While dialectical behaviour therapy (DBT) has much empirical support for treating borderline personality disorder (BPD) and other conditions, little research has examined the dissemination of DBT in Southeast Asia.
Aims
This study evaluated training outcomes following a 5-day intensive DBT training programme in a group of psychologists in Singapore, who were in the process of implementing DBT as part of the training's objectives.
Methodology
A mixed-methods design was employed. Fourteen psychologists from a public psychiatric hospital in Singapore were recruited. Seven self-selected into DBT training, and the remaining were matched controls who were not attending the training programme. The latter served as a nonrandomised control group. Prior to and 3 months after training, all participants completed measures of stigma towards BPD patients, burnout and therapeutic alliance. DBT training participants additionally attended a focus group discussion assessing their experiences and challenges implementing DBT in Singapore's context.
Findings
Quantitative analyses using mixed ANOVA showed that, compared with controls, DBT-trained participants demonstrated significantly greater increases in acceptance towards BPD patients. No between-group differences were found on changes in burnout or therapy alliance with patients. Analyses of qualitative data using thematic analysis revealed that DBT training impacted the way participants conceptualised and delivered therapy for BPD patients, and highlighted several challenges in implementing DBT in the local hospital context.
Conclusion
The findings demonstrate the potential of DBT training in improving clinicians' attitudes towards BPD patients and support a need for policymakers to prepare organisations for DBT implementation to ensure programme sustainability. 相似文献
For centuries, the preparation and eating of a meal has brought people together, making food consumption an inherently social process. Yet the way in which people connect over food is changing. Rising health concerns, due in part to the increase in food allergies and obesity, have shifted attention away from the social aspects of food to food's nutritional aspects. Recognizing the social context in which food consumption takes place, this article reviews research highlighting the interpersonal consequences of joint food consumption. We first examine research on how sharing food connects people together, both via the type of food consumed (e.g., incidental food similarity) and the manner in which people serve and eat food (e.g., from shared vs. separate plates). We then turn to research that addresses the opposite side of the coin, discussing how the inability to share in a meal can be isolating, as well as how people navigate conflicting preferences when making food decisions with others. We conclude with a discussion of promising future directions for research on joint food consumption. 相似文献
Managers are often required to integrate their own forecasts with statistical forecasts. The studies reported in this paper examine the efficacy of allowing people to adjust their own forecasts in the light of statistical forecasts that are provided to them. Three experimental studies varied the reliability of the statistical forecasts and examined the performance of people over time. Issues of the form of the feedback and the use of decision support were also examined. The results unequivocally suggest that the effectiveness of judgemental adjustment depended on the statistical model's reliability and seasonally of time series. However, people had considerable difficulty placing less weight on their own forecasts (compared to the statistical forecasts) and this behaviour became more pronounced over time. Even provision of decision support did not improve performance at the task. 相似文献
The purpose of this study was to investigate the effects of providing choice making opportunities, embedded within and between daily school routine activities, on the frequency of protests and task initiations exhibited by a student with a severe intellectual disability. An ABABC single-subject design was used to evaluate the effects of choice making opportunities embedded within and between three daily routine activities. During phase A, the classroom staff directed the student's participation without providing choice making opportunities within the activities. In phase B, staff provided choice making opportunities embedded within steps of each activity. Phase C extended choice making opportunities by providing the participant with a choice between activities as well as within the steps of the activities after it was noted that the first step of beginning the activities occasioned more protests than the other steps. The results of this study replicate earlier research showing that embedded choice making opportunities within routines reduced protests and increased task initiations. The addition of choice making opportunities between activities during phase C further reduced the incidents of protests.相似文献
This article describes the design, construction, application, and effectiveness of a simple bite bar for use with an MRI whole-head coil to reduce head-movement-related artifacts during functional brain imaging. The device is comfortable to use and allows considerable flexibility in positioning the subject’s head. Eleven subjects were scanned while performing a motor-sequencing experiment with and without the bite bar. The bite bar was generally effective in reducing maximum head movement to less than 0.5 mm (translation) and 0.5° (rotation). 相似文献
Two experiments describe the effects of extended practice on the development of motor control programs for simple target-striking responses. In Experiment 1,400 right-hand trials of simple one-target and two-target striking tasks were performed. In Experiment 2,600 practice trials were given. Overall reaction time (RT) was faster for the one-target condition in both experiments, supporting a response complexity effect. Movement time (MT) for both conditions improved linearly with practice, suggesting that development of the motor control programs was still occurring. Subjects then transferred to a three-target condition for 50 trials, performing the transfer task with the right hand in Experiment 1, and with right and left hands in Experiment 2. Transfer to the three-target conditions produced execution errors in the form of failure to contact the second target and repetitive tapping on the third target. These results suggest that extensive practice may serve to firmly entrench a response sequence, making it difficult to implement a similar, but unique, motor control program. An interpretation in terms of automaticity and enhanced priming of behavioral and neural pathways is offered to account for these results. 相似文献
The authors examined the perceived job image of police officers in Singapore and its differential effects on their work-related attitudes (e.g., job satisfaction, organizational commitment, and intention to quit). The authors obtained data from questionnaire surveys and focus-group interviews. Perceived job image consisted of 4 dimensions: (a) prestige, (b) integrity, (c) competence, and (d) nonroutine job nature. Results of hierarchical regression analyses suggested that the first 2 dimensions of the perceived job image construct were salient in affecting the police officers' work-related attitudes. 相似文献
Cognitive scientists of religion promise to lay bare the cognitive mechanisms that generate religious beliefs in human beings. Defenders of the debunking argument believe that the cognitive mechanisms studied in this field pose a threat to folk theism. A number of influential responses to the debunking argument rely on making two sets of distinctions: (1) proximate/ultimate explanations and (2) specific/general religious beliefs. I argue, however, that such responses have drawbacks and do not make room for folk theism. I suggest that a detour through the literature in the philosophy of mind regarding the problem of mental causation regarding nonreductive physicalism can provide a way for preserving folk theism without doing violence to the way cognitive science of religion is being practiced today. More specifically, I believe there is a way of responding to the debunking argument that does not require a rejection of the causal premise. 相似文献
Setting defaults is an effective nudge, but few studies have examined situations where individuals can select their own default settings. Past research suggests that even when the final outcome is identical, observers perceive stronger signals from choices that switch from, rather than stay with, the default. In five experiments using hypothetical scenarios and an incentivized economic game, we test whether decision-makers driven by image concerns could strategically exploit that asymmetric signal. We found that in the presence of observers, participants were more likely to self-select into defaults that require them to switch to enhance a positive signal and into defaults that require them to stay to attenuate a negative signal. Our results support the framework of choice architecture as an implicit social interaction, and have potential implications for behavioral interventions in real-world settings.
ObjectivesThe purpose of this study was to examine the relationships between students' perceived autonomy support, behavioural regulations and their intentions to be physically active outside of school.MethodParticipants were 701 secondary school students aged between 13 and 17 years from Singapore. Questionnaires were used to assess perceived autonomy support, behavioural regulation, and intentions to be physically active outside school.ResultsResults supported the hypothesised model in that perceived autonomy support fosters more self-determined forms of behavioural regulations in PE. These forms of behavioural regulations in turn, enhanced more autonomous forms of intentions. The results also yielded an interesting finding that amotivation positively predicted students' intention to be physically active outside school.ConclusionThe findings highlight the importance of perceived autonomy support in fostering more self-determined forms of behavioural regulations in PE and intention to be physically active outside school. 相似文献