Recovery opportunities,work–home conflict,and emotional exhaustion among hematologists and oncologists in private practice

Hematologists and oncologists in private practice play a central role in the care provided for cancer patients. The present study analyzes stress and relaxation aspects in the work of hematologists and oncologists in private practice in Germany in relation to emotional exhaustion, as a core dimension of burnout syndrome. The study focuses on the opportunities for internal recovery using breaks and time out during the working day, the frequency of working on weekends and on vacation, and the physician’s work–home and home–work conflict. Postulated associations between the constructs were analyzed using a structural equation model. If work leads to conflicts in private life (work–home conflict), it is associated with greater emotional exhaustion. Working frequently at the weekend is associated with greater work–home conflict and indirectly with greater emotional exhaustion. By contrast, the availability of opportunities to relax and recover during the working day is associated with less work–home conflict and indirectly with less emotional exhaustion. These results underline the importance of internal recovery opportunities during the working day and a successful interplay between working and private life for the health of outpatient hematologists and oncologists.     

The hierarchical structure of the Dimensional Assessment of Personality Pathology (DAPP-BQ)

Hierarchical personality models have the potential to identify common and specific components of DSM-IV personality disorders (PDs), and may offer a solution for the re-tooling of personality pathology in future versions of the DSM. In this paper, we examined the hierarchical structure of the Dimensional Assessment of Personality Pathology-Basic Questionnaire (DAPP-BQ; Livesley & Jackson, 2009) and the capacity of various trait components at different levels to predict DSM-IV PD symptoms. Participants were 275 psychiatric outpatients and 365 undergraduate students. Goldberg's (2006) bass-ackwards method was used to investigate the hierarchical structure of the DAPP-BQ. The predictive capacity of hierarchy components was assessed. We found that Level 5 of the hierarchy enhanced the capacity of the DAPP-BQ for predicting DSM PD symptoms beyond a four-factor structure, particularly for borderline PD.     

A multilevel multitrait‐multimethod analysis of self‐ and peer‐reported daily affective experiences

We examined the psychometric properties of an experience‐sampling measure of affect (PANAS) using data from self‐ and peer reports. A multivariate multilevel model was used to assess the reliability of the latent PANAS scales at the within‐ and between‐person level. Findings suggest satisfying internal consistencies for self‐ and peer reports of affective experiences at both levels of analysis. Convergent and discriminant validity of the two affect scales were examined by means of a multilevel multitrait‐multimethod approach (MLM‐MTMM) indicating distinct findings at the within‐ and between‐person level. These findings provide further insights into the structural relations between the two PANAS scales: Whereas positive and negative affect were unrelated at the between‐person level; they were negatively correlated at the within‐person level. Copyright © 2010 John Wiley & Sons, Ltd.     

Your Own Personal Jesus? Doctrinal Beliefs Versus Personal Spirituality Among Inmates Involved in the Monastery Route in Swedish Prisons

Previous studies, mainly from the United States, have indicated that religious beliefs can help inmates to cope with imprisonment and to build hopes for the future. The purpose of this study was to examine if this is the case also in Sweden, which is usually considered to be one of the most secular countries in the world. The data consist of semistructured interviews with 14 prisoners participating in the so‐called Monastery Route activities within Swedish prisons. Although the activities are based on Christianity, the explicit aim is to invite individuals from all religions, as well as those with an open attitude toward spirituality. How do the inmates formulate their beliefs (if any) along the lines of doctrinal religiousness and personal spirituality, respectively? And, how does this orientation affect the ability to cope with imprisonment, as well as the views of the future? The results show that a small number of the participants defined themselves as Christian, but that the majority had instead developed a more personal form of spirituality. This provided them with a means of working with themselves and gave them a sense of inner calm. The study's findings are contrasted against conflicting results from the United States.     

The Sternberg Triarchic Abilities Test (STAT) as a measure of academic achievement and general intelligence

The degree to which practical, creative, and analytical abilities, measured by the Sternberg Triarchic Abilities Test (STAT) (Sternberg, 1993), significantly contribute to the prediction of academic achievement, independent of general intelligence, was investigated. Although Sternberg et al. (2000) claim that the STAT is not related to, nor a measure of, general intelligence, data obtained by Sternberg, Ferrari, Clinkenbeard, and Grigorenko (1996), found that STAT scores were significantly correlated with measures of general intelligence. In the present study, introductory psychology midterm examination grades, STAT scores, and Wonderlic Personnel Test scores (as a measure of general intelligence), were obtained from undergraduate students at the University of Western Ontario (N=150). Total STAT scores and each of the STAT subsection scores were significantly related to Wonderlic test scores, P<0.01, and the STAT subsections were significantly related to each other, P<0.01. The partial correlations between midterm grades and creative, practical, analytical, and total STAT scores, with the variance due to the Wonderlic test removed, were also found to be significant for practical and for total STAT scores, P<0.05, but nonsignificant for creative and analytical STAT scores. A factor analysis including midterm examination grades, the Wonderlic test, and each of the STAT subsections revealed a single general factor. Thus, some results supported Sternberg but others were contrary to his claims.     

