Deconstructing consumer behaviour: theory and practice

This paper challenges the conventional opposition, or distinction, between consumer behaviour theory and practice. This binary dualism, it is argued, is predicated on a simplistic ‘either/or’ logic that ignores the effects theory and practice have on each other. Furthermore, it obscures a hierarchical relationship between academic researchers and marketing practitioners in which basic research is more dominant and privileged than applied research. In response to these criticisms, an alternative ‘both/and’ logic is proposed for exploring the interrelationships between consumer behaviour theory and practice and new social relations among consumer researchers. Copyright © 2001 Henry Stewart Publications.     

Clearing the path to transcend barriers to walking: Analysis of associations between perceptions and walking behaviour

Walkability is much studied, but the relative importance of perceptions and motivations is still not consensual. This study took a holistic approach to examine the comparative importance of a range of possible perceptions, motivations and individual characteristics on walking levels.Data from Auckland Transport's Active Modes online survey (AT survey, N = 4,114) captured environmental perceptions and travel behaviour. Machine learning (gradient boosting) was used to predict walking levels from perceptual data and individual characteristics and determine the relative importance of each variable. Strong predictors of walking included the use of public transport, walking perceived as saving money and avoiding parking hassle, age group, and overall satisfaction with walking. Surprisingly, the importance of expected dimensions such as perceived availability of destinations or internal motivations was null in the general model.These findings suggest a more holistic view of walking behaviour is needed, one that moves beyond the pure availability of destinations.     

Autism: from research to practice

Autism is the most commonly studied of a spectrum of developmental disorders that are believed to be neurobiologically based but which, at this point, for lack of good biomarkers, are defined purely by behavior. In the last 20 years, the definition of autism has shifted in emphasis from extreme aloofness and positive signs of abnormality in repetitive and sensorimotor behaviors to a greater awareness of the importance of more subtle reciprocal social communication deficits as core features. Standard diagnostic instruments were developed for research purposes to acquire information both through caregiver interviews and direct clinical observation. Use of these instruments in clinical practice resulted in major improvements, which in turn affected research results. These results yielded further improvements that led to changes in clinical practice over time. The synergism between research and clinical practice in the understanding of autism is discussed.     

Learning from within: Therapists' actions in daily clinical practice

The integration of theories and techniques is part of family therapists' daily practice, raising the need to understand which resources are used in this professional's clinical actions. Our aim is to reflect on the use of theoretical and technical resources by family therapists in their daily practice. We developed an inquiry process inspired by collaborative action research and social constructionism. Couple and family therapy sessions were conducted by two family therapists, and we developed subsequent dialogs with them focused on describing theoretical and technical inspirations for their actions. Next, we named four categories of actions in this process: exploratory actions, actions for the construction of relational visions, actions for the construction of communication, and actions for family orientation. The therapists-participants referred to many theoretical and technical resources that inspired their practice. For them, the choice of using one or another resource was based on the demands of the interactive moment, which involves their relational and embodied responses to what was experienced in the sessions. We argue that epistemological coherence is not something that guides the therapist's practice a priori, but something that can be achieved by talking about and reflecting on their actions. This article can contribute to clinical practice and training in family therapy by presenting an interesting reflexive process that can be useful to enhance practice in couple and family therapy (FAPESP, Process n. 2015/21316–1).     

Caring: from philosophical concerns to practice

I read Hilde L. Nelson's article with great interest. To be "against caring" is tantamount to being against apple pie and motherhood. Caring as philosophy, theory, behavior, and ontology is pervasive in the literature of almost all socially interactive professions. Nelson's article raises common concerns about caring....My difficulties with Nelson's argument against caring center around three issues: misunderstanding of caring in nursing practice, discomfort with ambiguity, and heroism as a replacement for the ethics of care....     

Dilemmas of academic practice: perceptions of superiority among social psychologists

The current research examines social psychologists' beliefs regarding the probability of self and others to engage in desirable and undesirable actions relevant to solving dilemmas of academic practice (e.g. openly discussing versus concealing complex effects in a paper). Consistent with hypotheses, results revealed that social psychologists believed that others are more likely than they themselves to engage in undesirable actions and less likely to engage in academically desirable actions. Moreover, the probability of undesirable actions by both self and others was perceived to be greater under conditions of low rather than high perceived traceability (i.e. when others within the field are believed not to verify the appropriateness of the actions). Interestingly, but unexpectedly, this latter result was observed among faculty members but not among individuals with less research experience (i.e. graduate students). The discussion considers possible explanations for this latter finding and closes with an implication relevant to the peer review system. © 1997 John Wiley & Sons, Ltd.     

