Behavioral Correlates of Selected MMPI–2 Clinical,Content, and Restructured Clinical Scales

An examination of the internal structure of the Tennessee Self-Concept Scale (TSCS) and the interrelationship among the TSCS scales and the secondary dimensions of the Sixteen Personality Factor Questionnaire (16PF) supported three conclusions: (a)The primary dimension underlying the TSCS is positive self-evaluation, freedom from neurotic symptoms, or the absence of anxiety, (b) this central dimension of the TSCS aligns with the 16PF secondary Anxiety vs. Adjustment, and is virtually independent of the other dimensions of the normal personality sphere, and (c) the mutual orthogonality of extraversion, anxiety or neuroticism, and an empirically derived psychoticism scale provided some support for Eysenck's PEN theory of personality organization.     

Is This Relevant? Physician Perceptions,Clinical Relevance,and Religious Content in Clinical Interactions

Despite wide support among physicians for practicing patient‐centered care, clinical interactions are primarily driven by physicians’ perception of relevance. While some will perceive a connection between religion and patient health, this relevance will be less apparent for others. I argue that physician responses when religious/spiritual topics come up during clinical interactions will depend on their own religious/spiritual background. The more central religion is for the physician, the greater his or her perception of religion's impact on health outcomes and his or her inclusion of religion/spirituality within clinical interactions. Using a nationally representative sample of physicians in the United States and mediated path models, I estimate models for five different physician actions to evaluate these relationships. I find that a physician's religious background is strongly associated with whether or not he or she thinks religion impacts health outcomes, which is strongly predictive of inclusion. I also find that not all of the association between inclusion and physicians’ religious background is mediated by thinking religion impacts health outcomes. Issues of religion's relevance for medicine are important to the degree that religious beliefs are an important dimension of patients’ lives.     

Clinical profile,risk, and critical factors and the application of the “path toward intended violence” model in the case of mass shooter Dylann Roof

ABSTRACT

A threat assessment perspective, namely the Path toward Intended Violence, was applied in the case of the mass shooting perpetrated by Dylann Roof on June 17, 2015 at an Emanuel African Methodist Episcopal Church in Charleston, South Carolina. This perspective is important since it attempts to build on accounts regarding how he progressed toward his mass shooting, beyond the information presented in the forensic evaluations already available. The Path toward Intended Violence was found to be a critical and proximal factor for the mass shooting. This suggested finding is also consistent for other individuals, who were diagnosed with an autism spectrum disorder (ASD), as well as neurotypical individuals, who have engaged in a mass shooting. The Path toward Intended Violence is also discussed as a potential way forward toward trying to identify individuals who may be more vulnerable and at-risk, so that appropriate interventions and supports can be put in place in order that such extreme violence can be prevented.     

Doctors,Patients, and Nudging in the Clinical Context—Four Views on Nudging and Informed Consent

In an analysis of recent work on nudging we distinguish three positions on the relationship between nudging founded in libertarian paternalism and the protection of personal autonomy through informed consent. We argue that all three positions fail to provide adequate protection of personal autonomy in the clinical context. Acknowledging that nudging may be beneficial, we suggest a fourth position according to which nudging and informed consent are valuable in different domains of interaction.     

Gender Typing of the Successful Manager—A Stereotype Reconsidered

The feminization of management is a recurring theme in both popular and scientific management literature. However, several studies have shown that successful managers are generally attributed predominantly masculine characterics. In this study, gender typing of the manager role was studied in a sample of 143 management students (74 men, 69 women) in the Netherlands. As was hypothesized, on a checklist with masculine, feminine, and gender-neutral traits, masculine characteristics were rated as more applicable to successful managers than feminine characteristics, but gender-neutral characteristics were rated even more applicable. Analysis of the wording used to describe a successful manager on an open-ended question showed that participants used either gender-neutral words or (generic) “he.” This finding indicates that the successful manager is still imagined as a man, even though on a checklist this manager seems to possess predominantly gender-neutral traits. It is concluded that more methodological variety is needed in the study of gender typing of successful managers.     

