Acute Alcohol Co‐Ingestion and Hospital‐Treated Deliberate Self‐Poisoning: Is There an Effect on Subsequent Self‐Harm?

The aim of this study was to determine the relationship between alcohol co‐ingestion in an index deliberate self‐poisoning (DSP) episode with repeated DSP and subsequent suicide. A retrospective cohort study was conducted involving 5,669 consecutive index presentations to a toxicology service following DSP between January 1, 1996, and October 31, 2010. Records were probabilistically matched to National Coronial Information System data to identify subsequent suicide. Index DSPs were categorized on co‐ingestion of alcohol, and primary outcomes analyzed were repetition of any DSP, rates of repeated DSP, time to first repeat DSP, and subsequent suicide. Co‐ingestion of alcohol occurred in 35.9% of index admissions. There was no difference between those who co‐ingested alcohol (ALC+) and those who did not co‐ingest alcohol (ALC?) in terms of proportion of repeat DSP, number of DSP events, or time to first repeat DSP event. Forty‐one (1.0%) cases were probabilistically matched to a suicide death; there was no difference in the proportion of suicide between ALC+ and ALC? at 1 or 3 years. There was no significant relationship between the co‐ingestion of alcohol in an index DSP and subsequent repeated DSP or suicide. Clinically, this highlights the importance of mental health assessment of patients that present after DSP, irrespective of alcohol co‐ingestion at the time of event.     

Can Generalized Self‐Efficacy Overcome the Effects of Workplace Weight Discrimination?

Given that 68% of Americans are overweight or obese, research indicates that weight discrimination occurs in the workplace at each stage of the employment process, from selection to separation. Building from attribution, social exchange, and social cognitive theories, this study explores generalized self‐efficacy (GSE) as a moderator to determine if it alters the relationship between perceived weight discrimination (PWD) and the employee attitudes and behaviors of organizational citizenship behavior, organizational commitment (OC), job satisfaction (JS), and turnover intentions. Using ANOVA and moderated hierarchical regression to analyze the data, it was determined that GSE moderated the relationship between PWD and both OC and JS. Implications for practitioners and researchers are indicated.     

Can We Talk? Self‐Presentation and the Survey Response

This paper explores how the personality characteristics of individuals affect the answers they give to questions on controversial political topics. In April and May 2000, a random-digit-dial survey of 518 Americans was conducted in the continental United States. This survey included question batteries measuring two psychological concepts related to self-presentation. Respondents were also asked about their opinion on a number of sensitive topics, such as feelings toward blacks and homosexuals and their opinions about spending on popular programs, including schools and the environment. Their responses to these questions varied as a function of their self-presentation personality characteristics. The results presented here suggest that self-presentation measures such as those assessed here can improve our understanding of how the social dynamics of the survey interview affect responses to sensitive questions.     

Can Self‐Determination Theory Explain the Self‐Perpetuation of Social Innovations? A Case Study of Slow Food at the University of Wisconsin—Madison

This case study of Slow Food at the University of Wisconsin—Madison (SFUW) examines the success of a volunteer social innovation that promotes sustainable food access. Using inductive thematic analysis of 19 in‐depth, semi‐structured interviews of past and current members, advisors, and collaborators, we find that the success of SFUW is consistent with Self‐Determination Theory. We find that among the participants, the organization satisfies the basic psychological needs for autonomy, competence, and relatedness, which in turn support intrinsic motivation. In this way, volunteering tasks become interesting, fun, and are more likely to be performed over time. The findings suggest that needs fulfillment and intrinsic motivation are linked to creating a self‐propagating social innovation where volunteers generate new ideas and successfully transfer skills to others. Copyright © 2015 John Wiley & Sons, Ltd.     

Is There a Relationship between Suicidal Intent and Lethality in Deliberate Self‐Poisoning?

The relationship between suicidal intent and lethality of deliberate self‐poisoning (DSP) episodes and their associations with suicide have yielded contradictory findings. The aims of this study were to investigate the association between patients’ suicidal intent and independently rated lethality of DSP episodes, and whether the association changes over time. Eighty‐nine DSP patients were investigated longitudinally. Self‐reported suicidal intent, including perceived likelihood of dying, wish to die, and whether or not the DSP was considered a suicide attempt, was measured at the time of the index episode (t1), 3 months (t2), and 12 months (t3) later. Lethality was assessed independently by three clinical toxicologists. Lethality was significantly associated with patients’ reported wish to die (p = .01) and perceived likelihood of dying (p = .04) at t1, but not at t2 and t3. No association was found between whether the episode was considered a suicide attempt or not and lethality at t1, t2, or t3. Lethality and suicidal intent should be considered as largely separate dimensions of self‐harm. Clinicians should bear this in mind during clinical assessment, especially regarding historical information.     

