Commitment to Work, Care Giving and Seniority: The Case of Nursing

The current study examined whether differences in commitment to paid employment or different levels of private sphere responsibility between women and men could explain the gender segmentation of the paid work force. A survey of a composite sample (N?=?380) of Australian nurses showed that there were no significant differences between women and men in terms of commitment to paid employment although commitment was a predictor of seniority. Primary care-giving status also predicted seniority and women were more likely than men to have care-giving responsibility for dependents. Multiple logistic regression showed that, independent of gender, primary responsibility for care-giving to dependents, rather than commitment to paid employment, explained more of the differing chances for women and men of being in senior positions.     

Factors influencing prescribing decisions in the treatment of depression: a social judgement theory approach

The under‐diagnosis and inappropriate treatment of depression in primary care has become a serious public health problem despite the development of many clinical guidelines to guide recognition and treatment of the disorder. This study aims to investigate decision‐making processes and to identify factors which influence general practitioners' (GPs) prescribing decisions and how these factors differ from those the guidelines recommend. Brunswik's lens model, from Social Judgement Theory (SJT), was employed to explore individual treatment decision policies of 40 GPs in the Grampian region of Scotland for 20 case vignettes. These individual policies were then aggregated and compared with those derived from guideline recommendations; important differences emerged between the two in the utilization of cues and there was considerable variation between GPs' policies. Guidelines placed more importance on the duration of symptoms whereas GPs gave weight also to particular symptoms, such as ‘thoughts of suicide’ and ‘sleep disturbance’ and patient treatment preference. GPs prescribed antidepressants at a greater rate than was recommended by the guidelines. The findings have important implications for implementation strategies, which maybe developed to accompany clinical guidelines. Copyright © 2002 John Wiley & Sons, Ltd.     

Working with families of adults with anorexia nervosa

The aim of this paper is to describe working with the carers (families) of adults with anorexia nervosa (AN), which is different from working with families of younger adolescents. The main difference is in the area of rights and responsibilities of both parties. Moreover, as AN in adults is often a chronic condition, the treatment goal may not focus on recovery, but instead on improvement in quality of life. Thus the spectrum of nature and degree of parental involvement in the treatment of adults with AN is much broader than in children and adolescents. Our framework for intervention is based on a clear model of carer distress, from which targets for intervention follow. The paper outlines some of the core components of this work.     

Neural coding of formant-exaggerated speech in the infant brain

Speech scientists have long proposed that formant exaggeration in infant-directed speech plays an important role in language acquisition. This event-related potential (ERP) study investigated neural coding of formant-exaggerated speech in 6-12-month-old infants. Two synthetic /i/ vowels were presented in alternating blocks to test the effects of formant exaggeration. ERP waveform analysis showed significantly enhanced N250 for formant exaggeration, which was more prominent in the right hemisphere than the left. Time-frequency analysis indicated increased neural synchronization for processing formant-exaggerated speech in the delta band at frontal-central-parietal electrode sites as well as in the theta band at frontal-central sites. Minimum norm estimates further revealed a bilateral temporal-parietal-frontal neural network in the infant brain sensitive to formant exaggeration. Collectively, these results provide the first evidence that formant expansion in infant-directed speech enhances neural activities for phonetic encoding and language learning.     

The challenges of designing and piloting a system for measuring the impact of counselling provided by a national voluntary agency

This paper describes the issues, processes and difficulties encountered and solutions proposed when introducing an evaluation system into a large and complex voluntary organisation providing counselling and relationship support services. The organisation Relate has 2,000 counsellors in over 600 locations operated by a network of 81 Relate Centres, and over 140,000 people use its services annually. The present project arose from a need clearly identified at a Mental Health Foundation conference in 1993, for a common measure to evaluate ‘talking’ therapies; to identify ways of measuring costs and benefits; and to assess the skills and competencies of therapists. This project set out to (1) identify and pilot a validated scale that could demonstrate the value of Relate; (2) develop and pilot a further measure of Relate's work, broader than the validated scale, in order to foster organisational learning and develop good practice. The pilot encountered a range of methodological challenges, and it is believed that recognition of these might smooth the way for any other similar organisation planning to develop an ongoing system for evaluation of counselling and relationship support.     

