“Statistical,” “Practical,” and “Clinical”: How Many Kinds of Significance Do Counselors Need to Consider?

The present article reviews and distinguishes 3 related but different types of significance: “statistical,” “practical,” and “clinical.” A framework for conceptualizing the many “practical” effect size indices is described. Several effect size indices that counseling researchers can use, or that counselors reading the literature may encounter, are summarized. A way of estimating “corrected” intervention effects is proposed. It is suggested that readers should expect authors to report indices of “practical” or “clinical” significance, or both, within their research reports; and it is noted that indeed some journals now require such reports.     

Psychological Adjustment to Breast Cancer

Breast cancer remains a highly prevalent and extraordinarily stressful experience for hundreds of thousands of women each year in the United States and around the world. Psychological research has provided a picture of the emotional and social impact of breast cancer on patients' lives, and of factors associated with better versus worse adjustment. Psychosocial interventions have been beneficial in decreasing patients' distress and enhancing their quality of life. Recent research also suggests that psychological factors may be related to potentially important biological disease-related processes. In addition to providing an understanding of the psychological factors in breast cancer, research in this area has provided a framework for research on adaptation to health-related stress in general.     

An exploratory study of the perceptions and experiences of further education amongst the young long‐term unemployed

The aim of this study was to explore, in depth, the perceptions and experiences of Further Education (FE) amongst the young long‐term unemployed. Semi‐structured interviews were conducted with 16 long‐term unemployed youths of 18–25 years of age divided into three groups: those with no experience of FE; those having recently dropped out of FE; and those currently studying in FE. Grounded theoretical analysis highlighted the importance of both responses to and institutional aspects of unemployment. The impact of unemployment, poor previous educational experience and perceived irrelevance of FE are key barriers to learning. Those that enter FE may drop out as a result of both material and psychosocial factors. Those that stay on commonly emphasize both social support and personal agency in decision‐making alongside positive evaluations of FE. In conclusion, limitations of the findings, policy and practical recommendations for successful widening of participation in FE amongst this group are considered. Copyright © 2002 John Wiley & Sons, Ltd.     

Listening in aging adults: from discourse comprehension to psychoacoustics.

Older adults, whether or not they have clinically significant hearing loss, have more trouble than their younger counterparts understanding speech in everyday life. These age-related difficulties in speech understanding may be attributed to changes in higher-level cognitive processes such as language comprehension, memory, attention, and cognitive slowing, or to lower-level sensory and perceptual processes. A complicating factor in determining how these sources might contribute to age-related declines in speech understanding is that they are highly correlated. Experimenters have typically focused either on cognitive declines or sensory declines in artificially optimized test conditions. In contrast, our approach focuses on the complex interactions between age-related changes in cognitive and perceptual factors that affect spoken language comprehension, especially in nonideal, realistic conditions. In this article, we describe our attempts to systematically investigate sensory-cognitive interactions in controlled experimental situations. We begin by looking at experimental conditions that closely approximate everyday listening, and show that older adults do indeed experience deficits in spoken language comprehension relative to younger adults in these conditions. We then review further experiments designed to isolate more precisely the cognitive and perceptual sources of these age-related differences and how they vary with listening condition. In large part, we find that age-related changes in speech understanding are a consequence of auditory declines.     

Are University Professors Qualified to Teach Ethics?

In the light of recent talk in Canadian business schools about the importance of teaching courses in business ethics, the authors ask whether business professors have the qualifications required to teach business ethics. They point to various ethical dilemmas that arise in a collegial setting and argue that academics who teach business ethics have to first understand the complex ethical situations in which they find themselves if business ethics is to be taught in a meaningful way.     

The role of personality in exposure and reactivity to interpersonal stress in relation to arthritis disease activity and negative affect in women.

The role of personality in the stress process was examined in older women with rheumatoid arthritis (RA) and osteoarthritis (OA) and in healthy controls (HCs). Reactivity was examined in relation to arthritis disease activity and negative affect. Interpersonal sensitivity and neuroticism were measured in questionnaires, and interpersonal stress, negative affect, and disease activity were assessed weekly for 12 weeks. Interpersonal sensitivity was defined as an excessive sensitivity to the behavior and feelings of others. Regarding exposure, neuroticism was related to interpersonal stress for all groups. Regarding reactivity, interpersonal sensitivity interacted with interpersonal stress to predicted elevations in negative affect in all groups and elevations in disease activity in the arthritis groups. There were no significant differences in the effects.