The Construing Of Pain: A Comparison Of Acute And Chronic Low Back Pain Patients Using The Repertory Grid Technique

Hypotheses derived from the literature on pain and on personal construct theory were tested using the repertory grid technique on samples of acute and chronic low back pain patients. Two main differences emerged between these groups: (a) Chronic pain patients showed a small but significant tendency to associate being in pain with being sensitive to others; and (b) chronic pain patients perceived significantly less anger around them. The two groups were then pooled to examine changes in construing with increasing pain duration. Two main trends were noted with increasing chronicity: (a) Pain patients perceived significantly less depression around them, with the construct depressed/not depressed becoming increasingly subordinate, and (b) pain was seen in increasingly less negative terms. The results are discussed with reference to the literature and suggestions are made for future research areas.     

Sales Force Motivation Using Travel Incentives: Some Empirical Evidence

This study examines the use of travel incentives as motivators for a commission only life insurance sales force in the United Kingdom. A sample of 1,083 sales representatives reported that travel is a strong motivator and valued more highly than several other types of incentives.     

Normative warrant in diagnostic criteria: the case of DSM-IV-TR personality disorders

This article focuses on the kinds of evaluative judgments made when applying DSM-IV-TR diagnostic criteria within the diagnostic interview between clinician and patient. The authors name these kinds of value judgments in diagnosis "normative warrant" because they involve one or more justifications (warrants) for standard-bearing (normative) elements involved in applying diagnostic criteria to actual patients. Seven types of normative warrant judgments are described (Type 1, Semantic-Phenomenal Matching; Type 2, Solicitation Choice; Type 3, Sociocultural Context; Type 4, Performance-Context Matching; Type 5, Deviance Threshold; Type 6, Threshold Characterization; Type 7, Disvalue characterization) and the typology is illustrated by applying it to various DSM-IV-TR personality disorder criteria. A research and clinical understanding of normative warrant may well contribute to the refinement of criteria sets as well as the refinement of the clinical use of criteria sets.     

Policy evaluation in a time of fiscal stress: Some reflections from British experience

The debate on the use or nonuse of policy evaluation frequently starts from the normative assumption that is a rational and rewarding activity for governments to pursue. Failure to use evaluation is assumed to indicate political and organizational inefficiencies and weaknesses that can, and should, be corrected. This article argues that this is too simplistic an assumption that abstracts evaluation from the political and social context in which it is developed and utilized. In particular, the way that governments develop and use evaluation is conditioned, first by the macroeconomic climate in which they operate and second, by the ways they choose to respond to this and by the microeconomics of the budgetary process. These issues are explored in the context of recent developments in British central government. here a tight fiscal policy and a concern with administrative costs have led to move from top-down rational systems of evaluation to more pragmatic, bottom-up concerns with performance measures and performance indicators. It is concluded that policy evaluation is unlikely to regain and enhance its credibility unless a reshaping of administrative structures and processes take place. Andrew Gray and Bill Jenkins are respectively senior lecturer in adminiistrative studies and senior lecturer in interdisciplinary studies at the University of Kent at Canterbury, England. They have worked for a number of years on the development of management reforms in the UK government and have recently been involved in a research project on the evolution of the Financial Management Initiative (FMI) in British central government departments. Their publications includeAdministrative Politics in British Govenment (Wheatsheaf Books, 1985) and articles in such journals asFinancial Accountability and Management, Public Administration, andPublic Money and Management.     

Delusional verbalizations and beliefs

This study evaluated the intensity of delusional beliefs during the modification of delusional verbalizations with three chronically mentally ill inpatients. The multiple-baseline across responses design was used to evaluate the efficacy of a behavioral treatment package to modify delusional verbalizations. Results revealed that changes were obtained in delusional verbalizations to personal questions without corresponding changes in the subjects' delusional beliefs. Changes in delusional verbalizations were well-maintained for two subjects during a 6-month follow-up period. Mixed results were obtained for generalization probe interviews.