to distress, self-esteem, and delusion conviction. Repertory grid methodology was used to explore interpersonal beliefs about malevolence and omnipotence in a sample (N = 30) of individuals with current persecutory delusions (mean age 36.4 years; 62% male and 53% White). Participants also completed measures of emotional distress (depression and anxiety) and self-esteem. The findings suggested that persecutors were construed as more omnipotent and malevolent than both the self and others; others in turn were construed as more omnipotent and malevolent than the self. Beliefs about self as powerful were associated with lower anxiety, depression, and higher self-esteem, and beliefs about persecutors’ omnipotence predicted delusion conviction. As with voices, the concepts of power/omnipotence and malevolence/benevolence appear to be important constructs when seeking to understand the relationship between individuals and their perceived persecutors. These findings support working therapeutically with negative schematic beliefs about self, others, and persecutors, which is consistent with a person-based cognitive therapy model of distressing psychosis.     

Filial ethics and judgments of filial behaviour in Taiwan and the United States

Parent-child relationships are fundamental human relationships in which specific norms govern proper parent-child interactions. Such norms, or filial ethics, have been observed in different cultures, including in the United States and Taiwan, but important differences may exist in how filial practices are viewed across cultures. From a traditional view of power as domination over others, if filial relationships are viewed to reflect power differentials between parents and children, actors who follow filial ethics should be viewed as less powerful than actors who do not follow filial ethics for maintaining or enhancing positive parent-child relationships. Alternatively, power can be conceptualized as the ability to meet one's needs (e.g., for communal care and trust), and actors who follow filial ethics should be viewed as more powerful and trustworthy than actors who do not follow filial ethics because they have the ability to maintain or enhance positive parent-child relationships. Based on a power-trust model, we compared American and Taiwanese perceptions of actors in an experiment using vignettes describing filial behaviours. We conducted a path analysis with a sample of 112 American and 74 Taiwanese participants to test the proposed relations. Results showed that both Taiwanese and Americans rated actors more favourably (i.e., as more powerful and trustworthy) when actors behaved according to filial ethics than when they did not. Some cross-cultural differences were also observed: Taiwanese attributed trust-traits to actors who performed filial practices to a larger degree than did Americans. We discuss implications for the implicit nature of filial relationships and conceptualization of power cross-culturally.     

权力感对个体的影响:调节定向的视角

采用4个研究探究了权力感对调节定向的影响。研究1通过测量被试的特质性权力感和特质性调节定向初步探索权力感水平与调节定向的关系。研究2和研究3分别通过外显角色扮演和故事回忆法来探究状态性权力感对调节定向目标表征和策略选择的影响。研究4采用身体姿势法启动权力感,进一步探究在内隐层面权力感对调节定向的影响。结果发现,高权力感个体更倾向于促进定向;而低权力感个体更倾向于预防定向,并且排除了其中可能的无关变量(情绪)的影响。本研究有助于更好地理解和整合现有的权力感研究结果,并能预测更多未知的权力感效应。     

Therapists’ experiences of alliance formation in short-term counselling

While therapeutic alliance formation has been widely researched over many sessions of psychotherapy, the question of alliance formation in short-term counselling has been less explored. Given the increasing evidence in the literature for the positive impact of alliances on therapy outcomes, providing counsellors – who may work with clients for a limited number of sessions – with enhanced insight into alliance formation will be of value. This qualitative study investigated the experiences of eight counsellors forming alliances with clients over short periods. Semi-structured interviews were analysed using interpretive phenomenological analysis. Five major themes emerged, that while congruent with the alliance literature, add some details relevant to day-to-day practice. These themes included: the importance of strong alliances; the need for psychologically comfortable environments; the timing of alliance formation; and the impact of counsellor personal qualities – such as being real – in strengthening and maintaining alliances. In addition, an unexpected sixth theme revealed that body language was highly valued as an indicator of strong or weak alliances. Implications for increasing the use of body language to enhance counselling practice and education are discussed.     

