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.     

Time pressure,potency, and progress in project groups

Many project groups have a hard time meeting their deadlines. This research addresses this issue by studying group perceptions and group self-regulatory actions that may impede or foster the timeliness of group projects. Longitudinal data were collected from 22 student project groups developing a business solution in a field assignment. Using a questionnaire, we measured perceived time pressure, group potency, planning, and reflexivity, as well as the project's progress at three points during the 13-week working period: at the start of the project, just after the orientation phase, and finally after the execution phase and the project deadline. Our findings suggest that the effect of time pressure on progress is moderated by group potency. Furthermore, there were differential effects of planning and reflexivity in the orientation phase and the execution phase. Execution planning and reflexivity did not appear to be very useful for progress in the orientation phase of the project. However, in the execution phase, both planning and reflexivity contributed to meeting the deadline.     

The resentful sucker: Do rewards ease the pain?

In a cross-sectional field study we found, as predicted, that performance differences between members of semi-autonomous teams were associated with feelings of unfairness. On the basis of equity theory we hypothesized that the relationship between performance differences and unfairness feelings would be moderated for suckers, i.e., team members with relatively high performances, who feel highly rewarded for their efforts, either with high financial rewards, with high task rewards, or with high social rewards. The results showed that financial rewards had no moderating effects, but high social rewards and low task rewards moderated feelings of unfairness for suckers.     

The neural correlates of visual self-recognition

This paper presents a review of studies that were aimed at determining which brain regions are recruited during visual self-recognition, with a particular focus on self-face recognition. A complex bilateral network, involving frontal, parietal and occipital areas, appears to be associated with self-face recognition, with a particularly high implication of the right hemisphere. Results indicate that it remains difficult to determine which specific cognitive operation is reflected by each recruited brain area, in part due to the variability of used control stimuli and experimental tasks. A synthesis of the interpretations provided by previous studies is presented. The relevance of using self-recognition as an indicator of self-awareness is discussed. We argue that a major aim of future research in the field should be to identify more clearly the cognitive operations induced by the perception of the self-face, and search for dissociations between neural correlates and cognitive components.     

Being Successful in a Creative Profession: The Role of Innovative Cognitive Style, Self-Regulation, and Self-Efficacy

Purpose  

The purpose of this study was to test a model that proposes that innovative cognitive style and self-regulation (setting priorities, planning work activities, and monitoring time and task progress) are related to the self-reported success of architects. We investigated two aspects of the success: as designers and as business people. To this end, we examined the mediating role of self-efficacy in these relationships.     

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