Accounting for job satisfaction: Examining the interplay of person and situation

In the present study, we investigate the interplay of personality traits (i.e., person) in frontline care staff in nursing homes and the way they relate to the residents (i.e., situation) to account for their job satisfaction. Participants completed a survey including Mini‐IPIP tapping the five‐factor model of personality, Individualized Care Inventory tapping four aspects of person‐centered care and job satisfaction. The results revealed that staff scoring high on neuroticism experienced less job satisfaction. This relationship was partly accounted for by resident autonomy, suggesting that part of the adverse influence of neuroticism on job satisfaction may be mitigated by organizations providing a supportive care environment. In contrast, staff scoring high on agreeableness experienced higher job satisfaction. This relationship was accounted for by another aspect of person‐centered care, that is, knowing the person. This suggests that agreeableness in a sense facilitated adjustment of acts of care toward the unique needs and preferences of residents and this partly explained why the more agreeable the staff was the more they felt satisfied at work. In sum, effects of personality traits on job satisfaction in care staff are partially mediated by the perception of working conditions and care policy and to the extent that a certain personality trait affects whether the staff have a positive or negative perception of the way they relate to the residents, they will experience, respectively, higher or a lower job satisfaction. This finding has implications for how to combine a focus on delivering person‐centered care with improving personal job satisfaction.     

The relationship between agreeableness and the development of the working alliance in patients with borderline personality disorder

The working alliance between therapist and patient is an important component of effective interventions for borderline personality disorder (BPD). The current study examines whether client personality affects the development of the working alliance during the treatment of BPD, and whether this influences treatment effectiveness. Data was based on 87 patients with BPD who were participants in a randomized controlled trial comparing Dialectical Behavior Therapy (DBT) and general psychiatric management. Higher levels of trait Agreeableness were associated with steeper increases in working alliance throughout treatment, but only in the DBT condition. Increases in working alliance were in turn associated with better clinical outcomes. Mediation models revealed a significant indirect path from Agreeableness to better clinical outcomes, mediated through larger improvements in working alliance over time. These results highlight the role that patient personality can play during the therapeutic process, with a specific focus on the importance of Agreeableness for alliance development.     

Is health-care delivery by partially trained professionals ever morally justified?

...teaching institutions should establish policies for all aspects of care provided by residents-in-training (not just for the acquisition of informed consent to treatment) and establish mechanisms to monitor how these policies are implemented and their effect on the quality of patient care and patient satisfaction with care. Clear policy on which treatments are provided by junior residents and which treatments and aspects of care are provided by senior residents is necessary for patients and their families to have control over what happens to them in the health-care institution....Teaching institutions should regularly assess whether residents are being asked to take on more responsibilities in patient care than they are prepared to do. The reasons to do this are not solely related to protecting the patient from harm. Protecting the residents-in-training from overwhelming guilt, fear, and providing them with a more humane approach to medical education should be a minimal expectation for the training of those who will be expected to provide humane care to others....     

On the validity of narrow and broad personality traits: A response to

Salgado, Moscoso, and Berges (2013) have recently commented on the issue of the comparative validity of broad factor-level personality traits and narrow facet-level personality traits, providing arguments and data suggesting superior validity for the former. In response, we first clarify some of our previous points that were discussed by Salgado et al. and comment on some other aspects of their article. We then provide an empirical example in which a facet-level personality scale does better in predicting a delinquency criterion than does the factor-level personality scale that contains that facet. We also use CFA to demonstrate that it was the specific trait variance in our narrow predictor that added significantly to predictive validity, above and beyond the validity achieved by the common factor variance contained within the trait measure. These results support our previous conclusion that exclusive reliance on broad factor measures can be counterproductive for understanding and predicting behavior.     

Personality Disorders and Treatment: A Therapeutic Conundrum

Of challenge to developmental psychologists and mental health practitioners is the importance of temperament, the intractable nature of personality, the complex psychodynamics of personality disorders, the fragile features of the therapeutic alliance, and the selection of appropriate therapy techniques. The intent of this article is to provide specific information pertinent to understanding personality disorders and to offer recommendations for effective treatment strategies.     

