Physician and patient communication training in primary care: effects on participation and satisfaction

OBJECTIVE: To assess the effects of a communication skills training program for physicians and patients. DESIGN: A randomized experiment to improve physician communication skills was assessed 1 and 6 months after a training intervention; patient training to be active participants was assessed after 1 month. Across three primary medical care settings, 156 physicians treating 2,196 patients were randomly assigned to control group or one of three conditions (physician, patient, or both trained). MAIN OUTCOME MEASURES: Patient satisfaction and perceptions of choice, decision-making, information, and lifestyle counseling; physicians' satisfaction and stress; and global ratings of the communication process. RESULTS: The following significant (p < .05) effects emerged: physician training improved patients' satisfaction with information and overall care; increased willingness to recommend the physician; increased physicians' counseling (as reported by patients) about weight loss, exercise, and quitting smoking and alcohol; increased physician satisfaction with physical exam detail; increased independent ratings of physicians' sensitive, connected communication with their patients, and decreased physician satisfaction with interpersonal aspects of professional life. Patient training improved physicians' satisfaction with data collection; if only physician or patient was trained, physician stress increased and physician satisfaction decreased. CONCLUSION: Implications for improving physician-patient relationship outcomes through communication skills training are discussed.     

Improving performance expectancies in stereotypic domains: task relevance and the reduction of stereotype threat

The experiments presented here extend previous research on reducing stereotype threat, along with examining the mediating role of performance expectancies. Women who generated shared academic characteristics between men and women predicted higher scores for themselves on a math test compared to the baseline and those who generated shared non‐academic characteristics or shared physical characteristics. No effects were found for male participants' performance expectancies on an English test. Extending the relevance of these findings for stereotype threat research, women completing a math test, who first completed the shared academic characteristics task, both expressed higher performance expectancies and greater accuracy in math performance than participants in all other conditions. A partially mediating role of performance expectancies in relation to task and math performance was also found. Copyright © 2006 John Wiley & Sons, Ltd.     

The Relationship Between Parenting Behaviour and Ethnic Identity in Chinese-American and Chinese-Australian Adolescents

This study investigated the relationship between four types of parenting behaviour—warmth, control, monitoring, and autonomy-promoting—and two components of ethnic identity—ethnic behaviours/knowledge and ethnic pride—in first- and second-generation Chinese-American and Chinese-Australian high school students. As hypothesized, parenting behaviours did not predict levels of ethnic behaviour/knowledge, but ethnic pride was associated with family environments characterized as warm, controlling, and autonomy-promoting. Neither gender of respondent nor geographical location (United States or Australia) added significantly to the variance in ethnic identity. The study indicates that parenting practices contribute significantly to adolescents' sense of pride and positive evaluation of their ethnic heritage.     

The new member: "infanticide" in group psychotherapy.

While the variety of responses of psychotherapy groups to new members is wide, this article addresses those that are treatment destructive, that is, murderous in that they are aimed at the elimination of a new sibling. A number of frequently encountered destructive response patterns to new members are illustrated and categorized. It is suggested that survival of the new member is best insured by adequate preparation of the group so that the nucleus of powerful feelings activated in this situation can be felt and expressed prior to the addition of the new member. A clinical example of appropriate preparation is offered, and the contributions of group therapists to new member casualties are noted.     

Vietnamese Adolescents in Australia: Relationships between Perceptions of Self and Parental Values,Intergenerational Conflict,and Gender Dissatisfaction

The present study examined traditional family and independence values among young Vietnamese respondents (N = 204), their perceptions of parents' values, and the impact of differential parent-adolescent acculturation on intergenerational conflict and gender satisfaction. The study confirmed that adolescents perceived that they had less traditional values than their parents. Traditional family values diminished with time spent in Australia while the value accorded to independence increased. This pattern was stronger for girls than for boys. Girls valued Vietnamese traditions less than did their male peers, regarded their parents as being less accepting of independence, and were more dissatisfied with their gender role than boys. For girls but not for boys, discrepancy between adolescent and parental values was associated with more conflict and greater gender dissatisfaction. This study suggests that girls have more difficulty than boys in dealing simultaneously with the expectations of two cultures.     

"SOME THINGS YOU LEARN AREN'T SO":

When interpreting an interaction in the analysis of variance (ANOVA), many active researchers (and, in turn, students) often Ignore the residuals defining the interaction Although this problem has been noted previously, a appears that many users of ANOVA remain uncertain about the proper understanding of interaction effects To clear up this problem, we review the way in which the ANOVA model enables us to take apart a table of group means or the individual measurements contributing to the means to reveal the underlying components We also show how (using only published data) to compute a contrast on the question that may be of primary interest and illustrate for interpreting tables of residuals We conclude with an exercise to check on students understanding of ANOVA and to encourage increased precision in the specification of research results