Measuring Responsiveness in the Therapeutic Relationship: A Patient Perspective

This article reports results from a three-country study of patient perceptions of physician responsiveness. Based on existing research in the medical and social-psychological literatures, we theorized that patients' perceptions of physician responsiveness to their needs would be an important component of the patient–physician relationship and that this construct could be distinguished reliably from more global assessments of patient satisfaction. We then developed a new measure designed to assess these perceptions from the patients' point of view. This measure was administered to large samples of patients in the United States, the United Kingdom, and Canada. Results supported our hypotheses. Patient perception of physician responsiveness significantly predicted both patient satisfaction and subjective health-related problems, over and above effects attributable to general satisfaction. We also noted the absence of significant differences across the three cultures or sex, suggesting that the process we identify has considerable generality. We also describe a short version of our measure that researchers may find useful in a variety of research or clinical settings.     

ENHANCING THE ACCURACY OF LOW‐FREQUENCY BEHAVIOR DATA COLLECTION BY DIRECT‐CARE STAFF

Accurate data collection on low‐frequency problem behavior is imperative given the paucity of opportunities to observe, record, and assess responding. Infrequently occurring behavior also provides a challenge for staff training relative to data collection. The present study evaluated the use of task clarification and feedback to teach direct‐care staff members to take data on recorded, simulated problem behavior. Results indicated that the procedures were effective in increasing accuracy not only in the contrived scenarios but also for problem behavior in the natural environment. These data suggest that task clarification and feedback on simulated problem behavior may be an effective method to increase accurate data collection on problem behavior in the natural environment. Copyright © 2013 John Wiley & Sons, Ltd.     

A Study of Current, Former, and New Elderly Volunteers: A Comparison of Developmental and Trait Models of Personality

This study examined relationships among personality traits, ego development, and volunteering among retired seniors who were current, former, and new volunteers. Volunteer history, but not extensiveness of volunteer experience, was associated with higher ego development. Current volunteers had higher levels of ego development than former and new volunteers, and former volunteers had higher levels than new volunteers. Openness to experience and ego development were positively associated. Results of multiple-regression analyses indicated that openness and volunteering history and extensiveness positively predicted ego development. This study supported the hypothesis that ego development is related to volunteering and suggests that participation in volunteer work promotes ego development.     

State work engagement and state affect: Similar yet distinct concepts

State work engagement (SWE), a multidimensional construct of work-related well-being, was originally conceptualized as a trait, but diary studies have revealed substantial within-person fluctuations. Given that SWE is conceptualized as a work-related affective-motivational construct, the question arises as to whether SWE can be differentiated from other affective constructs. Thus, the goal of the present study was to compare SWE and state affect with respect to their degree of within-person variability and to examine their distinct relationships with health and performance variables (i.e., sleep quality and job performance). Fifty-two employees (44% female) participated in the study, which included 3 assessments per day over the course of 2 weeks. Our results revealed that energetic arousal and tense arousal fluctuated more strongly within days than vigor and absorption. Multilevel analyses demonstrated that high sleep quality predicted higher state affect but not higher SWE. In addition, vigor exhibited an inverted U-shaped relation with performance. In sum, SWE as a time-varying construct showed some overlap with state affect but also demonstrated discriminant validity.     

The effects of verbal reinforcement of intrinsic motivation for sex-linked tasks

Recent studies have demonstrated that positive verbal feedback enhances males' intrinsic motivation for a task, while decreasing that of females. This result has been attributed to differential socialization forces which make the controlling aspects of rewards more salient for females as opposed to males, for whom the informational aspects are prepotent. A weakness in this conclusion stems from the use of a masculine sex-linked task in prior experiments, producing a result which may be due to gender congruence/incongruence rather than to socialization differences. Two laboratory experiments were performed to examine the effects of verbal praise on intrinsic motivation, controlling for sex-typing of the experimental activity. Experiment I found that verbal praise increased females' and males' intrinsic motivation on both a feminine and masculine task, and intrinsic motivation was higher for sex-appropriate than sex-inappropriate tasks. The sexes did not show a differential pattern of response to praise. In Experiment 2, verbal praise also enhanced sex-role traditional females' intrinsic motivation on the same activity used in prior research. These results suggest that socialization content has changed sufficiently to make concerns about competence and self-determination equally salient for females and males.     

