Counselling in primary care and the new NHS

A detailed overview of the changes in the structures of the new NHS in England, Scotland and Wales is presented, looking at the effect these changes will have on counsellors working in primary care. New structures for the provision of counselling in primary care and their implementation are explored. Supervision of counsellors in primary care is addressed and how supervision might fit into a managed counselling service. The requirements of clinical governance are discussed, as is the necessity of appropriate audit and evaluation data to inform service and individual development.     

Religiosity and Spirituality: Influence on Quality of Life and Perceived Patient Self-Efficacy among Cardiac Patients and Their Spouses

The purpose of this study was to determine the influence of spirituality, religiosity, and religious coping on quality of life and self-efficacy among couples following a first time cardiac event. There was no significant association between measures for spirituality and religiosity and couples’ ratings for quality of life and self-efficacy. Negative forms of religious coping were associated with lower levels of quality of life and decreased confidence in the patient’s ability to perform physical tasks. Spouses’ measures for quality of life, self-efficacy, spirituality, religiosity, and religious coping were associated with patients’ measures for the same study variables. Joan F. Miller, RN, Ph.D., is Assistant Professor of Nursing, Bloomsburg University, Bloomsburg, Pennsylvania 17815 and Director of the Bloomsburg University Nursing Wellness Center. The author gives special thanks to Timothy R. McConnell, Ph.D., and Troy A. Klinger, M.S., for their research support and helpful feedback.     

What does it mean to be an ally?: The perception of allies from the perspective of people of color

Allies are frequently studied from the viewpoint of dominant group members. Three studies took a different perspective by investigating how people of color perceive both White allies and allies of color. Study 1 used content analysis of qualitative data from 80 people of color to describe eight major themes of ally perception. With samples of 182 and 195 people of color, Studies 2 and 3 employed exploratory and confirmatory factor analysis to identify two subscales, informed action and affirmation, based on the themes. Both independent and paired samples t tests showed that people of color rating a White ally versus an ally of color perceived significantly less willingness to engage racial issues. Findings are discussed in relation to existing allies research.     

Attachment within family systems: An overview

A family systems approach provides a context for the development and maintenance of dyadic attachment relationships. An attachment approach provides a focus on the expression of and response to attachment behavior within a family. Uniting the two approaches has implications for both research and intervention. Characteristics of attachment theory and family systems theory are briefly outlined: Both involve systemic thinking. Different styles of interacting at the level of the family as a whole, working models of relationships, and dyadic interactions appear to correspond in a coherent way. Further research is needed in order to identify which dimensions of family functioning are relevant to the development of secure attachments, and how the relevant dimensions may change with age and stage in the family life cycle. This will provide targets for preventive interventions, with the development of secure relationships as a primary goal.     

Effects of Playing Videogames on Children's Aggressive and Other Behaviors1

Noting the pervasiveness of videogames in American culture, the authors set out to examine the effects that playing videogames has on children. Thirty-one children were matched on sex, randomly assigned to play either a violent (karate) videogame or a nonviolent (jungle vine swinging) videogame, and then observed during free play. The main results were that the children who had played the jungle swing videogame later played more with a jungle swing toy and that the children who played the violent videogame later showed more aggression. The authors interpreted the findings as an indication that young children who play videogames later tend to act similarly to how their videogame character acted.     

PROCEDURAL VARIATIONS IN GROUP CONTINGENCIES: EFFECTS ON CHILDREN'S ACADEMIC AND SOCIAL BEHAVIORS

There has been little research on the effects of the many procedural variables in applied group contingencies. In the present study, an individualized contingency and three group contingencies with different “responder” criteria (e.g., reward based on the group average, reward based on the work of a designated, low-achieving student, or reward based on the work of a randomly selected student) were applied to the academic work of primary grade children in a learning disabilities classroom. Group social interaction during each contingency was measured systematically. Although there were large individual differences in students' academic and social responses to the different contingencies, some consistent effects were observed. Two of the four low-achieving target students did their best academic work during the group contingency which focused on their performance as a designated responder. This type of contingency also produced high levels of positive social interaction in three of four groups of children observed.     

Psychometric Aspects of Verbal Pragmatic Ratings

This study examined the psychometric aspects of a verbal pragmatic rating scale. The scale contained six pragmatic features (i.e., Conciseness, Lexical Selection, Quantity, Relevancy, Specificity, and Topic Maintenance) based on Grice's cooperative principles. Fifteen right brain-damaged (RBD), 15 left brain-damaged (LBD), and 16 healthy normal control (NC) right-handed adult participants produced narratives while recollecting emotional and nonemotional experiences. Naive raters evaluated each pragmatic feature for appropriateness on a 5-point Likert scale. When reliability was examined, the overall internal consistency of the pragmatic scale was extremely high (alpha =.96). Factor analysis was conducted to examine the theoretical relations among the six pragmatic features. Three meaningful factors involving discourse content, conceptual unity, and parsimony were identified. Findings are discussed in light of Grice's model and the construct validity of the scale.     

The effect of fixation transitions on quiet eye duration and performance in the soccer penalty kick: instep versus inside kicks

Male goalkeepers of intermediate skill level attempted to stop penalty kicks executed with the instep and inside foot, in situ. A mobile eye tracker and an external camera were used to collect the gaze and motor behaviors of the goalkeepers, as well as the penalty takers’ motor behaviors and flight of the ball. Percent saves was greater during instep (28%) than inside foot kicks (12%), but we detected few differences in fixation frequency, location, duration, or transitions that could be attributed to the type of kick used. Fixation transitions (or the frequency of gaze shifts between locations) were significantly higher on goals than on saves. During the final phase of the kicking action, the quiet eye was located on the visual pivot and was longer during saves than goals. Furthermore, when the final fixation on the ball exceeded approximately 1,100 ms, then the likelihood of goals increased. The results are discussed in light of past studies in goaltending and the dual demands of motor tasks that require information be fixated both early and late at spatial locations that exceed the limits of focal vision.