A Decade of Clinical Psychology in Medical Settings: The Short Longer View

The progress and accomplishments of psychology in medical settings over the past decade since the publication of the Handbook of Clinical Psychology in Medical Settings (J. J. Sweet, R. H. Rozensky, & S. M. Tovian, 1991) and the subsequent founding of the Journal of Clinical Psychology in Medical Settings (JCPMS) in 1994 are highlighted. Areas of progress and accomplishments reviewed include professional developments with our field, roles and services provided by psychologists, education, training and research issues, and program administration in medical settings. The current status of, and possible changes in, medical settings is identified. Future challenges and opportunities for the profession are discussed.     

The influence of social support and problematic support on optimism and depression in chronic illness: a prospective study evaluating self-esteem as a mediator.

The present study focused on the mechanism through which social and problematic support affects psychological adjustment in chronic illness. The authors hypothesized that self-esteem would mediate the relations between social and problematic support and adjustment. Eighty-six end-stage renal disease patients were assessed twice for social support problematic support, and self-esteem. Adjustment was assessed twice by depression and optimism. Mediational analyses indicated that social support operated through self-esteem to influence optimism cross-sectionally and prospectively and depression cross-sectionally. Social support was associated with high self-esteem, which in turn increased optimism and was related to decreased depression. Problematic support was unrelated to self-esteem obviating mediational analysis. Disaggregating social support into subscales showed that belonging support predicted decreases in depression, and both tangible and belonging support predicted increases in optimism.     

Influence of Therapist Behaviors on Therapeutic Alliance

A number of recent studies have investigated the relationship between therapist and client gender and conversation in marriage and family therapy. There has also been recent empirical investigation of therapeutic alliance and its influence on therapy outcome in marriage and family therapy. However, there has been limited investigation of the influence of interactional patterns on therapeutic alliance. It seems probable that therapy conversation (which seems to be influenced by gender) will influence therapeutic alliance and subsequent outcome.     

Theoretical Purity Versus Theoretical Layering in Marriage and Family Therapy

There seem to be two competing streams of thought about the use of theory in the marriage and family therapy literature: theoretical purity versus integrationism. We examined influence of theoretical orientation on client experience in therapy. Level of academic training (masters' versus doctoral degree) was investigated as a possible confounding variable. Results suggest that therapists in private practice are less inclined to practice pure forms of therapy.     

Perfectionistic Concerns,Social Negativity,and Subjective Well‐Being: A Test of the Social Disconnection Model

Partner‐specific perfectionistic concerns (PC) include concern over mistakes, self‐criticism, and socially prescribed perfectionism as it pertains to one's partner. The social disconnection model proposes that PC influences well‐being indirectly through interpersonal problems. Thus, we hypothesized that social negativity (expressed anger, hostility, and rejection) would mediate the relationship between dyadic PC and subjective well‐being. Data from 203 romantic dyads (92.1% heterosexual) were collected using self‐report surveys and a four‐wave, 4‐week longitudinal design. Participants were predominantly female (53.1%), young (M = 22.69 years), and Caucasian (82.3%). Data were analyzed using an actor‐partner interdependence model with multilevel structural equation modeling. There were significant actor effects at the between‐subjects and within‐subjects levels, and significant partner effects for the relationship between PC and social negativity at the within‐subject level. Social negativity mediated the relationships between PC and both negative affect and life satisfaction. However, positive affect was more weakly related to PC and social negativity. The social disconnection model was supported. PC was positively associated with one's own social negativity and evoked hostile behaviors from one's partner. Hostile, rejecting behaviors reduced the well‐being of the actor, but not the partner. Results suggest perfectionism may be best understood within an interpersonal context.     

Imitation,Inspiration, and Creation: Cognitive Process of Creative Drawing by Copying Others' Artworks

To investigate the cognitive processes underlying creative inspiration, we tested the extent to which viewing or copying prior examples impacted creative output in art. In Experiment 1, undergraduates made drawings under three conditions: (a) copying an artist's drawing, then producing an original drawing; (b) producing an original drawing without having seen another's work; and (c) copying another artist's work, then reproducing that artist's style independently. We discovered that through copying unfamiliar abstract drawings, participants were able to produce creative drawings qualitatively different from the model drawings. Process analyses suggested that participants' cognitive constraints became relaxed, and new perspectives were formed from copying another's artwork. Experiment 2 showed that exposure to styles of artwork considered unfamiliar facilitated creativity in drawing, while styles considered familiar did not do so. Experiment 3 showed that both copying and thoroughly viewing artwork executed using an unfamiliar style facilitated creativity in drawing, whereas merely thinking about alternative styles of artistic representation did not do so. These experiments revealed that deep encounters with unfamiliar artworks—whether through copying or prolonged observation—change people's cognitive representations of the act of drawing to produce novel artwork.     

Estimating Group-Level Relationships: General Recommendations and Considerations for the Use of Intraclass Correlation Coefficients

Purpose

In this investigation, we argue for why and how available intraclass correlation coefficients and other types of reliability estimates can be employed as sample-based reliability estimates within primary and meta-analytic studies when relationships between group-level phenomena are of interest.

Design/Methodology/Approach

Group-level correlations and reliability estimates were obtained from 46 studies examining organizational climate–performance relationships. We illustrate how the group-level reliability estimates can be used to correct correlations for predictor and criterion unreliability. Procedures are presented for computing the sampling variances of individually corrected correlations that account for sampling error in the group-level reliability estimates.

Findings

Support was found for the conservative nature of meta-analytic parameter estimates when group-level reliability information is sample-based as opposed to assumed population values. In addition, our analyses indicated that conclusions about substantive relationships between group-level variables can change based on availability of sample-based reliabilities within both primary and meta-analytic studies.

Implications

Results from this study suggest that researchers should rely on sample-based meta-analytic procedures when examining the generalizability of group-level relationships. This study also demonstrates the importance of using all available reliability information and accounting for sampling error in the reliability estimates when conducting meta-analyses at the group level of analysis.

Originality/Value

This study breaks ground by systematically examining the use of intraclass correlation coefficients as reliability estimates within group-level meta-analytic studies. Furthermore, illustrative analyses provide guidance to primary and meta-analytic researchers in regard to how to correct group-level correlations for unreliability in the predictor, criterion, or both whenever and in whatever proportions the artifact information is available.