Deprivation 2 3

The author describes her experience of setting up a therapeutic service for 'looked-after children' in a social services department, and the change of approach from a focus on individual therapy 8 to consultation and liaison with the network. The idea that children in the 'care system' suffer a triple deprivation when the 'double deprivation', as described by Henry (1974), is compounded by organizational difficulties, is explored. Material is presented of work with foster-parents which helped to prevent placement breakdown. The ways in which disturbing emotional states of clients are re-enacted within the organization are discussed. The author suggests that the paralysis in a social services system, which can lead to 'drift', resembles the 'collapse of strategy' of babies displaying a 'disorganized/disoriented' attachment response to a frightened or frightening mother. The need for a 'secure base' for social workers and their managers is stressed if they are to provide the same for their clients.     

Light and movement: making contact with a traumatised and embattled latency girl

This paper shows a child psychotherapist learning and developing her technique as she attempts to make contact with a child who is extremely hard to reach. It is based on the first two years of three-times-weekly intensive psychotherapy of a latency girl who had little faith in a helpful therapeutic relationship. Her defences against such a relationship were entrenched and hard to shift. In this clinical work, the psychotherapist relies on close observation and her countertransference to develop a relationship with the child, in order to begin to make sense of her non-verbal emotional experience and communication.     

Development of a career-enabler framework within a South African higher education institution

This study developed a preliminary career-enabler framework for use in a higher education setting. A quantitative survey was conducted with a sample of 1392 employees within a higher education institution in South Africa. Structural analysis was performed using exploratory factor analysis. The analysis yielded three enablers with acceptable psychometric properties, namely: self-transcendence, self-enhancement and self-conservation through work motives and needs. Interventions that focus on career-enablers within a higher education institution need to address these three factors.     

Etude des Facteurs psychosociaux,du burnout,de la Vigueur et des troubles musculosquelettiques chez les soignants hospitaliers

Psychosocial factors, the burnout and the musculoskeletal disorders coexist in health professionals at the hospital. From 176 answers to a questionnary built from Karasek (1990) and Siegrist (1996) theories of psychosocial factors, Shirom (2004) of burnout and vigor and finally Kuorinka (1987) of musculoskeletal disorders, we measure and put in link these different aspects, then we propose a predictive model for burnout and pains.     

Enhanced memory for emotional pictures: A product of increased attention to affective stimuli?

The current experiment addressed the question, is enhanced memory for emotional pictures due to increased attention to affective stimuli? Participants viewed pairs of pictures (emotional-neutral or neutral-neutral) whilst their eye movements were recorded; participants had to decide which picture out of each pair they preferred. There was increased attention to positive pictures and decreased attention to negative images during picture viewing. Despite this, when a recognition test was given 1 week later, memory enhancements were found for negative pictures only. Moreover, although there was a general correlation between total inspection time and memory performance, this reliability was clear only for neutral pictures, and not for emotional images. The results suggest that memory advantages for emotional pictures can occur without increased attention to such images.     

Predicting intention and behaviour following participation in a theory-based intervention to improve gluten free diet adherence in coeliac disease

Objective: To determine whether changes in theory of planned behaviour (TPB) constructs could predict intention and gluten-free diet (GFD) adherence following participation in an online theory-based intervention designed to improve adherence in coeliac disease.

Design: Theory-based process evaluation of the mechanisms of change over the course of a six-week online intervention. Measures of GFD adherence and TPB variables were administered at baseline and follow-up (immediate post-intervention: n = 74; three-month: n = 68; six-month: n = 65). Hierarchical regression analyses using residualised change scores were conducted at each time point (dependent variables: intention and adherence).

Results: Baseline intention and GFD adherence were the strongest predictors of follow-up intention and adherence, respectively. Change in attitude accounted for significant variance in intention. Change in intention accounted for significant variance in GFD adherence immediately post-intervention; by the six-month follow-up change in perceived behavioural control was the stronger predictor.

Conclusions: Partial support for the hypotheses suggests that, for certain behaviours, the TPB may be relevant in explaining the mechanism of action responsible for changes in intention and behaviour following participation in a behaviour change intervention. Additional predictive pathways are also likely to exist and, in the area of GFD adherence, may include habit strength and actual behavioural control.     

Breast cancer: The intention to have a mammography and a clinical breast examination - application of the theory of planned behavior

Abstract

The purpose of these cross sectional studies was to identify the psychosocial factors explaining women's intention to have a mammography within the next two years and their intention to have a clinical breast examination (CBE) by a professional within the next year. Two random samples of women aged 40–69 years (n_a = 354, n_b = 344) completed a self-administered questionnaire that investigated theoretical constructs of the theory of planned behavior. The results of structural equation modeling showed that subjective norms and perceived behavioral control explained 81 % of the variance in intention of having a mammography. Sixty-five percent (65%) of the variance in intention of having a CBE was explained by attitude and perceived behavioral control. In conclusion, women need to be better informed, have better skills to overcome psychological and physical barriers in performing preventive breast behaviors, and promotion of preventive breast cancer methods should consider people significant for women.