Male teacher effects on young children: A theoretical and empirical consideration

The argument has been frequently made that an increase in the number of male teachers working at the early school levels would reduce the number of school-related problems for boys. This argument is evaluated in the context of two major theories of sex-role development, the social learning and cognitive developmental theories, and the results of an examination of the studies of children's performance and development in relation to teacher's gender. The hypothesis that male teachers reduce boys' problems in school does not receive much support empirically or theoretically.This work was supported by a grant from the Quebec Department of Education to the first author.     

Positive youth development,thriving and social engagement: An analysis of gender differences in Spanish youth

The framework of Positive Youth Development (PYD) arose from a strength‐based conception of the transition to adulthood. Although previous literature has provided evidence for some PYD correlates, little is known about gender differences in PYD and its outcomes in thriving and social engagement, which could improve interventions” effectiveness. Thus, this study aimed to examine gender differences in PYD dimensions (i.e., competence, confidence, connection, caring, and character), individual thriving (i.e., psychological adjustment, academic adjustment, and healthy lifestyles) and social engagement, and to examine the associations between them. Data from the ‘PYD in a Cross‐National Perspective Project” in Spain were collected by administering a paper‐based self‐report to students from high school and university. Results showed greater scores in connection, caring, and character in women, as well as greater social engagement and academic adjustment. Men presented higher competence and confidence, more frequent physical activity and better psychological adjustment. In addition, more PYD was related to greater social engagement, better psychological and academic adjustment, and healthier lifestyles. Some practical implications for program design may be derived, which underscore the need to promote the five PYD dimensions equally in female and male youths in order to improve their individual thriving and social engagement.     

Social resilience: the value of social fitness with an application to the military

Resilience has been regarded narrowly as a quintessential individual property by most investigators. Social resilience, however, is inherently a multilevel construct, revealed by capacities of individuals, but also groups, to foster, engage in, and sustain positive social relationships and to endure and recover from stressors and social isolation. Emergent levels of organization, ranging from dyads, families, and groups to cities, civilizations, and international alliances have long been apparent in human existence, but identifying the features of individuals, relationships, and group structures and norms that promote social resilience-and determining effective interventions to build social resilience-represent some of the most important challenges facing the military as well as contemporary behavioral science. We identify nine personal resources that foster social resilience, and we describe an educational, computer-based program that builds on these resources in an effort to improve the social resilience among troops in the U.S. Army. Data from this program should provide valuable evidence regarding the challenge of building social resilience.     

When the party for some becomes a problem for others: the effect of perceived secondhand consequences of drinking behavior on drinking norms

The authors examined the influence of fraternity men's expectancies regarding secondhand consequences of excessive drinking behavior on normative standards regarding alcohol use and consumption levels. Participants were 381 men from 26 chapters of 2 national fraternities. One organization participated in a brief intervention involving discussion of secondhand consequences of excessive drinking. Immediate influence of the intervention on perceived secondhand consequences of alcohol use was assessed using a posttest-only, randomized groups design. Results supported a hypothesized measurement model with 1 overall secondhand consequence expectancy construct and 4 subfactors: (a) Noise Disruptive of Sleep and Study, (b) Violence, (c) Sexual Assault, and (d) Property Damage. Cross-sectional analysis at the chapter and individual levels demonstrated that secondhand expectancies had an indirect effect on alcohol consumption, mediated by personal consumption standards for limiting alcohol consumption. The intervention had an effect on secondhand expectancies. Findings suggest that interventions with intact groups can increase secondhand expectancies regarding excessive drinking and may lead to a reduction in excessive alcohol consumption.     

Formal Schooling Influences Two- but Not Three-Dimensional Naming Skills

The modulatory influence of literacy on the cognitive system of the human brain has been indicated in behavioral, neuroanatomic, and functional neuroimaging studies. In this study we explored the functional consequences of formal education and the acquisition of an alphabetic written language on two- and three-dimensional visual naming. The results show that illiterate subjects perform significantly worse on immediate naming of two-dimensional representations of common everyday objects compared to literate subjects, both in terms of accuracy and reaction times. In contrast, there was no significant difference when the subjects named the corresponding real objects. The results suggest that formal education and learning to read and to write modulate the cognitive process involved in processing two- but not three-dimensional representations of common everyday objects. Both the results of the reaction time and the error pattern analyses can be interpreted as indicating that the major influence of literacy affects the visual system or the interaction between the visual and the language systems. We suggest that the visual system in a wide sense and/or the interface between the visual and the language system are differently formatted in literate and illiterate subjects. In other words, we hypothesize that the pattern of interactions in the functional-anatomical networks subserving visual naming, that is, the interactions within and between the visual and language processing networks, differ in literate and illiterate subjects.