Informed Consent in Emergency Research: A Contradiction in Terms

Improving the treatment of life threatening emergency illness or disease requires that new or novel therapies be assessed in clinical trials. As most subjects for these trials will be incapacitated there is some controversy about they might best protected whilst still allowing research to continue. Recent European and UK clinical trials legislation, which has effectively stopped research into emergency conditions, is discussed. Possible changes to these regulations are proposed.     

再探框架对风险决策行为的影响

期望理论运用Ｓ状的价值函数和非线性的权重函数来解释和预测框架效应。“齐当别”抉择模型将不同框架下的抉择行为简单地看成是“最好可能结果之间的取舍”或者“最坏可能结果之间的取舍”。本研究设计了一“匹配”技术,并用此对作者所报告过的支持框架效应与不支持框架效应的选择问题加以再检验。实验表明,采用不同的框架并不能预测性地决定不同的抉择偏爱,而匹配结果所示的“齐当别”策略则能更好地对所收集到的有关框架效应的数据作出解释。     

Clients in Treatment for Alcohol Problems: Treatment Experiencesand Outcomes

This report presents an analysis of National Treatment Improvement Evaluation Study data describing the characteristics and treatment experiences of clients entering treatment for alcohol problems. Three client groups were contrasted—those entering treatment for alcohol only, for alcohol plus other drugs, or for other drugs only. Clients using alcohol only were more often white, male, and currently employed. Alcohol only clients were treated predominantly in outpatient settings. Alcohol only clients were frequently referred to treatment by the criminal justice system, and less often self-referred. In all 3 study groups, employment, general health, and mental health outcomes were improved following treatment. Illicit drug use increased marginally for the alcohol only group following treatment. No significant posttreatment reductions in reports of total abstinencefrom alcohol were found for any of the groups. Findings are discussed as they relate to research, treatment practice, and policyareas.     

The Relationship Between SME Job Experience and Job Analysis Ratings: Findings with and without Statistical Control

This investigation examined the relationship between SME job experience and job analysis ratings. Managerial job incumbents (N = 209) provided job analysis ratings which measured 9 task frequency and 6 skill importance components. Job experience was operationalized as both job tenure and residualized job tenure (i.e., statistically-controlled for SME characteristics correlated with job tenure). Respondents were categorized into low, medium, and high groups for each tenure measure. MANOVA results indicated that task ratings differed across residualized tenure groups, while skill ratings did not. Statistical control of the job tenure measure made a substantial difference in results. For the non-residualized tenure groups, findings were reversed: skill ratings differed across non-residualized tenure groups, while task ratings did not. The results of this research are integrated with the existing literature and implications for future research and practice are offered.     

Interviewing a Therapist in the Presence of a Couple: A Description of the Therapeutic Process

A therapy research team interviewed a therapist in the presence of a couple. Following each of six consecutive sessions with a couple, an interviewer posed questions to the therapist and couple. While one question was standard to each interview, other questions were generated by team members who tracked the entire process via live observation. These questions were directed first at the therapist, then at the couple, and then focused on therapeutic process and outcome. Findings of this process for the therapy system included decreasing the hierarchy within the client/therapist relationship; increasing the client ownership and energy in the therapy process; discovering the presence of parallel processes between the systems; and informing the direction of future therapy sessions. Practical, clinical implications are discussed for a variety of therapy settings.     

Communicating Negative Hire Decisions to Applicants: Fulfilling Psychological Contracts

This study demonstrates that characteristics of rejection letters combine in a complex manner to affect impressions of the organization, and likelihood of re-applying to and of patronizing the organization. Specifically, the most negative reactions to rejection letters were found when a contact person existed, along with a long time interval before receiving a letter that failed to include an explicit statement of rejection. Some support was found for the failure to receive a rejection letter as a psychological contract violation.     

The Factor Structure of the Beavers Interactional Scales

Confirmatory factor analysis and regression analyses of the Beavers Interactional Scales did not appear to support the model offered by its developers, namely, several specified family attributes contributing respectively to two global factors of Family Competence and Family Style. Moreover, regression analysis indicated that only three of 12 items predicted raters' assessments of Global Family Health, and one of seven items predicted Global Family Style. Individuals interested in the family dynamic centripetal/centrifugal might best think of that as a unitary entity and rate it accordingly.     

My place,your place,and no place: Behavior settings as a risk factor for HIV-related injection practices of drug users in Baltimore,Maryland

Information is sparse on the social context of illicit drug injection behaviors and their relationship to HIV infection. This study examined relationships between injection settings, injecting with others, and HIV risk behaviors of sharing needles and not cleaning contaminated needles in a sample of 630 inner-city injecting drug users in Baltimore, MD. Through open-ended interviews, five primary settings of injection behavior were identified. These settings included one's own, friends' and mother's residence, shooting galleries, and semipublic areas. Most participants reported injecting in their own residence (92%) and friends' residence (86%) in the prior 6 months. In a multiple regression analysis, injecting at friends' residence, in shooting galleries, and in semipublic areas and frequency of injecting with others were significantly associated with frequency of sharing uncleaned needles, “slipping” (i.e., failure to disinfect shared needles), and not always cleaning used needles before injecting. Results suggest that interventions may benefit from targeting settings as well as behaviors to reduce the spread of HIV. This research was supported by grants DA04334, DA05911, DA06313, and DA08985 from the National Institute on Drug Abuse.     

Patterns of 4-month-old infant responses to hidden silent and sounding people and objects

Responses of 4-month-old infants to hidden people and objects were investigated with equated task demands. Twenty-one 4-month-old infants were administered a combined task, in which they were shown a sounding stimulus that continued to sound after hiding, an auditory task, in which sound was the only source of information about the position of the object in space, and a vision task, in which a silent stimulus was shown to the infants prior to hiding. Five infant behaviours were coded: reaching, gazing, body movements, vocalizations and smiles. The infants reached significantly more for hidden objects than for people, to whom they vocalized instead. They further smiled, and moved their bodies more towards their invisible mother than to the other stimuli. Thus infants responded differentially to people and objects whether the stimuli were soundless (so that there was no cue to their presence) or not. This suggested that infants appreciated (a) that an object had been hidden; (b) this object was either animate or inanimate; and (c) different procedures were appropriate for the retrieval of, or for interacting with animate and inanimate objects. Discussion centres on the underlying representational system that allows for such appreciation.