Psychiatric nurses' attitudes towards inpatient aggression: preliminary report of the development of attitude towards aggression scale (ATAS)

Professional skills to adequately manage patient aggression are a prerequisite for nurses working in psychiatric hospitals. These ‘technical’ skills, however, are necessary but not sufficient for effective nurse intervention. The attitude of nurses' towards client aggression also contributes to their response to a patient's behaviour. In order to study the domains (types) of attitudes towards aggression, a sample was taken of nurses working in the fields of general psychiatry (n=288), psychiatry for children and adolescents (n=242) and psychogeriatrics (n=88). A cross‐sectional survey design was adopted for the study. The Attitudes Towards Aggression Scale (ATAS) consisting of 32 items is presented, representing three types of attitudes towards aggression: aggression as a ‘harming’ reaction, a ‘normal’ reaction and a ‘functional’ reaction. The strongest predictors of the type of attitude respondents had towards the aggressive behaviour of their clients were (1) field, (2) setting they worked in, (3) gender and (4) type of shifts they predominantly had. Although the measure of domains of nurses' attitudes towards aggression needs further psychometric testing, it can be a useful tool in clinical practice for the assessment of staff attitudes towards aggression. This can support the decision‐making about the management of aggressive behaviour on a ward. Aggr. Behav. 00:1–10, 2005. © 2005 Wiley‐Liss, Inc.     

Born to adapt, but not in your dreams

The brain adapts to changes that take place in the body. Deprivation of input results in size reduction of cortical representations, whereas an increase in input results in an increase of representational space. Amputation forms one of the most dramatic disturbances of the integrity of the body. The brain adapts in many ways to this breakdown of the afferent–efferent equilibrium. However, almost all studies focus on the sensorimotor consequences. It is not known whether adaptation takes place also at other “levels” in the system. The present study addresses the question whether amputees dream about their intact body, as before the amputation, or about the body after the amputation and whether the dream content was a function of time since the amputation and type of amputation. The results show that the majority of the dreamers reported dreams about their intact body although the mean time that elapsed since the amputation was twelve years. There is no clear relation with the type of amputation. The results give modest evidence for the existence of a basic neural representation of the body that is, at least, partly genetically determined and by this relatively insensitive for changes in the sensory input.     

Cognitive Behavioral Therapy Across the Stages of Psychosis: Prodromal, First Episode, and Chronic Schizophrenia

Since the early 1990s, cognitive behavioral therapy (CBT) has been increasingly used as an adjunctive treatment for psychotic disorders. This paper describes the CBT of three cases, each at a different stage of psychotic disorder: at-risk mental state, first-episode psychosis, and chronic psychotic disorder. For the at-risk mental state, treament focused on anxiety and social phobia, whereas the treatment of first-episode psychosis focused on the development of a shared formulation of the factors leading to and maintaining psychotic symptoms. For the chronic case, treatment emphasized the possibility of improving strategies to prevent symptoms from interfering with life goals. The potential contribution of CBT to improve outcomes in psychotic disorders beyond those obtained through traditional pharmacotherapy is discussed.     

Continuation of exchange with neighbors in later life: The importance of the neighborhood context

Relationships with neighbors are considered exchange relationships, in which the continuation of exchanges depends on balance in previous exchanges. Our study tested whether this is the case. An exchange relationship implies that neighbor relationships are isolated units. We expected, however, that neighborhood integration also affects the continuation of exchange among neighbors. Data were from a longitudinal study among 1,692 independently living Dutch adults of ages 55 to 85 years at baseline and their 7,415 relationships with proximate network members. At a four–year follow–up, both perceived balance and neighborhood integration at baseline increased the chance of instrumental support exchange occurring. We concluded that it is too limited to view relationships between neighbors as exchange relationships, as these relationships are embedded in larger communities, where such communities exist.     

