Felicitometric hermeneutics: interpreting quality of life measurements

The use of quality of life (QOL) outcomes in clinical trials is increasing as a number of practical, ethical, methodological, and regulatory reasons for their use have become apparent. It is important, then, that QOL measurements and differences between QOL scores be readily interpretable. We study interpretation in two contexts: when determining QOL and when basing decisions on QOL differences. We consider both clinical situations involving individual patients and research contexts, e.g., randomized clinical trials, involving groups of patients. We note the ethical importance of such understanding: proper interpretation and communication facilitate health care decision making. Communication that facilitates interpretation is of moral significance since better communication can attenuate ethical problems and inform choices. Much of what is communication worthy about QOL assessments is determined by the particular QOL instrument used in the assessment and how it is administered. In practice, these choices will be driven by the purpose of the assessment, but, it is argued, to maximize understanding, we should combine the information garnered from traditional standardized QOL instruments, from individualized QOL assessments, and from a recently proposed dialogic paradigm, where QOL is determined by shared conversation regarding the interpretation of texts. And, while some studies can surely succeed using abbreviated methods of administration (e.g., postal surveys may suffice for certain purposes), we will focus on methods of administration involving interviewer?Crespondent interaction. We suggest that during the QOL elicitation process, interviewer and respondent should engage in a two-way conversation in order to achieve a shared understanding of the ??answers?? to QOL ??questions?? and, finally, to reach a shared interpretation of the individual??s QOL.     

Digital��nye dereven??iki/digital villagers: Russian online projects from the countryside

The rapid growth of the Russian Internet offers great advantages, especially for geographical and cultural peripheries. Nevertheless, the locational inequality in Internet usage within the country has not yet been bridged. Meanwhile, some Russian villagers living in the countryside have started to ??blog back?? to the metropolitan centres. How is the Russian village represented in these accounts by digital??nye dereven??iki? What power relations are characteristic of villagers and townspeople, as they meet in online forums and blogs? The case studies presented in this essay show that, although the traditional dichotomist opposition between centre and periphery has undergone substantial redefinition, the significance of these concepts as value-loaded, culturally coded discursive entities still prevails. The manifestation of hybrid identities, explored in recent research on transnational diasporic communities, has not yet affected the rather static conceptions of core and periphery at work within Russian borders and on the Russian Internet.     

The Role of Personality in Relation to Gender Differences in School Subject Choices in Pre-University Education

Boys and girls to some extent differ in personality characteristics while they also prefer different school subjects in secondary education. This study has attempted to unravel the relations among gender, personality, and students?? subject choices. The study was based on a sample of 1,740 9th grade pre-university students throughout the Netherlands (average age 15?years). We used the Five-Factor Personality Inventory (FFPI) of Hendriks, Hofstee, and De Raad (1999a) to measure the students?? personalities. The research questions were: (1) To what extent are students?? personality characteristics related to their subject choices in secondary education? (2) Do students?? personality characteristics mediate the gender ?C subject choice relation? And if yes, which personality characteristics are responsible for this? (3) Is the relation between personality characteristics and subject choices different for boys and girls? We found several associations between personality characteristics and students?? subject choices. Although the relationship between gender and students?? subject choices was slightly attenuated after the inclusion of the personality characteristics in the multinomial logistic regression analyses, gender remained an important predictor of the students?? choices. The personality factor Extraversion partially mediated the relation between gender and students?? choice of advanced mathematics, chemistry, and physics versus a more language and culturally-oriented set of school subjects. Furthermore, gender was found to moderate the relation between the personality factor Autonomy and students?? choice of advanced mathematics, chemistry, and physics versus a more language and culturally-oriented set of school courses.     