权力感对炫耀性亲社会行为的影响

基于高成本价值信号理论, 本文探究了权力感对炫耀性亲社会行为的影响。5个实验的结果表明：权力感促使个体更愿意从事炫耀性亲社会行为, 高(vs. 低)权力感个体更倾向购买炫耀性亲社会产品, 更愿意进行炫耀性捐赠且捐赠金额较高, 也更愿意参与炫耀性善行, 其机制在于高权力感者具有较高的自我矫饰动机。本文对理解权力感对个体行为的影响、丰富权力感与亲社会行为的研究文献有理论贡献, 对有效引导高权力感者从事亲社会行为具有实践价值。     

Need for power, collective identity, and political skill: an investigation in Taiwan

Research on power motivation and political skill suggests that high need for power individuals who are oriented toward others will be perceived by supervisors as being politically skilled. McClelland (1973) theorized that high need for power individuals who reflect an orientation towards others will be perceived more favorably than those who are geared toward their own self-interest. In an employee-supervisor matched sample of 149 employees in a Taiwanese financial services organization, need for power was found to interact with an orientation toward others (collective identity) to affect supervisor ratings of political skill such that high need for power individuals exhibited greater political skill when they had a strong collective identity. This finding provides empirical evidence for the importance of the socialized view of power (McClelland, 1973) and shows when need for power relates to political skill using supervisor ratings rather than a self-report measure.     

Punishing hubris: the perils of overestimating one's status in a group

Individuals engage in status self-enhancement when they form an overly positive perception of their status in a group. We argue that status self-enhancement incurs social costs and, therefore, most individuals perceive their status accurately. In contrast, theories of positive illusions suggest status self-enhancement is beneficial for the individual and that most individuals overestimate their status. We found supportive evidence for our hypotheses in a social relations analysis of laboratory groups, an experiment that manipulated status self-enhancement, and a study of real-world groups. Individuals who engaged in status self-enhancement were liked less by others and paid less for their work. Moreover, individuals tended to perceive their status highly accurately. Mediation analyses showed that status self-enhancers were socially punished because they were seen as disruptive to group processes.     

Understanding the online therapeutic alliance through the eyes of adolescent service users

Aims: The therapeutic alliance is a concept that has received a great deal of attention within face‐to‐face counselling. Furthermore, links have been made between the creation of strong alliances and successful therapeutic outcomes. This study examines the therapeutic alliance when counselling services are offered online to young people. Method: Fifteen young people took part in online interviews (utilising synchronous and asynchronous methods), and Grounded Theory techniques were utilised to analyse the data. Findings: A core category of ‘Client‐Service Match’ and three subcategories pertinent to the individuals’ experiences of creating good quality relationships with the counsellors were identified: (1) initial engagement, (2) developing rapport, and (3) establishing control. Discussion: The themes elicited are all relevant to the matching process and viewed as a chronological process similar to face‐to‐face counselling. However, unlike face‐to‐face work, specific nuances related to the online work arise that counsellors should be mindful of, including the rationale behind each individual's choice to approach services online, their own computer‐mediated communication skills, technical hurdles, and the perceived ‘power’ of the counsellor.     

Cognitions and behaviour in a hierarchy: Mulder's power theory revisited

In this study, Mulder's power theory consisting of the power distance reduction tendency (PDR) of less powerful group members towards more powerful others, and the power distance enlargement tendency (PDE) of more powerful group members towards less powerful others, is investigated. In particular, two different interpretations of the relationships Mulder hypothesized between power distance and power tendencies are examined. In Experiment 1 no support was found for the interpersonal interpretation. Evidence for the intrapersonal interpretation was found only for the PDE. The most remarkable difference between these results and the results of previous experiments was that we did not find any consistent support for an increased interpersonal PDR with smaller power distance. Therefore, in Experiment 2 a more extensive investigation was undertaken focusing on interpersonal measures similar to the one used earlier by Mulder and his co-workers. Results of these measures yielded support for the interpersonal interpretations of both tendencies. In the discussion an explanation for the obtained results is offered that departs from the (in) stability of the power hierarchy.     