Ethical issues in pediatric life-threatening illness: dilemmas of consent, assent, and communication

The treatment of life-threatening illnesses in childhood is replete with ethical issues and with clinical issues that have ethical implications. The central issues are those involved with a child's participation in the decision-making process and with communication of information about the illness and treatments to children. This article examines the questions of patient autonomy and of parental responsibility and prerogative in the context of pediatric oncology. Included in this examination of the ethical dimensions of pediatric life-threatening illness is a discussion of the many related aspects involved, including medical, cultural, psychosocial, legal, and developmental. A multidimensional approach that considers the ways in which these multiple aspects interact with one another, and which focuses on establishing a strong working alliance between the health care team and the pediatric patient's family, can help to avoid or resolve potential ethical and clinical conflicts.     

Support Needs and Satisfaction in Foster Care: Differences Between Foster Mothers and Foster Fathers

Family foster care is a vulnerable youth care intervention. The recruitment and retention of foster parents causes concerns. Offering support to foster mothers and foster fathers can augment the satisfaction and the intent of continuing fostering. Clearer understanding of the support needs of foster parents and their satisfaction with the foster care placement can lead to the identification of ways to improve the support offered. Although differences between foster mothers and foster fathers regarding their support needs and satisfaction can be expected, knowledge about these differences is nonexistent. Differences in support needs and satisfaction between 86 foster mothers and foster fathers who reported on 120 foster children were examined. No differences between foster mothers and foster fathers were found. Both foster parents had higher support needs regarding dealing with the birth parents compared to support needs in handling problem behavior of the foster child. For both foster mothers and foster fathers satisfaction with collaboration with the foster care worker, satisfaction with recognition experienced and satisfaction with reunification of the foster child, did not differ across these aspects. Satisfaction of foster parents can be increased by keeping in balance the rights and needs of birth parents and those of foster parents. Acknowledging that foster parents are experts on their foster child and consulting them on important decisions will also contribute significantly to their satisfaction.     

Increasing Youths’ Participation in Team-Based Treatment Planning: The <Emphasis Type="Italic">Achieve My Plan</Emphasis> Enhancement for Wraparound

Wraparound is a frequently implemented approach for providing individualized, community-based care for children and adolescents with serious mental health conditions and, typically, involvement in multiple child—and family-serving systems. Both Wraparound’s principles and its theory of change stress the importance of youths’ active participation throughout. However, research focusing on the experiences of youth in Wraparound indicates that they are often not particularly engaged in the process or participating actively with their teams, and the findings point to a lack of alliance between the young people and their teams. This article describes a randomized study testing the Achieve My Plan (AMP) enhancement for Wraparound, which is intended to increase young people’s satisfaction, active engagement and self-determined participation in Wraparound, as well as their alliance with the team. Study findings showed that, relative to youth who received “as usual” Wraparound, young people who received Wraparound with the AMP enhancement participated more—and in a more active and self-determined manner—with their teams. They also rated their alliance with their Wraparound teams significantly higher. Furthermore, adult team members in the intervention condition rated team meetings as being more productive, and they were more likely to say that the AMP meetings were “much better than usual” team meetings. Findings support the idea that it is possible—using a low-cost, low-“dose” intervention—to enhance young people’s self-determination and their engagement in Wraparound without detracting from team functioning or the satisfaction of other team members.     

Dispositional Affect and Job Satisfaction: A Review and Theoretical Extension

Over the past 15 years, researchers have paid increasing attention to the dispositional source of job satisfaction. This research, though not without its controversies, has provided strong evidence that job satisfaction is, in part, dispositionally based. In this article we review past research on dispositional influences on job satisfaction. The two areas most in need of future research attention are (a) which trait(s) should be included in investigations of the dispositional source of job satisfaction and (b) elucidating the theoretical processes underlying the effect of dispositions on job satisfaction. In attempting to facilitate future research in these two areas, we first provide an integrative review of the personality and affective traits relevant to the dispositional source of job satisfaction. Second, we discuss a number of theoretical processes and mechanisms, drawn largely from personality psychology, which may further illuminate the dispositional source of job satisfaction. We pay particular attention to a model that seeks to unify the literature on affect and personality and discuss how applications of this model may lead to greater understanding of the personological basis of job satisfaction.     