Rorschach teaching in APA-approved clinical graduate programs: ten years later

A questionnaire on teaching of the Rorschach technique was sent to all APA-approved graduate clinical psychology programs in the United States and Canada. The survey represents a 10-year update of a study conducted in 1974 and reported in 1976. The questionnaire asked for the degree of emphasis placed on the Rorschach in the curriculum; the Rorschach teaching experience of the Rorschach instructor; the instructor's evaluation of the technique as a clinical tool, a teaching aid, and a research instrument, and a list of the instructional material used to teach the Rorschach. Based on a 93% return of questionnaires, the major results show that 88% of the programs place major emphasis on the Rorschach in at least one assessment course (compared to 86% in 1974); in contrast to the results of the 1974 survey, there were no differences between the ratings of highly experienced and moderately experienced instructors; as in 1974, instructors as a group highly rated the Rorschach as a clinical tool and teaching aid, but gave it generally low ratings as a research instrument; and the results clearly indicate that the Exner Comprehensive System is widely used as an instructional method.     

Culture, migration et instrument de mesure: défis incontournables

The development of research instruments that are sensitive and appropriate to the realities of diverse ethnic communities is imperative in the current multiethnic context. The goal of this article is to discuss certain challenges encountered during the elaboration of a research instrument culturally-adapted to the South Asian culture. The instrument was designed in the context of a project that examines factors that influence health behaviours of and the use of preventive health services by, South Asian immigrant women living in Montreal. The different steps in the elaboration of the instrument, and the main challenges encountered are discussed. Recommendations are provided at the end of the article.     

Benevolent Sexism, Perceived Health Risks, and the Inclination to Restrict Pregnant Women��s Freedoms

The present study investigated the role of sexist ideology in perceptions of health risks during pregnancy and willingness to intervene on pregnant women??s behavior. Initially, 160 female psychology undergraduates in the South East of England completed the Ambivalent Sexism Inventory (Glick and Fiske 1996). Two months later, in an apparently unrelated study, they rated the safety of 45 behaviours during pregnancy (e.g., drinking alcohol, exercising, drinking tap water, and oral sex), and indicated their willingness to restrict pregnant women??s choices (e.g., by refusing to serve soft cheese or alcohol). As predicted, benevolent (but not hostile) sexism was related to willingness to restrict pregnant women??s choices. This effect was partially mediated by the perception that various behaviors are unsafe during pregnancy.     

South African Adolescents' Career Development through the Lens of the Systems Theory Framework: An Exploratory Study

Adolescent career development has predominantly been studied in the context of middle class Eurocentric cultures and there have been calls for greater attention to the career development of non-dominant and disadvantaged groups. Further, there have been calls to explore career development in terms of its context and process. In this regard, the need for research measures and approaches sensitive to adolescents and particular cultures has been recognised. This is particularly the case in South African career psychology. The present study used a qualitative career assessment instrument, My System of Career Influences, to explore influences on the career development of disadvantaged South African adolescents living in a children's home. Consistent with previous international and national studies, parents were shown to be an important influence. Unlike previous studies, the influence of working overseas was also identified as an important influence. The MSCI was shown to be effective in providing insight into both the context and process of career development and as a research instrument that may be used with adolescents. Recommendations for future research are made.     

The Socio-economic Contribution of African Migrants to their Home and Host Countries: The Case of Ghanaian Residents in Flanders, Belgium

