Counselling provision for staff in the National Health Service in England: A survey of patterns of provision

This paper reports the findings of a research project carried out in 2001, mapping the provision of counselling services for staff in the National Health Service in England. A postal survey was used to gather both quantitative and qualitative data in order to produce a picture of service provision in NHS Trusts throughout England. Analysis of information concerning the qualifications, experience and pay structure of counsellors, and patterns of service delivery, revealed significant variations across Health Trusts. Findings are discussed in relation to implications for policy, practice and future research.     

Trust and trustworthiness in a sequential bargaining game

We use a two‐person extensive form bargaining game to explore individuals' trusting and reciprocal behavior and how those relate to their scores on a trust survey. In keeping with prior research, we find that the ‘self‐interested’ outcome is rejected by a majority of individuals. People who score high on the trust survey are both trusting and are also trustworthy, in that they reciprocate others' trust. But people with low‐trust scores often exhibit trust but are not trustworthy. These ‘inconsistent trusters’ seem to be interested in exploiting the trust and trustworthiness of others in increasing their own payoff. Copyright © 2003 John Wiley & Sons, Ltd.     

Training and transfer effects in task switching

Performance on task switching, a paradigm commonly used to measure executive function, has been shown to improve with practice. However, no study has tested whether these benefits are specific to the tasks learned or are transferable to new situations. We report evidence of transferable improvement in a cued, randomly switching paradigm as measured by mixing cost, but we report no consistent improvement for switch cost. Improvement in mixing costs arises from a relative reduction in time to perform both switch and nonswitch trials that immediately follow switch trials, implicating the ability to recover from unexpected switches as the source of improvement. These results add to a growing number of studies demonstrating generalizable improvement with training on executive processing.     

Effects of Including a Graphic Warning Label in Advertisements for Reduced‐Exposure Products: Implications for Persuasion and Policy1

Considerable interest has focused on making warning labels on tobacco‐product packaging more effective in communicating risk to current and potential smokers. However, none of this work to date has involved the communication of risk information about reduced‐exposure products, or how a graphic warning label may function in advertisements. Reduced‐exposure products pose an interesting public health challenge in light of the fact that many advertisements for such products convey safety claims that may undermine the likelihood that potential consumers will process warnings about the products. The present study examines the influence of graphic warning labels on ratings of advertisements for 3 different types of tobacco products. Results showed that including a graphic picture lowered the appeal ratings for the product.     

Impulsivity predicts treatment outcome in obese children

Treatment for obesity is still running short, particularly on the long term. However, some people do take advantage of treatments and are able to retain their weight loss. What makes the difference between those who can keep their weight loss and those who cannot? One possible predictor of relapse in obesity treatment is impulsivity. Overall, obese people are found to be more impulsive than lean people, especially obese binge eaters. Intuitively, it would make sense that the most impulsive people are less able to keep control over eating behaviour. Therefore, impulsivity could serve as an obstacle for treatment. In the present study impulsivity was measured with a behavioural task (the stop signal task) in 26 obese children. Overweight of the children was measured before and after treatment and at 6 and 12 months follow ups. The results show that impulsivity was related to overweight at all moments: The most impulsive children were the most overweight ones; even after 12 months. Moreover, impulsivity predicted therapy success: the most impulsive children lost less weight. Impulsivity appears to contribute to the difference between succeeding or failing in attempts to lose weight.     

Social neuroscience of child and adolescent depression

The social neuroscience of child and adolescent depression is inherently multidisciplinary. Depressive disorders beginning early in life can have serious developmental and functional consequences. Psychopathology research has described depression's defining clinical and contextual features, and intervention research has characterized its response to treatment and prevention programs. Neuroendocrine, electrophysiological, and neuroimaging studies have identified core neurobiological aspects of early-onset mood disorders. These areas are reviewed using a developmental social neuroscience perspective for integrating disparate observations. The paper introduces a dynamic adaptive systems framework, and it discusses hedonic capacity, stress sensitivity, ruminative self-focus, and attentional impairments as fundamental components of mood disorders.     

EMS Perspectives on Coping with Child Death in an Out-of-Hospital Setting

To understand the ways that EMS providers cope with pediatric death in an out-of-hospital setting, eight focus groups were conducted with 98 urban, rural, and suburban EMS providers. Sixty-eight of the participants also completed a short questionnaire about a specific event. In both the focus groups and questionnaire, participants were asked how they individually coped with the death, how they coped as a team, and what coping strategies were most and least helpful. Specific coping strategies were found to be helpful to EMS providers, and could be classified as Solve, Solace, Dismiss, and Escape based on whether they approached or avoided the problem or the emotion.     

Validation of the Life Role Salience Scale in a South African setting

This study aimed to validate the Life Role Salience Scale (LRSS) in a South African context. Respondents were 300 working adults (72.3% = women; 57.9% = non-white; mean age = 35.12 years, SD = 10.25 years; mostly from the finance sector = 35.6%). Confirmatory factor and exploratory factor analyses were conducted to determine the LRSS’s factor structure and reliability of scores from the scale for the South African sample. Results yielded five factors emerging from the analyses: Homecare role reward value and homecare role commitment; marital role reward value and marital role commitment; occupational role commitment; occupational role value reward; and parental role reward value. The reliability of scores from the LRSS ranged from 0.79 (parental role reward value) to 0.95 (homecare role reward value and homecare role commitment). The LRSS shows validity for research use in South Africa.     

Description of an Intensive Dialectical Behavior Therapy Program for Multidiagnostic Clients With Eating Disorders

The authors describe an intensive outpatient dialectical behavior therapy (DBT) program for multidiagnostic clients with eating disorders who had not responded adequately to standard, empirically supported treatments for eating disorders. The program integrates DBT with empirically supported cognitive behavior therapy approaches that are well established for the treatment of eating disorders. Attention is given to inclusion and exclusion criteria, how the program differs from standard treatments for eating disorders, and the application of specific DBT treatment components for multidiagnostic clients with eating disorders.