An Examination of the Actor-Observer Effect in Young Drivers' Attributions for Their Own and Their Friends' Risky Driving

The attributions of 70 young drivers for their own and their friends' risky driving were examined using open-ended questions to determine if there were self-other differences consistent with the actor-observer effect. Six response categories were created, 4 of which were rated as more dispositional than situational by a subsample of the participants and 2 of which were rated as more situational than dispositional. While the largely dispositional category "Showing off, acting cool" was used significantly more for friends than for self, and the largely situational "In a hurry, late" was used significantly more for self than for friends, there was only limited support for the actor-observer effect overall. The participants also rated their friends as taking more risks than themselves. The actor-observer differences are suggested to be influenced primarily by motivational factors and the context in which young people observe their friends' driving. New approaches to traffic safety interventions are suggested.     

Reliability and construct validity of the Dutch psychopathy checklist: youth version: findings from a sample of male adolescents in a juvenile justice treatment institution

The present study examines the reliability and construct validity of the Dutch version of the Psychopathy Check List: Youth Version (PCL:YV) in a sample of male adolescents admitted to a secure juvenile justice treatment institution (N = 98). Hare's four-factor model is used to examine reliability and validity of the separate dimensions of psychopathy. Interrater reliabilities are good to excellent for the PCL:YV total score and most factor scores, except for the affective factor. Several suggestions are offered for optimizing reliability of this factor. Finally, meaningful associations between PCL:YV scores and scores on the Minnesota Multiphasic Personality Inventory-Adolescent and the Interpersonal Checklist-Revised support the construct validity of the PCL:YV total score as well as the four factors in the Dutch context.     

Naive and refined truth approximation

The naive structuralist definition of truthlikeness is an idealization in the sense that it assumes that all mistaken models of a theory are equally bad. The natural concretization is a refined definition based on an underlying notion of structurelikeness.In Section 1 the naive definition of truthlikeness of theories is presented, using a new conceptual justification, in terms of instantial and explanatory mistakes.In Section 2 general constraints are formulated for the notions of structurelikeness and truthlikeness of structures.In Section 3 a refined definition of truthlikeness of theories is presented, based on the notion of structurelikeness, using a sophisticated version of the conceptual justification for the naive definition.In Section 4 it is shown that idealization and concretization is a special kind of potentially refined truth approximation.I would like to acknowledge that van Benthem (1987) played in several respects a crucial role in the research for a new refined definition. Moreover, I like to thank David Miller, Ilkka Niiniluoto, and two referees for their comments on an earlier version. One of the referees notes that the Miller version of the naive approach (in model-theoretic terms, and identifying the truth with the truth about the actual world) has been criticised on several occasions for its failure to accommodate likeness between structures by Oddie (notably Oddie, 1986). The idea that likeness between structures should be a guiding idea behind truthlikeness is said to be a constant theme of Oddie's work. All this may well be true, but I should add however that Oddie's publications did not play any role in my research. The local references to Oddie are based on the suggestions by the referee.     

J.L. Moreno: An Unrecognized Pioneer of Family Therapy

J.L. Moreno's fundamental and pioneering contributions to the development of group therapy, encounter, transactional analysis, and especially psychodrama are well known. However, most family therapists seem unacquainted with the fact that from his earliest writings in 1923 J.L. Moreno developed an interactional view of psychotherapy that in 1973 already resulted in formulations of a true systems orientation and very concrete ideas about marital therapy, family therapy, and network therapy. He probably is the first (1937!) therapist that actually involved a husband's lover in conjoint marital therapy. His general theoretical formulations about the pathology of interpersonal relations as well as his practical suggestions for the therapy of the interpersonal relations seem to be insufficiently known to workers and researchers in the field of family therapy.     

Overpayment: Perceived qualifications and financial compensation

In this study expectancy and equity theory were compared. An experiment was carried out on the effect of overpayment. Overpayment was manipulated by varying perceived input (perceived qualifications) and received outcome (financial compensation). The experiment consisted of a 2 × 3 design: two levels of payment (4 guilders p.h. and 8 guilders p.h.) and three levels of perceived qualifications (high, medium, low). Sixty-six subjects were hired through the students placement service to decode personality questionnaires. Overpayment by manipulation of monetary rewards did not lead to greater production, as was hypothesized by Adams' equity theory (1965). As far m overpayment has been manipulated by perceived qualifications for the job the data confirmed equity theory. Several other theories (e.g. expectancy theory: Lawler, 1968b) can explain both results.