Student Healthcare Clinicians' Illness Narratives: Professional Identity Development and Relational Practice

ABSTRACT

In this qualitative, grounded theory study we examine how the intersection of self-reflection, illness narratives and perceived messages of professional identity inform care provided by medical, nursing, and medical family therapy students to patients and families. We discovered four common challenges students faced navigating personal experiences of illness and connecting to patients: 1) discrepancies between ideal and lived experiences, 2) challenges of healthcare work and culture, 3) navigating power and hierarchy, and 4) developing a shell of privacy. Discussion and implications include interdisciplinary training and collaboration and the unique role of medical family therapists in healthcare.     

La enseñanza práctica de la Psicología: una experiencia de condicionamiento instrumental

RESUMEN

n este informe se presenta una experiencia docente en la que un elevado número de estudiantes de primero de Psicología (140), trabajando en grupos de cinco personas y utilizando unos recursos limitados, consiguieron llevar a cabo un condicionamiento instrumental con ratas en la caja de Skinner, cumpliendo adecuadamente los objetivos metodológicos propuestos. Esta experiencia confirma la posibilidad de realizar prácticas en Psicología a pesar de los numerosos impedimentos que existen para ello, destacados por los autores.     

La construcción situacional en la ingesta alcohólica

RESUMEN

En la primera parte de este artículo se elabora un modelo de “construcción situacional de ingesta alcohólica”; en la segunda parte se aplica este modelo al estudio de la influencia de la publicidad sobre la ingesta alcohólica. El presupuesto básico de esta investigación era que mientras el sistema perceptivo es diferentemente afectado por los estados momentáneos, los estados experimentales o la propaganda sufrida, la estructura abstracta reflejada por la taxonomía situacional es escasamente afectada por la influencia de las variables experimentales, en este caso, por la propaganda alcohólica recibida. Los resultados encontrados manifiestan que la construcción de las situaciones de ingesta alcohólica está, al menos, modelada por los factores publicitarios, y que esta influencia es mayor cuanto menos es la edad de quien recibe la información.     

Emotional intelligence in women caregivers with depressive symptoms

The emotional intelligence of a sample of 59 women caregivers (M age = 51.1 yr.) with depressive symptoms was compared with that of a sample of adult women from the general population (M age = 50.7 yr.). No group differences were observed on the Trait Meta-Mood Scale's three dimensions of emotional intelligence across age, socioeconomic status, or education level. Compared with the general population sample, the caregivers group scored significantly lower on Attention to Feelings and Mood Repair.     

Relationship between impulsiveness and deviant behavior among adolescents in the classroom: age and sex differences

To assess the relationship between impulsiveness and deviant behavior among 103 adolescents, taking into account their sociodemographic characteristics, the Barratt Impulsiveness Scale and a self-assessment measure with regard to disruptive and deviant behaviors which had occurred in the last 90 days were used. The results show that impulsiveness and disruptive behavior in the classroom were related to deviant behavior outside of the classroom. Therefore, age and sex explained the relationship between impulsiveness and behavior. The older adolescents and the girls showed less disruptive behaviors than the younger participants and the boys; both variables showed an interactive effect on disruptive behavior. The age at which sexual activity commenced and the number of sexual partners were also significantly related to impulsiveness and disruptive and deviant behavior. Similarly, impulsiveness was shown to have a significant relationship with disruptive and deviant behavior, and disruptive behavior was shown to have a significant relationship with deviant behavior.     

Artificial neural networks in Neurosciences

This article shows that artificial neural networks are used for confirming the relationships between physiological and cognitive changes. Specifically, we explore the influence of a decrease of neurotransmitters on the behaviour of old people in recognition tasks. This artificial neural network recognizes learned patterns. When we change the threshold of activation in some units, the artificial neural network simulates the experimental results of old people in recognition tasks. However, the main contributions of this paper are the design of an artificial neural network and its operation inspired by the nervous system and the way the inputs are coded and the process of orthogonalization of patterns.     

