Why didn’t you say something? Effects of after-event reviews on voice behaviour and hierarchy beliefs in multi-professional action teams

Team decision-making can go wrong when individuals fear to voice suggestions or concerns to higher status team members. We investigate how after-event reviews (AERs) can be used to promote voice behaviour and hierarchy-attenuating beliefs in multi-professional action teams. We hypothesized that (1) lower status team members will speak up more following an assertiveness-specific AER (ASAER) as compared to a teamwork-generic AER (TGAER) and (2) that an ASAER leads to stronger endorsement of hierarchy-attenuating beliefs than the TGAER. To test these hypotheses, we implemented simulations of medical emergencies with 20 healthcare teams consisting of low (i.e., nurses) and high-status (i.e., physicians) professions. After participating in one of the two AERs, teams managed a simulation in which a higher status confederate engaged in potentially harmful actions. Behavioural coding of the videotaped simulations and assessment of team members’ hierarchy beliefs supported both hypotheses: nurses spoke up more following the ASAER than following the TGAER and both professional groups reported significantly higher levels of hierarchy-attenuating beliefs following the ASAER as compared to the TGAER. We discuss how AERs can affect upward voice and increase awareness for the potential downsides of status hierarchies in multi-professional teams.     

Enhancing Interpersonal Psychotherapy for Mothers and Expectant Mothers on Low Incomes: Adaptations and Additions

Intervening with depressed women during their childbearing years, especially with those on low incomes, is critically important. Not only do mothers and expectant mothers suffer unnecessarily, but their untreated depression has critical negative consequences for their families. Despite this, these women have proven especially difficult to engage in psychotherapy. In this paper we describe several adaptations and additions we have made to a brief form of Interpersonal Psychotherapy (IPT) to meet the needs of mothers and expectant mothers living on low incomes in the community who suffer from depression, but face significant practical, psychological, and cultural barriers to engaging in and staying in treatment. In addition, we present some preliminary data on the extent to which our enhanced, brief IPT approach promotes improvements in treatment engagement and retention relative to usual care for expectant mothers on low incomes.     

The Long-Term Effects of Military Service on Quality of Life: The Vietnam Experience1

In this study, we examined the effects of military service during the Vietnam War on the quality of life in middle adulthood for a cohort of men characterized by a privileged socioeconomic status. The final sample included 374 men who, upon graduating from an Ivy League college in 1966, performed military service in Vietnam, engaged in military service during this time in regions other than Vietnam, or did not serve in the military. As indices of quality of life in the middle years, we used a set of health-related behaviors, a series of life transitions experienced after the age of 40, and satisfaction with various components of life, as well as life as a whole. Multivariate analyses of variance and chi-square analyses revealed significant differences among the sample subgroups on several quality-of-life indices. The subgroup of Vietnam veterans reported more frequent alcohol use than the nonveterans. In terms of midlife transitions, the Vietnam veterans were most likely to have changed careers and to have moved residence, and the least likely to feel lonely in middle adulthood. Compared to the Vietnam veterans and the Vietnam-era veterans, the nonveteran group was least likely to have questioned their values, experienced depression, or to have moved to a new home. Finally, the Vietnam veterans were significantly less satisfied with their careers, finances, and with life in general, compared to their nonveteran counterparts; however, they reported more satisfaction with their male friendships than did Vietnam-era veterans. These findings suggest that the Vietnam War experience is associated with lower quality of life during middle adulthood in certain domains, even among a select group of individuals, of high socioeconomic status, whose privileged background could have presumably protected them from the adversities of the Vietnam War.     

Sex differences in spatial and non-spatial Y-maze performance after chronic stress

Chronic restraint is known to alter hippocampal CA3 dendritic morphology and spatial memory in male rats. The present study examined whether female rats, which exhibit different anatomical adaptations to chronic stress than those of males, would also show spatial memory impairments. Male and female Sprague-Dawley rats were restrained for 6 h/day for 21 days, a time frame previously demonstrated to cause hippocampal CA3 dendritic atrophy. The day after the last restraint session, rats were tested on a Y-maze, a habituation task that can be used to assess spatial memory. Chronic stress impaired Y-maze performance in both sexes without affecting levels of locomotion as measured by total arm entries in the first minute. However, Y-maze performance of stressed females improved in 2-5 min when chronically stressed males continued to show poor Y-maze performance. The enhanced Y-maze performance of chronically stressed females occurred when total arm entries were higher compared to the entries made by males. Therefore, correlations were performed between total arm entries and spatial memory in 1 and 2-5 min. In the first minute when control females demonstrated functional spatial memory, female controls with the lowest locomotor levels exhibited the best performance. The correlations for stressed females were not significant, and neither were the correlations for any group in 2-5 min. Overall, these results show important sex differences in response to chronic stress with females exhibiting an ability to recover quickly from deficits in Y-maze performance.     

Reference groups: A missing link in career studies

Careers unfold within and are bound by multiple social contexts. Newer career concepts have postulated a growing need for personal agency in overcoming structural constraints, especially organizational and occupational boundaries. As a consequence, research has focused more on the individual than on contextual factors. In order to answer recent criticism of this unbalanced view we argue that the impact of reference groups needs to be better understood, both as social drivers of agentic behavior and as social constraints that, for instance, reduce the permeability of boundaries. Drawing on identity theories and social network literature we suggest a classification of reference groups in which social domains (e.g., organization, occupation, family, friends), types of groups (known people, abstract social categories), and functions (normative, comparative, supportive) are distinguished. The reference group classification is employed to discuss extant career research and to propose three directions for future research: a) Fuller consideration of different social domains beyond the employing organization for a more complete understanding of social influences in contemporary careers; b) exploration of the possibly growing relevance of abstract social categories as referents, especially for subjective career success; and c) systematic analysis of the interaction between normative, comparative, and supportive functions of individuals' social networks. Across these themes, possible negative influences of reference groups and effects of imposed rather than chosen referents are also to be considered. Implications of the suggested research for better understanding the interaction between structure and agency in shaping careers and career identity are discussed.