The issue of South?CNorth migration, especially Africa?CEuropean Union (EU) migration, has moved to the center stage of international development debate. Unfortunately, however, interests and arguments by policy-makers, development agencies, and citizens of the EU mainly focus on the consequences of migration on the ??receiving?? societies. The real causes of migration from Africa and migrants?? contribution to the social and economic development of both the ??sending?? and ??receiving?? countries have not been objectively discussed. Provision of labor to EU member countries, remittances, and financial transfers to and investments made by African migrants in their respective home countries are essential elements in the African?CEU migration and development cooperation debate. It is estimated that South?CNorth migrants?? remittances to developing countries increased from US$2 billion in 1970 to US$71 billion in 2001. Moreover, financial flows emanating from African migrants in the developed countries significantly contribute to the development of the continent. In order to concretize and objectify the discussion, a socio-economic survey was conducted on a representative sample of Ghanaian migrants and their families in the Flemish Community in Belgium. Extensive literature review on migration, administration of questionnaires to Ghanaians resident in Flanders, Belgium, and consultations with African and international experts on migration and international development cooperation were the methods used for this investigation. The paper identifies and analyzes the factors that ??push?? and ??pull?? Ghanaians to migrate to Belgium, the EU, and the developed countries in general. The socio-economic situation of Ghanaian migrants in Flanders and their contribution to the sustainable development of Belgium, the EU, and Ghana are rigorously analyzed. Furthermore, the challenges posed by South?CNorth migration are identified and appropriate and effective win-win mitigation strategies proposed for redressing the problematic in a sustainable way.     

A survey of Rorschach teaching in APA-approved clinical graduate programs.

A questionnaire on teaching of the Rorschach technique was sent to all APA-approved graduate clinical psychology programs in the United States and Canada. The questionnaire asked for the degree of emphasis placed on the Rorschach in the primary assessment course, the Rorschach teaching experience of the respondent and the respondent's evaluation of the technique as a clinical tool, a teaching aid and a research instrument. The respondent in each case was the faculty member teaching the major diagnostic assessment course. There was a 100% return of the questionnaires. The major results show that (1) 81% of the programs place major emphasis on the Rorschach Technique in the assessment course; (2) only 24% of the programs offer the course for a full year; (3) respondents with more than 10 years teaching experience rated the Rorschach higher than respondents with less experience, and (4) respondents as a group rated the Rorschach highly as a clinical tool and teaching aid, but gave it generally low ratings as a research instrument.     

The importance of perceived autonomy support for the psychological health and work satisfaction of health professionals: Not only supervisors count, colleagues too!

Previous studies show that supervisors?? autonomy-supportive style predicts greater psychological health (Baard et al. in J Appl Soc Psychol 34:2045?C2068, 2004; Blais and Brière 1992; Lynch et al. in Prof Psychol Res Pract 36:415?C425, 2005) and lower psychological distress (Deci et al. in Personal Soc Psychol Bull 27:930?C942, 2001). The goal of the present study is to extend these results and investigate the contribution of colleagues?? perceived autonomy support in the prediction of health professionals?? work satisfaction and psychological health. The combined impact of supervisors?? and colleagues?? perceived autonomy support is also examined. A sample of 597 health professionals from the province of Quebec (Canada) completed a questionnaire, which included measures of perceived supervisors?? and colleagues?? autonomy support and outcome variables. Results confirm that supervisors?? and colleagues?? perceived autonomy support predict health professionals?? work satisfaction and psychological health. Results also show that colleagues?? perceived autonomy support adds to the prediction of health professionals?? work satisfaction, subjective well-being, and suicidal ideation above and beyond supervisors?? perceived autonomy support.     

Towards a Marine Mindset: Visiting an Aquarium Can Improve Attitudes and Intentions Regarding Marine Sustainability

ABSTRACT

The oceans are crucial for human survival, yet they are under serious threat from humans, for example through overfishing and poor waste management. We investigated two questions. First, does a leisure visit to an aquarium improve visitor attitudes and intentions towards marine sustainability, specifically regarding overfishing and pollution? Second, does an information booklet handed out in addition to the visit have additional measurable impact? Aquarium visitors (n = 104) completed a questionnaire on marine sustainability attitudes and behavioral intentions before and after their visit. Half of the visitors also were given informational materials that offered behavioral solutions to the problem of overfishing. The aquarium visit significantly improved visitors’ overall attitudes and intentions. The information booklet additionally improved intentions significantly, but not attitudes. These findings show that a visit to an aquarium can help individuals develop what we term a marine mindset, a state of readiness to address marine sustainability issues. Implications, limitations, and ideas for further research are discussed.     

