Key challenges in tram/streetcar driving from the tram driver’s perspective – A qualitative study

Tram drivers have a difficult task in controlling one of the heaviest vehicles on the road whilst negotiating a complex road environment with multiple road users. Like all public transport drivers, tram drivers need to ensure passenger safety and to run on time. However, very little research has been conducted evaluating tram driving tasks and even less on evaluating tram drivers opinion on how other road users are affecting tram road safety. Therefore, the aim of this study is to investigate the key tram driving challenges, to identify the key road user factors affecting tram road safety as well as to explore the potential safety improvement initiatives on tram routes from the tram drivers’ viewpoint. The study incorporated five focus groups involving thirty tram drivers in Melbourne. The key themes emerged inductively from focus groups were identified through a data coding process. Outcomes of the focus groups revealed seven major challenges in tram driving: ensuring safety for all people in and around the tram, pressure for running on-time, maintaining constant concentration on roads, predicting other road users’ behavior in advance to avoid any crash incident, preventing passenger falls on board, accepting the operational constraints of trams and managing fatigue workloads. Tram drivers identified that other road users are unaware of safety issues around trams, have a poor understanding of road rules about driving with trams and often violate road rules around trams, and they mentioned this road user behaviors as the key challenges for safe tram driving. Tram drivers proposed rendering greater law enforcement on the tram network to penalize road users who are violating road rules around trams, introducing more safety campaigns and safety education to increase awareness among road users to improve tram road safety. Findings of this research enhance understanding of tram driving challenges, provide an in-depth knowledge of road user factors affecting tram road safety and suggest effective planning strategies for transit agencies to improve road safety.     

Venturing into the visual voice: combining photos and interviews in phenomenological inquiry around marginalisation and chronic illness

In this article, we present a reflection on the research process of combining photographs with phenomenologically oriented interviews. Two studies in the field of chronic illness with marginalised individuals (lesbian, gay, bisexual and trans* people living with MS; men diagnosed with breast cancer) are employed to illustrate a range of conceptual, methodological and pragmatic issues. Both studies draw upon an integrative theoretical framework within a critical health psychology epistemological paradigm informed by phenomenological psychology and visual methodologies. The data collected for both studies have been analysed through interpretative phenomenological analysis (IPA). We offer some thoughts regarding certain challenges and opportunities of synergising verbal and visual data and illustrate our arguments through a series of examples from the two studies, which are critically discussed. We argue that qualitative research in psychology benefits from an enhanced multimethodological approach employing existential phenomenological psychology and visual methodologies, especially when exploring chronic illness in marginalised communities, and we outline benefits for the wider community of qualitative researchers in psychology.     

Cognitive behavioural treatment for chronic fatigue syndrome in a rehabilitation setting: effectiveness and predictors of outcome

Cognitive behavioural therapy (CBT) was combined with graded exercise therapy (GET) for patients with chronic fatigue syndrome (CFS) in an uncontrolled implementation study of an inpatient multidisciplinary group therapy. During the intake procedure, 160 CFS patients completed a questionnaire on fatigue related measurements, physical impairment, depression, somatic and psychological attributions, somatic focus, and sense of control over symptoms. Pre-treatment physical activity level was measured with an actometer. At baseline, post-treatment and 6-month follow-up individual strength, subjective fatigue and physical impairment, were reassessed. Large effect sizes were found on subjective fatigue (1.2 post-treatment; 1.2 follow-up) and physical impairment (−.9 post-treatment; −.9 follow-up), Clinically significant improvement was found in 33.8% of the participants at post-treatment and 30.6% at follow-up. Individual strength at post-treatment was predicted by level of physical activity before treatment, and by sense of control over symptoms and physical activity at follow-up. Clinically significant improvement in subjective fatigue was predicted by not receiving a disablement insurance benefit, shorter duration of fatigue, higher sense of control over symptoms and, at follow-up by more pre-treatment physical activity. In conclusion, the intervention was effective for CFS patients. Cognitive behavioural factors that perpetuate fatigue symptoms are also predictors of treatment outcome.     

Cognitive-behavioural treatment of pathological gambling in individuals with chronic schizophrenia: a pilot study

The current study aimed to test the clinical effectiveness of a cognitive-behavioural program (CBT) specifically adapted for pathological gamblers with chronic schizophrenia, carried out in a naturalistic setting of community Mental Health Centres. Forty-four pathological gamblers with chronic schizophrenia were assigned either to a standard drug therapy for schizophrenia (control group) or to cognitive-behavioural therapy for pathological gambling plus a standard drug therapy for schizophrenia (experimental group). Psychological treatment comprised a 20-session program including psychoeducation, stimulus control, gradual exposure and relapse prevention. Therapeutic success was defined as abstinence or the occurrence of only 1 or 2 episodes of gambling during the follow-up period. While the patients treated in the experimental group showed a rate of success of 73.9%, only 19% of the participants belonging to the control group gave up gambling at the 3-month follow-up. The CBT group also did better than the control group in the number of gambling episodes and in the amount of money spent on gambling. However, the improvement of the experimental group was weaker at the 6- and 12-month follow-up. These findings support the beneficial effects of CBT as adjunctive therapy for patients with dual diagnoses (schizophrenia and pathological gambling).     

