Heterogeneity of treatment changes after psychodynamic therapy within a one year follow‐up: A replication study

Naturalistic psychotherapy effect studies commonly report effect sizes for the total sample. However, a previous study of SCL‐90 Global Severity Index (GSI) improvement in a large outpatient sample used a cluster analytic strategy and reported clinical relevant outcome trajectories that could be grouped into early within‐treatment improvement, late improvement in the follow‐up period, and deteriorating patients with slight improvement that was lost at follow‐up. We explore GSI outcome trajectories and clinical significant change in a sample of 320 patients at a public psychiatric outpatient psychodynamic group therapy unit, the majority with anxiety, personality, and mood disorders. The study revealed large discharge and follow‐up effect sizes but more than one third of the patients were without measurable improvement. The major clusters described above were confirmed, and revealed unique clinical and socio‐demographic characteristics. Late improvers, as compared with early improvers, were characterized by anxiety symptoms and lack of network support after controlling for GSI at admission. Similarly, deteriorating patients had longer duration of illness and less favourable social characteristics compared with the other two groups. Early improving patients were less likely to have participated in short‐term groups, and only one third participated in additional treatment compared with more than 69% of the other patients. Severe and socially affected psychiatric patients, and patients with anxiety and agoraphobic symptoms may be less optimally treated in short‐term time limited psychodynamic groups. There is an obvious need for diversity of treatment offers, better integration of psycho‐social treatment components, and long‐term open ended treatment.     

School System Evaluation by Value Added Analysis Under Endogeneity

Value added is a common tool in educational research on effectiveness. It is often modeled as a (prediction of a) random effect in a specific hierarchical linear model. This paper shows that this modeling strategy is not valid when endogeneity is present. Endogeneity stems, for instance, from a correlation between the random effect in the hierarchical model and some of its covariates. This paper shows that this phenomenon is far from exceptional and can even be a generic problem when the covariates contain the prior score attainments, a typical situation in value added modeling. Starting from a general, model-free definition of value added, the paper derives an explicit expression of the value added in an endogeneous hierarchical linear Gaussian model. Inference on value added is proposed using an instrumental variable approach. The impact of endogeneity on the value added and the estimated value added is calculated accurately. This is also illustrated on a large data set of individual scores of about 200,000 students in Chile.     

Trust and the value of overconfidence: a Bayesian perspective on social network communication

The paper presents and defends a Bayesian theory of trust in social networks. In the first part of the paper, we provide justifications for the basic assumptions behind the model, and we give reasons for thinking that the model has plausible consequences for certain kinds of communication. In the second part of the paper we investigate the phenomenon of overconfidence. Many psychological studies have found that people think they are more reliable than they actually are. Using a simulation environment that has been developed in order to make our model computationally tractable we show that in our model inquirers are indeed sometimes better off from an epistemic perspective overestimating the reliability of their own inquiries. We also show, by contrast, that people are rarely better off overestimating the reliability of others. On the basis of these observations we formulate a novel hypothesis about the value of overconfidence.     

The Probability of Guilt in Criminal Cases: Are People Aware of Being ‘Beyond Reasonable Doubt’?

Data from a series of studies presenting video recorded witness statements to laypersons and legal professionals were examined to trace the relationship between judged probability of guilt and the willingness to vote guilty or not guilty in hypothetical trials, in the absence of specific jury instructions. The results show that a majority of jury‐eligible young and elderly participants, and police officers, were willing to convict a defendant when the judged probability of guilt exceeded .6. This is considerably below the legally accepted standard of ‘beyond reasonable doubt’, which usually is equated with a very high, around .9 perceived certainty. When jury deliberations were allowed, the threshold for conviction rose, approaching the standard evinced by trial judges under the same conditions. The results suggest that people prefer to vote for guilt according to a balance of probabilities principle, considering only the individual case, and disregarding the implied frequencies of false convictions. Copyright © 2013 John Wiley & Sons, Ltd.     

Building an Environmental Ethics from the Confucian Concepts of Zhengming and Datong

From the ‘DuPont factory’ case in China, one can see that contemporary ecology is faced with two underlying problems: A lack of responsibility toward the environment beyond being economically profitable, and a lack of care for what is outside of one’s immediate environment. For the purpose of confronting these two problems, I suggest two Confucian concepts: 1. zhengming 正名 (Rectification of names) and 2. datong 大同 (Great Harmony). These two concepts can be used to develop an environmental ethics and thus play a crucial role in solving the two above-mentioned problems. Zhengming is originally a political concept that was put forward by Confucius. According to this concept, everyone should fulfill their duty to the utmost in accordance with their individual roles. Datong is Confucius’ political ideal and emphasizes gong 公 (public) as a spirit for caring for tian xia 天下 (all under Heaven). A Confucian-style harmonious society is achieved by ‘letting every being manifest its mandate to the full’ (ge jin xing fen 各盡性分). When we turn toward the natural environment instead of political affairs, these concepts of zhengming and datong can become a proactive view of environmental ethics. From this view, zhengming emphasizes that ‘humans fulfill their responsibility of being humans’ (ren ren 人人). This means that humans should take responsibility toward the natural world, and one might say that ren ren implies an impetus for protecting the environment. Similarly, datong emphasizes caring for tian xia, by not limiting oneself to certain races, species, national boundaries, or geographical regions. Because of this, I believe that zhengming and datong can certainly resolve the above-mentioned problems: A lack of a sense of responsibility toward the environment, and a lack of a sense of care for what is outside of the confines of one’s immediate environment.     

