The role of self-guided training in the relationship between task conflict and innovation in virtual teams

This study was conducted to evaluate the moderating role of self-guided training in the relationship between task conflict and team innovation in synchronic computer-mediated communication (SCMC) teams. For this purpose, a laboratory study was carried out in which 26 teams were assigned to the training condition and 24 to the control condition. Results confirmed that SCMC teams develop a negative relationship between task conflict and innovation, but also revealed that self-guided training may slow these counterproductive effects down. Our study provides new evidence of the linear relationship between task conflict and team innovation in SCMC teams, extending previous research findings obtained in face-to-face teams to virtual context and suggest that self-guided training can be useful for virtual team innovation.     

Training in clinical ethics: launching the clinical ethics immersion course at the Center for Ethics at the Washington Hospital Center

In May 2011, the clinical ethics group of the Center for Ethics at Washington Hospital Center launched a 40-hour, three and one-half day Clinical Ethics Immersion Course. Created to address gaps in training in the practice of clinical ethics, the course is for those who now practice clinical ethics and for those who teach bioethics but who do not, or who rarely, have the opportunity to be in a clinical setting. "Immersion" refers to a high-intensity clinical ethics experience in a busy, urban, acute care hospital. During the Immersion Course, participants join clinical ethicists on working rounds in intensive care units and trauma service. Participants engage in a videotaped role-play conversation with an actor. Each simulated session reflects a practical, realistic clinical ethics case consultation scenario. Participants also review patients' charts, and have small group discussions on selected clinical ethics topics. As ethics consultation requests come into the center, Immersion Course participants accompany clinical ethicists on consultations. Specific to this pilot, because participants' evaluations and course faculty impressions were positive, the Center for Ethics will conduct the course twice each year. We look forward to improving the pilot and establishing the Immersion Course as one step towards addressing the gap in training opportunities in clinical ethics.     

When Love Hurts: Treating Abusive Relationships

This paper describes an integrative approach for treating couples in abusive relationships. Because of the power inequities that often obtain in such cases, the therapist faces special challenges. Both partners must be defined as clients, yet the two are not on equal footing. Sustaining moral clarity in a context of such psychological ambiguity is crucial, and it requires skills beyond those we typically associate with the art and craft of the interview. A mutative factor in any therapy requires bearing witness to injustices large and small—leading the author to raise questions about the place of the moral work of psychotherapy in our therapy-saturated society. She poses an urgent social question: Is it possible to intervene therapeutically in abusive relationships to make love safer for women and less threatening to men?     

Male and female internal images in a case of frigidity

Abstract

This is the case of a young woman suffering from a narcissistic personality disturbance with Oedipal aspects. The development of the analytic treatment is stressed through the analysis of her dreams. The analytic setting provided an appropriate mirroring Self-object. Thereby the patient has had the opportunity to express her own defective female grandiose Self, which was at the base of her disturbances.     

The Impact of Periventricular Brain Injury on Reading and Spelling Abilities in the Late Elementary and Adolescent Years

The present study was designed: (1) to investigate the long-term consequences of both the presence and the severity of periventricular brain injury (PVBI) on intellectual, academic, and cognitive outcome in extremely-low-birthweight (ELBW: < 1,000 grams) children at a mean age of 11 years; and (2) to determine the nature of the underlying difficulties associated with academic problems in these children. The results indicated that ELBW children without PVBI performed as well as full-term children on intelligence, academic, and cognitive ability tests. In contrast, ELBW children with mild and severe PVBI achieved significantly lower scores than either ELBW children without PVBI or children who were born at term. A second analysis indicated that, after accounting for Full Scale IQ, working memory and phonological processing were significant predictors of reading and spelling performance in ELBW children. These findings suggest that the presence and severity of PVBI, and not ELBW status alone, is associated with performance on tests of intelligence, and academic and cognitive functioning, and that some of the same factors known to be associated with learning disabilities in full-term children contribute to learning disabilities in ELBW children.     

Intrainformant agreement and family functioning in depressed and nondepressed parents and their children

Abstract

This investigation examined perceptions of family functioning, marital satisfaction, and parent-child bonding in 65 families (child, mother, father) with one or more depressed parents and 26 families with no depressed parent. Intrainformant agreement between offspring and their parents across family functioning measures was examined for the two proband groups. Results revealed more dysfunction in family adaptability, cohesiveness, and parent-child bonding and lower levels of marital satisfaction in the depressed as compared to the nondepressed proband group. Analyses of intrainformant data revealed no significant differences in levels of agreement between informants from the two proband groups for any of the raters. There was, however, significant agreement between informants in both proband groups. Thus, differential reports of family functioning are attributable to variations in perception of functioning, rather than to different levels of internal consistency in reporting across raters in depressed and nondepressed proband groups.     

Development and Validation of a Quantitative Measure of Intensive Parenting Attitudes

Intensive mothering (IM) attitudes have been considered the dominant discourse of motherhood, but have only been assessed qualitatively The goal of this study was to develop a quantitative scale to assess these ideologies, their construct validity, and their relationship to relevant constructs (i.e., work status and division of household labor). An on-line questionnaire was given to 595 mothers asking 56 questions assessing different aspects of IM attitudes as well as several validation measures. An Exploratory Factor Analysis on 315 randomly selected mothers yielded a 5 factor solution. A Confirmatory Factor Analysis on the remaining 280 mothers demonstrated good fit. The five factors expressed the ideas that (1) women are inherently better at parenting than men (Essentialism), (2) parenting should be fulfilling (Fulfillment), (3) children should be cognitively stimulated by parents (Stimulation), (4) mothering is difficult (Challenging), and (5) parents should prioritize the needs of the child (Child-Centered). Scales had adequate reliability and construct validity compared to the Parental Investment in the Child questionnaire, the Parenting Sense of Competence Scale, and Beliefs about Maternal Employment. The Essentialism, Fulfillment, and Challenging scales were positively related to having more responsibility for child care and household chores. Stay-at-home mothers had higher scores on Essentialism and lower scores on Stimulation than both part-time and full-time working mothers supporting the notion that both working and non-working mothers have intensive parenting ideologies that are manifested in different ways.     

REASONS AND REASON REVISITED: ANOTHER REPLY TO MORRISON

In a previous article, Katherine Morrison (1999) argued that in my book Back to Reality: A Critique of Postmodern Theory in Psychotherapy (Held, 1995) I failed to accept the "strictly epistemological" aim of the narrative therapy movement. In the present article she reiterates the same objections, and adds the new criticism that I perceive epistemological oscillations in the writings of narrative therapists where there are none. In my present response I summarize my prior response to Morrison's (1999) critique (Held, 1999a), and I then respond to her new objections by showing how the conflation between epistemology and ontology that she attributes to me reflects her own confusion rather than mine.     

Harsh Conditions/Loving Work: Relational Psychoanalysis Expands Its Reach: Commentary on Panel

In these three essays Lazar, Swartz, and Doñas deconstruct a clinical moment that was, in their view, braided with the sociopolitical, as well as with the relational and the intrapsychic. In these bruisingly original discussions, the authors demonstrate how they held the tension between the intimate and the global, and how relational psychoanalysis remains an arduous practice but is also a gift.