Can We Be Self‐Deceived about What We Believe? Self‐Knowledge,Self‐Deception,and Rational Agency

Abstract: This paper considers the question of whether it is possible to be mistaken about the content of our first‐order intentional states. For proponents of the rational agency model of self‐knowledge, such failures might seem very difficult to explain. On this model, the authority of self‐knowledge is not based on inference from evidence, but rather originates in our capacity, as rational agents, to shape our beliefs and other intentional states. To believe that one believes that p, on this view, constitutes one's belief that p and so self‐knowledge involves a constitutive relation between first‐ and second‐order beliefs. If this is true, it is hard to see how those second‐order beliefs could ever be false. I develop two counter‐examples which show that despite the constitutive relation between first‐ and second‐order beliefs in standard cases of self‐knowledge, it is possible to be mistaken, and even self‐deceived, about the content of one's own beliefs. These counter‐examples do not show that the rational agency model is mistaken—rather, they show that the possibility of estrangement from one's own mental life means that, even within the rational agency model, it is possible to have false second‐order beliefs about the content of one's first‐order beliefs. The authority of self‐knowledge does not entail that to believe that one believes that p suffices to make it the case that one believes that p.     

Talking about Spirituality in the Clinical Setting: Can Being Professional Require Being Personal?

Spirituality or religion often presents as a foreign element to the clinical environment, and its language and reasoning can be a source of conflict there. As a result, the use of spirituality or religion by patients and families seems to be a solicitation that is destined to be unanswered and seems to open a distance between those who speak this language and those who do not. I argue that there are two promising approaches for engaging such language and helping patients and their families to productively engage in the decision-making process. First, patient-centered interviewing techniques can be employed to explore the patient's religious or spiritual beliefs and successfully translate them into choices. Second, and more radically, I suggest that in some more recalcitrant conflicts regarding treatment plans, resolution may require that clinicians become more involved, personally engaging in discussion and disclosure of religious and spiritual worldviews. I believe that both these approaches are supported by rich models of informed consent such as the transparency model and identify considerations and circumstances that can justify such personal disclosures. I conclude by offering some considerations for curbing potential unprofessional excesses or abuses in discussing spirituality and religion with patients.     

Stuck in the Muck? The Role of Mindsets in Self‐Regulation When Stymied During the Job Search

Although there is a vast amount of literature on the psychologically harmful effects of unemployment, there has been less scholarship aimed at helping those struggling with the motivational challenges involved in a frustrated job search. This conceptual article draws on theory and extensive research in educational, social, and organizational psychology to explain the likely role of mindsets in self‐regulation during the job search. Specifically, the authors outline how a person's mindset can cue patterns of functional and dysfunctional thoughts, feelings, and behaviors during a range of job search tasks. They then provide practical advice for counseling individuals—and for people helping themselves—through the job search process.     

Sweets,Sex, or Self‐Esteem? Comparing the Value of Self‐Esteem Boosts With Other Pleasant Rewards

Abstract Many people ascribe great value to self‐esteem, but how much value? Do people value self‐esteem more than other pleasant activities, such as eating sweets and having sex? Two studies of college students ( Study 1 : N=130; Study 2 : N=152) showed that people valued boosts to their self‐esteem more than they valued eating a favorite food and engaging in a favorite sexual activity. Study 2 also showed that people valued self‐esteem more than they valued drinking alcohol, receiving a paycheck, and seeing a best friend. Both studies found that people who highly valued self‐esteem engaged in laboratory tasks to boost their self‐esteem. Finally, personality variables interacted with these value ratings. Entitled people thought they were more deserving of all pleasant rewards, even though they did not like them all that much (both studies), and people who highly value self‐esteem pursued potentially maladaptive self‐image goals, presumably to elevate their self‐esteem ( Study 2 ).     

A Meta‐Analytic Investigation of the Within‐Person Self‐Efficacy Domain: Is Self‐Efficacy a Product of Past Performance or a Driver of Future Performance?

We conducted a meta‐analysis to determine whether the within‐person self‐efficacy/performance relationship is positive, negative, or null and to compare the strength of the self‐efficacy/performance and past performance/self‐efficacy within‐person relationships. The self‐efficacy/performance within‐person corrected correlation was .23 but was weak and nonsignificant (ρ = .06) when controlling for the linear trajectory, revealing that the main effect was spurious. The past performance/self‐efficacy within‐person corrected correlation was .40 and remained positive and significant (ρ = .30) when controlling for the linear trajectory. The moderator results revealed that at the within‐person level of analysis: (a) self‐efficacy had at best a moderate, positive effect on performance and a null effect under other moderating conditions (ρ ranged from –.02 to .33); (b) the main effect of past performance on self‐efficacy was stronger than the effect of self‐efficacy on performance, even in the moderating conditions that produced the strongest self‐efficacy/performance relationship; (c) the effect of past performance on self‐efficacy ranged from moderate to strong across moderating conditions and was statistically significant across performance tasks, contextual factors, and methodological moderators (ρ ranged from .18 to .52). Overall, this suggests that self‐efficacy is primarily a product of past performance rather than the driving force affecting future performance.     