A Review of “Still Practicing: The Heartaches and Joys of a Clinical Career”

Abstract

INSIDE OUT AND OUTSIDE IN, PSYCHODYNAMIC CLINICAL THEORY AND PRACTICE IN CONTEMPORARY MULTICULTURAL CONTEXTS. Berzoff, Joan, Laura Melano Flanagan, and Patricia Hertz, Editors. Northvale, New Jersey: Jason Aronson, 1996, $45.00. Reviewed by Irene Chung.     

Obsessional Beliefs and Symptoms of Obsessive–Compulsive Disorder in a Clinical Sample

The aim of the present study was to investigate the relationships among a broad range of obsessive–compulsive disorder (OCD) symptoms and obsessional beliefs in a clinical sample of OCD patients. Ninety-nine treatment-seeking adult OCD patients completed the Obsessive Beliefs Questionnaire and the Obsessive–Compulsive Inventory-Revised. Hierarchical regression analyses, controlling for comorbid symptoms, suggested that washing was predicted by responsibility/threat estimation beliefs. Checking/doubting was not predicted by any obsessional beliefs. Hoarding was predicted by perfectionism/certainty beliefs. Neutralizing was predicted by responsibility/threat estimation beliefs. Obsessing was predicted by importance/control of thoughts and perfectionism/certainty beliefs. Ordering was predicted by perfectionism/certainty beliefs. A principal components analysis of OCD symptom dimensions and accompanying beliefs yielded two components, accounting for 53% of the variance: one, which was labeled “Fear/Threat,” consisted of importance/control of thoughts, obsessing, responsibility/threat estimation, and washing. The second, which was labeled “Incompleteness/Not Just Right,” consisted of neutralizing, perfectionism/certainty, checking/doubting, and hoarding.     

Genetic Counselors’ Views and Experiences with the Clinical Integration of Genome Sequencing

In recent years, new sequencing technologies known as next generation sequencing (NGS) have provided scientists the ability to rapidly sequence all known coding as well as non-coding sequences in the human genome. As the two emerging approaches, whole exome (WES) and whole genome (WGS) sequencing, have started to be integrated in the clinical arena, we sought to survey health care professionals who are likely to be involved in the implementation process now and/or in the future (e.g., genetic counselors, geneticists and nurse practitioners). Two hundred twenty-one genetic counselors— one third of whom currently offer WES/WGS—participated in an anonymous online survey. The aims of the survey were first, to identify barriers to the implementation of WES/WGS, as perceived by survey participants; second, to provide the first systematic report of current practices regarding the integration of WES/WGS in clinic and/or research across the US and Canada and to illuminate the roles and challenges of genetic counselors participating in this process; and third to evaluate the impact of WES/WGS on patient care. Our results showed that genetic counseling practices with respect to WES/WGS are consistent with the criteria set forth in the ACMG 2012 policy statement, which highlights indications for testing, reporting, and pre/post test considerations. Our respondents described challenges related to offering WES/WGS, which included billing issues, the duration and content of the consent process, result interpretation and disclosure of incidental findings and variants of unknown significance. In addition, respondents indicated that specialty area (i.e., prenatal and cancer), lack of clinical utility of WES/WGS and concerns about interpretation of test results were factors that prevented them from offering this technology to patients. Finally, study participants identified the aspects of their professional training which have been most beneficial in aiding with the integration of WES/WGS into the clinical setting (molecular/clinical genetics, counseling and bioethics) and suggested that counseling aids (to assist them when explaining aspects of these tests to patients) and webinars focused on WES/WGS (for genetic counselors and other health care professionals) would be useful educational tools. Future research should permit us to further enhance our knowledge of pitfalls and benefits associated with the introduction of these powerful technologies in patient care and to further explore the roles and opportunities for genetic counselors in this rapidly evolving field.     

The Role of Trust in Salesperson—Sales Manager Relationships

Leader-Member Exchange Theory (LMX) offers a way to better understand nuances of the salesperson-sales manager relationship. The study reported here employs leader-member exchange theory to evaluate how sales employees develop trust with their managers. Findings show that salespeople's perceptions of procedural justice positively influence salespeople's commitment to the organization, and thereby their satisfaction with the job. Suggestions are provided concerning how sales organizations can train managers to manage consistently and thereby build trust and commitment in salespeople.     

