A Qualitative Study of Community–University Partnerships That Support Psychosocial Occupational Therapy

Community partner voices are important to understand because they provide the contexts in which occupational therapy (OT) students research community-identified needs and together, create evidence-based occupation-focused programs while developing clinical reasoning skills in a natural context. The purpose of this study is to understand how community partners experienced partnerships that support community-based research in psychosocial settings. This retrospective study explores the perspectives of community partners that hosted OT students for two-semester service-learning project over 3 years. Findings revealed partners value effective communication with faculty and students, spending time observing, listening, and developing meaningful relationships with clients and staff.     

'What did we talk about last week?' a study of forgetting in one schizophrenic and two borderline clients in counselling

Abstract

This paper describes ‘forgetting between sessions’ by two borderline and one schizophrenic client in counselling. What was forgotten included: progress made, awareness of dependence, an experience of having a helpful and sympathetic counsellor, and the ability to think. Understanding of this phenomenon is explored in terms of schizoid mechanisms (Klein 1946), omnipotent narcissistic object relations (Rosenfeld 1987) and attacks on linking and thinking (Bion 1959, 1962). The need to avoid or evacuate painful experiences which are intolerable to the individual, or to recreate and remember existentially infantile traumata, are proposed to be some of the reasons behind this forgetting. The counsellor's capacity to remember, forget, contain, and think about the client's experiences is considered.     

Filling the Gap on Developmental Change: Tests of a Dynamic Field Theory of Spatial Cognition

In early childhood, there is a developmental transition in spatial memory biases. Before the transition, children's memory responses are biased toward the midline of a space, while after the transition responses are biased away from midline. The Dynamic Field Theory (DFT) posits that changes in neural interaction and changes in how children perceive frames of reference underlie the transition. Here, we tested a prediction of the DFT that children younger than the transitional age would show the more advanced developmental pattern when tested with a perceptually salient midline axis. Four age groups (3 years, 6 months; 3 years, 8 months; 4 years; and 5 years) were tested at targets near midline. As predicted, children's responses were biased away from midline.     

Social Identity-Specific Collectivism (SISCOL) and Group Behavior

Assessment of collectivism has, for the most part, targeted interpersonal (often dyadic) relationships, e.g., spouse or friend. The multifactor social identity-specific collectivism (SISCOL) scale is an alternative approach that targets groups or categories (e.g., ethnic, political). In this study, the relationship between SISCOL and reported group behavior (political action, group participation, leisure activity) was explored. First, SISCOL varied in a meaningful and predictable way as a function of group membership. Second, SISCOL subscales were divergently predictive: social identity, b=.31, and common fate, b=.18, predicted political action; social identity, b=.22, emotional attachment, b=.32, and group norms, b=.20, predicted group participation. The importance and utility of a group targeted approach is discussed.     

Perceptions of Humility: A Preliminary Study

Do people perceive humility as a strength or a weakness? The current study examined this question in a sample of 127 undergraduates. Contrary to common dictionary definitions of humility, which often emphasize its association with self-abasement, participants reported consistently positive views of humility. When recalling situations in which they felt humble, they typically reported success experiences associated with positive emotion. Participants clearly associated humility with good psychological adjustment, although they were less decisive about whether humility was associated with confidence or leadership. Although participants viewed humility as a strength across all social roles sampled, humility was viewed most favorably as a quality of religious seekers, less favorably as a quality of close others or subordinates, and least favorably as a quality of leaders or entertainers. Positive views of humility were associated with high self-esteem and religiosity. Less favorable views of humility were associated with narcissism—particularly its exploiting/entitled dimension.     

Body image disturbance in patients with borderline personality disorder: Impact of eating disorders and perceived childhood sexual abuse

Body image disturbances occur in women with borderline personality disorder (BPD). Systematic research on these characteristics in well-defined BPD groups is lacking. It is unknown, if the disturbances are related to eating disorders and childhood sexual abuse (CSA), which frequently co-occur in patients with BPD. In the present study, cognitive-affective and behavioral components of body image for 89 female patients with BPD (49 with lifetime eating disorders) and 41 healthy participants were assessed via Body Image Avoidance Questionnaire (BIAQ) and Multidimensional Body-Self Relations Questionnaire (MBSRQ). Within the BPD group, 43 patients reported a history of CSA. Compared to healthy controls, BPD patients reported significantly more negative scores in the BIAQ and the MBSRQ. Both a history of CSA and a comorbid eating disorder were independently associated with an even more negative body image. Results suggest a disturbance of cognitive-affective and behavioral components of body image in female BPD patients.     

