Development of the Injury Perceptions Questionnaire (InjPQ)

Objectives: Injuries are major causes of morbidity and mortality in the population. Given the central role of perceptions in self-regulation of health conditions, it is important to investigate how they are perceived. This article describes the development of the Injury Perceptions Questionnaire (InjPQ).

Methods: A concurrent study in a diverse sample of injured individuals (n = 333). The internal structure and the reliability (Cronbach’s α) of InjPQ sub-scales were explored by factor analyses. Relationships between injury perception dimensions and equivalent illness perception scales and outcome measures (self-assessed health; physical, emotional and social functioning; depression, anxiety and somatisation; satisfaction with life) were investigated.

Results: The InjPQ was found to represent the following perception scales: injury identity composed of social and body part components, PTSD symptoms, Injury event, Injury specific emotions, Injured self-image, Positive consequences, Responsibility/guilt, Coping, Time distance, Dependency, Healthy self, External attributions and Injury risk factors. The reliability and construct validity of the scales were found adequate.

Conclusions: Injury perceptions can be reliably measured. While partly overlapping with equivalent illness perception scales, the InjPQ depicts cognitive dimensions unique to injury that add significantly to explaining variance in outcomes. The InjPQ is recommended for research and clinical use as a measure of injury perceptions.     

Utility of the Behavior Rating Inventory of Executive Function – Preschool version (BRIEF-P) in young children with epilepsy

Executive functioning deficits are prominent in children with epilepsy. Although instruments, such as the Behavior Rating Inventory of Executive Function (BRIEF), are useful in detecting executive dysfunction in school-age children with epilepsy, little data are available for younger children. The present study evaluates the ability of the Behavior Rating Inventory of Executive Function – Preschool Version (BRIEF-P) to detect executive dysfunction in preschool-age children with epilepsy. Parents of 51 clinically referred children with epilepsy (age: M = 1.99 years, SD = 1.29 years, range = 2–5 years) completed the BRIEF-P. Using a cutoff t score of ≥65 as the threshold for impairment, the BRIEF-P’s ability to detect executive dysfunction within this clinical population was established. Additionally, correlational analyses were used to assess the relations between epilepsy severity factors and BRIEF-P indices. Epilepsy severity variables that were significantly related to BRIEF-P indices were entered into a linear regression model to explore their predictive ability. Emergent metacognition (emergent metacognition index [EMI]; 59%) and the global executive composite (43%) were the most frequently elevated indices. The most commonly elevated subscales were working memory (65%), inhibition (37%), and planning/organization (35%). Age of seizure onset, seizure frequency, and number of antiepileptic drugs were not significantly correlated with BRIEF-P indices. However, children with lower intellectual ability were rated as having greater executive dysfunction, specifically with EMI (r = ?.30). Still, intellectual functioning only accounted for a small percentage (9%) of the variance in EMI scores. The current pilot study demonstrates that the BRIEF-P shows promise in identifying executive dysfunction in preschool-age children with epilepsy.     

Romantic love: What’s emotional intelligence (EI) got to do with it?

The study examined the role of EI in romantic love among newlywed couples. In addition, we set out to assess to what degree outcomes depend on the specific EI measure employed, i.e., maximal performance (ability-based) vs. typical performance (self-report). In the dyadic design implemented in this research, 100 young heterosexual married couples independently completed the Mayer–Salovey–Caruso emotional intelligence test (MSCEIT), the Schutte self-report inventory (SSRI), and a vocabulary subtest of the MILTA group intelligence battery. EI, assessed via an ability and a self-report measure, showed significant ‘actor effects’, but failed to show significant ‘partner effects’, thus only partially supporting the hypothesis that EI predicts romantic love. Whereas ability-based and self-report measures show the same pattern of relationship with romantic love in dyadic assessments, the magnitudes of outcome relationships as well as the correlations of EI with verbal ability are measure-dependent. Marital partners were not correlated on EI, thus providing little evidence for assortative mating for EI.     

Israeli Adolescents' help-seeking behaviours in relation to terrorist attacks: the perceptions of students, school counsellors and teachers

Exposure to terror seriously threatens the well-being of children and adolescents. School mental health professionals cope simultaneously with the counselling needs of their clients and with their own fears and doubts. This report is based on two studies. The first study was concerned with the perceptions of Israeli adolescents of the place of terrorist attacks in their lives. It also examined adolescents' help-seeking attitudes and behaviours in relation to terrorist attacks. The second study investigated Israeli school counsellors' and teachers' perceptions of their own roles and professional attitudes in relation to terror. A better understanding of the effects of terrorism on adolescents as well as potentially effective approaches to coping with its individual and organisational outcomes are proposed.     