A person-oriented approach to hand hygiene behaviour: Emotional empathy fosters hand hygiene practice

Objectives: Adopting a social-psychological approach, this research examines whether emotional empathy, an affective reaction regarding another’s well-being, fosters hand hygiene as this affects other’s health-related well-being extensively.

Design: Three studies tested this notion: (a) a cross-sectional study involving a sample of health care workers at a German hospital, (b) an experiment testing the causal effect of empathy on hand hygiene behaviour and (c) an 11-week prospective study testing whether an empathy induction affected disinfectant usage frequency in two different wards of a hospital.

Main outcome measures: Self-reported hand hygiene behaviour based on day reconstruction method was measured in Study 1, actual hand sanitation behaviour was observed in Study 2 and disinfectant usage frequency in two different hospital wards was assessed in Study 3.

Results: Study 1 reveals an association of empathy with hand hygiene cross-sectionally, Study 2 documents the causal effect of empathy on increased hand sanitation. Study 3 shows an empathy induction increases hand sanitiser usage in the hospital.

Conclusions: Increasing emotional empathy promotes hand hygiene behaviour, also in hospitals. Besides providing new impulses for the design of effective interventions, these findings bear theoretical significance as they document the explanatory power of empathy regarding a distal explanandum (hand hygiene).     

Manual-based cognitive behaviour therapy for chronic fatigue syndrome: therapists' adherence and perceptions

Several randomized controlled trials have indicated that cognitive behaviour therapy is an effective treatment for chronic fatigue syndrome. In 1 of these studies 13 therapists applied cognitive behaviour therapy for chronic fatigue syndrome in 83 chronic fatigue syndrome patients. In the present study therapists' adherence and perceptions of the manual are studied. Following completion of the study the therapists were asked to complete a questionnaire. Audiotaped sessions were conducted to verify the therapists' adherence. Analyses of the audiotapes showed that in 87% of the sessions this appeared to be the case. The questionnaire revealed that the therapists found it more difficult to treat patients with chronic fatigue syndrome than to treat patients with psychological or other physical problems. Treatment aspects posing the most problems were integrating individual problems into the standardized treatment, dealing with the patients' lack of confidence in the treatment and handling insufficient motivation.     

Self-controlled practice: Autonomy protects perceptions of competence and enhances motor learning

ObjectiveIn previous self-controlled feedback studies, it was observed that participants who could control their own feedback schedules usually use a strategy of choosing feedback after successful trials, and present superior motor learning when compared with participants who were not allowed to choose. Yoked participants of these studies, however, were thwarted not only regarding autonomy but also, presumably, regarding perceived competence, as their feedback schedules were provided randomly, regarding good or bad trials. The purpose of the present study was to examine whether self-controlled feedback schedules would have differential effects on learning if yoked participants are provided with feedback after good trials at the same rate as their self-controlled counterparts.DesignExperimental study with two groups. Timing accuracy was assessed in two different experimental phases, supplemented by questionnaire data.MethodParticipants practiced a coincident-anticipation timing task with a self-controlled or yoked feedback schedule during practice. Participants of the self-controlled group were able to ask for feedback for two trials, after each of five 6-trial practice blocks. Yoked participants received a feedback schedule matching the self-control group schedule, according to accuracy.ResultsParticipants asked for (self-controlled group) and received (yoked group) feedback, mainly after relatively good trials. However, participants of the self-controlled group reported greater self-efficacy at the end of practice, and performed with greater accuracy one day later, on the retention test, than the yoked group.ConclusionsThe findings indicate that the autonomy provided by self-controlled feedback protocols can raise learners' perceptions of competence, with positive consequences on motor learning.     

