Measuring organisational climate and employee engagement: Evidence for a 7 Ps model of work practices and outcomes

This study presents evidence supporting the psychometric properties of the Voice Climate Survey: an employee opinion survey that measures work practices and outcomes. The tool is tested across 13,729 employees from 1,279 business units representing approximately 1,000 organisations. Exploratory factor analyses, confirmatory factor analyses and internal reliability analyses support 31 lower‐order work practices and outcomes that aggregate into seven higher‐order work systems broadly covering practices and outcomes such as organisational direction, ethics, resources, involvement, recognition, development, teamwork, wellness, work/life balance, change management, customer satisfaction, job satisfaction, organisational commitment and employees' intention to stay. External validation of the tool is demonstrated by linking scores from the employee survey with independent manager reports of turnover, absenteeism, productivity, health and safety, goal attainment, financial performance, change management, innovation and customer satisfaction.     

Preparing for Year 12 examinations: Predictors of psychological distress and sleep

This study examined the influence of protective factors on psychological distress and sleep among Year 12 students 1 month prior to their externally assessed examinations. The sample included 195 Year 12 students who were to sit for at least one examination. Students completed the Adolescent Resilience Questionnaire, a measure of subjective stress, the Depression Anxiety and Stress Scales – 21, and measures of sleep. A sizeable minority of students reported high levels of subjective stress, severe symptoms of depression, anxiety and stress, and very inadequate sleep. Freedom from negative cognitions was the factor most strongly associated with protection from psychological distress. None of the factors protected against inadequate sleep. Results showed few gender differences. The findings validate popular concern about the wellbeing of Year 12 students. They also confirm that protective factors do not provide equal protection for all individuals against all adverse outcomes.     

USE OF CHAINING TO INCREASE COMPLEXITY OF ECHOICS IN CHILDREN WITH AUTISM

Echoics are a critical target of language intervention for children with autism, because a well‐established echoic repertoire on the part of the child allows the clinician to use vocal modeling as a flexible, low‐effort prompting procedure during teaching. In this study, we implemented a chaining procedure to increase the complexity of echoics in 2 children with autism and 1 child with developmental delay. The procedure was effective for all 3 participants, and gains were maintained after treatment was withdrawn in most cases.     

Dyslexia and dyscalculia: Two learning disorders with different cognitive profiles

This study tests the hypothesis that dyslexia and dyscalculia are associated with two largely independent cognitive deficits, namely a phonological deficit in the case of dyslexia and a deficit in the number module in the case of dyscalculia. In four groups of 8- to 10-year-olds (42 control, 21 dyslexic, 20 dyscalculic, and 26 dyslexic/dyscalculic), phonological awareness, phonological and visual-spatial short-term and working memory, naming speed, and basic number processing skills were assessed. A phonological deficit was found for both dyslexic groups, irrespective of additional arithmetic deficits, but not for the dyscalculia-only group. In contrast, deficits in processing of symbolic and nonsymbolic magnitudes were observed in both groups of dyscalculic children, irrespective of additional reading difficulties, but not in the dyslexia-only group. Cognitive deficits in the comorbid dyslexia/dyscalculia group were additive; that is, they resulted from the combination of two learning disorders. These findings suggest that dyslexia and dyscalculia have separable cognitive profiles, namely a phonological deficit in the case of dyslexia and a deficient number module in the case of dyscalculia.     

Biografiekonstruktionen im Dienste der Abwehr

The material examined comprised videotaped group sessions in which the participating sexual offenders talked about their crimes and biographies. Out of the available texts four types of narrative formats of biography construction were elaborated: the medical case report, the coming-of-age novel, the vita sexualis and the family drama. Each format includes specific subjective theories about deviant behaviour and sheds light on the diverse defense dynamics. These dynamics could be extracted analyzing various narrative levels, such as the structure of the narration, the self-positioning in the story and the interactions of the group. It was shown how the participants either accepted or rejected responsibility and guilt, which is considered highly relevant for the prognosis. The presented study gives important insight into psychotherapy with sexual offenders.     

Nach Möglichkeit leistungs- und genussfähig machen

“To make him [the patient] as efficient and as capable of enjoyment as is possible” (1923a, S.E. 18, p. 251) was, for Freud, a satisfactory definition of the treatment aims of psychoanalysis. The present paper connects this definition with the mythologically formulated antagonism between the drives in which Eros appears as the adversary of Thanatos, and elaborates this by drawing upon Plato’s notions about love as proposed in his “Symposion”. In doing this, the theory of Sublimation becomes the focus of attention quite naturally. It is the author’s thesis that this concept is more useful than that of a neutralized or even a primarily neutral ego-energy. This is more than a question of different opinions. It is the question of the usefulness of the genetic point of view and of the idea of the unity of the libido. Within the range of these concepts it is possible to elaborate in an adequate manner how we are capable to find satisfaction and fulfillment in achievements and enjoyment.     

