Understanding Patients' Reactions to Services: The Role of Personal Service Values in Heart Patient Satisfaction and Wellness

This study proposed an individual-difference perspective on heart patients' customer-service satisfaction. We hypothesized that heart patients' satisfaction with service is positively related to wellness and that instrumental care, expressive care, and communication effectiveness are positively related to satisfaction and wellness. We also hypothesized that patients' values for services would moderate the relationship between service provision and outcomes. A survey of 217 heart patients provided support for these hypotheses. Of particular interest were findings that: (a) the service provision-service outcomes relationship was moderated by service values for some patient groups but not for others; and (b) the service provision-outcomes relationship differed across patient subgroups. We discuss the implications for patient satisfaction research and for planning individualized treatment strategies.     

Immediate Feedback Assessment Technique Promotes Learning and Corrects Inaccurate first Responses

The Psychological Record - Multiple-choice testing procedures that do not provide corrective feedback facilitate neither learning nor retention. In Studies 1 and 2, the performance of participants...     

Moderator effects of attitudinal ambivalence on attitude–behaviour relationships

Attitudinal ambivalence is generally construed as existing when the same attitude object is evaluated simultaneously as both positive and negative. The present research examined the moderating role of attitudinal ambivalence (as assessed by split‐semantic differential measure) on the relationship between bipolar semantic differential measures of attitude and subsequent behaviour using moderated regression analysis. In Study 1, higher levels of attitudinal ambivalence were shown to result in weaker attitude–behaviour relationships for eating a low‐fat diet (N = 140) and eating 5 portions of fruit and vegetables per day (N = 142). Study 2 (N = 361) replicated this effect when also including a measure of past behaviour for eating a low‐fat diet. Implications for understanding the relationship between attitudes and behaviour are discussed. Copyright © 2002 John Wiley & Sons, Ltd.     

Relationship of Attachment and Social Support to College Students' Adjustment Following a Relationship Breakup

Two constructs integral to adolescent development, continuing parental attachment and social support, were investigated to assess whether the constructs are differentially related to indices of adjustment following a romantic relationship breakup. Participants were 241 undergraduate students (M age = 20.62 years, 61% female, 39% male) with a relationship breakup within the last year. As hypothesized, hierarchical regression analyses showed that current attachment levels were related to the outcome variables. Indices of social support accounted for additional variance only when broadly conceptualized as perceived connection to the social environment, rather than perceived support from family and friends. Implications for counseling are discussed.     

Internistische Psychosomatik

Die psychische Komorbidität internistischer Patienten im Sinne einer ICD-Diagnose des Kapitels F beträgt mehr als 35%: Neurotische, besonders somatoforme, Schmerz-, affektive Störungen und Suchterkrankungen sind häufig. Die Liegedauer ist bei psychischer Komorbidität deutlich erhöht. Es benötigen 5% der internistischen Patienten ein psychosomatisches Konsil. Neue, komplexe Behandlungsstrategien, wie Transplantationen, Kardioverter-Defibrillatoren, Medikamentenpumpen, erfordern häufig spezifische psychosoziale Interventionen. Ältere Patienten haben Erkrankungen, die zunehmend chronifizieren und komplexer werden. Damit werden Lebensqualität und psychische Komorbidität zu zentralen Outcomevariablen der Volkskrankheiten. Das zweite große Aufgabenfeld internistischer Psychosomatik ist die Untersuchung und die Behandlung psychosomatischer Patienten im engeren Sinne (Essstörungen, Schmerz- und somatoforme Störungen), weil internistische Diagnostik und Therapie erforderlich oder die Motivation der Patienten primär somatisch ist. Organisationsmodelle reichen von Konsil-/Liaisondiensten bis zu integrierten psychosomatischen Abteilungen oder Fachabteilungen an Allgemeinkrankenhäusern. Aussichtsreiche Forschungsstrategien werden neben der Erforschung psychosomatischer Mechanismen in der Entwicklung pragmatischer Behandlungsprogramme, ihrer Überprüfung in klinischen Studien und der Versorgungsforschung gesehen. Darüber hinaus sollte eine Intensivierung nationaler und internationaler Forschungsnetze erfolgen, wenn immer möglich unter Beteiligung anderer Disziplinen, um auch im Bereich der Forschung konkurrenzfähig zu bleiben.     

The puzzle of Freud's puzzle analogy: Reviving a struggle with doubt and conviction in Freud's Moses and monotheism

In this paper the author points to a puzzle raised by Freud's contradictory use of an analogy of a jigsaw puzzle. She shows how, through the attempt to resolve this puzzle, meanings and implications of Freud's difficult struggle with his search for truth in Moses and monotheism come alive, both in Freud's writing and in the author herself. Central to this struggle is an encounter with the sources of doubt and conviction that ultimately allows one to embrace ideas experienced as true, although they are not demonstrable evidentially. The paper sheds light on the importance of Moses and monotheism as a theoretical text that reflects on developments in Freud's thinking on truth, and the possibility, dangers and inherent difficulties of grasping it.     

Who Benefits From What? Drive for Thinness as a Moderator of Responsiveness to Different Eating Disorder Prevention Messages1

This research examined how women respond to different types of messages regarding eat ing disorders, and specifically whether women's degree of drive for thinness moderated their responsiveness to particular messages. In this study, 112 undergraduate women were randomly assigned to receive a condition focusing on either healthy eating or disordered eating. First, and as hypothesized, findings at an immediate posttest revealed that women found the healthy eating condition more enjoyable, personally relevant, and interesting, whereas they found the disordered eating condition more anxiety‐provoking and fear‐inducing. Second, and contrary to predictions, findings at the 3‐month follow‐up indicated that those who were high on drive for thinness were hurt by participation in the disordered eating condition, whereas those who were low on drive for thinness were helped by participation in this condition. Discussion focuses on the theoretical and applied implications of these findings.