高中生数学元认知水平调查问卷的设计与编制*

对于元认知能力的评价和测试一直以来都是研究的难点,特别是就数学学科而言,已有研究多围绕数学问题解决过程中元认知监控水平的评价以及能力的培养展开,鲜有全面评价学生数学学习元认知水平的问卷。同时,没有针对高中生编制的元认知水平调查问卷。故本研究在已有研究的基础上,对已有的问卷进行修正和完善,通过征求专家意见与样本测试和数据分析,形成《高中生数学元认知水平调查问卷》。该问卷具有较好的内容效度和结构效度。信度方面,问卷整体的内部信度为0.952,分半信度为0.931,重测信度为0.946,说明问卷具有很好的内部一致性和测量稳定性。     

Developing a Basic Mathematics Questionnaire for Grades 4 to 7

In this article, the authors report on the development of a basic mathematics questionnaire for Grades 4 to 7 (the BM(P)). The provisional instrument was completed by 1,103 Afrikaans-, English-and Tswana-speaking learners in Grades 4 to 7 in the North-West Province of South Africa. First-order factor analysis was carried out, item analysis was done, reliability coefficients and discrimination values were calculated, and norm tables were established. Weighted means were used to ensure that the results were proportional to the ratios of the language groups in the province. We (the authors) concluded that standardisation of the BM(P) yielded satisfactory results with regard to the determination of issues such as construct validity, reliability, validity and intercorrelations for Grade 4 to 7 learners in the North-West Province of South Africa.     

The Health Professional Ethics Rubric: Practical Assessment in Ethics Education for Health Professional Schools

A barrier to the development and refinement of ethics education in and across health professional schools is that there is not an agreed upon instrument or method for assessment in ethics education. The most widely used ethics education assessment instrument is the Defining Issues Test (DIT) I & II. This instrument is not specific to the health professions. But it has been modified for use in, and influenced the development of other instruments in, the health professions. The DIT contains certain philosophical assumptions (??Kohlbergian?? or ??neo-Kohlbergian??) that have been criticized in recent years. It is also expensive for large institutions to use. The purpose of this article is to offer a rubric??which the authors have named the Health Professional Ethics Rubric??for the assessment of several learning outcomes related to ethics education in health science centers. This rubric is not open to the same philosophical critiques as the DIT and other such instruments. This rubric is also practical to use. This article includes the rubric being advocated, which was developed by faculty and administrators at a large academic health science center as a part of a campus-wide ethics education initiative. The process of developing the rubric is described, as well as certain limitations and plans for revision.     

When the rules are reversed: Action-monitoring consequences of reversing stimulus–response mappings

How does switching tasks affect our ability to monitor and adapt our behavior? Largely independent lines of research have examined how individuals monitor their actions and adjust to errors, on the one hand, and how they are able to switch between two or more tasks, on the other. Few studies, however, have explored how these two aspects of cognitive?Cbehavioral flexibility interact. That is, how individuals monitor their actions when task rules are switched remains unknown. The present study sought to address this question by examining the action-monitoring consequences of response switching??a form of task switching that involves switching the response that is associated with a particular stimulus. We recorded event-related brain potentials (ERPs) while participants performed a modified letter flanker task in which the stimulus?Cresponse (S?CR) mappings were reversed between blocks. Specifically, we examined three ERPs??the N2, the error-related negativity (ERN), and the error positivity (Pe)??that have been closely associated with action monitoring. The findings revealed that S?CR reversal blocks were associated with dynamic alterations of action-monitoring brain activity: the N2 and ERN were enhanced, whereas the Pe was reduced. Moreover, participants were less likely to adapt their posterror behavior in S?CR reversal blocks. Taken together, these data suggest that response switching results in early enhancements of effortful control mechanisms (N2 and ERN) at the expense of reductions in later response evaluation processes (Pe). Thus, when rules change, our attempts at control are accompanied by less attention to our actions.     

