Stress in telephone helpline nurses is associated with failures of concentration,attention and memory,and with more conservative referral decisions

Nurses working for telephone‐based medical helplines must maintain attentional focus while quickly and accurately processing information given by callers to make safe and appropriate treatment decisions. In this study, both higher levels of general occupational stress and elevated stress levels on particular shifts were associated with more frequent failures of attention, memory, and concentration in telephone nurses. Exposure to a stressful shift was also associated with a measurable increase in objectively assessed information‐processing errors. Nurses who experienced more frequent cognitive failures at work made more conservative decisions, tending to refer patients on to other health professionals more often than other nurses. As stress is associated with cognitive performance decrements in telephone nursing, stress‐reduction interventions could improve the quality and safety of care that callers to medical helplines receive.     

A General and Maladaptive Personality Perspective on Youth Obsessive–Compulsive Symptoms

Based on Krueger's (2005) conceptual model of the personality-psychopathology relationship, this study examines how personality predicts different youth obsessive–compulsive symptoms, comparing the relative contribution of general and maladaptive personality traits. Three-hundred forty-four adolescents provided self-reports on an obsessive–compulsive scale, and their mothers rated their child's general and maladaptive personality. Hierarchical regression analyses revealed that personality differentially predicts obsessive–compulsive symptomatology, and that the relative significance of general versus maladaptive personality predictors differs across various forms of obsessive–compulsive pathology. The results are discussed in terms of the value of including both general and maladaptive personality measures in the assessment of early obsessive–compulsive difficulties.     

Legal and Ethical Implications of Using Religious Beliefs as the Basis for Refusing to Counsel Certain Clients

This article addresses potential legal and ethical implications of lawsuits that have been brought when counselors and counseling students have used their religious beliefs as the basis for refusing to counsel lesbian, gay, bisexual, and transexual clients. Four lawsuits are reviewed, issues relevant to the cases are identified, and implications for counselor educators and counseling students are discussed.     

Parents' depressive symptoms and children's adjustment over time are mediated by parenting,but differentially for fathers and mothers

Parenting has been found to act as a mediator of the relation between parents' depressive symptoms and children's adjustment. The present study replicated this result, and also found specific effects of gender for both parents and children. A total of 319 parents provided reports of their depressive symptoms (BDI) and two parenting styles (APQ; inconsistent discipline and positive parenting) as well as of their elementary schoolchildren's adjustment (VBV-EL; oppositional-defiant behaviour, hyperactivity, internalizing, social-emotional competence). The first and second measurement occasions were six months apart. Bivariate correlations showed the expected pattern of positive associations between parental depression, child maladjustment and problematic parenting. However, the results differed for mothers and fathers, and the mediation was moderated by the children's gender. Inconsistent discipline was a mediator for both fathers and mothers. The path from fathers' depression was additionally negatively mediated by positive parenting. Boys were more vulnerable than girls.     

Assessment of perception of morphed facial expressions using the Emotion Recognition Task: Normative data from healthy participants aged 8–75

The ability to recognize and label emotional facial expressions is an important aspect of social cognition. However, existing paradigms to examine this ability present only static facial expressions, suffer from ceiling effects or have limited or no norms. A computerized test, the Emotion Recognition Task (ERT), was developed to overcome these difficulties. In this study, we examined the effects of age, sex, and intellectual ability on emotion perception using the ERT. In this test, emotional facial expressions are presented as morphs gradually expressing one of the six basic emotions from neutral to four levels of intensity (40%, 60%, 80%, and 100%). The task was administered in 373 healthy participants aged 8–75. In children aged 8–17, only small developmental effects were found for the emotions anger and happiness, in contrast to adults who showed age‐related decline on anger, fear, happiness, and sadness. Sex differences were present predominantly in the adult participants. IQ only minimally affected the perception of disgust in the children, while years of education were correlated with all emotions but surprise and disgust in the adult participants. A regression‐based approach was adopted to present age‐ and education‐ or IQ‐adjusted normative data for use in clinical practice. Previous studies using the ERT have demonstrated selective impairments on specific emotions in a variety of psychiatric, neurologic, or neurodegenerative patient groups, making the ERT a valuable addition to existing paradigms for the assessment of emotion perception.     

Quality of Family Relationships as Protective Factors of Eating Disorders: An Investigation Amongst Italian Teenagers

The study here presented aims to investigate the links between quality of family relationships and some prodromes in eating disorders. A sample of 1,083 subjects took part in the study by filling PBI, FACES and EDI questionnaires. In order to clarify the role played by family relationships in the onset of EDs, two subgroups (high risk–low risk) were individuated by using the EDI cut-offs as discriminator factors and tested separately from the main sample. The results revealed some significant relationships between the analysed dimensions. It was shown that by increasing the values from the parents’ caring style scale and the real family’s cohesiveness scale the probability for subjects to fall into the high risk group decreases. Also, by increasing the family adaptability’s values, an increase of the probability for subjects to fall into the high risk group occurs. These results support the implementation of preventive and therapeutic plans to promote health and quality of life of adolescence.     

Anything Goes by the Wayside: A Reply to Raskin and Debany

Raskin and Debany (this issue Raskin, J. D. (2001). On relativism in constructivist psychology. Journal of Constructivist Psychology, 14, 285–313. doi:10.1080/10720530126044[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) profess my failure to appreciate how constructivism does not warrant an “anything-goes” relativism. In this reply, I explain how whether any postmodernist doctrine endorses an “anything-goes” epistemology (or a radical relativism) depends on the nature of the constraints that warrant its propositions. I revisit the three core postmodernist claims that I criticized in previous work, which criticism Raskin and Debany now in turn criticize. Emphasis is given to how an objectivist epistemology, contrary to postmodernist belief, does not entail certitude, and moreover incorporates (a) active and indirect knowing, (b) the situated origins of all empirical knowledge, and (c) a subject/object distinction for certain kinds of human/social kinds. I use the example of racist rhetoric to illustrate how discourse can and does affect extradiscursive realities, thereby implicating our moral obligation to seek objective truth as best we can.     

Enhancing theory of mind in behavioural variant frontotemporal dementia with transcranial direct current stimulation

Behavioural variant frontotemporal dementia (bvFTD) is a form of frontotemporal degeneration characterized by early changes in personality, emotional blunting, and/or loss of empathy. Recent research has highlighted that these features may be at least partially explained by impairments in the theory of mind (ToM; i.e., the ability to understand and predict other people’s behaviour by attributing independent mental states to them). The aim of this randomized, double-blind, placebo-controlled study was to test the hypothesis that transcranial direct current stimulation (tDCS) over the medial frontal cortex (MFC) selectively enhances communicative intention processing, a specific ToM ability. Using a single-session online design, we administered a ToM task that measures the ability to represent other people’s private and communicative intentions during active or sham tDCS to 16 bvFTD patients. To assess the impact of dementia on performance on the ToM task, we included 16 age-matched healthy volunteers who were asked to perform the entire experimental ToM task. BvFTD is characterized by an impairment in the comprehension of both communicative and private intentions relative to a healthy control group and by a disproportional impairment in communicative intention compared with private intention processing. Significant and selective accuracy improvement in the comprehension of communicative intentions after active stimulation was observed in patients with bvFTD. This is the first study that analyses ToM ability in patients with bvFTD using tDCS stimulation. Our findings could potentially contribute to the development of an effective, noninvasive brain stimulation treatment of ToM impairments in patients with bvFTD.