Mixed-Design Training Outcomes for Fellows Serving At-Risk Youth Within Integrated Care Settings

We used an exploratory mixed-methods design with single-case comparative analysis and analysis of covariance to evaluate the potential effectiveness of an interprofessional clinical training in a mental health counseling program. Initial findings indicate those engaging in specialized learning experiences that attended to critical aspects of youth behavioral health care experienced benefits with regard to their professional development, interprofessional socialization and valuing, and counseling self-efficacy. Implications for the usefulness of trainings focused on interprofessional experiences are framed in relation to professional trends concerning integrated health care.     

Relative Deprivation and Social Identity in Times of Dramatic Social Change: The Case of Nurses1

In the present study, an integration of relative deprivation theory and social identity theory is proposed to account for people's reactions to dramatic changes affecting their daily lives. Data collected among nurses (n = 108) indicate that feelings of relative deprivation are influenced by different perceptions of organizational change. Path analysis shows that feelings of social relative deprivation derive from negative changes that are numerous, and that temporal relative deprivation is experienced as a result of negative changes that are rapid. In terms of the link between social identity and relative deprivation, 2 contrasting approaches were tested. Analyses support the view that in‐group identification acts as a precursor, rather than as a consequence, of relative deprivation.     

Helping a child with multiple disabilities endure a demanding physical posture through self-managed access to preferred stimuli

This study assessed whether a child with multiple disabilities would endure a difficult (standing) position more easily if allowed to access preferred stimuli while in that position. The study included an ABAB sequence with 2- and 3-mo. postintervention checks. Data showed that self-managed access to preferred stimuli during the B phases of the study and the postintervention checks reduced the child's indices of unhappiness, frowning and crying, while increasing his object contact and smiles as indices of happiness.     

On knowing oneself directly and through others

For certain patients, the experience of self lacks solidity and conviction. These patients appear to be unable to know themselves directly and turn to others in their environment and in fantasy in order to discover or confirm a vision of themselves. The author argues that we can come to understand these patients' shadowy sense of self by looking at direct self-knowledge and knowledge of the self that is acquired through others as two storylines. Detailed clinical material from the analysis of a woman who came to analysis feeling shadowy and insubstantial illustrates the value of attention to both storylines and to the changing relationship between them.     

The Relationship Between Employees’ Objective Internal and External Pay Standing and Their Job Performance: A Within-Person Analysis

Purpose

Researchers have paid little attention to the relationship between employees’ objective internal and external pay standing and their job performance. Moreover, few studies have considered that employees’ objective pay standing is dynamic; that is, it changes over time. In this study, we analyze the relationship between changes in employees’ objective internal and external pay standing and their job performance.

Design/Methodology/Approach

We test the hypotheses using data for players in the National Basketball Association over a period of 12 seasons (n = 4830).

Findings

Decreases in employees’ objective internal and external pay standing are negatively related to their task performance. Furthermore, decreases in employees’ objective internal pay standing, but not in their external pay standing, are negatively related to their contextual performance.

Implications

Analyzing the relationship between changes in employees’ objective internal and external pay standing and their job performance adds to our understanding of the individual-level consequences of pay dispersion.

Originality/Value

This is one of the first studies to analyze the relationship between employees’ objective internal and external pay standing and their job performance. Moreover, this is one of the first studies that considers that employees’ objective internal and external pay standing changes, for example, because the external and internal labor markets change. The study contributes to research on employee compensation and salary, and to research on pay disparities.

     

Matters of the heart: patients' adjustment to life following a cardiac crisis

In a sample of patients who experienced a myocardial infarction, coronary artery bypass graft surgery or both within the past year, we examined the extent to which patients' attempts to intrapersonally inhibit their emotions about their cardiac event and their attempts to disclose their feelings about the event to their partner predicted their psychological health (depression, anxiety, post-traumatic stress) and relational functioning (closeness, satisfaction). The more patients inhibited their feelings about their cardiac event, the poorer their psychological and relational functioning. Greater disclosure was associated with greater closeness to their partner. However, frequency of disclosure was also an indicator of level of distress, such that the more frequently patients talked about their feelings regarding the cardiac event with their partner, the more they had anxiety and post-traumatic stress symptoms. Important interactions of inhibition by disclosure on outcomes as well as moderation by time since the cardiac event were found and are discussed in greater detail.     

Psychotherapie®

Psychotherapy has not escaped the societal changes of the last decades, which are labelled by sociologists as “reflexive modernization”. Nevertheless, psychotherapists occasionally are supposed to avoid a discussion of issues related to modern societies. This article discusses economization, connected with reflexive modernization, in relation to psychotherapy focussing on the question if psychotherapy has already become a “product” (or is imminent to that). This question is discussed in connection with three specific issues: parallels between psychotherapy and industrial production related to terms such as quality assurance and quality management, the question of a monopoly within psychotherapy, similar to monopolies of industrial companies, and, finally, some phenomena connected with a boom of specific psychotherapies of the recent years that indicate the product-character of psychotherapy.     

Within-person variation in security of attachment: a self-determination theory perspective on attachment, need fulfillment, and well-being

Attachment research has traditionally focused on individual differences in global patterns of attachment to important others. The current research instead focuses primarily on within-person variability in attachments across relational partners. It was predicted that within-person variability would be substantial, even among primary attachment figures of mother, father, romantic partner, and best friend. The prediction was supported in three studies. Furthermore, in line with self-determination theory, multilevel modeling and regression analyses showed that, at the relationship level, individuals' experience of fulfillment of the basic needs for autonomy, competence, and relatedness positively predicted overall attachment security, model of self, and model of other. Relations of both attachment and need satisfaction to well-being were also explored.