The effects of emotional arousal and gender on the associative memory deficit of older adults

In this study we assessed the potential moderating roles of stimulus type (emotionally arousing) and participants’ characteristics (gender) in older adults’ associative memory deficit. In two experiments, young and older participants studied lists that included neutral and emotionally arousing word pairs (positive and negative) and completed recognition tests for the words and their associations. In Experiment 1, the majority of the word pairs were composed of two nouns, whereas in Experiment 2 they were composed of adjective–noun pairs. The results extend evidence for older adults’ associative deficit and suggest that older and younger adults’ item memory is improved for emotionally arousing words. However, associative memory for the word pairs did not benefit (and even showed a slight decline) from emotionally arousing words, which was the case for both younger and older adults. In addition, in these experiments, gender appeared to moderate the associative deficit of older adults, with older males but not females demonstrating this deficit.     

Effects of Attachment Style on Preferences for and Satisfaction with Different Employment Contracts: An Exploratory Study

Based on the characteristics of three attachment styles—secure, anxious/ambivalent, and avoidance—hypotheses were derived for differences between them with regard to preferences for three employment relationships differing in whether employees are internal—hired and paid by an organization or external—employed through software houses. In addition, hypotheses were also drawn for differences in overall and facet work satisfaction. The sample consisted of computer science students of whom a large proportion have also been working in that field, and individuals employed as software engineers. Anxious/ambivalents were relatively higher in preference for the external contract and lower in preference for the internal contract, as compared to the two other styles. Contrary to the hypotheses, the avoidants did not differ from the secure style in expressing the highest preference to the internal permanent contract and the lowest to the external contract. Work satisfaction was highest among the secure style but contrary to hypotheses, the anxious/ambivalent group did not differ significantly from that group concerning overall, intrinsic, and extrinsic satisfaction. The avoidants were lowest on those measures. Findings are discussed in light of the different attachment styles and the unique features of the high-tech industry.     

Countertransference envy toward the religious patient

Four illustrations have been presented which demonstrate the uses and interpretations of envy in countertransference reactions to religious patients. To be sure, envy reactions to any patient are significant, whether they simply distort the therapist's perception or contribute to a deeper understanding of the patient. In the case of the religious patient, envy reactions in the therapist may serve as an additional instrumentality for under-standing the ways in which the dynamic determinants of religious behavior and metaphor become enmeshed in and also transform the pathology of the patient as well as the therapeutic process itself. Both the constructive and destructive object relational implications of envy must be borne in mind by the therapist in order to adequately explore the range of reciprocating forces between therapist and patient. Primitive mechanisms such as projective identification and psychotic transference are particularly prone to evoke envy reactions of surprising intensities, yet an empathic attitude will usually enable the therapist to differentiate the true source of his envy as he more carefully comprehends the quality of object relational and dynamic needs such envy serves.     

Coping with Missile Attack: Resources, Strategies, and Outcomes

ABSTRACT The coping process was examined in a group of Israeli subjects experiencing SCUD missile attacks during the Persian Gulf War. We were interested in examining the relationship of coping resources, optimism, perceived control, and coping strategies, to anxiety, to physical symptoms, and to cognitive functioning during a real crisis. Data were gathered via structured questionnaires in the midst of the Persian Gulf War (February 1991) on a sample of 261 adult respondents residing in northern Israel. Although people reported a mixture of palliative and active coping strategies, it was the use of palliative coping efforts that predicted greater anxiety and physical symptoms. Subjects with greater coping resources used more palliative and active coping strategies and had higher cognitive functioning. However, active coping did not predict any of the negative stress reactions (i.e., anxiety and physical symptoms). People who perceived being in control of the situation reported using less palliative coping and fewer symptoms. That active coping did not predict negative stress reactions may have been a function of the severity of the stressor, and the resultant high levels of anxiety that were engendered. Overall, these findings do point to a different coping process in a grave and ongoing disaster situation than that reported in reaction to more normal life events.     

Counselling immigrants: School contexts and emerging strategies

In light of the important roles school counsellors fulfil, and their relatively high status and involvement in the Israeli educational system, the strategies counsellors employ when dealing with immigrant pupils in their educational institutions were investigated. The study was based on in-depth interviews with 37 counsellors working in secondary schools with relatively high numbers of recently-arrived immigrant students from the former Soviet Union. The findings highlight the great importance counsellors attribute to the school context and its organisational culture when formulating and implementing their work with immigrant pupils. Four counsellor roles for work with immigrants emerged from the interviews: as culturally-encapsulated assimilators, as self-facilitators, as specialists, and as cultural 'translators'. These strategies provide counsellors with frameworks for determining the issues to be addressed, their timing, identifying their clients, and devising maximally-effective tactics and techniques for implementation. The implications of these approaches are discussed in relation to counsellors' roles in educational institutions with multicultural populations.