How Does Neurobiological Research Influence Psychoanalytic Treatments?—Clinical Observations and Reflections From a Study on the Interface of Clinical Psychoanalysis and Neuroscience

One of the counterarguments against empirical research in psychoanalysis is that research negatively influences the treatment situation. In this paper, the impact of a neurobiological study on psychoanalytically oriented treatments is presented from three different perspectives: patients' views, a study group of participating psychoanalysts and a clinical case example. Twenty chronically depressed patients, 20 healthy controls and 16 psychoanalysts participated in the project on research. Results show a clear influence of the neurobiological study on the course of treatments. Patients consistently reported that study participation had a positive impact on their treatment experiences. However, study participation was conflictual for the psychoanalysts and forced them to carefully reflect on their unconscious and conscious involvement to establish a psychoanalytic stance independent from empirical research.     

Review of “Clinical Psychology and Psychotherapy as a Science: An Iconoclastic Perspective,” by Luciano L'Abate

Abstract

adult children of divorce speak out, by claire berman. new york: simon&;schuster, 1991, 285 pages, $18.95

adolescents and their families: paths of ego development, by stuart t. hauser with sally i. powers and gil g. noam, new york: free press, 1991, 318 pages, $29.95

alcohol and the addictive brain: new hope for alcoholics from biogenetic research, by kenneth blum, in collaboration with james e. payne. new york: free press, 1991, 320 pages, $24.95     

Manager–salesperson congruence in customer orientation and job outcomes: The bright and dark sides of leadership in aligning values

To create customer-oriented organizations, managers are often asked to promote a values-based vision. Yet, many managers struggle with transferring their values to employees making strategic value changes difficult. Despite this challenge, research has yet to demonstrate how managers effectively align values within the sales force, or the impact alignment has on job outcomes. Therefore, we develop and empirically test a conceptual framework to examine the role of transformational leadership in aligning salesperson customer orientation (CO) values. We find that transformational leadership is a strong mechanism in creating perceived value congruence, yet may have a surprising dark side. Results suggest that transformational managers achieve congruence by raising or, contrary to conventional wisdom, lowering salesperson CO values to meet the perceived values of the manager. Response surface modelling results support the importance of perceived manager values. Customer-oriented salespeople have higher job satisfaction and sales performance when they perceive their manager to also have high CO. When values are misaligned, job satisfaction increases more for low CO salespeople as perceptions of manager CO increase. Exploratory findings show that performance was higher under situations of perfect alignment but also under severe misalignment suggesting that values generate performance under complementary or supplementary conditions.     

Are We There Yet? An Assessment of Fit Between Stereotypes of Minority Managers and the Successful‐Manager Prototype

Caucasian managers from the hospitality industry used a managerial attribute inventory to rate 1 of 5 target groups: successful manager, Caucasian American manager, African American manager, Asian American manager, or Hispanic American manager. The results revealed higher correspondence between ratings of Caucasian and Asian American managers and the successful-manager prototype than between prototype characteristics and the reported stereotypes of African American and Hispanic American managers. Comparisons between male and female respondents were made also. Their reported perceptions were found to be similar.     

On Heller,Mönks,and Passow's International Handbook of Research and Development of Giftedness and Talent

The authors tested the hypothesis that a broad or narrow scope of perceptual attention engenders an analogously broad or narrow focus of conceptual attention, which in turn bolsters or undermines creative generation. In the first two experiments, participants completed visual tasks that forced them to focus perceptual attention on a comparatively broad or narrow visual area. As predicted, broad, compared to narrow initial focusing of perceptual attention subsequently led to generation of more original uses for a brick (Experiment 1) and generation of more unusual category exemplars (Experiment 2). In Experiment 3, participants were merely asked to contract their frontalis versus corrugator muscles, producing rudimentary peripheral feedback associated with broad versus narrow perceptual focus. As predicted, frontalis contraction, relative to corrugator contraction, led to the production of more original uses for a pair of scissors. Together, these three experiments provided converging initial support for our attentional priming hypothesis, suggesting that situationally induced variations in the scope of perceptual attention (and simple cues associated with such variations) may correspondingly expand or constrict the focus of conceptual attention within the semantic network, thereby improving or diminishing creativity.     