Evaluation of Group Genetic Counseling for Hereditary Breast and Ovarian Cancer

As demand for genetic counseling regarding hereditary cancer continues to grow, more efficient methods of providing this service must be explored. In this pilot study, group genetic counseling was offered to two different cohorts of women seeking genetic counseling for Hereditary Breast and Ovarian Cancer. Seven group sessions, designed to cover all aspects of an individual genetic counseling appointment, were conducted. Although patients were receptive to group genetic counseling, a significant proportion chose individual counseling when given the option. Advantages of group genetic counseling include shared experience and increased efficiency. Disadvantages include increased frustration at not being eligible for genetic testing, group influence on decision-making, privacy concerns, increased need for follow-up, and difficulty booking group appointments. Overall, the level of patient satisfaction with group genetic counseling was similar to that of individual counseling. The results of this pilot study suggest that further research is needed to determine whether group genetic counseling is an acceptable alternative to individual counseling.     

„ Den Alkoholiker“ gibt es nicht

Zusammenfassung:  Im Gegensatz zur lange vorherrschenden Konzentration auf die Behandlung des Entzugs und der Abh?ngigkeit, haben sich durch neuere Befunde Tendenzen entwickelt, die Therapie Alkoholabh?ngiger wieder st?rker auf die tats?chlichen individuellen Hintergründe auszurichten. Besonders hilfreich für eine verbesserte therapeutische Transparenz erwiesen sich die aktuellen Erkenntnisse neuro-biologischer Befunde. Damit erkl?ren sich viele bisher r?tselhafte Hintergründe einer Abh?ngigkeitsbildung und suchtbedingte Stereotype, speziell „Craving“ (massives Alkoholverlangen) und die krisenhaften Turbulenzen und Rückfallstendenzen auch nach l?ngerer Abstinenz. Die süchtige Umprogrammierung des mesolimbischen Belohnungssystems macht auch die rasche Reaktivierung des Abh?ngigkeits-prozesses bei neuerlichem Alkoholkonsum besser verst?ndlich. Da allerdings zu akzeptieren ist, dass die neurobiologischen Ver?nderungen keinesfalls die Ursache, sondern erst die Konsequenz einer süchtigen Umprogrammierung darstellen, muss sich die therapeutische Aufmerksamkeit wieder vermehrt auf die individuellen Hintergründe einer Suchtentwicklung fokussieren: Spezielles Interesse gilt hier schon seit l?ngerem den pathologischen Mustern der überanpassung und Selbstentwertung, die sich als Folge einer Dekompensation des Selbstwertregulationssystems entwickeln. Zahlreiche Befunde weisen darauf hin, dass gerade der Versuch, Selbstwertprobleme, permanente Verunsicherung und soziale ?ngste mit Alkohol zu „behandeln“, ein deutlich erh?htes Abh?ngigkeitsrisiko bewirkt. Daraus ergibt sich die Aufgabe einer zus?tzlichen therapeutischen Ver?nderung derartiger Hintergrundfaktoren, da andernfalls eine Alkoholrückf?lligkeit auf dem Boden dieser Muster programmiert w?re. Die somit gegebene Vielfalt individueller Entwicklungsfaktoren und Verlaufsbilder best?tigt auch eindrucksvoll die inzwischen weitgehend akzeptierte Not-wendigkeit einer syndrombezogenen und verlaufsorientierten Individualisierung der Langzeittherapie und damit eine Abkehr von kategorial orientierten, kollektiven Behandlungskonzepten.

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Summary:  In contrast to the long prevailing concentration towards the treatment of withdrawal symptoms and addiction, latest experiences and medical findings support tendencies towards individually designed treatment concepts, taking into consideration individual root causes. Recent consolidated findings in neurobiology have proved valuable for an improved therapeutic understanding since puzzling processes in the development of addiction, as well as the context and dynamic of addictive stereotypes, the phenomenon of craving and critical turbulences can now be explained. Furthermore, it is now better understood, why the mesolimbic gratification system reprogrammed with addictive features can provoke relapse and the recurrance of addictive behaviour immediately after reuptake of alcohol consumption. Since those neurobiological findings mentioned above have to be considered a consequence of addictive processes, the instances leading to the primary onset of addictive behaviour have to be brought into the therapeutical focus. Here, special emphasis has been placed on pathological behavioural patterns such as over-conformity and self-devaluation which might develop after decompensation of the self-concept regulation system. On-site findings in diverse fields of addiction research point towards an increased risk of self medication efforts as compensation efforts of self-worth problems, personal instability or social anxiety. As a result, any therapeutic intervention would intend to alter such background factors since they might be seen as elevated risk potential for relapse. The highly visible diversity of possible alternatives regarding developmental factors and aetiopathology impressively supports the widely accepted necessity for individually designed syndrome, as well as process-oriented, treatment concepts, thus abandoning categorically oriented universal approaches.