Response: Clinical wisdom and evidence-based medicine are complementary

A long-debated question in the philosophy of health, and contingent disciplines, is the extent to which wise clinical practice ("clinical wisdom") is, or could be, compatible with empirically validated medicine ("evidence-based medicine"--EBM). Here we respond to Baum-Baicker and Sisti, who not only suggest that these two types of knowledge are divided due to their differing sources, but also that EBM can sometimes even hurt wise clinical practice. We argue that the distinction between EBM and clinical wisdom is poorly defined, unsupported by the methodology employed, and ultimately incorrect; crucial differences exist, we argue, not in the source of a particular piece of clinical knowledge, but in its dependability. In light of this subtle but fundamental revision, we explain how clinical wisdom and EBM are--by necessity--complementary, rather than in conflict. We elaborate on how recognizing this relationship can have far-reaching implications for the domains of clinical practice, medical education, and health policy.     

Supervisor Support and Organizational Commitment: The Role of Work–Family Conflict,Job Satisfaction,and Work–Life Balance

Building on conservation of resources theory and social exchange theory, the author examined the relationship between supervisor support and organizational commitment through work–family conflict, work–life balance, and the job satisfaction of employees working in the financial sector in Australia. The study comprised 305 employees recruited through an online survey. Results indicate that supervisor support is negatively related to work–family conflict. In turn, work–life balance and job satisfaction are negatively linked to work–family conflict. The results further show that both work–life balance and job satisfaction are positively related to organizational commitment. Theoretical and practical implications, as well as limitations, are discussed.     

The Assessment of Marital Adjustment with Muslim Populations: A Reliability Study of the Locke–Wallace Marital Adjustment Test

The Muslim population is growing rapidly throughout the world and a sizable population of 6–8 million Muslims is estimated in North America alone. This population deals with a vast array of issues, including marital adjustment. Nevertheless, the marriage and family literature lacks the research needed to facilitate therapeutic treatment with Muslim couples adequately. Marital adjustment assessments that are commonly utilized have been tested on predominantly Anglo-American or Caucasian couples. The present study is a preliminary investigation of the Locke–Wallace marital adjustment test’s (LWMAT) reliability when administered to married, Muslim-American people.     

Overshadowing the Reminiscence Bump: Memories of a Struggle for Independence

We describe a study in which young and older groups of Bangladeshi participants recalled and dated autobiographical memories from across the lifespan. Memories were subsequently plotted in terms of the age of participants at time of encoding. As expected the reminiscence bump, preferential recall of memories from the period of 10 to 30 years of age, was observed. This was very marked in the younger group and but less so in the older group who also showed a second bump in the period 35 to 55 years of age. This second bump corresponded to the period of national conflict between Pakistan and the Bengalee people that resulted in the formation of an independent Bangladesh. It is proposed that both the reminiscence bump and later periods of unexpected rises in recall can be accounted for by the raised accessibility of sets of memories and this in turn is a product of the privileged encoding of highly self-relevant experiences.     

Culture-bound syndromes and healing practices in Malaysia

This paper describes prominent culture-bound syndromes (CBS) in Malaysia. While some of the syndromes are listed in the Diagnostic and Statistical Manual (DSM-IV), their causation and treatment are not addressed. It is important for mental-health professionals to know that while the DSM-IV is widely used in many non-Western countries, the local population continues to believe in and practice indigenous methods of healing. Mental-health concepts and healing practices in the Malay and Chinese cultures, their clinical implications, and the need for ongoing research are emphasized.     

Psychology from Islamic Perspective: Contributions of Early Muslim Scholars and Challenges to Contemporary Muslim Psychologists

Early Muslims wrote extensively about human nature and called it Ilm-al Nafsiat or self-knowledge. In many cases, their works seem to be the original ideas for many modern day psychological theories and practices. What is interesting however is that a lot of what the early scholars wrote was blended with Islamic philosophy and religious ideas. This paper covers major contributions of prominent early Muslim scholars to psychology and outlines the challenges faced by today's Muslims in adapting to the Western theories. It also offers a few recommendations on the indigenization of psychology for Muslim societies interested in seeking the Islamic perspective on human behaviors.     

Openness to Experience,Ethical Leadership,and Innovative Work Behavior

Drawing on trait activation theory, we examine ethical leadership as a boundary condition on the relationship between openness to experience and innovative work behavior. We collected data from 291 subordinates and 51 supervisors to test our theoretical model. Our results suggest that openness to experience was positively related to innovative work behavior. Furthermore, this relationship was only significant when ethical leadership was perceived high as compared to low. Our research contributes to the literatures on innovative work behavior and ethical leadership.     

Using functional near‐infrared spectroscopy to assess social information processing in poor urban Bangladeshi infants and toddlers

Children living in low‐resource settings are at risk for failing to reach their developmental potential. While the behavioral outcomes of growing up in such settings are well‐known, the neural mechanisms underpinning poor outcomes have not been well elucidated, particularly in the context of low‐ and middle‐income countries. In this study, we measure brain metabolic responses to social and nonsocial stimuli in a cohort of 6‐ and 36‐month‐old Bangladeshi children. Study participants in both cohorts lived in an urban slum and were exposed to a broad range of adversity early in life including extreme poverty, malnutrition, recurrent infections, and low maternal education. We observed brain regions that responded selectively to social stimuli in both ages indicating that these specialized brain responses are online from an early age. We additionally show that the magnitude of the socially selective response is related to maternal education, maternal stress, and the caregiving environment. Ultimately our results suggest that a variety of psychosocial hazards have a measurable relationship with the developing social brain.     

Cross-cultural Variation in the Importance of Psychological Characteristics: A Seven-country Study

The Psychological Importance (PI) of personality traits is defined as the degree to which they provide information useful in understanding and predicting behaviour. University students from 7 countries (Chile, China, Nigeria, Norway, Pakistan, Portugal, and the United States) rated the PI of each of the 300 items of the Adjective Check List along a 5-point scale. PI was shown to be a meaningful (i.e. reliable) concept in each country. Comparisons of PI ratings between pairs of countries indicated correlations ranging from 0.23 to 0.73, with a mean of 0.49 among the 7 countries. A variety of additional analyses indicated that six of the seven countries tended to group themselves into two clusters: (1) China, Nigeria, and Pakistan; and (2) Chile, Norway, and the United States. In the second cluster, trait importance had a curvilinear relationship to trait favourability (i.e. both good and bad traits may be important) whereas in the first cluster trait importance and favourability had a linear relationship (i.e. only good traits may be important). The findings were suggestive of substantial cross-cultural differences in the importance assigned to psychological traits.