The “Activist Client”: Social Responsibility,the Political Self,and Clinical Practice in Psychotherapy and Psychoanalysis

The idea of the “activist client” is intended to be taken both literally and metaphorically—applying to some extent to a wider range of clients than actual activists. The paper develops a set of ideas about a “political turn” in psychotherapy and psychoanalysis, using the tag “the inner politician.” There is a focus on working directly with political material in the session, and the pros and cos of this practice are reviewed. Wider issues such as social responsibility and social spirituality are discussed, as well as an exploration of the limits of individual responsibility. Some specific topics covered in the paper include the political roots of depression, difficulties with the concept of the therapeutic alliance from the point of view of democratic perspectives on clinical work, and a challenge to the unquestioned valuing of empathy (based on a reading of therapy though a Brechtian lens). There are numerous clinical examples.     

Relationships Between Leader-Contingent and Non-contingent Reward and Punishment Behaviors and Subordinates’ Perceptions of Justice and Satisfaction, and Evaluation of the Moderating Influence of Trust Propensity, Pay Level, and Role Ambiguity

Purpose

This research evaluates how reward and punishment behaviors are related to employee satisfaction, and how perceptions of justice mediate the effects of these behaviors. This study also seeks to examine the connection between some boundary conditions and the efficacy of reward and punishment behaviors.

Design/Methodology/Approach

Data were collected using questionnaires, and hypotheses were tested using a sample of 3,065 managers from 41 business units.

Findings

We found that contingent financial and social rewards were positively related to fairness and satisfaction, whereas punishment behaviors exert a negative influence. Findings reveal that high-trust propensity and low-pay level strengthen the positive influence of rewards on distributive justice, whereas high role ambiguity increases the positive effect of reward behaviors and the negative influence of non-contingent punishment (NCP) on superior satisfaction.

Implications

This study provided evidence that using contingent rewards is more effective in promoting positive attitudes at work than using contingent punishments. Our findings add to the evidence that organizations would benefit from encouraging their managers to use financial and social rewards and reducing the administration of NCP among performing employees.

Originality/Value

This study represents a first attempt to examine an integrated model of the effects of reward and punishment behaviors. It also contributes to this field by empirically evaluating the impact of individual and situational boundary conditions in the efficacy of these leader behaviors.     

Children's and Adults’ Judgments of the Certainty of Deductive Inferences,Inductive Inferences,and Guesses

Children and adults rated their own certainty following inductive inferences, deductive inferences, and guesses. Beginning in kindergarten, participants rated deductions as more certain than weak inductions or guesses. Deductions were rated as more certain than strong inductions beginning in Grade 3, and fourth-grade children and adults differentiated strong inductions, weak inductions, and informed guesses from pure guesses. By Grade 3, participants also gave different types of explanations for their deductions and inductions. These results are discussed in relation to children's concepts of cognitive processes, logical reasoning, and epistemological development.     

Bogen and Woodward’s data-phenomena distinction,forms of theory-ladenness,and the reliability of data

Some twenty years ago, Bogen and Woodward challenged one of the fundamental assumptions of the received view, namely the theory-observation dichotomy and argued for the introduction of the further category of scientific phenomena. The latter, Bogen and Woodward stressed, are usually unobservable and inferred from what is indeed observable, namely scientific data. Crucially, Bogen and Woodward claimed that theories predict and explain phenomena, but not data. But then, of course, the thesis of theory-ladenness, which has it that our observations are influenced by the theories we hold, cannot apply. On the basis of two case studies, I want to show that this consequence of Bogen and Woodward’s account is rather unrealistic. More importantly, I also object against Bogen and Woodward’s view that the reliability of data, which constitutes the precondition for data-to-phenomena inferences, can be secured without the theory one seeks to test. The case studies I revisit have figured heavily in the publications of Bogen and Woodward and others: the discovery of weak neutral currents and the discovery of the zebra pattern of magnetic anomalies. I show that, in the latter case, data can be ignored if they appear to be irrelevant from a particular theoretical perspective (TLI) and that, in the former case, the tested theory can be critical for the assessment of the reliability of the data (TLA). I argue that both TLI and TLA are much stronger senses of theory-ladenness than the classical thesis and that neither TLI nor TLA can be accommodated within Bogen and Woodward’s account.