Skills training in the long-term management of stress and occupational burnout

The current managed healthcare environment stresses brief and effective short-term therapy. However, often this short-term treatment does not lead to long-term behavioral changes and clients return to therapy many times for help with the same dysfunctional behavioral patterns. The main problem with these traditional forms of treatment is the assumption that clients have the basic skills to change their ineffective behaviors. Yet, many people lack the basic skills to manage our highly stressful society, and may take years to master new behavioral management skills. Examining the relationship between stress and coping, this study explored both short-and long-term approaches to behavioral change relative to occupational burnout, and focused upon the teaching of skills to manage stress. Subjects who participated in a 6-week stressmanagement program reported only temporary decreases in burnout, while those subjects who received 1-hour coping “refresher” sessions at 5 months, 11 months, and 17 months showed consistent decreases in burnout throughout a 2 1/2 year period. These results suggest that psychologists can be much more effective behavioral change agents through long-term approaches that emphasize teaching new skills to manage chronic behavioral problems. Given the changes in the health insurance industry and the way therapeutic services are provided, the field may need to rethink approaches that are grounded in personality theory and abnormal psychology to approaches that emphasize principles of learning theory.     

LITERATURE, KNOWLEDGE, AND THE AESTHETIC ATTITUDE

An attitude which hopes to derive aesthetic pleasure from an object is often thought to be in tension with an attitude which hopes to derive knowledge from it. The current article argues that this alleged conflict only makes sense when the aesthetic attitude and knowledge are construed unnaturally narrowly, and that when both are correctly understood there is no tension between them. To do this, the article first proposes a broad and satisfying account of the aesthetic attitude, and then considers and rejects twelve reasons for thinking that deriving knowledge from something is incompatible with maintaining an aesthetic attitude towards it. Two main conclusions are drawn. 1) That the representational arts are often in a good position to communicate non-propositional knowledge about human beings. 2) That while our desire to obtain pleasure from a work's manifest properties, and our desire to obtain knowledge from it, are not the same motive, the formal similarities between them are sufficiently impressive to warrant both being seen as elements of the aesthetic attitude.     

Early gesture selectively predicts later language learning

The gestures children produce predict the early stages of spoken language development. Here we ask whether gesture is a global predictor of language learning, or whether particular gestures predict particular language outcomes. We observed 52 children interacting with their caregivers at home, and found that gesture use at 18 months selectively predicted lexical versus syntactic skills at 42 months, even with early child speech controlled. Specifically, number of different meanings conveyed in gesture at 18 months predicted vocabulary at 42 months, but number of gesture+speech combinations did not. In contrast, number of gesture+speech combinations, particularly those conveying sentence‐like ideas, produced at 18 months predicted sentence complexity at 42 months, but meanings conveyed in gesture did not. We can thus predict particular milestones in vocabulary and sentence complexity at age by watching how children move their hands two years earlier.     

Mothers,fathers, and the crisis of newborn intensive care

At hospital discharge of their infant from a newborn intensive care unit, 50 mothers and fathers were interviewed and completed questionnaires. There were significant within-couple correlations for appraisals of the harm that ensued from this crisis, perceptions of personal control over the infant's recovery, and expectations about the infant's future health and development. Mothers perceived more personal control, mobilized more social support, and used more escapist coping strategies than did fathers. Mothers and fathers exhibited different patterns of relations between their own coping strategies and emotional well-being. But, neither the coping strategies used by one's spouse nor differences between spouses in the use of individual coping strategies correlated with emotional well-being. Analysis of parents' perceived differences between their own and their partner's coping strategies suggested the possibility of mutually helpful, complementary strategies of coping with this problem.     

Familial influences on television viewing and aggression: A sibling study

Familial influences on aggressive behavior and TV viewing were investigated in a survey of adolescent siblings. Same-sex siblings resembled one another in aggression (brothers, r = 0.59; sisters, r = 0.52) and in their exposure to violent TV programs; opposite-sex siblings were dissimilar. Within individuals, the frequency of watching crime and action programs correlated nonsignificantly with aggression. Two other variables, however, were associated with aggression: identification with aggression and aggression consequences. These relationships also held up between families (BF, covariance of sibling' averages) and within families (WF, covariance of sibling' differences). The latter WF relationship indicated that one sibling was typically the more extreme on both aggression and its correlate than a brother or sister. These results were interpreted in light of behavioral genetic data that suggest substantial genetic influences, few common environmental influences, and large within-family environmental influences on personality development.     

Clinical interventions in parent-infant groups around issues related to separation-individuation

Parent-child groups as an educational method in a general hospital setting provide support for parents and an environment in which they can discuss their questions about their child's development. This paper illustrates the clinical use of parent-child groups as a means of early intervention in problems that become apparent during the Separation-Individuation stages of development. We present two case studies of mother-child pairs, who have been members of the group for 2 years. The first case is a bi-racial child whose mother is struggling to deal with the child's rapprochement stage behavior. Through the oral and anal stages, conflict has grown in their relationship due to the mother's way of viewing her child, as well as her own unresolved adolescent separation difficulties. The second case is an overprotective mother whose own pathology prevented her daughter from resolving her rapprochement crisis. Interventions by the leaders as well as the group's educational method help both mother-child pairs to resolve interpersonal conflict and to continue their essentially normal development.     

Citizenship and Community Mental Health Care

Citizenship is an approach to supporting the social inclusion and participation in society of people with mental illnesses. It is receiving greater attention in community mental health discourse and literature in parallel with increased awareness of social determinants of health and concern over the continued marginalization of persons with mental illness in the United States. In this article, we review the definition and principles of our citizenship framework with attention to social participation and access to resources as well as rights and responsibilities that society confers on its members. We then discuss our citizenship research at both individual and social‐environmental levels, including previous, current, and planned efforts. We also discuss the role of community psychology and psychologists in advancing citizenship and other themes relevant to a citizenship perspective on mental health care and persons with mental illness.     

When Your Team is Not Really Your Team Anymore: Identification with a Merged Basketball Club

In this questionnaire study it was tested to what extent identification with a merged basketball club could be predicted on the basis of six concepts derived from a social identity perspective on mergers. Respondents were 160 fans and 91 youth players of a Belgian first division basketball club that had merged the previous season. A direct multiple regression analysis indicated that, both for fans and youth players identification with the pre-merger club was the best predictor of identification with the new merger club, followed by the perceived success of the merger. Two other concepts emerged as significant, though modest, predictors of post-merger identification for fans and youth players: the perceived necessity of the merger and their satisfaction with the merger process. For the fans, the perceived continuity/representation of the in-group in the merger group was also a significant predictor. Together, the hypothesized predictors accounted for 70% of the total variance in their post-merger identification. This high percentage underlines the relevance of a social-psychological perspective on how sport fans' react to mergers. For youth players, 61% of the total variance in their post-merger identification was explained, which suggests that the processes that facilitate fans and youth players’ post-merger identification are quite similar.