Nonlinearity of healing: Healing narratives of Filipino therapists-in-training who self-identify as wounded healers

Due to the stigma therapists-in-training face within the field owing to their woundedness, and the dearth of psychological literature on the healing of wounded healers (WHs), this study examined the healing journeys of nine Filipino therapists-in-training who self-identify as WHs. Narrative Identity framework was utilized to analyse the healing narratives gathered from nine semi-structured interviews with therapists-in-training. Results focussed on the healing narratives and how these shaped the identity and development of these future practitioners. The healing narratives of therapists-in-training were generally composed of four chapters: (a) identifying the wounded-client identity and its wounds, (b) entering the counselling field brings the emergence of the healer-therapist identity, (c) nonlinearity of healing transforms into a fluid WH, and (d) continuing the healing journey. These never-ending and nonlinear journeys shaped how therapists-in-training perceived and constructed or deconstructed their identification, with their dual identities influencing their practice. Additionally, their healing journeys contributed to their development as therapists who continue to heal from their woundedness. This study contributes to the literature regarding therapists-in-training who self-identify as WHs through the emphasised healing process. Moreover, this study may both lessen the stigma surrounding therapists-in-training's woundedness and help colleagues, educators, mentors and supervisors within the counselling field to better help trainees through the creation of open spaces, classes and training programmes that may help in enhancing their well-being and utilising their woundedness to increase, rather than impair, their therapeutic ability.     

Tactile spatial acuity differs between fingers: a study comparing two testing paradigms

Tactile spatial acuity (TSA) is a reliable and reproducible measure of somatosensory system function that has been used to study abroad range of subject populations. Although TSA is most often assessed at the fingertip, published studies employing identical stimuli disagree on whether TSA differs between the fingers of neurologically normal subjects. Using a validated grating orientation discrimination task, we determined TSA bilaterally at the index and ring fingers of 16 healthy young adults. Motivated by earlier work, we utilized two stimulus presentation paradigms, the method of constant stimuli (MCS) and a staircase (SC) method. We found that TSA was significantly higher (the discrimination threshold was lower) at the index than at the ring finger, which was consistent with a prior study. Although mean thresholds at both fingers were higher when measured with the SC than with the MCS paradigm, this difference did not reach statistical significance (p = .14). These findings should facilitate both design and interpretation of future studies investigating TSA.     

The time course of neural changes underlying auditory perceptual learning

Improvement in perception takes place within the training session and from one session to the next. The present study aims at determining the time course of perceptual learning as revealed by changes in auditory event-related potentials (ERPs) reflecting preattentive processes. Subjects were trained to discriminate two complex auditory patterns in a single session. ERPs were recorded just before and after training, while subjects read a book and ignored stimulation. ERPs showed a negative wave called mismatch negativity (MMN)—which indexes automatic detection of a change in a homogeneous auditory sequence—just after subjects learned to consciously discriminate the two patterns. ERPs were recorded again 12, 24, 36, and 48 h later, just before testing performance on the discrimination task. Additional behavioral and neurophysiological changes were found several hours after the training session: an enhanced P2 at 24 h followed by shorter reaction times, and an enhanced MMN at 36 h. These results indicate that gains in performance on the discrimination of two complex auditory patterns are accompanied by different learning-dependent neurophysiological events evolving within different time frames, supporting the hypothesis that fast and slow neural changes underlie the acquisition of improved perception.     

Cost-Effectiveness and Health Care Utilization in a Multidisciplinary Pain Center: Comparison of Three Treatment Groups

Recent literature supports the efficacy of multidisciplinary pain management in treating persons suffering from chronic pain. However, the components of multidisciplinary pain management need to be evaluated in terms of effects on patients' quality of life as well as saving of future health care dollars. Therefore, cost-effectiveness of three treatment groups was compared by examining treatment outcome, posttreatment health care costs, and posttreatment health care visits. Results revealed that patients receiving both medical and psychological treatment (multidisciplinary pain management) exhibited the largest improvements in functional capacity, while being the least costly after their treatment program had ended. In contrast, patients who received only medical treatment exhibited significant deterioration in outcome after their treatment ended, and consumed substantially more posttreatment health care dollars.     

The Roles of Semantic and Phonological Information in Word Production: Evidence from Spanish–English Bilinguals

The research investigated the roles of semantic and phonological processing in word production. Spanish–English bilingual individuals produced English target words when cued with definitions that were also written in English. When the correct word was not produced, a secondary task was performed in which participants rated the ease of pronunciation of a Spanish prime word. We varied the relatedness between target and prime words. In related conditions, the target and prime words were cognates (i.e., similar in meaning and sound), false cognates (i.e., similar in sound, but different in meaning), or noncognates (i.e., similar in meaning, but different in sound). In unrelated conditions, target and primes were dissimilar in sound and meaning. The results showed that participants’ performance was influenced by semantic as well as phonological information. These results provided evidence that semantic as well as phonological information can influence word production, as is predicted by memory models in which representations for semantic and phonological levels of representation are interconnected.     

