Suchttherapie bei abhängigen Ärzten

Background

International studies indicate an increased incidence of substance abuse disorders among physicians. This article investigates specific variables in the work field and describes existing treatment programs.

Patients and methods

In a cross-sectional study 107 physicians with and 468 without substance abuse disorders were compared. Two highly developed treatment programs in Germany and Canada are described.

Results

The high work-load associated with the medical work environment leads to reduced performance and social isolation. Treatment programs for addicted physicians work with the concept of ?help before restriction“. The abstinence rate of the 5-year Canadian program is over 90%.

Conclusions

As a form of prevention, medical students should be systematically informed about work-related stress in the medical profession. Structured treatment programs should be implemented nationwide. The expert team ?Risk of addiction in physicians“ of the German Addiction Foundation, whose members are authors of this article, may be a small step in this direction.     

A Field-Tested Task Analysis for Creating Single-Subject Graphs Using Microsoft<Superscript>®</Superscript> Office Excel

Creating single-subject (SS) graphs is challenging for many researchers and practitioners because it is a complex task with many steps. Although several authors have introduced guidelines for creating SS graphs, many users continue to experience frustration. The purpose of this article is to minimize these frustrations by providing a field-tested task analysis for creating SS graphs using Microsoft^® Office Excel. Results from the field test are presented and the task analysis, which includes steps for creating a variety of SS graphs, is provided. The article includes various illustrations, a list of prerequisite skills, tips, and troubleshooting items.     

Gender-Role Attitudes and Earnings: A Multinational Study of Married Women and Men

This paper examines the impact of gender-role attitudes on earnings for married individuals. Using hierarchical linear modeling (HLM) and nationally representative data, we tested our hypotheses on 4,785 males and 4,368 females from 28 countries located in North and South America, Eastern and Western Europe, the Mediterranean, Asia and the South Pacific. We found that compared to individuals in their own countries, women with egalitarian attitudes had significantly higher earnings then women with traditional attitudes. In addition, for both women and men, we found an interaction between gender-role attitudes and hours worked. Egalitarianism had a stronger positive effect on earnings among individuals who worked more hours.     

The Chinese Version of the Revised Creativity Domain Questionnaire (CDQ‐R): First Evidence for its Factorial Validity and Systematic Association with the Big Five

The present study examines the factor structure of a Chinese version of the Revised Creativity Domain Questionnaire (CDQ‐R; Kaufman, Waterstreet, Ailaouni, Whitcomb, Roe, & Riggs, 2009) as well as its relation to Big Five personality traits within a Chinese sample (N = 787). Analyses indicate the appropriateness of the Chinese version of the CDQ‐R in terms of internal consistency, factorial validity as well as convergent and divergent validity concerning the Big Five personality factors. Revealing some culture‐specific variation, confirmatory factor analysis indicated a slight superiority of a five‐factor model for this Chinese sample over the existing four‐factor model established with American samples. This higher level of differentiation in terms of one factor of the creativity domain could be explained on the basis of the specific characteristics of the Chinese culture.     

The Self’s Symbolic Role in Implicit Approach/Avoidance: Movement Time Evidence

Theories of self-regulation emphasize the special role that the symbolic self may play in approach and avoidance movements, but experimental evidence is lacking. In two experiments (total N = 157), participants moved either a self-relevant (e.g., “me”) or non-self (e.g., “not me”) agent to one of two locations, one occupied by a positive word and the other occupied by a negative word. In both experiments, the movement agent interacted with the destination valence such that it was only the symbolic self that moved more quickly to positive rather than negative locations. These results established a role for the symbolic self in approach/avoidance that had been questioned, thereby supporting both classic and contemporary self-related theories of approach and avoidance.     

Why do Managers Engage in Trustworthy Behavior? A Multilevel Cross‐Cultural Study in 18 Countries

Drawing on theories of generalized exchange and the norm of indirect reciprocity, we conceptualize subordinates’ organizational citizenship behavior directed toward the organization (OCBO) and directed toward peers (OCBI) as antecedents of managerial trustworthy behavior and examine how managers’ affective trust in subordinates mediates this relationship. We also investigate the extent to which this mediation is moderated by the level of collectivism in a society. Data were collected from 741 managers and 2,111 subordinates in 18 countries representing all major cultural regions of the world. We find support for our hypothesized moderated mediation in that managers’ affective trust in subordinates mediates the relationships between both subordinates’ OCBO and managerial trustworthy behavior, and subordinates’ OCBI and managerial trustworthy behavior across the different countries studied. Further, managers’ affective trust in subordinates only mediates the relationships between both types of citizenship behavior and managerial trustworthy behavior when collectivism is low to medium but not when it is high. Implications for research on cross‐cultural psychology, trust, and organizational citizenship behavior are discussed.     

Seemings: still dispositions to believe

According to phenomenal conservatism, seemings can provide prima facie justification for beliefs. In order to fully assess phenomenal conservatism, it is important to understand the nature of seemings. Two views are that (SG) seemings are a sui generis propositional attitude, and that (D2B) seemings are nothing over and above dispositions to believe. Proponents of (SG) reject (D2B) in large part by providing four distinct objections against (D2B). First, seemings have a distinctive phenomenology, but dispositions to believe do not. Second, seemings can provide a non-trivial explanation for dispositions to believe, which wouldn’t be possible if seemings were dispositions to believe. Third, there are some dispositions to believe that are not seemings. Fourth, there are instances of seemings which are not dispositions to believe. I consider and reject each of these objections. The first and third objections rely on a misunderstanding of (D2B). The second objection fails because there are contexts in which an appeal to a previously unknown identity can provide an interesting explanation. The fourth objection overlooks the possibility of finkish and masked dispositions, phenomena which are widely accepted in the dispositions literature. I conclude that (D2B) escapes these common objections unscathed.     

How Emotional Media Reports Influence Attitude Formation and Change: The Interplay of Attitude Base,Attitude Certainty,and Persuasion

This study examined the influence of an emotionally arousing writing style on attitude formation and change. It has been proposed that different writing styles induce attitudes based on either affect or cognition and with either high or low certainty. Previous work indicates that the interplay of these attitude characteristics determines the persuasiveness of emotional and rational media appeals. To test the hypotheses, participants in an experimental study read articles from a magazine about a fictitious attitude object. In the first step, 4 different types of attitudes varying in base and level of certainty were induced through a respectively manipulated article. In the second step, these attitudes were challenged by an additional article, which presented either an emotional or rational persuasive appeal. The results supported hypotheses on attitude induction through media stimuli and 3 of 4 hypotheses regarding the persuasiveness of emotionally and rationally written articles.     

How to Come to Terms With the Shadows of the Past in the Treatment of Third-Generation Patients: A Commentary on Orna Guralnik’s Paper “The Dead Baby”

The peculiarity of Orna Guralnik’s case study lay in the fact that the German patient whose grandparents were Nazis and whose parents were in their ideas affected by Nazi ideology is being treated by a Jewish analyst. Both patient and analyst belong to the so-called third generation. In my commentary I emphasize the significance of processes of transgenerational identification, and I try to show how a countertransference enactment developed in this treatment. The burden of the traumatic history of the Germans and the Jews was, in this case, too heavy and preoccupied the analyst. Such countertransference enactments occur repeatedly during psychoanalytic treatment when the subject is about involvement in the Holocaust and Second World War and its consequences for subsequent generations.