Standardized patients: A fixed-role therapy experience in normal individuals

Abstract

This article describes how standardized patients (SPs), people trained to portray a patient role in a consistent fashion, view their role-playing experiences. Focus groups with 37 SPs (63% participation rate) were used to explore what impact, if any, playing a number of fixed roles had on them and their lives. Personal insights and changes reported by SPs are examined in terms of personal construct theory. The implications of these findings for both teaching clinicians and for therapeutic work with clients are discussed. The findings illustrate continuing relevance of G. Kelly's (1955) observations about the usefulness of role-playing and enactment techniques.     

Angry faces hold the eyes

Efficient processing of complex social and biological stimuli associated with threat is crucial for survival. Previous studies have suggested that threatening stimuli such as angry faces not only capture visual attention, but also delay the disengagement of attention from their location. However, in the previous studies disengagement of attention was measured indirectly and was inferred on the basis of delayed manual responses. The present study employed a novel paradigm that allows direct examination of the delayed disengagement hypothesis by measuring the time it takes to disengage the eyes from threatening stimuli. The results showed that participants were indeed slower to make an eye movement away from an angry face presented at fixation than from either a neutral or a happy face. This finding provides converging support that the delay in disengagement of attention is an important component of processing threatening information.     

Autonomous teamwork and psychological well-being

Few studies investigated the assumed positive effects of autonomous groups on individual psychological well-being. In the present study we investigated the hypotheses that (1) group autonomy is positively related to psychological well-being, (2) this relationship is mediated by individual autonomy, individual task variety, individual workload, and social support. One hundred and thirty-eight members of autonomous teams in a supermarket chain completed questionnaires about their task perceptions and psychological well-being. The hypotheses were largely supported by structural equations analyses. Results are discussed and implications proposed.     

The McMaster family therapy outcome study: an overview of methods and results

A multifaceted outcome design was used to investigate the results of brief, system-oriented family therapy. The present report describes the methods used and provides an, overview of clients' status on a variety of outcome measures. Treatment was brief and involved the entire family in most cases. Therapists varied in discipline (psychiatry, social work, psychology or nursing) and experience (students to very senior status). A variety of measures were obtained at the beginning of treatment, at treatment closure, or after a six month follow-up. Independent interviewers conducted the six month follow-up. Measures were obtained regarding the parents' and children's level of intellectual functioning, children's academic achievement, and disruptive school behaviour. Therapists' ratings of the families' change in treatment and prognosis were also obtained at treatment closure. At follow-up, measures of the children's academic achievement and disruptive school behavior were repreated and the interviewers determined the family's satisfaction with the services they received. The results indicate that the majority of families did well on most of the measures considered. No significant change was found in terms of the children's academic performance, but there was a significant decline in their disruptive school behaviour.This project was funded by grants from the Medical Research Council of Canada, and Health and Welfare Ministry, Canada.     

ORGANIZATION OF INFORMATION AND THE DETECTION OF GENDER DISCRIMINATION

Abstract— This report examines several factors that influence the detection of gender discrimination in organizations We presented subjects with information about the qualifications and salaries of women and men in 10 departments of a hypothetical company The information was created so that one or the other gender was undercompensated relative to its qualifications Subjects rated the fairness of salaries and recalled the average qualifications of the women and men Ordinal inequity, which occurred when the gender with the better qualifications received a lower salary within a department, was easily detected Discrimination that did not violate ordinal equity within a department was more difficult to detect The results indicate that the way information is presented to subjects influences the processing of the information and the ease with which unfairness is perceived In addition, subjects judged the discrimination to be more unfair when women, rather than men, were disadvantaged     

Faces are special,but facial expressions aren’t: Insights from an oculomotor capture paradigm

We compared the ability of angry and neutral faces to drive oculomotor behaviour as a test of the widespread claim that emotional information is automatically prioritized when competing for attention. Participants were required to make a saccade to a colour singleton; photos of angry or neutral faces appeared amongst other objects within the array, and were completely irrelevant for the task. Eye-tracking measures indicate that faces drive oculomotor behaviour in a bottom-up fashion; however, angry faces are no more likely to capture the eyes than neutral faces are. Saccade latencies suggest that capture occurrs via reflexive saccades and that the outcome of competition between salient items (colour singletons and faces) may be subject to fluctuations in attentional control. Indeed, although angry and neutral faces captured the eyes reflexively on a portion of trials, participants successfully maintained goal-relevant oculomotor behaviour on a majority of trials. We outline potential cognitive and brain mechanisms underlying oculomotor capture by faces.     

Humor Styles Questionnaire: personality and educational correlates in Belgian high school and college students

Studies often treat sense of humour as a unidimensional construct. Recently, however, four different humour styles have been hypothesized and validated by the Humor Styles Questionnaire (HSQ). In the present two studies, first, the HSQ received cross‐cultural validation among French‐speaking Belgian students (94 high school and 87 college students). Second, apart from some similarities (Extraversion, low need for closure), the four humour styles were found to be differently related to personality. Social and self‐enhancing humour styles were positively related to Agreeableness, Openness, and self‐esteem, whereas hostile humour was negatively related to Agreeableness and Conscientiousness. Self‐defeating humour was negatively related to Emotional Stability, Conscientiousness, security in attachment, and self‐esteem. Finally, students' humour styles were neither direct nor indirect predictors of school performance, but self‐defeating and hostile humour styles were typical of students with low school motivation. Copyright © 2002 John Wiley & Sons, Ltd.     

Lasting false beliefs and their behavioral consequences

False beliefs and memories can affect people's attitudes, at least in the short term. But can they produce real changes in behavior? This study explored whether falsely suggesting to subjects that they had experienced a food-related event in their childhood would lead to a change in their behavior shortly after the suggestion and up to 4 months later. We falsely suggested to 180 subjects that, as children, they had gotten ill after eating egg salad. Results showed that, after this manipulation, a significant minority of subjects came to believe they had experienced this childhood event even though they had initially denied having experienced it. This newfound autobiographical belief was accompanied by the intent to avoid egg salad, and also by significantly reduced consumption of egg-salad sandwiches, both immediately and 4 months after the false suggestion. The false suggestion of a childhood event can lead to persistent false beliefs that have lasting behavioral consequences.     

Levels of processing with free and cued recall and unilateral temporal lobe epilepsy

This study investigates the role of the temporal lobes in levels-of-processing tasks (phonetic and semantic encoding) according to the nature of recall tasks (free and cued recall). These tasks were administered to 48 patients with unilateral temporal epilepsy (right "RTLE"=24; left "LTLE"=24) and a normal group (n=24). The results indicated that LTLE patients were impaired for semantic processing (free and cued recall) and for phonetic processing (free and cued recall), while for RTLE patients deficits appeared in free recall with semantic processing. It is suggested that the left temporal lobe is involved in all aspects of verbal memory, and that the right temporal lobe is specialized in semantic processing. Moreover, our data seem to indicate that RTLE patients present a retrieval processing impairment (semantic condition), whereas the LTLE group is characterized by encoding difficulties in the phonetic and semantic condition.