Mindset matters: the role of employees’ stress mindset for day-specific reactions to workload anticipation

In this diary study, we extended knowledge on the role of employees’ stress mindset in the anticipatory phase of the stress process. We examined how workload anticipation is related to approach-coping efforts throughout the workday and how employees’ stress mindset moderates this relationship. Moreover, we investigated how approach-coping efforts are related to vigour and task performance at the end of the workday. Finally, we proposed conditional indirect effects of workload anticipation on vigour and task performance that are moderated by employees’ stress mindset. We conducted a daily diary study over five workdays with 171 employees. Results of multilevel path analysis showed that employees with a more positive stress mindset made more approach-coping efforts when anticipating high workload. Approach-coping efforts were positively related to vigour and task performance. For employees with a more positive stress mindset, workload anticipation had a positive conditional indirect effect on vigour and task performance. Our results suggest that employees react differently to workload anticipation depending on their stress mindset. Moreover, approach-coping efforts may be a cognitive-behavioural mechanism that explains how workload relates to vigour and task performance for employees with a more positive stress mindset.     

Determinants of physical activity among patients with type 2 diabetes: the role of perceived autonomy support,autonomous motivation and self-care competence

Based on self-determination theory (SDT), this study investigated, whether the three central SDT variables (perceived autonomy support, autonomous motivation and self-care competence), were associated with engagement in physical activity (PA) among patients with type 2 diabetes when the effect of a wide variety of other important life-context factors (perceived health, medication, duration of diabetes, mental health, stress and social support) was controlled for. Patients from five municipalities in Finland with registry-based entitlement to a special reimbursement for medicines used in the treatment of type 2 diabetes (n = 2866, mean age 63 years, 56% men) participated in this mail survey in 2011. Of all measured explanatory factors, autonomous motivation was most strongly associated with engagement in PA. Autonomous motivation mediated the effect of perceived autonomy support on patients’ PA. Thus, perceived autonomy support (from one’s physician) was associated with the patient’s PA through autonomous motivation. This result is in line with SDT. Interventions for improved diabetes care should concentrate on supporting patients’ autonomous motivation for PA. Internalizing the importance of good self-care seems to give sufficient energy to maintain a physically active lifestyle.     

The social image of drinking – mass media campaigns may inadvertently increase binge drinking

Mass media campaigns that promote responsible drinking are rarely tested for their usefulness in reducing heavy alcohol consumption. Existing campaigns that appeal to responsible drinking while simultaneously displaying young people in social drinking situations may even have paradoxical effects. To examine such possible effects, we drew on a real-world media campaign, which we systematically modified on the basis of recent prototype research. We pilot tested questionnaires (using n = 41 participants), developed two different sets of posters in the style of an existing campaign (n = 39) and investigated their effectiveness (n = 102). In the main study, young men were randomly assigned to one of three conditions: sociable or unsociable binge drinker prototype condition or a control group. Outcome variables were intention, behavioural willingness, attitude, subjective norm, self-efficacy, prototype evaluation and prototype similarity with respect to binge drinking. Binge drinking as a habit was included to control for the fact that habitual drinking in social situations is hard to overcome and poses a particular challenge to interventions. The manipulation check showed that the experimental variation (sociable vs. unsociable drinker prototype condition) was successful. Results of the main study showed that the sociable drinker prototype condition resulted in a higher willingness and – for those with less of a habit – a higher intention to binge drink the next weekend. The unsociable drinker prototype condition had no effects. The results imply that the social components of mass media campaigns might inadvertently exacerbate binge drinking in young men. We therefore advocate against campaigns including aspects of alcohol consumption that might be positively associated with drinker prototype perception. Finally, we provide suggestions for future research.