How sweet it is to be loved by you: the role of perceived regard in the terror management of close relationships

Drawing from terror management theory, the present research examined whether people turn to close relationships to manage the awareness of mortality because they serve as a source of perceived regard. Studies 1 and 2 demonstrated that mortality salience (MS) leads people to exaggerate how positively their romantic partners see them and demonstrated that people are more committed to their partners to the extent that their romantic partners serve as a source of perceived regard after MS (Study 3). Study 4 revealed that activating thoughts of perceived regard from a partner in response to MS reduced death-thought accessibility. Studies 5 and 6 demonstrated that MS led high relationship contingent self-esteem individuals to exaggerate perceived regard from a partner, and this heightened regard led to greater commitment to one's partner. Study 7 examined attachment style differences and found that after MS, anxious individuals exaggerated how positively their parents see them, whereas secure individuals exaggerated how positively their romantic partners see them. Together, the present results suggest that perceptions of regard play an important role in why people pursue close relationships in the face of existential concerns.     

Power and affordances: when the situation has more power over powerful than powerless individuals

Six studies examined how power affects responses to situational affordances. Participants were assigned to a powerful or a powerless condition and were exposed to various situations that afford different classes of behavior. Study 1 examined behavior intentions for weekdays and weekends. Studies 2 and 3 focused on responses to imaginary social and work situations. Study 4 examined planned behavior for winter and summer days. Finally, Studies 5 and 6 examined behavior and attention in the presence of situation-relevant and irrelevant information. Consistently across these studies, powerful individuals acted more in situation-consistent ways, and less in situation-inconsistent ways, compared with powerless individuals. These findings are interpreted as a result of the greater tendency for powerful individuals to process information selectively in line with the primary factors that drive cognition, such as affordances. One consequence of these findings is that powerful individuals change behavior across situations more than powerless individuals.     

The therapeutic and working alliances

Since their introduction, the concepts of the therapeutic alliance and the working alliance have provoked debate regarding the nature and function of these alliances and the applicability and validity of the concepts. Features of these concepts as originally put forth by Zetzel and Greenson, respectively, are delineated, with emphasis on the significant distinctions between them. Their relation to degree of psychopathology is examined, especially with respect to what may be understood as the more "silent" aspects of the therapeutic alliance. Mutual identification, empathy, and role-responsiveness are stressed as constituent features of the therapeutic alliance, with the working alliance seen as possible (theoretically and clinically) only after a therapeutic alliance has to some degree been established. Both alliances are understood as intrinsic structures within the analytic process, and illustrative case material is presented.     

Preferences for changing power positions and power distances: a social value orientations approach

Participants were asked to put themselves in the position of one of three persons who differed in the amount of power they had in a small work unit. Subsequently, they could allocate points on a power scale to themselves and the two others, and thus, change the power positions and the power distances between the positions. The least powerful individuals had the strongest tendency to increase their power. They wanted to reduce the power distance to the person in the higher position more than the power distance to the person in the middle position. The most powerful wanted to increase the power distance to the person in the middle position but not the power distance to the least powerful. Most results were consistent with social comparison theory and contrary to power distance theory. Because the dependent measures were derived from the social value orientations model, the scope of this model has been expanded. Copyright © 2002 John Wiley & Sons, Ltd.     

Alliance and Treatment Outcome in Family-Involved Treatment for Youth Problems: A Three-Level Meta-analysis

Alliance has been shown to predict treatment outcome in family-involved treatment for youth problems in several studies. However, meta-analytic research on alliance in family-involved treatment is scarce, and to date, no meta-analytic study on the alliance–outcome association in this field has paid attention to moderating variables. We included 28 studies reporting on the alliance–outcome association in 21 independent study samples of families receiving family-involved treatment for youth problems (N = 2126 families, M age youth ranging from 10.6 to 16.1). We performed three multilevel meta-analyses of the associations between three types of alliance processes and treatment outcome, and of several moderator variables. The quality of the alliance was significantly associated with treatment outcome (r = .183, p < .001). Correlations were significantly stronger when alliance scores of different measurement moments were averaged or added, when families were help-seeking rather than receiving mandated care and when studies included younger children. The correlation between alliance improvement and treatment outcome just failed to reached significance (r = .281, p = .067), and no significant correlation was found between split alliances and treatment outcome (r = .106, p = .343). However, the number of included studies reporting on alliance change scores or split alliances was small. Our findings demonstrate that alliance plays a small but significant role in the effectiveness of family-involved treatment. Future research should focus on investigating the more complex systemic aspects of alliance to gain fuller understanding of the dynamic role of alliance in working with families.