Career counsellors' perceptions of the severity of career decision-making difficulties

Individuals differ in the type and severity of the difficulties they face when making a career decision. Relying on the Gati, Krausz, and Osipow (1996) taxonomy of career decision-making difficulties, we elicited the judgements of 28 career counselling experts about factors that contribute to the perceived severity of the difficulties. Difficulties attributed to an internal or emotional cause were judged as more severe than difficulties attributed to an external or cognitive cause. With respect to the consequences, difficulties that prevent making a decision, or those that require long-term treatment, were judged as more severe than difficulties that may lead to a non-optimal decision, and those that require a short-term treatment. The analysis revealed that the factor that most affected the experts' severity judgements was the expected length of treatment. Treatment priority was affected only partially by severity, reflecting the role of other considerations.     

冠脉介入术支架内血栓的危险因素和预防策略

支架内血栓形成是经皮冠状动脉介入治疗罕见但极为严重的并发症,常导致患者心肌梗死和死亡。其危险因素包括抗血小板治疗、支架因素、介入操作因素、患者及病变因素等。预防的关键在于积极防治上述危险因素,主要包括延长抗血小板治疗疗程、选择合适的支架类型和操作技术、开发新型支架和抗血小板药物,同时注意冠心病二级预防。     

Effect of Age,Length of Unemployment,and Problem‐Focused Coping on Positive Reemployment Expectations

This study explored the interrelated job search, unemployment, and coping literature (e.g., Leana & Feldman, 1990 ; McKee‐Ryan, Song, Wanberg, & Kinicki, 2005 ), in which the effects of age, length of unemployment, and coping behaviors on reemployment expectations were investigated. The study included unique demographics in which 65% were long‐term unemployed. Length of unemployment, networking comfort, and job search confidence were significant in a regression, and age was not. Regardless of age, reemployment expectations can be higher if the job seeker has higher levels of networking comfort and/or job search confidence or lower if they have been unemployed for a longer duration.     

Risk of bias in trial-based economic evaluations: Identification of sources and bias-reducing strategies

Objective: The objectives of this article are first to give an overview of the risks of bias in trial-based economic evaluations and, second, to identify how key sources for bias can be revealed and overcome (i.e. what bias-reducing strategies might be employed) in future trial-based economic evaluations in the field of health psychology.

Design: Narrative review discussing sources of bias in trial-based economic evaluations and bias-reducing strategies.

Results: We identified 11 biases and assigned them to a particular trial phase. A distinction is made between pre-trial biases, biases during the trial and biases that are relevant after the actual trial. All potential forms of bias are discussed in detail and strategies are shown to detect and overcome these biases.

Conclusion: In order to avoid bias in trial-based economic evaluations, one has to be aware of all the possible forms of bias. All stakeholders have to examine trial-based economic evaluations in a rigorous and stringent manner. This article can be helpful in this examination as it gives an overview of the possible biases which researchers should take into account.     

Exploring the path through which career adaptability increases job satisfaction and lowers job stress: The role of affect

The construct of career adaptability, or the ability to successfully manage one's career development and challenges, predicts several important outcomes; however, little is known about the mechanisms contributing to its positive effects. The present study investigated the impact of career adaptability on job satisfaction and work stress, as mediated by individuals' affective states. Using a representative sample of 1671 individuals employed in Switzerland we hypothesized that, over time, career adaptability amplifies job satisfaction and attenuates work stress, through higher positive affect and lower negative affect, respectively. The data resulted from the first three waves of a longitudinal project on professional paths conducted in Switzerland. For each wave, participants completed a survey. Results of the 3-wave cross-lagged longitudinal model show that employees with higher career adaptability at Time 1 indeed experienced at Time 3 higher job satisfaction and lower work stress than those with lower career adaptability. The effect of career adaptability on job satisfaction and work stress was accounted for by negative affect: Individuals higher on career adaptability experienced less negative affect, which led to lower levels of stress and higher levels of job satisfaction, beyond previous levels of job satisfaction and work stress. Overall results support the conception of career adaptability as a self-regulatory resource that may promote a virtuous cycle in which individuals' evaluations of their resources to cope with the environment (i.e., career adaptability) shape their affective states, which in turn influence the evaluations of their job.     