Are we puppets on a string? The contextual meaning of unconscious expressive cues

In three studies, the authors show that unconscious expressive cues can lead to opposite evaluations, depending on the context in which they occur. In Study 1, brow (vs. cheek) tension reduced preferences in an easy judgment context but increased preferences in a difficult context. In Study 2, head shaking (vs. nodding) either increased or decreased prosocial affect depending on the context in which the judged character was presented. In Study 3, a subliminal smile (vs. frown) led to higher self-ratings of performance when paired with one's own actions but to lower self-ratings of performance when paired with a competitor's actions. Together, these results suggest that the meaning of unconscious expressive cues is not fixed.     

Immoral,Incompetent, and Lacking Warmth: How Stereotypes of Teenage Fathers Compare to Those of Other Parents

Sex Roles - Constructions of teenage fathers largely portray them as absent, criminal, and violent (Johansson and Hammarén 2014; Kiselica and Kiselica 2014), with their identity tied to the...     

Adrenal Insufficiency in Young Children: a Mixed Methods Study of Parents’ Experiences

Research into adrenal insufficiency (AI) and congenital adrenal hyperplasia (CAH) in children has focused largely on clinical consequences for patients; and until recently, the wider experience of the condition from the perspective of other family members has been neglected. In a mixed methods study, we captured the experiences of parents of young children affected by AI/CAH, including their views on the psychosocial impact of living with and managing the condition. Semi-structured interviews were carried out in the UK and an online survey was developed, translated and disseminated through support groups (UK and the Netherlands) and outpatient endocrinology clinics (Germany). Challenges associated with diagnosis, treatment, support and the future were identified. For UK parents, the diagnosis period was characterised by a lack of awareness amongst healthcare professionals and occurrences of adrenal crisis. Parents reported burden, anxiety and disruption associated with the intensive treatment regimen. Parents adjusted and gained confidence over time yet found delegating responsibility for medication difficult and worried about the future for their child. Access to psychological support and contact with other families was reported as highly beneficial. The findings of the study provide critical context for future studies and for informing how parents and families can be better supported. Prenatal genetic counselling for parents who already have an affected child will include an explanation of recurrence risk but should also focus on providing information and reassurance about diagnostic testing and care for their newborn.     

Exploring Characteristics of Children Presenting to Counseling for Grief and Loss

To date, researchers exploring childhood bereavement have largely relied on unstandardized assessment instruments and/or have independently evaluated specific constructs rather than factoring in the dimensionality of loss. The purpose of this study was to utilize psychometrically established instruments to examine the multivariate shared relationship between characteristics of bereaved children referred for counseling--their ages, genders, ethnicities, types of loss, and life stressors—and their behavioral manifestations as well as the relationship between these characteristics and levels of parent-child relational stress. Utilizing archival clinical files, we examined these characteristics from bereaved children (N?=?98) whose parents sought counseling services from two university-based counseling clinics. Two canonical correlational analyses (CCA) were conducted to examine the following: (1) relationship between characteristics of bereaved children and their subsequent behavioral manifestations, (2) relationship between characteristics of bereaved children and levels of parent-child relational stress. Correlational findings from this study provided insight into bereaved children’s manifestations of loss and levels of parent-child relational stress as contingent upon these specific characteristics. Specifically, results indicated a strong relationship between age and bereaved children’s behavioral manifestations. This finding reinforced the importance for clinicians to understand developmental implications when working with bereaved children. Furthermore, caregivers who reported minimal overall external stressors also reported less parent-child relational interference. This finding further emphasizes the importance for caregivers to maintain utmost stability for bereaved children.