A study of physicians' intention to quit: the role of burnout, commitment and difficult doctor-patient interactions

Research on burnout and turnover intentions offers some inconsistent findings about the effects of commitment. In addition, a factor which is insufficiently studied in the turnover field is the relationship with the recipient of physicians' work, that is, the patient. This study contributes to the research literature by examining how the moderating effect of commitment depends on difficult doctor-patient relations. A total of 480 physicians, representative of Madrid, completed the survey. According to the interaction effects and the three-way interaction analyses, the results support the argument that differences in commitment lead to differences in the way physicians perceive job, interpersonal, and chronic stress. These results add a new approach to the general assumption that commitment has a unilateral negative effect, and difficult patients have a positive effect on turnover intentions, suggesting an integrated perspective, rather than a diametrical one, that allows us comprehend the complexity of physicians' turnover intentions.     

Vultures as an overlooked model in cognitive ecology

Animal Cognition - Despite important recent advances in cognitive ecology, our current understanding of avian cognition still largely rests on research conducted on a few model taxa. Vultures are...     

Obediencia institucional en el laboratorio

Resumen

La presente investigación consistió en una réplica de los paradigmas experimentales de Milgram y Darley y Latané sobre conformidad y conducta de ayuda. Se utilizaron 28 S divididos en un grupo de control y uno experimental. La V.I. era la presencia o ausencia de una supuesta víctima que, en una estancia contigua, recibía descargas eléctricas contra su voluntad. La V.D. estudiada era la obediencia o no a las instrucciones del experimentador por parte de los S en ambas situaciones. Los resultados confirman los de anteriores trabajos al observarse altos porcentajes de conductas conformistas. Por último se discuten tales datos en base a su relevancia ecológica.     

Compression as a Universal Principle of Animal Behavior

A key aim in biology and psychology is to identify fundamental principles underpinning the behavior of animals, including humans. Analyses of human language and the behavior of a range of non‐human animal species have provided evidence for a common pattern underlying diverse behavioral phenomena: Words follow Zipf's law of brevity (the tendency of more frequently used words to be shorter), and conformity to this general pattern has been seen in the behavior of a number of other animals. It has been argued that the presence of this law is a sign of efficient coding in the information theoretic sense. However, no strong direct connection has been demonstrated between the law and compression, the information theoretic principle of minimizing the expected length of a code. Here, we show that minimizing the expected code length implies that the length of a word cannot increase as its frequency increases. Furthermore, we show that the mean code length or duration is significantly small in human language, and also in the behavior of other species in all cases where agreement with the law of brevity has been found. We argue that compression is a general principle of animal behavior that reflects selection for efficiency of coding.     

Psychosocial correlates of immune status and disease progression in HIV-1 infected homosexual men: Review of preliminary findings,and commentary

Abstract

Behavioral factors may have an effect on the course of infection in HIV-1 infected individuals. These effects can be mediated by the immune system of the host, which, based on psychoneuroimmunologic findings, can be affected by some psychosocial factors. We present a short review of some putative psychoneuroimmunologic pathways and their possible implications for HIV-1 infected individuals. We next summarize the findings of recent psychoimmunological work with HIV-1 seropositives and discuss the methodological problems in studying the psychoneuroimmunologic aspects of HIV-1 infection. Psychoneuroimmunologic research in HIV-1 seropositives is a rapidly developing field, yielding contradictory findings so far, but which in the long run could provide important knowledge for psychoimmunologic interventions, targeted at improving or preserving immune status and retarding disease progression, as well as optimizing psychosocial functioning.     

Post‐Traumatic Symptoms Among Victims of Workplace Bullying: Exploring Gender Differences and Shattered Assumptions

The aims of the present study were twofold: assessing the prevalence and intensity of post‐traumatic stress disorder (PTSD) symptoms in victims of bullying, and exploring whether victims of bullying differ in their basic assumptions compared to a control group. A total of 183 victims of bullying and 183 control group participants took part in the research. The results showed that 42.6% of the total sample met all DSM‐IV‐TR criteria for PTSD, whereas 54.1% did not fulfill the A1 criterion. Post‐traumatic symptoms were more prevalent among women (49%), as compared to men (35.3%). Furthermore, victims showed significantly more negative beliefs about the world, the people, and themselves, compared to their non‐bullied controls. These results fit well with cognitive theory of trauma.     

Effects of Theodore Millon's Teaching,Mentorship, Theory,and Scientific Contributions on Health Psychology and Behavioral Medicine Research and Practice

This article summarizes the impact of Theodore Millon's work on the disciplines of health psychology and behavioral medicine over the past 5 decades spanning from the late 1960s to present. The article is written from my perspectives as a graduate student mentored by Millon on through my faculty career as a collaborator in test construction and empirical validation research. Several of the most recent entries in this summary reflect projects that were ongoing at the time of his passing, revealing the innovation and visionary spirit that he demonstrated up until the end of his life. Considering that this summary is restricted to Millon's contributions to the disciplines of health psychology and behavioral medicine, this work comprises only a small portion of his larger contribution to the field of psychology and the areas of personality theory and psychological assessment more broadly.     

MBMD Coping Styles and Psychiatric Indicators and Response to a Multidisciplinary Pain Treatment Program

Psychosocial and personality factors are known to contribute to the maintenance of and recovery from chronic pain conditions but less is known about their influence on the efficacy of pain treatment programs. The purpose of the present study is to examine the ability of the Millon Behavioral Medicine Diagnostic (MBMD), a broadband measure of personality and psychosocial characteristics, to predict response to multidisciplinary pain treatment. 93 patients completed the MBMD, and ratings of current pain and average pain on an 11 point scale, prior to a multidisciplinary pain management program. Ratings of current and average pain were completed upon program completion. Participants were classified as “successful” or “unsuccessful” program completers based on pain reductions of ≥2 points. After program completion, 47 % of participants evidenced successful pain reductions. These successful participants had lower scores on depression and on coping style scales measuring introversive, inhibited, and dejected tendencies at baseline. Additionally, lower pre-treatment depression scores and lower scores on each of these coping style scales predicted lower pain ratings at discharge independent of educational level and pre-treatment pain ratings. The MBMD may be a useful tool to delineate patients who are likely to make significant treatment gains in intense, multidisciplinary pain treatment programs.     

Needs and Cognition/Behavior Patterns at Work and the Big Five: An assessment of the Personality and Preference Inventory‐Normative (PAPI‐N) from the perspective of the five‐factor model

This study examined the relationship between psychological needs and cognition/behavior patterns at work as measured by the Personality and Preference Inventory – Normative (PAPI‐N) and the five‐factor model of personality as measured by the NEO Five Factor Inventory (NEO‐FFI) in a sample of 91 working adults and 71 psychology undergraduates who worked or had some work experience. Our results showed significant and theoretically congruent correlations between the PAPI‐N scales and the measures of the five‐factor model. These correlations were similar to those found using alternative instruments to measure Murray's needs. Despite the differences in the conceptual origins of the PAPI‐N and the NEO‐FFI and divergences in the aspects of personality measured by the two inventories, joint and interbattery factor analyses showed that most of the needs and cognition/behavior patterns measured by the PAPI‐N can be meaningfully organized within the framework of the five‐factor model. These results provide further empirical evidence for the validity of the five‐factor model and the PAPI‐N, although they also point out personality aspects that are not encompassed by the five‐factor model.