The Kosovar sponsoring experience in Northern Alberta

We examine the experiences of sponsors who assisted Kosovar refugees in Northern Alberta. Although the sponsors of the Kosovars did not provide basic financial support to the refugees, many found their role to be onerous, particularly in terms of emotional investment and demands on their time. They would have liked more opportunity to debrief and to have contact with other experienced sponsors. Some of the sponsors' initial expectations of the Kosovars were at odds with reality; conversely, many sponsors felt that the refugees had unrealistic expectations of them and of life in Canada. Recommendations are made for future sponsoring arrangements.     

Active tuberculosis detection by pouched rats in 2014: More than 2,000 new patients found in two countries

Tuberculosis (TB) is a major problem in poor countries because sensitive diagnostic tools are unavailable. In 2014, our pouched rats evaluated sputum from 21,600 Tanzanians and 9,048 Mozambicans whose sputum had previously been evaluated by microscopy, the standard diagnostic for TB. Evaluation by the rats revealed 1,412 new patients with active TB in Tanzania and 645 new patients in Mozambique, increases of 39% and 53%, respectively, when compared to detections by microscopy alone. These results provide further support for the applied use of scent‐detecting rats.     

One after the other: Effects of sequence patterns of breached and overfulfilled obligations

To date, the study of psychological contracts has primarily centred on the question how retrospective evaluations of the psychological contract impact employee attitudes and behaviours, and/or focus on individual coping processes in explaining responses to breached or overfulfilled obligations. In this study, we aim to assess the extent to which sequences of breached and overfulfilled obligations impact job satisfaction and citizenship behaviour intentions. By integrating psychological contract research and theories on cognitive information processing, we formulate competing hypotheses on how sequences of breached and/or overfulfilled obligations lead to patterns of job satisfaction and citizenship behaviour intentions. These competing hypotheses were tested using a vignette study and an experiment. A Bayesian approach was used to test these pattern hypotheses directly against each other. The results show that breached obligations have an immediate negative impact on our outcome variables. Moreover, sequentially breached obligations lead to a continuous decline of job satisfaction and citizenship behaviour intentions. Overfulfilled obligations do little to compensate this negative impact. Implications for theory and practice are discussed.     

Rowan Williams as Anglican Hegelian

Books reviewed:
Anglican Identities , Rowan Williams, Darton, Longman and Todd 2004 (0-232-52527-7), pp. viii + 149, Pb £7.95     

Classifying personality disorder according to severity

Current systems for classifying personality disorder according to specific categories are unsatisfactory because they do not take account of wide variations in levels of personality disturbance and associated impairment. We review previous attempts to classify personality disorder according to severity and place these findings in the context of work exploring the severity of other mental disorders. On the basis of these findings, we propose a new system for classifying personality-related problems based on severity defined by the extent of personality disturbance, the level of social dysfunctioning, and the impact of the disorder for individuals and society. We recognize that studies using these definitions will need piloting and testing in field trials, but believe that this simplified approach to classifying personality disorder would encourage greater use by clinicians and assist those involved in planning services for people with personality disorder.     

Relationship between patient characteristics and treatment allocation for patients with personality disorders

Within a large multi-center study in patients with personality disorders, we investigated the relationship between patient characteristics and treatment allocation. Personality pathology, symptom distress, treatment history, motivational factors, and sociodemographics were measured at intake in 923 patients, who subsequently enrolled in short-term or long-term outpatient, day hospital, or inpatient psychotherapy for personality pathology. Logistic regressions were used to examine the predictors of allocation decisions. We found a moderate relationship (R(2) = 0.36) between patient characteristics and treatment setting, and a weak relationship (R(2) = 0.18) between patient characteristics and treatment duration. The most prominent predictors for setting were: symptom distress, cluster C personality pathology, level of identity integration, treatment history, motivation, and parental responsibility. For duration the most prominent predictor was age. We conclude from this study that, in addition to pathology and motivation factors, sociodemographics and treatment history are related to treatment allocation in clinical practice.     

Daily dynamics of personal identity and self‐concept clarity

We examined the daily dynamics among self‐concept clarity and identity processes, and their effects on distress, among a sample of 580 Dutch adolescents. Participants completed measures of identity, self‐concept clarity, anxiety and depression at annual intervals; and daily single‐item measures of self‐concept clarity, identity commitments and reconsideration across three 5‐day weeks. We examined (a) cross‐lagged associations of self‐concept clarity to identity commitment and reconsideration and (b) associations of daily fluctuations in self and identity processes to later anxiety and depression. Results indicated that self‐concept clarity and identity commitments influence one another reciprocally across days, and that day‐to‐day fluctuations in identity predicted later anxiety and depression. Results are discussed in terms of self and identity processes and their effects on distress. Copyright © 2010 John Wiley & Sons, Ltd.