Substance abusers: role of personal and professional role traits in caregivers' causal attributions

Substance abuse continues to be a major health problem compounded by caregivers' negative attitudes toward these patients. We investigated attributions 55 primary care physicians and 315 senior medical students make toward substance abusers. Half of both groups expressed negative causal attributions, with women slightly less negative than men. Mental models based on LISREL regression coefficients showed that higher negative attributions by both physicians and students were related to their increased authoritarianism and depressed mood. Medical students choosing careers in primary care specialties, including psychiatry, expressed a less negative attributional style toward substance abusers than those students entering nonprimary careers. Health professional educators may find that using attribution theory to redefine successful outcomes in management of substance abuse can result in better attitudes for caregivers.     

Death education in American medical schools: Tolstoy's challenge to Kübler-Ross

No one has done more to shape contemporary physicians' and nurses' understandings of dying and death than Elisabeth Kübler-Ross. A comparison of her views to those of another era, as delineated by Leo Tolstoy, raises questions concerning Kübler-Ross' five-stage theory and points out inadequacies in current medical education and in the values that shape American culture. According to Kübler-Ross, the dying person angrily asks “Why me?” Tolstoy's Ivan Ilych is more concerned about the implications for cosmic justice than for self-perpetuation, and angrily asks “Why death?” One's sadness is born of depression (sadness over the nearness of one's death), the other's is born of despair (sadness over the apparent meaninglessness of life or of life as one has lived it). Kübler-Ross and Tolstoy also differ in their views of what can be done to “sweeten the pill,” whether “acceptance” is the best way to face death, and whether death ought to be viewed as a barrier to self-fulfillment or a means of self-transcendence.     

Getting from neuron to checkmark: models and methods in cognitive survey research

Since the 1980s much work has been done in the field of Cognitive Survey Research. In an interdisciplinary endeavour, survey methodologists and cognitive psychologists (as well as social psychologists and linguists) have worked to unravel the cognitive processes underlying survey responses: to improve survey measurement, but also to obtain fundamental insight into the process of question answering, the nature of attitudes, the functioning of human memory, etc. Yet, despite the amount of work that has been done, less progress has been made than was deemed possible. This paper suggests ways in which to develop cognitive theories that may help to obtain an integrated understanding of question answering in surveys. One way to build better theories is to focus on model construction. Different types of cognitive models are discussed that can be used to model question answering. Second, a larger variety of methods from the cognitive toolbox can be used to further develop and test these models. An overview is given of the various tools available to researchers of cognitive aspects of survey research, with a special focus on newer methods from cognitive neuroscience. To connect different tools and methods into an integrative theory of question answering, the idea of hierarchical modelling is proposed. Copyright © 2007 John Wiley & Sons, Ltd.     

Subordinate regulatory mode and leader power: Interpersonal regulatory complementarity predicts task performance

This research examines the implications of locomotion regulatory mode (orientation toward making progress on goals) and assessment regulatory mode (orientation toward critically evaluating alternatives) for employees' performance. Regulatory mode theory suggests that, although these are both integral to self‐regulation, they may also function independently of one another and affect distinct, but equally important, performance aspects. We propose and find that performance of locomotion‐oriented employees is complemented by their leader's expert power (ability to provide superior knowledge and information), whereas performance of assessment‐oriented employees is complemented by their leader's coercive power (ability to administer negative consequences). These findings support the regulatory mode interpersonal complementarity hypothesis and show that complementarity plays a role in self‐regulation of objective performance. Copyright © 2013 John Wiley & Sons, Ltd.     

The Specificity of the Interpersonal‐Psychological Theory of Suicidal Behavior for Identifying Suicidal Ideation in an Online Sample

The interpersonal‐psychological theory of suicidal behavior suggests that the combination of perceived burdensomeness and thwarted belongingness predicts suicidal ideation. However, the specificity of this prediction to suicidal ideation has not been tested. This study examined whether these constructs were consistently associated with different characteristics of suicidal ideation, and whether they were associated with mental health problems more broadly, in an online sample of 1,352 Australian adults. Findings indicated that the interaction between perceived burdensomeness and thwarted belongingness was associated only with suicidal ideation and consistent across multiple characteristics of ideation. The study broadly supported the specificity of the IPTS.     

The Suicidal Ideation Attributes Scale (SIDAS): Community‐Based Validation Study of a New Scale for the Measurement of Suicidal Ideation

While suicide prevention efforts are increasingly being delivered using technology, no scales have been developed specifically for web‐based use. The Suicidal Ideation Attributes Scale (SIDAS) was developed and validated as a brief, web‐based measure for severity of suicidal ideation, using an online survey of Australian adults (n = 1,352). The SIDAS demonstrated high internal consistency and good convergent validity. Frequency and controllability of thoughts were more strongly associated with suicide plans and attempts than other attributes assessed. Scores ≥ 21 indicated high risk of suicide behavior. The SIDAS appears to be a valid web‐based measure for severity of suicidal ideation.