Spousal caregiver confidence and recovery from ambulatory activity limitations in stroke survivors.

OBJECTIVE: This study examined whether spousal confidence in care-recipient recovery can predict recovery from activity limitations following stroke and how spousal confidence relates to stroke survivor self-efficacy for recovery. DESIGN: A prospective design was used. Measures were gathered from stroke survivor/spouse dyads at two time points, both postdischarge from the hospital following stroke (N=109). MAIN OUTCOME MEASURES: The dependent variable was recovery from ambulatory activity limitations over 6 weeks, as measured by the Functional Limitations Profile. A single spousal confidence item was tailored to an ambulatory behavior that the stroke survivors could not perform at Time 1. RESULTS: Spousal confidence was correlated with ambulation recovery (r=-0.23, p<.05) and stroke survivor self-efficacy for recovery (r=.25, p<.05). Higher spousal confidence was associated with a better recovery and greater stroke survivor self-efficacy for recovery, but not with initial health status or practical support received. CONCLUSION: The relationship between caregiver confidence, care-recipient self-efficacy for recovery, and recovery outcomes needs further elucidation.     

Drawing on creative reflective practices in counselling research: an example of using mental imagery to shed light on the research process

The disciplines of counselling and psychotherapy have generated a range of innovative qualitative research methods. There is the potential for further developments, particularly in relation to methods that reveal how the researcher is implicated in the research. Practitioner-researchers could help to identify potential new methods through a willingness to engage in creative applications of clinical expertise and knowledge to their research projects. This article presents an example of applying a creative reflective method to the research process and discusses its potential for delivering insights into how the researcher is shaping the research and its findings. This particular mental imagery technique is considered in the light of conceptual metaphor theory and the possibility that representing the research project as a mental image can reveal how the researcher is cognitively structuring the research process.     

Personality Trait Differences Between Young and Middle‐Aged Adults: Measurement Artifacts or Actual Trends?

A growing body of research demonstrates that older individuals tend to score differently on personality measures than younger adults. However, recent research using item response theory (IRT) has questioned these findings, suggesting that apparent age differences in personality traits merely reflect artifacts of the response process rather than true differences in the latent constructs. Conversely, other studies have found the opposite—age differences appear to be true differences rather than response artifacts. Given these contradictory findings, the goal of the present study was to examine the measurement equivalence of personality ratings drawn from large groups of young and middle‐aged adults (a) to examine whether age differences in personality traits could be completely explained by measurement nonequivalence and (b) to illustrate the comparability of IRT and confirmatory factor analysis approaches to testing equivalence in this context. Self‐ratings of personality traits were analyzed in two groups of Internet respondents aged 20 and 50 (n = 15,726 in each age group). Measurement nonequivalence across these groups was negligible. The effect sizes of the mean differences due to nonequivalence ranged from –.16 to .15. Results indicate that personality trait differences across age groups reflect actual differences rather than merely response artifacts.     

Staff Intervention and Youth Behaviors in a Child Welfare Residence

The aim of this study was to explore the bidirectional relationship between youth behaviours, more specifically opposition and aggression, and the types of interventions used by staff within a child welfare residential setting. Intervention forms were completed by staff after their interventions with youth. A total of 278 micro-interactions between staff and youth were coded from 84 forms. Generalised estimating equations were conducted controlling for past aggression during the intervention. Reminding youth of rules and using constraining methods were the interventions used with greater frequency when youth were oppositional or aggressive. These two interventions were also found to increase the odds of opposition and aggression among youth.     

Self-help Acceptance and Commitment Therapy for Carers of People with Multiple Sclerosis: A Feasibility Randomised Controlled Trial

Journal of Clinical Psychology in Medical Settings - Acceptance and Commitment Therapy (ACT) is an established psychological therapy, but its effectiveness for carers of people with multiple...     

A House of Living Stones

This report to the 6th Assembly of the World Council of Churches (WCC) in Vancouver in 1983 describes the church as a “House of Living Stones,” based on the First Letter of Peter. The ecumenical movement is the means by which the churches that form the house, the oikos of God, are seeking to live and witness before all peoples. The image of the house of living stones is a reminder that only as the churches relate to each other as living stones will they discover new realities about their essential calling to be the church, the house of the triune God, as a fellowship of confessing, learning, participating, sharing, healing, reconciliation, unity, and expectancy to the glory of God.     

Early conceptual and linguistic processes operate in independent channels

Language and concepts are intimately linked, but how do they interact? In the study reported here, we probed the relation between conceptual and linguistic processing at the earliest processing stages. We presented observers with sequences of visual scenes lasting 200 or 250 ms per picture. Results showed that observers understood and remembered the scenes' abstract gist and, therefore, their conceptual meaning. However, observers remembered the scenes at least as well when they simultaneously performed a linguistic secondary task (i.e., reading and retaining sentences); in contrast, a nonlinguistic secondary task (equated for difficulty with the linguistic task) impaired scene recognition. Further, encoding scenes interfered with performance on the nonlinguistic task and vice versa, but scene processing and performing the linguistic task did not affect each other. At the earliest stages of conceptual processing, the extraction of meaning from visually presented linguistic stimuli and the extraction of conceptual information from the world take place in remarkably independent channels.     

Visual Power in Action: Digital Images and the Shaping of Medical Practices

The increasing presence of images in medicine is mostly understood as a visualization of medicine. In this view, physicians and researchers are strongly guided by the visual power of images. Ethnographic fieldwork and interviews with physicians and scientists working in radiology departments and magnetic resonance imaging units however, show that visual power is not always effective. Depending on a situation, physicians and scientists are guided more strongly either by the persuasiveness of an image's visual qualities or its scientific and sociomaterial qualities. Actors trust in images and perceive them as attractive and objective in certain situations, whereas in others they classify images as manipulated representations that are untrustworthy. It is either the visual power or the status of images as scientific and sociomaterial facts that shapes physicians' and researchers' actions. Depending on whether an image is used, for example, to make a diagnosis, to validate a research finding, to communicate with a patient, to prevent litigation, or to improve one's position in the professional field, it is either the visual power or the scientific and sociomaterial characteristics of an image that are more effective in shaping medical practices. Fieldwork and interviews with physicians and scientists show in which situations visual power is relevant (or not) for medical practices.