When career paths cease to exist: A qualitative study of career behavior in a crisis economy

Using grounded theory methodology, this study examines the ways young professionals describe their career paths in the aftermath of the 2008 Financial Crisis. We interviewed a sample of 29 Greek women professionals (24 to 32 years old) to examine their career behavior during this recession. Findings reveal prevailing effects of professional identity and profession-consistent learning goals on participants' career behavior. Specifically, those individuals without a strong professional identity or profession-consistent learning goals are more likely to anticipate and engage in career activities unrelated to their professions, a group whom we refer to as Shifters. In contrast,     

Relation of career adaptability to meaning in life and connectedness among adolescents in Hong Kong

This study examined relationships among career adaptability, meaning in life, and connectedness in Hong Kong with Chinese male and female Grade 9 students (n = 543). The results indicated that presence of meaning in life positively predicted connectedness; and in the males career concern was predicted by presence of meaning in life. Also in males, career control was predicted both by presence and search for meaning in life, while career curiosity was predicted by connectedness to school, and by presence and search for meaning in life. Career confidence was predicted by connectedness to school, and presence and search of meaning in life. In the females, career concern was predicted by presence of meaning in life and connectedness to school, but negatively by connectedness to peers. Career control and career curiosity were predicted by presence and search for meaning in life. Career confidence was predicted by presence of meaning in life. Limitations of the study are identified; and implications for future research and guidance with Chinese adolescents in schools are discussed.     

Narrating career,positioning identity and constructing gender in an Italian adolescent's personal narratives

This article explores identity career narratives as a gendered and gendering discourse. The ‘gender differences’ approach to career development conceives of gender as a dichotomous and fixed variable influencing various aspects of career. In contrast to this mainstream approach, the paper adopts a post-structural view and reads identity and gender in terms of performativity, that is to say, constituted through the productive power of discourses. Through a detailed analysis of a text written by Giada, an adolescent involved in a career counseling project in Italy, we analyze how her career narratives implicate and constitute gender in their telling. In particular, we present the discourses that frame Giada's career narrative and we highlight how these discourses position Giada as a woman and as female. These discourses can be read as regulatory discourses: shaping and reflecting particular understandings of gender. However, we also highlight Giada's agency in questioning the regulatory practice of such discourses through linguistic acts. In the conclusions, we further explore the potential implications of these research findings for a rethinking of career counseling research and practice.     

The protean career orientation as predictor of career outcomes: Evaluation of incremental validity and mediation effects

A protean career orientation is assumed to be beneficial for career development but researchers have only recently started to empirically evaluate the concept. Conducting two studies based on three independent samples of university students and working professionals in Germany, we address issues of concurrent validity, predictive incremental validity and mechanisms linking the protean orientation to career outcomes. The first study showed that in a sample of 104 German employees different measures of the protean career orientation all correlated highly, but not identically, to a range of work and career attitudes. Using bootstrapping analysis, a second study with a six-month prospective examination among 419 German university students and a cross-sectional analysis among 526 German employees showed that a protean career orientation predicts proactive career behaviors and career satisfaction beyond a proactive disposition and core self-evaluations, respectively. Moreover, the protean career orientation was a significant mediator of these two personality constructs on both career outcomes. Cumulatively, the studies enrich our understanding of how and when a protean career orientation is related to important career outcomes.     

Strategies for coping with career indecision: Concurrent and predictive validity

Recently, Lipshits-Braziler, Gati, and Tatar (2015a) proposed a model of strategies for coping with career indecision (SCCI), comprising three main types of strategies: Productive coping, Support-seeking, and Nonproductive coping. Using a two-wave longitudinal design (30-week time lag), the effects of these strategies on career decision status and career decision-making difficulties were tested among 251 students in a college preparatory program. The results showed that the use of Nonproductive coping strategies at the beginning of the program was associated with and predicted a higher degree of individuals' career decision-making difficulties, and also distinguished between decided and undecided participants at both the beginning and the end of the program, thus partially supporting the concurrent and the predictive validity of the SCCI. Furthermore, a decrease in the use of Nonproductive strategies over time predicted a decrease in individuals' career decision-making difficulties. In addition, a decrease in the use of Nonproductive coping strategies and an increase in the use of Productive ones predicted individuals' advancement toward making a career decision. Theoretical and counseling implications are discussed.