A study of families' satisfaction with a family interventions in psychosis service in Somerset

Although research has shown the efficacy of family interventions in psychosis, there has been little research into families' own experience of services in routine clinical settings. Fifteen of the first twenty-two referrals to a Somerset Family Interventions Service agreed to take part in semi-structured interviews regarding family satisfaction and clinical outcome. High levels of engagement and satisfaction with the service were reported in spite of initial apprehension regarding family sessions. Family members thought that the sessions had helped them deal more effectively with problems and relatives' symptoms. They valued the opportunity for open discussion, developing new perspectives and problem-solving, as well as liaison/closer working with mental health services. Positive therapeutic qualities/skills (e.g. empathic, non-judgemental approach; mutually agreed goals) were highlighted. This study also indicated that successful engagement in family work requires referral at an early stage. The findings of this study, particularly those relating to the therapeutic relationship, are discussed, including their relevance for future research.     

Psychological Science Can Improve Diagnostic Decisions

Contents:
Introduction and Scope, p.1
Components of Diagnostic Decision Making, p.4
Statistical Machinery, p.5
Examples of Enhanced Descision Making, p.10
Conclusion and Discussion, p.20
Acknowledgements, p.23
References, p.23
Appendix: Some Concepts of Possibility, p.25     

Burnout and occupational participation among dentists with teaching responsibilities in universities

The aim of this study was to investigate the levels of burnout and explore the relationships between burnout and occupational participation among dentists with teaching responsibilities. Canadian Occupational Performance Measure (COPM) was used to evaluate occupational participation with questions on demographic information among 155 dentists with teaching responsibilities. Age, gender, years of experience, academic position were the factors affecting level of burnout and occupational participation. Occupational performance score was negatively correlated with emotional exhausment (r = –.731) and depersonalization (r = –.693) while positively correlated with personal accomplishment (r = .611). Occupational satisfaction scores were negatively correlated with emotional exhausment (r = –.631) and depersonalization (r = –.625) while positively correlated with personal accomplishment (r = .614). Occupational participation level can effect burnout among dentists with teaching responsibilities. Further studies with a larger sample are needed to investigate these preliminary results deeply.     

In defense of naturalism

History and the modern sciences are characterized by what is sometimes called a “methodological naturalism” that disregards talk of divine agency. Some religious thinkers argue that this reflects a dogmatic materialism: a non-negotiable and a priori commitment to a materialist metaphysics. In response to this charge, I make a sharp distinction between procedural requirements and metaphysical commitments. The procedural requirement of history and the sciences—that proposed explanations appeal to publicly-accessible bodies of evidence—is non-negotiable, but has no metaphysical implications. The metaphysical commitment is naturalistic, but is both a posteriori and provisional, arising from the fact that for more than 400 years no proposed theistic explanation has been shown capable of meeting the procedural requirement. I argue that there is nothing to prevent religious thinkers from seeking to overturn this metaphysically naturalistic stance. But in order to do so they would need to show that their proposed theistic explanations are the best available explanations of a range of phenomena. Until this has been done, the metaphysical naturalism of history and the sciences remains defensible.     

How youth get engaged: grounded-theory research on motivational development in organized youth programs

For youth to benefit from many of the developmental opportunities provided by organized programs, they need to not only attend but become psychologically engaged in program activities. This research was aimed at formulating empirically based grounded theory on the processes through which this engagement develops. Longitudinal interviews were conducted with 100 ethnically diverse youth (ages 14–21) in 10 urban and rural arts and leadership programs. Qualitative analysis focused on narrative accounts from the 44 youth who reported experiencing a positive turning point in their motivation or engagement. For 38 of these youth, this change process involved forming a personal connection. Similar to processes suggested by self-determination theory (Ryan & Deci, 2000), forming a personal connection involved youth's progressive integration of personal goals with the goals of program activities. Youth reported developing a connection to 3 personal goals that linked the self with the activity: learning for the future, developing competence, and pursuing a purpose. The role of purpose for many youth suggests that motivational change can be driven by goals that transcend self-needs. These findings suggest that youth need not enter programs intrinsically engaged--motivation can be fostered--and that programs should be creative in helping youth explore ways to form authentic connections to program activities.     

The consequences of a nurse's negative evaluation of a blood pressure reading. Implications for the etiology of white-coat hypertension

The aim of this study was to show how a nurses negative evaluation of a blood pressure (BP) reading can cause an increase in BP in the following reading. Twenty-five subjects with normal pressure who had been informed that they were to participate in an epidemiological BP study took part and they were divided into two groups. After taking the first BP reading, participants from the experimental group were informed that their pressure was normal but high for their age, whereas those in the control group were told that their pressure was normal for their age. The results showed that this comment caused a significant increase in the diastolic BP of the experimental group. The theoretical and clinical implications of this reaction are discussed in relation to the phenomenon known as White-Coat Hypertension from the perspective of the theory of incubation.     

Impact of Self Monitoring and Gender on Coping Strategies in Intimate Relationships Among Turkish University Students

The purpose of this study was to investigate the effects of self monitoring and gender on coping strategies in intimate relationships. The Self Monitoring Scale and Multidimensional Intimate Coping Questionnaire were given to 224 heterosexual Turkish undergraduate students. Results showed that high self monitors had higher scores on focusing on relationship, seeking external support, alcohol and drug use, self-bolstering, and humor coping than low self monitors. Females reported greater negative and passive coping, positive and active coping, self-bolstering, religious coping and seeking external support than males did. Males reported greater alcohol and drug use than females did. Consequently, this study showed that both self monitoring (high–low) and gender affect on coping strategies among Turkish undergraduate sample.     

What Do We Know About Neuropsychological Aspects Of Schizophrenia?

Application of a neuropsychological perspective to the study of schizophrenia has established a number of important facts about this disorder. Some of the key findings from the existing literature are that, while neurocognitive impairment is present in most, if not all, persons with schizophrenia, there is both substantial interpatient heterogeneity and remarkable within-patient stability of cognitive function over the long-term course of the illness. Such findings have contributed to the firm establishment of neurobiologic models of schizophrenia, and thereby help to reduce the social stigma that was sometimes associated with purely psychogenic models popular during parts of the 20th century. Neuropsychological studies in recent decades have established the primacy of cognitive functions over psychopathologic symptoms as determinants of functional capacity and independence in everyday functioning. Although the cognitive benefits of both conventional and even second generation antipsychotic medications appear marginal at best, recognition of the primacy of cognitive deficits as determinants of functional disability in schizophrenia has catalyzed recent efforts to develop targeted treatments for the cognitive deficits of this disorder. Despite these accomplishments, however, some issues remain to be resolved. Efforts to firmly establish the specific neurocognitive/neuropathologic systems responsible for schizophrenia remain elusive, as do efforts to definitively demonstrate the specific cognitive deficits underlying specific forms of functional impairment. Further progress may be fostered by recent initiatives to integrate neuropsychological studies with experimental neuroscience, perhaps leading to measures of deficits in cognitive processes more clearly associated with specific, identifiable brain systems.