Evaluation of a Heredofamilial Cancer Unit in Increasing Family History Collection and Genetic Counseling Referrals Among Spanish Oncologists at a University Hospital

A comprehensive family history is essential to identify patients at risk for hereditary cancer who could benefit from genetic counseling (GC). In a previous study, we observed a low occurrence of family history record (FHR) collection rate and GC referral among oncologists at our institution. The present work analyzes whether the implementation of a heredofamilial cancer unit (HFCU) would improve these parameters. We retrospectively compared the FHR rate in clinical records, National Cancer Institute (NCI) general criteria for hereditary cancer suspicion, GC referrals and FHR quality in two cohorts: cohort 1 (patients diagnosed before HFCU creation) and cohort 2 (after HFCU creation). Of 1,175 patients (590 cohort 1 and 585 cohort 2), FHRs were consigned in 27.3 % and 52.5 % of patients, respectively (p?<?0.001). The GC referral of patients with any NCI criterion was 13.6 % xin cohort 1 vs. 40.5 % in cohort 2 (p?<?0.001). FHR quality improved in terms of the total number of relatives (164 vs. 314, p?=?0.1, N.S.) and number of healthy relatives consigned (80 vs. 191, p?<?0.01). Nine mutations (6 BRCA, 1 MEN1, 2 Lynch), 4 unknown significance variants (all in BRCA) and 2 with no mutation were identified among patients referred from cohort 2. We conclude that the creation of a heredofamilial cancer unit has changed both FHR and GC referrals among oncologists at our institution, although continuous educational efforts are required.     

Professional Self-Efficacy as a Predictor of Burnout and Engagement: The Role of Challenge and Hindrance Demands

ABSTRACT. The objective of the current study is to analyze the role of professional self-efficacy as a predictor of psychosocial well-being (i.e., burnout and engagement) following the Social Cognitive Theory of Albert Bandura (1997). Structural Equation Modeling was performed in a sample of secondary school teachers (n = 460) and users of Information and Communication Technology (n = 596). Results show empirical support for the predicting role that professional self-efficacy plays in the perception of challenge (i.e., mental overload) and hindrance demands (i.e., role conflict, lack of control, and lack of social support), which are in turn related to burnout (i.e., erosion process) and engagement (i.e., motivational process). Specifically, employees with more professional self-efficacy will perceive more challenge demands and fewer hindrance demands, and this will in turn relate to more engagement and less burnout. A multi-group analysis showed that the research model was invariant across both samples. Theoretical and practical implications are discussed.     

A Grounded Theory of Filipino Wellness (<Emphasis Type="Italic">Kaginhawaan</Emphasis>)

The purpose of this study was to develop a theory to explain Filipino wellness (kaginhawaan). Open-ended and semi-structured face-to-face interviews were conducted among 18 Filipinos. Nine resided in the city and the rest lived in the rural areas. The participants were also representative of the low, middle, and high levels of family income prescribed by the Philippine’s National Statistics Office. Glasser and Strauss’ (The discovery of grounded theory: strategies for qualitative research. Aldine Publishing Company, Chicago, 1967) grounded theory approach was used to guide the process of investigation. The findings suggest that Filipino wellness is a condition where an individual enjoys economic freedom and security and psycho-emotional wellness within the context of the family. In the absence of family, an individual may turn to occupation to provide a semblance of Filipino wellness. On the other hand, when the individual faces economic difficulties, one turns to spirituality as a source of wellness.     

Exploring linguistic correlates of social anxiety in romantic stories

The current study used computerized linguistic analysis of stories about either going on a date or taking a walk down a street to examine linguistic correlates of social anxiety in a sample of undergraduate students. In general, linguistic analysis revealed associations of social anxiety with several linguistic variables, including negative emotion, affect, and anxiety words. Participants higher in social anxiety wrote fewer affect words. The relationship between social anxiety and anxiety words depended on gender, whereas the relationship between social anxiety and negative emotion words depended on both gender and the nature of primes (supraliminal vs. subliminal) received. Overall, our findings highlight the potential utility and benefits of using linguistic analysis as another source of information about how individuals higher in social anxiety process romantic stimuli.     

Do not fear your opponent: suboptimal changes of a prevention strategy when facing stronger opponents

The time spent making a decision and its quality define a widely studied trade-off. Some models suggest that the time spent is set to optimize reward, as verified empirically in simple-decision making experiments. However, in a more complex perspective compromising components of regulation focus, ambitions, fear, risk and social variables, adjustment of the speed-accuracy trade-off may not be optimal. Specifically, regulatory focus theory shows that people can be set in a promotion mode, where focus is on seeking to approach a desired state (to win), or in a prevention mode, focusing to avoid undesired states (not to lose). In promotion, people are eager to take risks increasing speed and decreasing accuracy. In prevention, strategic vigilance increases, decreasing speed and improving accuracy. When time and accuracy have to be compromised, one can ask which of these 2 strategies optimizes reward, leading to optimal performance. This is investigated here in a unique experimental environment. Decision making is studied in rapid-chess (180 s per game), in which the goal of a player is to mate the opponent in a finite amount of time or, alternatively, time-out of the opponent with sufficient material to mate. In different games, players face strong and weak opponents. It was observed that (a) players adopt a more conservative strategy when facing strong opponents, with slower and more accurate moves, and (b) this strategy is suboptimal: Players increase their winning likelihood against strong opponents using the policy they adopt when confronting opponents with similar strength.