Developing and Testing a Spiritual Care Questionnaire in the Iranian Context

As most research exploring nurses?? perceptions on the topic of spiritual care was conducted in Western countries, these findings may not be applicable in Iran because of cultural and health system differences. Therefore, a new survey instrument was developed for the Iranian context. The study was conducted in two steps: (1) development and validation of items for perception scale and (2) distribution of the questionnaire among nursing students to determine scale reliability and construct validity. The preliminary scale consisted of 50 items designed to measure the participants?? perception of spiritual care. Construct validity of the scale was examined on the remaining 33 items. On interpretation of the items, the following four components were identified: (1) meeting patient as a being in meaning and hope, (2) meeting patient as a being in relationship, (3) meeting patient as a religious being, and (4) meeting patients as a being with autonomy. The results in this paper showed that preserving dignity in the nurses?? practice meant getting involved in interpersonal caring relationships, with respect for the involved peoples?? religious beliefs and their autonomy. Proper education and professionally led supervision with reflection on past and recent experiences may develop student nurses?? and nurses?? perceptions as well as their attitudes toward spiritual care and to achieve a realistic view of the profession.     

PREDICTORS OF ENGAGEMENT IN PSYCHODYNAMIC PSYCHOTHERAPY DERIVING FROM PRE‐ASSESSMENT QUESTIONNAIRES

Patients attending the Maudsley Hospital Psychotherapy Unit complete a semi‐structured questionnaire as a matter of standard procedure prior to assessment. Clinical experience suggests that this instrument reveals important aspects of a patient's internal world, regularly borne out at the assessment interview. The questionnaire may thus contribute to predicting engagement in the therapeutic relationship. To evaluate this hypothesis we conducted a qualitative analysis of 40 questionnaires, 20 of patients who attended 20 sessions or more, the other 20 of patients who discontinued at or before the sixth session. We differentially explored characteristics that may indicate the probability of patients' engagement and, hence, help to predict outcome in terms of completion of the treatment. The results indicate that there are no strong discriminating factors discernable in the questionnaires for the prediction of engagement in psychotherapy. Two themes emerged from the analysis that seemed to have a moderate bearing on completion. These are the willingness of patients to observe themselves reflectively as well as the awareness that psychotherapy might be a difficult but necessary and beneficial undertaking.     

Coping strategies questionnaire (CSQ): Reliability of the swedish version of the CSQ

Abstract

We present a study with the aim of investigating the internal consistency and reliability of a Swedish version of the Coping Strategies Questionnaire (CSQ). The study group consisted of 282 subjects suffering from long term back pain. Internal consistency was investigated by calculating alpha coefficients and test-retest reliability was investigated by a correlation analysis with two different test-retest intervals. The results reveal that the internal consistency of the Swedish CSQ is high (alpha range between 0.7 and 0.8) and consistent with the American version. The test-retest reliability was not equally satisfactory (correlation ranged between 0.4 and 0.9) but the results support the usefulness of the CSQ as a tool in the clinical assessment of pain coping strategies. The test-retest result indicate the need for further research. In conclusion, the results from the present study are encouraging and support the usefulness of the instrument but to improve the utility and application of the Swedish version of the CSQ further research is warranted.     

On A- and B-theoretic elements of branching spacetimes

This paper assesses branching spacetime theories in light of metaphysical considerations concerning time. I present the A, B, and C series in terms of the temporal structure they impose on sets of events, and raise problems for two elements of extant branching spacetime theories??McCall??s ??branch attrition??, and the ??no backward branching?? feature of Belnap??s ??branching space?Ctime????in terms of their respective A- and B-theoretic nature. I argue that McCall??s presentation of branch attrition can only be coherently formulated on a model with at least two temporal dimensions, and that this results in severing the link between branch attrition and the flow of time. I argue that ??no backward branching?? prohibits Belnap??s theory from capturing the modal content of indeterministic physical theories, and results in it ascribing to the world a time-asymmetric modal structure that lacks physical justification.