Characteristics of Successful Direct Support Professionals: An examination of personality and cognitive ability requirements

Service jobs in the health care industry continue to face difficulties in recruiting, selecting, and retaining quality employees. We conducted two studies to examine potential cognitive and personality predictors of job performance, satisfaction, and turnover among direct support professionals (i.e., individuals providing long‐term residential care and support to persons with disabilities). Data from a concurrent validation study was used to create a unit‐weighted combination of agreeableness, conscientiousness, optimism, and numerical ability. This composite predictor was significantly correlated with job performance and job satisfaction. The composite was further supported in a follow‐up predictive validation study of turnover.     

The face of personality: Adaptive inferences from facial cues are moderated by perceiver personality and motives

Humans have historically been interested in understanding stable individual differences in behavioral tendencies, often referred to as personality traits. Recent work suggests that between‐person personality variability may be adaptive insofar as certain variations in personality constellations facilitate survival and reproduction across various types of groups and ecological niches. While past research has demonstrated that personality can be accurately inferred from self‐reports, other‐reports, and targets' past behavior, we discuss a more contemporary, yet understudied, means of personality inference: facial structure. We summarize research on personality traits that can be accurately inferred from facial structure, as well as how aspects of individuals' own personality, chronically accessible motives, and acutely activated goals lead to preferences for facially communicated personality that would aid in the satisfaction of these goals (e.g., higher need to belong predicts a stronger preference for faces whose structure communicates greater extraversion). We also discuss limitations of current approaches to understanding the relationship between perceiver personality and motives and their relation to perceptions of facially communicated personality as well as fruitful directions for future research.     

One-to-one support for crisis intervention using online synchronous instant messaging: evaluating working alliance and client satisfaction

Young people are increasingly turning to online support, especially when traditional mental health services are not immediately available. Using a cross-sectional design, sociodemographic information and self-reported perceptions of the strength of the working alliance and client satisfaction were collected from a sample of participants (n = 78) who were users of a service providing free online support using synchronous instant messaging. The results reported a significant positive relationship between the strength of the working alliance and client satisfaction, suggesting that the strength of the working alliance remains a key component in counselling, even online. Participants, however, scored significantly lower on both the strength of the working alliance and client satisfaction, compared to participants in offline settings as reported in past studies.     

Unwitting self-disclosures in psychodynamic psychotherapy: deciphering their meaning and accessing the pain within

Unwitting self-disclosures (USDs), unconscious yet observable parts of personality, are often behavioral relics of past suffering and, as such, constitute valuable though frequently underutilized clinical information. While ego-syntonic aspects of personality can be commented on with impunity, dealing therapeutically with patients' USDs--manifestations of their blind spots--requires sensitivity, empathy, and timing. Providing many clinical examples of patient and therapist USDs from individual and group psychotherapy, this report discusses the origins, possible meanings, and the countertransference and empathic challenges encountered in the handling of these blind spots. The importance of establishing a narcissistic alliance and of employing the methods of the existential school of psychotherapy in processing USDs is described. Self-aware therapists can minimize the clinical impasse that may result when therapist-patient blind spots overlap.     

Personality and life satisfaction: a facet-level analysis

At the global level of the Big Five, Extraversion and Neuroticism are the strongest predictors of life satisfaction. However, Extraversion and Neuroticism are multifaceted constructs that combine more specific traits. This article examined the contribution of facets of Extraversion and Neuroticism to life satisfaction in four studies. The depression facet of Neuroticism and the positive emotions/cheerfulness facet of Extraversion were the strongest and most consistent predictors of life satisfaction. These two facets often accounted for more variance in life satisfaction than Neuroticism and Extraversion. The findings suggest that measures of depression and positive emotions/cheerfulness are necessary and sufficient to predict life satisfaction from personality traits. The results also lead to a more refined understanding of the specific personality traits that influence life satisfaction: Depression is more important than anxiety or anger and a cheerful temperament is more important than being active or sociable.     