Subjective distress associated with chronic stuttering

Stuttering is a chronic condition involving involuntary disruption to speech fluency. While elevated social anxiety has been found to be a risk factor for adults who have stuttered all their lives, it is unclear how stuttering influences other negative mood states such as interpersonal sensitivity and depressive mood. Consequently, controlled research was conducted that investigated negative affectivity across a number of domains in adults who stutter. Participants included 200 adults who have stuttered since childhood, with comparisons made to 200 non-stuttering controls of similar age and sex. The adults who stuttered were found to have significantly elevated levels of distress and negative mood states compared to the controls. As expected, significant differences were found for anxiety, however, significant and substantial differences were also found across a broad range of negative affect, including dimensions such as somatization, interpersonal sensitivity, depressive mood, hostility and paranoia. The implications of these findings for the better management of stuttering are discussed.Educational objectives: The reader will be able to describe: (a) the negative impact of a chronic disorder like stuttering on people who have stuttered all their life; (b) the factor structure of the SCL-90-R; (c) the negative affectivity construct, and (d) the difference between psychogenic theories of stuttering and neurological theories of stuttering.     

The effects of managerial regulatory fit priming on reactions to explanations

We investigated the interactive effects of regulatory focus priming and message framing on the perceived fairness of unfavorable events. We hypothesized that individuals’ perceptions of fairness are higher when they receive a regulatory focus prime (promotion versus prevention) that is congruent with the framing of an explanation (gain versus loss), as opposed to one that is incongruent. We also hypothesized that these effects are mediated by counterfactual thinking. Three studies revealed that primed regulatory fit (promotion/gain or prevention/loss) led to higher levels of justice perceptions than regulatory misfit (promotion/loss or prevention/gain). Additionally, “could” and “should” counterfactuals partially mediated the relationship between regulatory fit and interactional justice (Study 3).     

Local dynamic stability of the spine and its coordinated lower joints during repetitive Lifting: Effects of fatigue and chronic low back pain

The nonlinear Lyapunov exponent (LyE) has been proven effective for evaluating the local stability of human movement and exploring the effects of load, speed and direction of individuals with and without nonspecific chronic low back pain (CLBP). The purpose of this study was to examine spinal and lower joint stability and response to fatigue of individuals with and without CLBP while performing lifting-lowering movements. Fourteen healthy individuals and 14 patients with nonspecific CLBP were recruited to perform lifting movement repeatedly while holding two equally-sized dumbbells in their hands. The participants continued lifting until they reported their highest level of fatigue. Kinematic data for the spine and its coordinated lower joints were recorded during the task (more than 40 lifting cycles on average). The first and last 20 cycles of each cyclic time series were defined as early- and late-fatigue conditions, respectively. The maximum LyE was estimated to quantify the local dynamic stability of the angular displacement time series of the spine, hip, knee and ankle on different anatomical planes in both the early- and late-fatigue conditions. The results revealed that local stability of the spine and hip was affected by fatigue. Spinal stability decreased as fatigue increased on the sagittal plane (p < 0.05). The hip exhibited a similar affectation (destabilization under fatigue) on all anatomical planes. Patients with CLBP showed more stable hip movement on the frontal and transverse planes (p < 0.05). These results suggested that lifting/progressive fatigue could increase the risk of injury to the spine and hip. These findings indicate that patients with CLBP applied different control strategies for the hip; thus, spinal control stability should be evaluated together with the stability of the lower joints.     

Motivations for promotion and prevention and the role of trust and commitment in interpersonal forgiveness

Granting forgiveness demands self-regulation. Distinct modes of self-regulation might therefore produce distinct routes to forgiveness. Self-regulation focused on advancement (or promotion) could motivate forgiveness through the perceived benefits to be attained by repairing a relationship, i.e., one’s trust that a partner will provide such benefits rather than further betrayal. In contrast, self-regulation focused on security (or prevention) could motivate forgiveness through the perceived costs of further relationship deterioration, i.e., one’s commitment to maintain a relationship upon which one depends and protect against the loss of this relationship. These hypotheses were supported across two studies that: (a) measured and manipulated promotion-focused versus prevention-focused self-regulation, (b) included real and imagined offenses in casual and close relationships, and (c) assessed forgiveness immediately following an offense and after a two-week delay. Trust in a relationship partner more strongly predicted forgiveness among promotion-focused individuals, whereas commitment to this partner more strongly predicted forgiveness among prevention-focused individuals.     

Mapping self-reports of working memory deficits to executive dysfunction in Fragile X Mental Retardation 1 (FMR1) gene premutation carriers asymptomatic for FXTAS

Fragile X Syndrome is a neurodevelopmental disorder that is caused by the silencing of a single gene on the X chromosome, the Fragile X Mental Retardation 1 (FMR1) gene. In recent years, the premutation (“carrier”) status has received considerable attention and there is now an emerging consensus that despite intellectual functioning being within the average range premutation males present with subtle executive function impairments that include poor inhibitory control, working memory deficits, and poor planning skills. The ranges of these skills, although not nearly as severe as seen in the full mutation, nonetheless serve to differentiate males with the premutation from males in the unaffected population. In the present study we extend these findings to suggest that behavioral markers, specifically self-report on the Brown Attention-Deficit Disorder Rating Scales, may serve as a clinically useful indicator or “signature” of the Fragile X Premutation status. We discuss the possibility that this measure provides a means to identify those at greatest risk for developing the newly identified neurodegenerative disorder that affects some premutation males – Fragile X Tremor/Ataxia Syndrome (FXTAS).