Tuning into the psychotic wavelength: Psychoanalytic supervision for mental health professionals

In this paper, material is presented from supervision groups run for mental health professionals in different mental health settings. I will argue that a psychoanalytic framework, which puts the transference and countertransference at the centre of clinical practice, offers an important model for thinking about psychosis and psychotic means of communication. When staff are able to ‘tune in’ to their patients' communications it can help to change a patient's monologue about his/her delusional world into a meaningful dialogue about their emotional world.     

Women–Focused Treatment Agencies and Process Improvement: Strategies to Increase Client Engagement

Behavioral health treatment agencies often struggle to keep clients engaged in treatment. Women clients often have additional factors such as family responsibilities, financial difficulties, or abuse histories that provide extra challenges to remaining in care. As part of a national initiative, four women-focused drug treatment agencies used process improvement to address treatment engagement. Interviews and focus groups with staff assessed the nature and extent of interventions. Women-focused drug treatment agencies selected relational-based interventions to engage clients in treatment and improved four-week treatment retention from 66% to 76%. Process improvement interventions in women-focused treatment may be useful to improve engagement.     

A Review of Expectancy Theory Research in Selling

Abstract

Motivation of sales personnel is a major consideration of sales managers. Expectancy theory research holds promise of providing practical answers to certain motivation questions. The theory and empirical evidence is reviewed and synthesized, and strategic implications are discussed.     

Cognitive factors in the explanation of the mismatch between confidence and competence in performing basic life support

Abstract

The main approach to rectifying the well documented poor basic life support (BLS) skills of doctors and nurses, based on a Skills Model, has met with only partial success. This study compares the utility of a Skills Model with one that incorporates a cognitive component in predicting BLS skills. Outcome-expectancy, self-efficacy, training and experience of BLS, and BLS ability were assessed in 53 trained nurses. Ability was unrelated to training or experience of BLS. Nurses who scored highest on the BLS skills assessment perceived the procedure as significantly more successful than those with lower scores. Self-efficacy was unrelated to ability, but was related to status: senior nurses were significantly more confident but no more competent in performing BLS than junior nurses. Nurses who had attended more arrests, while more confident, were no more competent than those who had attended fewer. Assessment of BLS skills reduced self-efficacy beliefs. A model for predicting the relationship between self-assessed ability and objectively assessed skill is outlined.     

Deriving Training Strategies for Spatial Knowledge Acquisition From Behavioral,Cognitive, and Neural Foundations

While much has been made of the potential uses for virtual environment (VE) technologies as training aids, there are few guidelines and strategies to inform system development from the user’s perspective. Assumptions are that a human factors-based evaluation will ensure optimal performance, transferring training from virtual to real worlds; however, there are complex, yet unexplored, issues surrounding system optimization and employment. A comprehensive investigation into the foundations of training, traversing levels of performance analysis, from overt behavioral responses to the less explicit neuronal patterns, is proposed from which optimal training strategies can be inferred and system development guidelines deduced.     

The infrared absorption spectra of diamonds expected to contain voidites

Abstract

The infrared spectra of several type Ia diamond crystals expected to contain voidites have been examined in the wavenumber range 4000–2700 cm^?1. The absence of any absorption which could possibly be attributable to the stretching of N─H bonds makes unlikely recent suggestions that the voidites may contain a solid phase of NH₃.     

The Integrity Of Uk Academic Research Under Commercial Threat

The Troubled Helix: Social and Psychological Implications of the New Human Genetics, edited by Teresa Marteau and Martin Richards, Cambridge: Cambridge University Press, 1996, 359 pages, hardback £37.50.     

A review of career anchors in use

Abstract

As organizations respond to the competitive pressures of today, so their management structures become leaner and fitter. In this process, the nature of the career opportunities change as does the organization's perspective of the individual and his or her career. An employer for life is a thing of the past. The corollary to this is that companies now want their people to be less dependent on their employer and to take more responsibility for ensuring their career path is right for them. To do this, people must be provided with the tools to take on this mantle. They need to understand themselves better. Their decisions are now even more critical. Career Anchors is one such tool and its applications are reviewed in this article. It provides an effective insight for individuals and enables them to recognize their talents, values, and motives.     

Parental rearing behavior prospectively predicts adolescents’ risky decision‐making and feedback‐related electrical brain activity

The present study examined the role of parental rearing behavior in adolescents’ risky decision‐making and the brain's feedback processing mechanisms. Healthy adolescent participants (n = 110) completed the EMBU‐C, a self‐report questionnaire on perceived parental rearing behaviors between 2006 and 2008 (T1). Subsequently, after an average of 3.5 years, we assessed (a) risky decision‐making during performance of the Balloon Analogue Risk Task (BART); (b) event‐related brain potentials (ERPs) elicited by positive (gain) and negative feedback (loss) during the BART; and (c) self‐reported substance use behavior (T2). Age‐corrected regression analyses showed that parental rejection at T1 accounted for a unique and significant proportion of the variance in risk‐taking during the BART; the more adolescents perceived their parents as rejecting, the more risky decisions were made. Higher levels of perceived emotional warmth predicted increased P300 amplitudes in response to positive feedback at T2. Moreover, these larger P300 amplitudes (gain) significantly predicted risky decision‐making during the BART. Parental rearing behaviors during childhood thus seem to be significant predictors of both behavioral and electrophysiological indices of risky decision‐making in adolescence several years later. This is in keeping with the notion that environmental factors such as parental rearing are important in explaining adolescents’ risk‐taking propensities.     

Empirical and historical perspectives on the growth of Pentecostal-style churches in Malaysia,Singapore and Hong Kong

This article considers the growth of Pentecostal-style churches in Southeast Asia, and specifically in Hong Kong, Kuala Lumpur and Singapore. It outlines four reasons for the growth that occurred and then, using qualitative and quantitative data in a mixed mode, seeks to test the hypotheses it derives. It concludes that each of the hypotheses remains plausible but notes that contextual factors or major social disruptions undermine any deterministic account.