The Ethical Implications of Social Media: Issues and Recommendations For Clinical Practice

The Internet and electronic communication technologies have taken the psychological field by storm. From the innovations of new web interventions for easier access to care to the increased ease of client scheduling and communication, these developments have greatly advanced mental health care. However, these advantages are also laced with ethical implications that warrant attention. Without judicious consideration, social media use by psychotherapists can lead to inadvertent self-disclosures to clients that risk damaging the therapeutic alliance, interfering with therapeutic processes, and placing both the client and clinician at risk. A better understanding of the ethical implications of social media use is warranted so that guidelines for appropriate use can be developed and implemented. This article highlights the potential risks associated with social media use by psychotherapists and, in absence of formalized guidelines, offers recommendations for best practices.     

La perception parentale de la pratique du bilan psychologique de l’enfant et de l’adolescent

The psychological assessment is a widespread approach in child and adolescent psychology, but few studies have examined the experiences of the main stakeholders during this process. This study was conducted among 105 parents consulting for their child in a psychological counseling centre, and investigated by ad-hoc questionnaires the dimensions that can be involved at different moments of the assessment: expectations and perceptions, motivation for change, working alliance, and satisfaction with care. The results highlight the importance of parents’ initial representations and the quality of first contact with psychologists. This study enhances our understanding of procedural elements little studied and yet determinant for the engagement of parents in the psychological assessment and the intervention that would follow.     

Normativity unbound: Liminality in palliative care ethics

This article applies the anthropological concept of liminality to reconceptualize palliative care ethics. Liminality possesses both spatial and temporal dimensions. Both these aspects are analyzed to provide insight into the intersubjective relationship between patient and caregiver in the context of palliative care. Aristotelian practical wisdom, or phronesis, is considered to be the appropriate model for palliative care ethics, provided it is able to account for liminality. Moreover, this article argues for the importance of liminality for providing an ethical structure that grounds the doctrine of double effect and overcomes the impasse of phronesis in the treatment of the terminally ill.     

Factors Affecting Potential Personality Retest Improvement After Initial Failure

Attention in the personality test faking literature has been directed toward research designs in which job applicants complete a personality test, fail to get the job, and subsequently retest. This article highlights the extent to which inferences drawn from studies using the retest-after-failure research design address the extent and prevalence of applicant faking. Results from several studies using this design are reviewed, revealing an enormous range of findings. We simulate two aspects of the assessment context that can explain the discrepancy in previous results. The simulation systematically varies the weight given to personality in the assessment battery and the selection ratio to investigate their effects on personality retest scores. Results are useful for interpreting previous findings and understanding settings in which retest improvement occurs.     

Formulation and Treatment of Chronic Suicidality in Patients with Developmental Trauma

Although the psychodynamic literature has examined some of the links between developmental trauma and suicidal thinking and behavior, much of this scholarship focuses on the management of chronic suicidality in the treatment of patients with borderline personality disorder. In this paper, we examine the relationship between complex trauma and the broad spectrum of chronic self-destructive thoughts and behaviors commonly seen in clinical practice. We incorporate perspectives from psychodynamic theory with an emphasis on attachment theory in our understanding of the underlying mechanisms involved. We describe how we use this developmental understanding to address chronic suicidality in ongoing clinical treatment beyond management and safety planning, by providing psychoeducational, cognitive, behavioral and affect-focused strategies that serve to enhance the treatment alliance.     

When the Tree Falls and No One Hears It: On Being Dropped and Learning to Hold

This case study focuses on a student therapist’s reflections upon a premature termination that occurred in her work with an adolescent male patient. The therapeutic process is traced back to the beginning of treatment, and the article delineates the extent in which the patient’s early interpersonal experiences influenced the development of the therapeutic alliance. The author addresses several themes that evolved throughout the treatment, including the patient’s experience of unpredictability and instability and his inconsistent understanding of time, and the ways in which these experiences ultimately influenced the treatment’s ending. The article describes the therapist’s development as a clinician over the course of the treatment, focusing on the various experiences that helped her consolidate a dynamic understanding of the holding environment.