Counselling in general practice: Clients' perceptions of significant events and outcome

An investigation of clients' perceptions of the change process and outcome of counselling in primary care is presented. Significant events were identified by 51 clients post-session for a mean of 4.7 counselling sessions. Outcome was assessed by clients, through their perceptions of goal attainment and change in quality of life from pre-to post-counselling. Four-hundred-and-nine events were categorized by use of the Therapeutic Impact Content Analysis System (TICAS) and a content analysis system was created to categorize clients' goals. Results showed that ‘reassurance’, ‘problem solution ’, ‘insight’ and ‘involvement’ impacts were reported most frequently by clients. No category of significant events was related to change in quality of life. For 11 clients who set goals in the ‘expression’ category, more ‘reassurance’ and fewer ‘problem solution’ impacts were related to attainment of ‘expression’. Some suggestions are made for the lack of significant relationships with overall measures of outcome and it was suggested that more qualitative analysis of the process of outcome is needed.     

The clinical effectiveness of cognitive behaviour therapy: outcome for a large sample of adults treated in routine practice

There is increasing interest in questions about how far the demonstrated efficacy of psychological therapies in research trials can be translated into clinical effectiveness in routine practice. This paper summarises outcome data from several hundred patients treated with CBT in routine clinical practice in a National Health Service psychology service, and compares their outcomes with some of the published research. Although the data have flaws common in ordinary clinical practice (no untreated controls, missing data, uncontrolled pharmacotherapy, etc.), the analyses suggest that CBT in this context is an effective treatment, albeit with probably not quite such good results as it achieves in research trials. Using clinical significance statistics on standardised measures, about half of the sample reliably improved over a course of therapy, including about a third who recovered to normal range.     

Domain‐based perceptions of risk: a case study of lay and technical community attitudes toward managed aquifer recharge

Despite growing water scarcity, communities in many parts of the developed world often reject technically and economically sound options for water augmentation. This paper reports findings from a study investigating risk perceptions associated with a proposed managed aquifer recharge scheme in Australia. Q Methodology was used to compare decision‐making frameworks of lay community and “technical expert” participants. Technical expert participants were also asked to approximate the decision‐making framework of a “typical” community member. The emerging contrasts between lay community frameworks and those approximated by technical experts suggest that there are prevailing yet errant assumptions about lay community attitudes toward new technologies. The findings challenge the characterization of the lay community and technical experts as being in entrenched opposition with one another.     

Integrative approaches to couple therapy: implications for clinical practice and research

Although meta-analyses affirm that various treatments for couple distress produce statistically and clinically significant outcomes, research findings also indicate that a large percentage of couples fail to benefit or subsequently deteriorate following current therapies. Based on these findings, we advocate potential advantages of integrative approaches to couple therapy. We distinguish among assimilative, transtheoretical, and pluralistic approaches to integration and describe exemplars of each. Integrative approaches to couple therapy are compared to distillatory or common factors approaches emphasizing common elements of treatment components, therapist characteristics, and client or relationship attributes. We argue that clinical practice of integrative approaches to couple therapy requires conceptual and clinical decision-making skills transcending those of any one theoretical modality and emphasizing the selection, sequencing, and pacing of diverse interventions in a coherent manner. We conclude with implications of integrative couple-based treatments for future research.     

Teaching mindfulness to psychotherapists in clinical practice: The Mindful Therapy Programme

Introduction: Initially proposed as a treatment modality for psychological disorders, mindfulness is now being promoted as a means of enhancing both therapist self care and therapeutic efficacy. The degree to which mindfulness can be learned by therapists to manage their own and clients' processes in therapy is as yet unknown. This study examines training outcomes of a standardised introductory mindfulness programme for mental health professionals. Methods: Forty-seven mental health professionals completed an eight-week mindful therapy (MT) training programme and associated measures. Results: Compared with baseline scores, participants demonstrated knowledge acquisition on all measures, including increased mindfulness in clinical work, increased capacity to intentionally invoke mindful states of consciousness, and higher participant ratings of well-being over the course of training sessions. Discussion: This research provides preliminary evidence that a brief, standardised mindfulness training programme can achieve acceptable knowledge and skills outcomes for therapists that can aid their therapeutic practice. Of note, increased ‘therapeutic mindfulness’ in this study resulted from changed mindfulness ‘attitudes’ (i.e. a more accepting and equanimous orientation within therapeutic work) as opposed to a clear demonstration of increased attention-regulation skills. The implications of these and other results for programme development and wider research are discussed.