Character: The Prospects for a Personality‐Based Perspective on Morality

In the early parts of the 20th century, character made up a major part of psychology, specifically of personality psychology. However, an influential observational study of children's moral behavior, conducted by Hartshorne, May, and colleagues in the 1920s, suggested that consistency in morality‐related behavior was lower than many people expected. Some psychologists interpreted such results to mean that there was no consistency in moral behavior and thus that there were no stable, meaningful individual differences in moral behavior – character did not exist. Recent years have witnessed a reinvigoration of character, ethics, and morality as objects of psychological study. Our purpose in this paper is to contribute to this reinvigoration by reviewing the use of the concept of “character” within psychology, considering whether the evidence supports the notion of moral character as a psychological construct, and suggesting new prospects for research on moral character.     

Water Access and Subjective Well-Being: The Case of Sucre,Bolivia

In this paper we study the influence of residential water access on subjective well-being. The data come from original field work that includes 535 households in Sucre, Bolivia, a city with deficits in the water service. We relate two subjective well-being measures, satisfaction with life and satisfaction with the water domain, to water access variables. It could be the case that the effect of water access variables in subjective well-being could be spurious. That is, water access variables could be capturing shortfalls in other basic needs, such as a lack of income. In order to avoid spurious conclusions, we include socioeconomic variables such as income and place of residence in the regression as control variables. In addition, people might adapt to having poor access to water. The significance of the coefficients of the water variables could lead us to conclude that people do not adapt, but non significance means we cannot reject this possibility. In the econometric regressions, water variables such as water cuts, water quality and access quality, when added to the control variables, increase goodness-to-fit affecting both subjective well-being measures. Our results permit to assess the importance of key elements of access to water in the region under study by relating them to subjective well-being and reveal that water access influences subjective well-being beyond adaptation and other socioeconomic characteristics. Taking this into consideration, we propose that well-being studies in developing countries should consider water access aspects.     

Spiritual Intelligence Self-Assessment Inventory: Psychometric properties of the Portuguese version of SISRI-24

ABSTRACT

Spiritual intelligence has gained increasing importance as an academic construct in the field of psychology. We present the psychometric properties for the Portuguese adaptation of the Spiritual Intelligence Self-Report Inventory-24, SISRI-24. The exploratory analysis showed a factorial structure different from the original scale, comprising three factors instead of four as in the original version, in which “Transcendental Awareness” was removed. The confirmatory factorial analysis revealed adjustment to a three-factor model for the Portuguese version. The main indexes of adjustment are generally better than the original four-factor version, suggesting the adequacy of this solution for the Portuguese population. The analysis with the convergent measures (SWBQ and MPWQ) provides evidence of the construct’s validity and criterion. The results are promising, allowing us to proceed with the uses of this tool for measuring spiritual intelligence, which may, however, be improved in the future.     

Acceptability,Feasibility, and Effectiveness of Internet-Based Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder in New York

Cognitive-behavioral therapy (CBT), consisting of exposure and response prevention (EX/RP), is both efficacious and preferred by patients with obsessive–compulsive disorder (OCD), yet few receive this treatment in practice. This study describes the implementation of an Internet-based CBT program (ICBT) developed in Sweden in individuals seeking OCD treatment in New York. After translating and adapting the Swedish ICBT for OCD, we conducted an open trial with 40 adults with OCD. Using the RE-AIM implementation science framework, we assessed the acceptability, feasibility, and effectiveness of ICBT. The Yale–Brown Obsessive Compulsive Scale (Y-BOCS) was the primary outcome measure. Of 40 enrolled, 28 participants completed the 10-week ICBT. In the intent-to-treat sample (N = 40), Y-BOCS scores decreased significantly over time (F = 28.12, df = 2, 49, p < . 001). Depressive severity (F = 5.87, df = 2, 48, p < . 001), and quality of life (F = 12.34, df = 2, 48, p < . 001) also improved. Sensitivity analyses among treatment completers (N = 28) confirmed the intent-to-treat results, with a large effect size for Y-BOCS change (Cohen’s d = 1.38). ICBT took less time to implement than face-to face EX/RP and participants were very to mostly satisfied with ICBT. On a par with results in Sweden, the adapted ICBT program reduced OCD and depressive symptoms and improved quality of life among individuals with moderate to severe OCD. Given its acceptability and feasibility, ICBT deserves further study as a way to increase access to CBT for OCD in the United States.     

Friends and Family: The Role of Relationships in Community and Workplace Attachment

Purpose

Most work–life research focuses on the spillover of the nuclear family to the workplace, offering little insight into how other family relationships and friendships can spill over to affect employees’ organizational attachment. Past research has also overlooked the role of relationship quality and the mechanisms underlying these life-to-work spillover effects. Addressing these shortcomings, we integrate the systemic model of community attachment with job embeddedness theory to develop a model of community relational embeddedness and then use this model to examine how nonwork relationships connect people to their workplaces.

Design/Methodology/Approach

We used survey data from a national sample of 2025 accounting professionals and tested mediation hypotheses using structural equation modeling.

Findings

Employees’ relationships with friends and family predicted their attachment to their communities, which in turn predicted their workplace turnover intentions. Supporting our theoretical model, bonds with friends and family predicted moving intentions, and community fit and sacrifice mediated these effects. Community fit and sacrifice also predicted work turnover intentions indirectly through moving intentions. Tests also revealed that, surprisingly, friendships had a stronger impact on community attachment than family.

Implications

Employees are connected to their organizations through an array of close community relationships that extend beyond the nuclear family (i.e., spouse, children). Organizations can enhance employees’ workplace attachment by recognizing the role of friends and offering work–life programs that use a broad conceptualization of family (e.g., adult siblings, parents).

Originality/Value

Our study illustrates the importance of community relationships to workplace attachment, and the need to incorporate relational quality, nonnuclear family, and friendships in future research.