Maternal Antisocial Behavior, Parenting Practices, and Behavior Problems in Boys at Risk for Antisocial Behavior

We investigated the independent contributions of maternal history of antisocial behavior and parenting practices to the worsening course of sons' behavior problems in a sample of young urban boys at risk for antisocial behavior. Mothers reported on boys' behavior problems at baseline and one year later, as well as on their own history of antisocial behavior before and after age 15, and of lifetime depression and substance use disorders (provisional DSM-III-R diagnoses). Baseline reports of parenting practices were obtained. Lower involvement, lower monitoring, and higher levels of parent–child conflict and maternal Conduct Disorder (CD) before age 15 contributed to the worsening of boys' behavior problems one year later; mothers' symptoms of Antisocial Personality Disorder after age 15 did not. Mothers' lifetime history of Major Depression and Substance Use Disorder did not add to the worsening of boys' behavior problems after accounting for these other factors. Although maternal CD contributed directly to the worsening of boys' behavior problems, the effect of parenting was more substantial. We discuss clinical implications for prevention and treatment of children's antisocial behavior, and intergenerational implications of girls' early antisocial behavior.     

No deficits in nonverbal memory, metamemory and internal as well as external source memory in obsessive-compulsive disorder (OCD)

A large body of literature suggests that some symptoms of obsessive-compulsive disorder (OCD) result from mnemonic dysfunctions. The present study tested various formulations of the memory deficit hypothesis considering important moderators, such as depression and response slowing. Thirty-two OCD patients and 32 healthy controls were presented verbal or nonverbal instructions for actions (e.g. simple gestures). These actions should either be performed or imagined. For recognition, previously presented as well as novel actions were displayed. Decisions had to be made whether an action was previously displayed (verbally vs. nonverbally) or not and whether an action was performed or imagined (internal source memory). Moreover, both judgments required confidence ratings. Groups did not differ in memory accuracy and metamemory for verbally presented material. Patients displayed some impairment for nonverbally presented material and imagined instructions, which, however, could be fully accounted for by response slowing and depressive symptoms. The study challenges the view that primary memory deficits underlie OCD or any of its subtypes. We claim that research should move forward from the mere study of objective impairment to the assessment of cognitive performance in conjunction with personality traits such as inflated responsibility.     

Role of collective self-esteem on youth violence in a collective culture

Youth violence involvement has always been the focus of significant research attention. However, as most of the studies on youth violence have been conducted in Western cultures, little is known about the antecedents of violence in the Asian context. Researchers have suggested that collectivism might be the reason for the lower violent crime rates in Asia. Nevertheless, the present study proposes an alternative approach to the collectivistic orientation and violence relationship: The possibility that allocentrism (collectivist tendency at the individual difference level) might shape the meaning of and the attitudes towards violence; thus not all aspects of a collectivist culture serve as deterrents for violence. Instead of viewing it as a random individual act, violence in a collective cultural context could be seen, under certain circumstances, as a social obligation to one's in-group (especially when one's in-group is supportive of violence) and as an internalization of the norms and values of the culture. Thus, the present study investigates the relationship between allocentrism and its relation to violence in a highly collectivist Asian culture, Singapore. We further hypothesized that collective self-esteem might serve as the mediator between allocentrism and the values of violence. Using a sample of 149 incarcerated Singaporean male adolescents, results support the proposed theoretical model whereby collective self-esteem was found to mediate between allocentrism and the culture's norms and attitudes of violence, which eventually lead to physical violence behaviours.     

A clinical contribution to the etiology of lesbianism

Lesbianism may be viewed as an attempt to rectify malfunctioning in the original mother/daughter dyad. This paper discusses how failure of the girl child to establish female identification is preceded by failure to individuate, causing regression to an earlier symbiotic stage, resulting in feelings and desire for merging. It is this failure in development, regression to the symbiotic stage and wish to merge which may be a crucial component in the lesbian personality. The course of treatment of a young woman, who was not sure whether she was lesbian or not, is described with focus on her request for a hypnotic session, which was done by another therapist.