Burnout in Spurned Medical Caregivers and the Impact of Job Expectancy Training

This study represents an extrapolation to the practical realm of a theoretical model that has been supported thus far only by laboratory studies. The model regards the rejection of help by people in need as being stressful for caregivers partly because it violates their expectations of acceptance and threatens their self-image as competent caregivers. It was hypothesized that high levels of perceived rejection by patients and others at work would contribute to burnout in medical caregivers. It was also predicted that high levels of stress preparation in caregivers' training with regard to job expectancies and patient (non)compliance would lessen burnout and buffer the effects of spurning. Responses to a questionnaire by a sample of physicians and hospital nurses revealed a direct association of perceived spurning, as well as an inverse association of stress preparation with burnout, and gave some indication of buffering, as hypothesized. Expressions of violated expectancies and of job disillusionment were directly associated with burnout and inversely associated with stress preparation. Informal job expectancy shaped by coworkers was found to be directly associated with burnout in physicians, but it was inversely associated with burn out in nurses. The implications of these findings are considered     

On seeing oneself as “left out”: The chronically complaining patient in psychotherapy

A clinical observation regarding patients who complain about feeling left out and/or second best provides the framework for this paper. What is expressed is a form of separation anxiety coupled with a loser self-concept. It is suggested that these patients represent a milder form of the moral masochism. Early theoretical formulations include Freud and his emphasis on the superego and Reich's emphasis on the masochist's fear of being left alone. Kramer's little man phenomenon is an example of a more current theoretical formulation which takes account of the complexities of the ego, and composite self and identity in the clinical phenomena observed. A case of a latency-aged child is provided.     

The view of Islam from the monasteries of Palestine in the early cAbbasid period: Theodore Abū Qurrah and the Summa theologiae arabica

Christians in the Holy Land, and particularly members of the monastic communities in the Judean desert, were the first to compose original works of theology in Arabic. These writers presented the doctrines of the church in an idiom which was calculated to appeal to the understanding of any speaker of Arabic who was familiar with the Qur'an and with the thought of the early Muslim mutakallimin. From these texts there emerges a view of Islam which makes it dear that the writers very much consider themselves to be doing theology in dialogue. The article discusses the earliest Christian apology in Arabic; two works of Theodore Abu Qurrah; an early Summa Theologiae Arabica; and an essay in apologetics, provocatively entitled Kitab al‐burhan.     

Cocaine—review of current literature and interface with the law

Cocaine use in the United States has currently reached epidemic proportions. This has resulted in syndromes of intoxication, overdose, and withdrawal, meeting all DMS-III criteria for a substance that can cause dependence as well as abuse syndromes. This paper reviews the current epidemiology of cocaine, its history and pharmacology with major focus on clinical syndromes. This is followed by a review of the current knowledge of the relationship between cocaine and violence and the forensic-psychiatric issues surrounding cocaine.     

Immediate and long-term retention of basic-level categories in 24-month-olds

This study assessed the effect of presenting single versus multiple exemplars of basic-level categories on 24-month-olds' long-term memory for categorical information. Sixty-four infants were tested in a paired-comparison recognition memory paradigm immediately and one week after familiarization with basic-level categories. Infants were randomly assigned to one of two familiarization conditions and one of two test conditions. In one familiarization condition (Varied Exemplar), they briefly viewed four different exemplars of each of 16 basic-level categories. In the other familiarization condition (Single Exemplar), they viewed only one instance of each category on four different trials. Test trials consisted of either an exemplar seen during familiarization (Familiar-Exemplar Test) or novel intracategory exemplar (Unfamiliar-Exemplar Test) paired with a stimulus from a novel category. Both immediately following familiarization and one week later, infants looked longer at test stimuli from the novel category irrespective of familiarization or test condition.     

A technique for converting from intravenous drug self-administration to liquid reinforcement

A rapid inexpensive technique for changing from intravenous drug self-administration (DSA) to liquid reinforcement is described. Utilizing a standard peristaltic-type infusion pump typically used in DSA experiments and a specially designed drinking cup, the changeover from intravenous DSA to liquid reinforcement can be accomplished in a few minutes at a cost of less than $10.     

Construction of new scales for the Multiple Affect Adjective Check List

Factor analyses were used to develop new scales for the Multiple Affect Adjective Check List (MAACL) measuring anxiety, depression, hostility, positive, and sensation-seeking affects. Anxiety, depression, and hostility scales were moderately intercorrelated and a combined score called “dysphoria” was formed from their addition. Positive and sensation-seeking affects were also correlated and combined in a summary score (PASS). The dysphoric and PASS scores were not highly correlated. The number of items checked correlated highly with the positive affect scale, moderately with sensation seeking, and relatively low with the negative affect scales. Internal reliabilities were high and retest reliabilities were low, in conformance with the model for state scales. The anxiety score increased and the positive affect score and number of items checked decreased just prior to a classroom examination. Further plans for scale development are discussed.