Achievement goals, social goals, and motivational regulations in physical education settings

This study examined the relationship between achievement and social goals, and explored how both goals affect students' level of informed self-determination in Physical Education. Participants were 395 high school students. Three scales were used to assess achievement, social goals, and motivation. Several hierarchical regression analyses revealed that mastery-approach goals were the greatest contributors to the individuals' levels of self-determination. Achievement and social goals were found to be separate predictors of students' levels of self-determination, and this highlights the importance of separating mastery and performance goals into avoidance and approach profiles. Girls reported significantly higher values than boys on responsibility, relationship, and mastery-avoidance goals, whereas boys scored higher on performance-approach goals. Researchers could use achievement and social goals to study students' motivation and achievement in Physical Education settings.     

The Short Nicotine Dependence Syndrome Scale (NDSS-S) in Spanish smokers

We present a brief scale derived from the Nicotine Dependence Syndrome Scale (NDSS). We used a sample of 1.061 daily smokers, which was obtained from five Primary Care Health Centers, a Unit of Alcoholism, and a Smoking Cessation Unit. All smokers were evaluated with the NDSS and the SCID to assess nicotine dependence according to DSM-IV criteria. The results indicate the existence of a general factor of nicotine dependence according to the NDSS. We selected the items with a higher factor loading (>.50), obtaining a short scale of 6 items. With this brief scale, we obtained results similar to those of the total scale in the diverse variables (sociodemographic and smoking) of the study. Scale reliability is satisfactory (a= .79), the correlation between the short and the total scale is very high (r=.95, p<.001) and the short scale discriminates the smokers in terms of cigarette consumption and nicotine dependence, as assessed with the SCID. The operation under the ROC curve is excellent (area under the curve .84). The data indicate the usefulness of this brief scale (NDSS-S) to assess nicotine dependence in smokers.     

A pilot study of a family‐focused intervention for children and families affected by maternal depression

A non‐experimental pilot study examined child, mother and family outcomes of a 10‐session multi‐family group intervention designed to reduce risk and promote resilience for mothers with depression and their families. Positive changes following the Keeping Families Strong intervention included mother‐reported decreases in child behaviour and emotional problems, improvements in the quality of family interactions and routines and improvements in their own well‐being and support from others. Children (9–16 years) reported decreased internalizing symptoms, improved coping, increased maternal warmth and acceptance and decreased stressful family events. Attendance and mother‐reported satisfaction were high, indicating the perceived value of the intervention.     

The Spanish version of the Wisconsin Personality Disorders Inventory-IV (WISPI-IV): tests of validity and reliability

Personality disorders (PD) are a prevalent class of mental disorders that interfere with functioning and cause subjective distress while increasing the intensity and duration of Axis I clinical syndromes, and therefore assessing PD is important even when PDs are not the focus of treatment. The purpose of these studies was to develop and test a new Spanish version of a self-report measure of PD, the Wisconsin Personality Inventory-IV (WISPI-IV) that would be psychometrically equivalent to the English version while also maintaining the same interpersonal content, which is based on Benjamin's analysis of the PD criteria using her Structural Analysis of Social Behavior (SASB) model (1974). Study 1 participants completed the WISPI-IV twice over a two-week interval. For Study 2, participants from two sites in Spain and one site in Argentina completed Spanish versions of the WISPI-IV and other personality measures. SASB-analysis of the translated items showed high correspondence between the interpersonal content of the English version and the Spanish version demonstrating theoretical validation in relation to other PD measures. The Spanish WISPI-IV showed satisfactory reliability based on test-retest correlations and alphas for internal consistency. Study 2 showed the Spanish WISPI-IV had good convergent validity with the Spanish versions of the IIP and SCID-II and performed similarly to the English versions of these measures. Our goal in translating the WISPI-IV was to extend this measure to Spanish-speakers in language that would be understood by different Hispanic sub-groups, however research team members and subjects had a variety of suggestions for changes in item wording. This reflects the difficulty with creating a "neutral" Spanish version of any assessment given regional differences.