Counsellors' focus on competitive employment for people with severe mental illness: an application of the theory of planned behaviour in vocational rehabilitation programmes

Although the evidence-based Individual Placement and Support programme highlights the importance of the vocational rehabilitation (VR) counsellors' focus on competitive employment during career counselling, studies have shown that counsellors do not always target such jobs. This study examines which determinants affect the counsellors' intentions using an extended version of the Theory of Planned Behaviour. Cross-sectional data of 263 VR counsellors of three public employment services were analysed using structural equation modelling. A path model comprising attitudes, prior behaviour, and subjective and moral norms explained 69% of the variance in intentions. The findings indicate that counsellors focus more on competitive employment when they (1) view the placement in a competitive job as positive, (2) experience support and (3) have prior relevant experiences.     

The impact of resilience on role stressors and burnout in elementary and secondary teachers

The role of a teacher is becoming increasingly complex, and it is more important than ever that teachers develop resilience to overcome stress and burnout. A conceptual framework to explain the ability of resilience to decrease role stress and burnout was developed and tested. Participants included 415 teachers (174 elementary, 241 secondary) who taught in three adjacent school districts in the Midwest of the United States. Data were collected through a cross-sectional survey that included measures of resilience, role stressors, and burnout. Structural equation modeling was used to test the conceptual framework, and invariance analysis examined the equivalence of relationships across elementary and secondary teacher groups. Results generally supported the conceptual framework, and commonly experienced pathways were found to be invariant across groups. This study emphasizes the importance of resilience in helping to reduce perceived teacher stress and feelings of burnout.     

The efficacy of cue exposure with response prevention in extinguishing drug and alcohol cue reactivity

It has been suggested that drug cue‐elicited urges and psychophysiological reactions are the results of Pavlovian conditioning processes and that it should be possible to extinguish these responses with cue exposure with response prevention. It has already been shown that subjective cue‐elicited urges can be extinguished, but it is unclear whether this is also true for cue‐elicited psychophysiological arousal. This was tested in the present study in a heterogeneous sample of drug and alcohol dependent patients. It was found that cue‐elicited urges can indeed be extinguished. However, such a clear pattern of extinguished cue reactivity was not found for the psychophysiological measures. Furthermore, the extinction of drug urges was not specific for cue exposure treatment. It is concluded that cue‐elicited psychophysiological arousal does not underlie subjective cue reactivity and may not reflect Pavlovian conditioned drug responding. Copyright © 2006 John Wiley & Sons, Ltd.     

Genuine giving or selfish sacrifice? The role of commitment and cost level upon willingness to sacrifice

This research uses interdependence theory to examine the link between commitment, costs, and willingness to sacrifice within interdependence dilemmas occurring in intimate relationships. Advancing prior work, which has demonstrated a positive association between relationship commitment and willingness to sacrifice, we investigated the moderating role of the cost of sacrifice in a scenario‐based survey. Consistent with our hypotheses it was found that in high cost interdependence dilemmas, significantly greater levels of sacrifice were observed from individuals classified as high in commitment than from individuals classified as low in commitment. However in low cost dilemmas the relationship between commitment and sacrifice disappears. Possible differences in motivations for sacrifice are discussed with respect to this finding. Copyright © 2003 John Wiley & Sons, Ltd.     

Exploring families’ experiences of health: contributions to a model of family health

Child health and developmental outcomes are influenced by the health of the family and the context created. Research suggests symptoms of poor family health (e.g. suboptimal family interactions, parenting stress) yet there is limited understanding of the factors which contribute to robust family health which may unveil opportunities for targeted intervention and family health promotion. The present study examined families’ experiences of family health and factors contributing to family health. We performed a qualitative study using constructivist grounded theory methods to guide our understanding of family health for families with typically developing children aged 5–18. Interviews were conducted in family homes and all members were invited to participate. Data from interviews were transcribed, coded, thematically analyzed, and verified with select families. Ten families, including 10 mothers, 8 fathers, and 15 children participated in the study. Participants described family health as a process of balance, living purposefully, and sharing experiences together in alignment with family identity. Mediating family health were processes of awareness and reflection, and adapting, adjusting, and changing in response to family life including external stress factors. Results highlight the possibility for healthcare practitioners to facilitate families’ self-reflection and awareness about their health in order to mediate family health development.     

Perfectionism and Psychological Distress: A Modeling Approach to Understanding their Therapeutic Relationship

The present study assessed the effectiveness of a web-based psycho-educational intervention protocol for decreasing levels of perfectionism and psychological distress. Different levels of therapeutic intervention (no treatment, general stress management intervention, general stress management intervention plus cognitive behavioral intervention) were provided to perfectionistic participants over a 10-week period. It was found via a longitudinal structural equation model that higher levels of therapeutic intervention predicted greater improvements in perfectionism and psychological distress. Further, amount of improvement in trait perfectionism and perfectionistic automatic thoughts was highly related to amount of improvement in psychological distress. The findings attest to the potential usefulness of a web-based intervention that combines a general stress management intervention with a cognitive behavioral intervention.     

The adaptation to sensory information in the production of bimanual movement patterns

Bimanual in-phase and anti-phase patterns were performed in the transverse plane under optimal and degraded proprioceptive conditions, i.e., without and with tendon vibration. Moreover, proprioceptive information was changed midway into each trial to examine on-line reorganization. In addition to the proprioceptive perturbation, the availability of visual information was manipulated to study to which degree sensory information from different modalities interact. Movement patterns performed under identical sensory conditions were compared, i.e., the first 15 s (control) and the 15 s following a change in afferent input (transfer). In the control and transfer conditions, movements with vibrations were less accurate than those without vibrations indicating the influence of optimal proprioceptive information in the calibration and recalibration of intrinsic bimanual movement patterns. Furthermore, pattern stability was affected by the nature of the transfer condition. This indicated that the degree of fluctuations in a sensory transfer situation depended upon the quality of the proprioceptive information experienced in the initial conditions. The influence of visual information was not without importance, although the nature of the coordination mode must be taken into account. In the control conditions, in-phase movements were less stable when vision was absent, whereas anti-phase movements were more stable when vision was not present. This observation was made independent of the available proprioceptive information revealing differences in visual guidance between both coordination modes. In the transfer conditions, pattern stability was similar during the vision and no-vision conditions suggesting a limited influence of visual information in the recalibration process.