Better Late than Never? The Relationship between Ratings of Attendance,Punctuality, and Overall Job Performance among Nursing Home Employees

This study examined the relationship between lateness, absenteeism, and overall job performance among nursing home employees. We addressed four issues: (a) agreement between subordinate and superior in their ratings, (b) the stability of rated lateness and rated absenteeism over 6 months, (c) the correlation between ratings of lateness and absenteeism assigned by the worker to himself or herself and the corresponding ratings from supervisors, and (d) the relationship of rated lateness and rated absenteeism to impressions of overall job performance. Neither attendance nor punctuality showed inter‐rater agreement between the worker and his/her supervisor on either of the two occasions. Ratings of attendance were not stable across time for either the subordinate (r=.16) or the supervisor (r=.04), but punctuality ratings showed moderate temporal stability over 6 months for both subordinate (r=.59) and supervisor (r=. 41) impressions. On the first administration of the rating form, attendance and punctuality were not significantly correlated to each other in either the workers' self‐ratings (r=.17) nor the supervisors' ratings of the workers (r=.08). On the second administration, however, these two facets were moderately correlated with each other in both workers' (r=.54) and supervisors' (r=. 39) impressions of employee behavior. Compared with attendance, punctuality was somewhat more highly correlated with impressions of overall job performance from the perspective of the worker herself/himself as well as the supervisor.     

Two Cheers for “Closeness”: Terror, Targeting and Double Effect

Philosophers from Hart to Lewis, Johnston and Bennett have expressed various degrees of reservation concerning the doctrine of double effect. A common concern is that, with regard to many activities that double effect is traditionally thought to prohibit, what might at first look to be a directly intended bad effect is really, on closer examination, a directly intended neutral effect that is closely connected to a foreseen bad effect. This essay examines the extent to which the commonsense concept of intention supports a reasonably consistent and coherent application of double effect. Two important conclusions are these: (1) a number of traditionally proscribed activities involve a kind of “targeting” of innocents that can be taken to exhibit a direct intention to harm them; (2) a direct intention to harm need not involve a desire to harm in any ordinary sense of the latter expression. Thanks to Thomas Flint, Paul Benacerraf, Mark Johnston, Gilbert Harman, Tom Cavanaugh, Jorge Garcia, Robert Audi and an anonymous referee for useful discussion and written comments.     

Using indices of happiness to examine the influence of environmental enhancements for nursing home residents with Alzheimer's disease

The present study extends the growing behavioral literature on indices of happiness for persons with developmental disabilities to the geriatric population. Data on indices of emotional affect (i.e., happiness) were collected prior to, during, and after each resident was exposed to environmental enhancement activities of various durations. Results showed that every activity improved each resident's level of happiness when compared to pre- and postactivity levels. These outcomes suggest that indexing affect may be as useful for nursing home residents as it has been for individuals with developmental disabilities.     

Children with SED and Their Families in an Urban Public Mental Health System: Characteristics, Needs, and Expectations

We present information with implications for the design of comprehensive systems of care for children with severe emotional disturbance and their families. Combining quantitative data derived from children and caregivers on multiple standardized assessments and qualitative data based on the caregivers' personal comments, we provide a detailed account of child clinical status, service needs, involvement in normative childhood activities, aspects of family coping and functioning, and expectations of mental health services. Research participants were from a random sampling of children, 9 to 11 years of age, receiving an above average number of services from a large urban public mental health system. Results from this comprehensive needs assessment demonstrate the serious nature of the children's disabilities, illuminate the corresponding challenges for families, and provide direction for enhancing the system of care. The caregivers rated recreation and after school programs as their first priority. Since traditional mental health services are fairly well articulated and evolved, we concentrate on using information about child functioning and family context to inform the development of recreation and after school programs that can accommodate children with extremely challenging behaviors.     

The development of a psychodynamic treatment for patients with borderline personality disorder: a preliminary study of behavioral change.

This study examines the effectiveness of a modified psychodynamic treatment called Transference Focused Psychotherapy (TFP) designed specifically for patients, with borderline personality disorder (BPD). Twenty-three female patients diagnosed with DSM-IV BPD began twice-weekly TFP. Patients were assessed at baseline and at the end of 12 months of treatment with diagnostic instruments, measures of suicidality, self-injurious behavior, and measures of medical and psychiatric service utilization. Compared to the year prior to treatment, the number of patients who made suicide attempts significantly decreased, as did the medical risk and severity of medical condition following self-injurious behavior. Compared to the year prior, study patients during the treatment year had significantly fewer hospitalizations as well as number and days of psychiatric hospitalization. The dropout rate was 19.1%. This uncontrolled study is highly suggestive that this structured and manualized psychodynamic treatment modified for borderline patients shows promise for the ambulatory treatment of these patients and warrants further study.     

John Locke, ‘Hobbist’: of sleeping souls and thinking matter

In this paper, I consider Isaac Newton’s fevered accusation that John Locke is a ‘Hobbist.’ I suggest a number of ways in which Locke’s account of the mind–body relation could plausibly be construed as Hobbesian. Whereas Newton conceives of the human mind as an immaterial substance and venerates it as a finite image of the Divine Mind, I argue that Locke utterly deflates the religious, ethical, and metaphysical significance of an immaterial soul. Even stronger, I contend that there is good reason to suspect that Locke is a crypto-materialist, at least with respect to human beings, and in this respect, could reasonably be labeled a ‘Hobbist.’     

The Impact of Cancer on Psychological and Social Outcomes

Cancer is now the biggest cause of mortality worldwide. Although the debilitating physical symptoms of cancer have long been known, the psychological and social impacts of cancer have become the subject of examination only relatively recently. The psychological outcomes that have been examined are primarily negative emotional variables, e.g., anxiety, but emerging research has focused on positive emotional variables, e.g., post‐traumatic growth, or cognitive outcomes. In this article, we provide a synthesis of reviews that have addressed the psychosocial impact of cancer. The framework for this synthesis is provided by a conceptualisation in which the presence of cancer impacts on psychosocial outcomes either directly or via mediating variables, including physical symptoms and treatment, and that this effect may be moderated by several variables, some characteristic of the person with cancer (demographic or personality‐related variables) and some characteristic of their environment (social support and medical variables). We also briefly examine the impact of cancer on the broader family unit following cancer diagnosis, treatment, survivorship and bereavement. We conclude that the heterogeneity of the cancer experience highlights the need for theoretically driven research and consistency in measurement approaches to determine mechanisms by which cancer exerts influence on psychosocial outcomes. This would allow development and delivery of targeted psychological interventions and a clearer delineation of the roles of the various parties, including clinical psychologists, family members and policymakers.