Why Do High Self‐Monitors Emerge as Leaders in Small Groups? A Comparative Analysis of the Behaviors of High Versus Low Self‐Monitors1

The current study examined the relationship between self‐monitoring and leader emergence focusing on the specific observable behaviors that differentiate high and low self‐monitors in small decision groups. Consistent with previous research, high self‐monitors were more likely to emerge as leaders than were low self‐monitors. Further, observational ratings of task‐oriented and relationship‐oriented leader behaviors made by trained raters blind to the purpose of the study indicated that high self‐monitors emerged as leaders by engaging in significantly more task‐oriented leader behaviors. In contrast, no differences were found in relationship‐oriented leader behaviors between high and low self‐monitors. The findings are discussed in the context of behavioral approaches to the study of leadership and research on self‐monitoring. Implications for research on leader emergence, group process, and research methods are also provided, along with directions for future research.     

Borderline Personality Disorder and Deliberate Self‐Harm: Does Experiential Avoidance Play a Role?

The theory that borderline personality disorder (BPD) is associated with experiential avoidance, and that experiential avoidance mediates the association between BPD and deliberate, nonsuicidal self-harm was examined. Female inmate participants (N = 105) were given structured diagnostic assessments of BPD, as well as several measures of experiential avoidance. There was a high lifetime prevalence of past self-harm (47.6%). Higher dimensional scores representing BPD severity were associated with higher self-harm frequency and greater experiential avoidance. Structural equation modeling analyses indicated that experiential avoidance did not mediate the association between BPD and self-harm, although thought suppression was associated with self-harm frequency.     

Mountains Out of Molehills? Tests of the Mediating Effects of Self‐Esteem in Predicting Workplace Complaining1

This study explores the possibility that the effects of various work‐related antecedents on complaining behavior are transmitted through the beliefs that employees hold about themselves. Data obtained from 317 schoolteachers and their principals provide strong support for the proposition that organization‐based self‐esteem (OBSE) is an intervening mechanism between the antecedents of job satisfaction, affective commitment, procedural justice, distributive justice, and leader‐member exchange quality and workplace complaining. The relationships that emerged were fully mediated, suggesting that OBSE is a central feature in how employees think, feel, and interact with others in the workplace. Avenues for future research and study limitations are discussed.     

Self‐Regulation and the Problem of Human Autonomy: Does Psychology Need Choice,Self‐Determination,and Will?

The term autonomy literally refers to regulation by the self. Its opposite, heteronomy, refers to controlled regulation, or regulation that occurs without self-endorsement. At a time when philosophers and economists are increasingly detailing the nature of autonomy and recognizing its social and practical significance, many psychologists are questioning the reality and import of autonomy and closely related phenomena such as will, choice, and freedom. Using the framework of self-determination theory (Ryan & Deci, 2000), we review research concerning the benefits of autonomous versus controlled regulation for goal performance, persistence, affective experience, quality of relationships, and well-being across domains and cultures. We also address some of the controversies and terminological issues surrounding the construct of autonomy, including critiques of autonomy by biological reductionists, cultural relativists, and behaviorists. We conclude that there is a universal and cross-developmental value to autonomous regulation when the construct is understood in an exacting way.     

Man Smart,Woman Smarter? Getting to the Root of Gender Differences in Self‐handicapping

Research in self-handicapping has consistently demonstrated a robust yet puzzling gender difference in the use of behavioral self-handicaps. Women not only are less likely to use behavioral self-handicaps when such opportunities present themselves, but are also more punitive in their evaluations of others who utilize these types of handicaps. For years, the literature has considered several possible explanations for these consistent gender differences, with little success. The present work highlights our recent efforts suggesting that the personal value placed on effort, as indexed by the 'Worker scale' ( McCrea, Hirt, Hendrix, Milner, & Steele, 2008 ), is an important mediator of these gender differences in both the use of and evaluation of others' use of behavioral self-handicaps. Discussion centers on the implications of the present results for gaining a better understanding of the motivations and tradeoffs that underlie the use of this self-defeating strategy.     

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

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

Does Marital Status Predict the Odds of Suicidal Death in Taiwan? A Seven‐Year Population‐Based Study

Using nationwide, 7-year population-based data for 1997-2003, we examined marital status to see if it predicted suicide among the ethnic Chinese population of Taiwan. Using cause of death data, with a case-control design, two groups-total adult suicide deaths, n = 17,850, the study group, and adult deaths other than suicide, n = 71,400 (randomly selected from age, sex, and geographic region matched controls, four per suicide)-were studied. Using multiple logistic regression analysis including age-marital status interaction, adjusted estimates show divorced status to be the most detrimental for suicide propensity, with males showing stronger effect size. Females never married, aged below 35 and 65-plus, and widowed 65-plus had lower suicide odds.