Evaluating health care work settings: A holistic conceptual framework

Abstract

After offering a systems perspective that considers a diversity of job-related and personal factors, we discuss the determinants and impacts of health care work climates and how staff morale and performance can influence the treatment milieu and quality of patient care. We also describe the physical features, organizational structure and policies, and suprapersonal and task factors that help to shape health care work climates. We then review research on the connections between work climate and staff morale and performance, the interplay of work climate factors, and the role of personal factors in these relationships. Finally, we orovide some ideas about how to improve health care work settings and focus on some promising new research directions.     

Dichotic listening performances in the follow-up of Landau and Kleffner syndrome

Abstract

In the follow-up study of 4 children with acquired epileptic aphasia or Landau and Kleffner syndrome, dichotic listening studies evidenced a unilateral ear extinction. In the four cases, the dichotic extinction was contralateral to the temporal cortex involved in the generation of epileptic discharges during the active period of epilepsy. This pattern of dichotic performances persisted several years after the complete recovery from epilepsy and EEG normalization. The long-lasting dichotic extinction revealed a permanent dysfunction in the temporal auditory system that may be a consequence of the presence of an active epileptogenic focus during the critical period of functional differentiation of the temporal cortex.     

Dialectical materialism and political theology: Two views of the future

In a wide variety of publications,¹ Johannes B. Metz programatically represented a new political theology of subject, society, history, and future. This theology participates intensely in the lively, ongoing discourse on the political and theological actuality and significance of the critical theory of society, religion and future set forth by the Marxist, Walter Benjamin.² The purpose of this study is to illuminate several connections between Benjamin's critical theory and Metz's political theology, particularly with respect to the present stage of development in advanced capitalistic society and to their future.     

Aligning affordances of graphics with learning task requirements

Dynamic subject matter can be portrayed to learners in the form of either static or dynamic depictions. Two plausible bases for choosing a depiction format are alignment with the subject matter's dynamics, or the specific affordances a depiction provides for performing a particular learning output task. Experimental participants viewed an ordered set of eight images depicting key stages of a kangaroo hop presented in a dynamic, successive or simultaneous format. Control participants viewed no presentation. The output task required participants to rearrange a random sequence of the eight kangaroo images into the correct order of a kangaroo hop. Those who viewed the successive presentation were most successful in placing the images in their correct order while those in the dynamic condition were least successful. The results contradict the prevailing instructional design orthodoxy that the dynamic properties of a depiction should be aligned with the dynamic nature of the referent content. Copyright © 2010 John Wiley & Sons, Ltd.     

TRANSCENDENTALISM OR EMPIRICISM? A DISCUSSION OF A PROBLEM RAISED IN E. O. WILSON'S BOOK CONSILIENCE

Abstract. E. O. Wilson writes that the “choice between transcendentalism and empiricism” is this century's “version of the struggle for men's soul” (1998, 240). The transcendentalist argues for theism—that there is a God, a creator of the world. The empiricist instead makes the point that the notion of God, including morality and ethics, are adaptive structures of human evolution. Before entering the debate of the transcendentalist/empiricist controversy I analyze how things exist and suggest that all that is exists as united diversity, as identity in difference. I argue that oneness by itself is intangible because wholes are concrete only through their tangible parts. I briefly discuss this understanding of existence in the realm of art to show that transcendence and immanence are not mutually exclusive but constitute each other. I conclude that existence, the hypostasis of unity in diversity, might be seen as a gift from absolute existence. In this view, the world might reveal itself as a gift that reflects the trinitarian existence of the Giver.     

Fokusbezogene psychodynamische Psychotherapie

The OPD-based diagnostics allows to formulate the psychodynamically significant aspects of the unconscious conflict, of the structural limitations and of the dysfunctional relational dispositions. Considering the relative weight of the conflict- and the structural dynamics we are able to differentiate three types of disturbances: the conflict type, the structural type and the miscellaneous type. For these three types of disturbances the therapeutic consequences for setting and therapeutic attitude, for the hierarchy of the foci, and the working through of dysfunctional relational dispositions and at last for the conflict- vs. structure-related interventions are discussed. The Heidelberger Umstrukturierungsskala enables us to the focus-related documentation and evaluation of the progress and the result of the therapy.     

Sex-specific clinical correlates of hoarding in obsessive-compulsive disorder

Little is known about whether the clinical correlates of hoarding behavior are different in men and women with obsessive-compulsive disorder (OCD). In the current study, we evaluated the association of hoarding with categories of obsessions and compulsions, psychiatric disorders, personality dimensions, and other clinical characteristics separately in 151 men and 358 women with OCD who were examined during the OCD Collaborative Genetics Study. We found that, among men but not women, hoarding was associated with aggressive, sexual, and religious obsessions and checking compulsions. In men, hoarding was associated with generalized anxiety disorder and tics whereas, among women, hoarding was associated with social phobia, post-traumatic stress disorder, body dysmorphic disorder, nail biting, and skin picking. In women but not men, hoarding was associated with schizotypal and dependent personality disorder dimensions, and with low conscientiousness. These findings indicate that specific clinical correlates of hoarding in OCD are different in men and women and may reflect sex-specific differences in the course, expression, and/or etiology of hoarding behavior in OCD.     

Gender Differences in Problem Drinking and Depression: Different “Vulnerabilities?”

This study examines the relationship between stressors and resources and the functioning of a sample of 515 men and women who had a drinking problem. At a one-year follow-up, both women and men had improved on three functioning measures: alcohol consumption, days intoxicated, and depression. There were no gender differences at Time 2 on alcohol consumption, but men had more days intoxicated and women had more symptoms of depression. The impact of stressors and resources varied by life domain, functioning criterion, and gender. Although the predictors varied, the amount of variance in depression accounted for was the same for women and men. The most striking gender difference was the stronger impact of friendships for women on all aspects of functioning. This study provides support for reconsideration of the stress vulnerability of women and men.