The effects of patient's frequency of attendance and etiology of symptoms,on the General Practitioners wellbeing

IntroductionThe presence of Medically Unexplained Symptoms and a high Frequency of Attendance negatively affects the General Practitioners’ (GP) wellbeing. Although, overlapping between both phenomena is partial, with a number of frequent attenders reporting medically unexplained symptoms during consultation, there is no evidence on how GP's well-being it is affected by the specific main effects of these factors and their interaction. Evidence is also scant on the psychological processes explaining the negative impact of attendance and the etiology of symptoms on GP's wellbeing.ObjectiveDrawing on the Job Demand-Control and the Conservation of Resource stress models, this paper tests the moderating effects of the GP’ perception of patient's attendance and etiology of symptoms on the relationship between patient's demands and feedback on the GP's wellbeing.MethodA total of 105 volunteer GPs self-reported on the study variables through an experience sampling methodology after 898 patients’ consultation. Patients attendance and etiology of symptoms were categorized according to the physician self-perception and an external criterion (organizational records).ResultsPerception of Patients Frequent Attendance and Medically Unexplained Symptoms were positively related to physician's Emotional Exhaustion. Contrary to expected the test of the moderation effects of patients characteristics on the relation between patient's demands and feedback and the GP's emotional exhaustion were stronger for normal attenders compared with frequent attenders. An ad hoc study shows this unexplained result is related to the GP's expectations on Frequent vs. normal attenders’ behaviors. No significant results were found when the external criterion of classification was used.ConclusionCombined analysis of Frequency of Attendance and Etiology of Symptoms lead to a better understanding of the GP's decreased wellbeing. Also, the perception of the strain level (demands/positive feedback levels) associated to the consultation with different types of patients contribute to explain the consequences for the GP's wellbeing, especially when GP's expectations on patient's behaviors are violated.     

The analysis of drivers’ hazard detecting ability using Empathizing–Systemizing model

Since there are drivers who repeatedly have accidents, this research postulated that the lack of hazard perception which is a primary cause of accidents might be determined by individual differences in cognitive traits. The Empathizing–Systemizing (E–S) model was used for the cognitive traits, with Empathizing expected to correspond to ability at hazard perception and fewer accidents and/or incidents (near-accidents). On the other hand, Systemizing was not expected to contribute to them. A web questionnaire was conducted to collect data of accidents and incidents experienced during ordinary driving, and this was analyzed. The results showed that drivers with higher Empathy Quotient (EQ) experienced fewer accidents and incidents. The Systemizing Quotient (SQ) had no significant effect on these experiences. However, the experience of incidents by drivers with high Systemizing Quotient increased when their Empathy Quotient was low. Based on these results, it was suggested that drivers who have a stronger Empathizing function may have a stronger ability at hazard perception. On the other hand, the Systemizing function may weaken hazard perception ability when Empathizing is weak, although it does not have an independent effect.     

One version of direct response priming requires automatization of the relevant associations but not awareness of the prime

Priming is the influence of one event on performance during a second event. One type of priming is known as semantic priming because it biases interpretation of the subsequent stimulus. Another type, direct response priming, biases responding directly without semantic mediation. Research reviewed in this article indicates that two versions of the second type, direct response priming, can be distinguished. One version, explicit priming, requires awareness of the prime. The other version, associative response priming, occurs even if the prime is masked and not phenomenally visible. This version, which is attributed to associations relating specific sensory events to movements of particular muscles, is enabled only if the association has previously been automatized by brief practice in which the to-be-primed response is made to the stimulus that subsequently appears as the prime. Associative response priming can be explained by a simple stimulus–response interpretation; other varieties of priming are more theoretically challenging.     

General mental ability,conscientiousness, and the work–family interface: A test of mediating pathways

This study proposed a model in which employee general mental ability (GMA) and conscientiousness are linked to work–family conflict and enrichment through their relationship with occupational prestige and coping styles. We evaluated this model in a sample of 709 working adults from the National Survey of Midlife Development II in the United States. Results indicate that, through occupational prestige and subsequent psychological job demands and financial well-being, GMA was related to work-to-family conflict (WFC) and family-to-work conflict (FWC). GMA was also related to work-to-family enrichment (WFE) but not family-to-work enrichment (FWE) through occupational prestige and autonomy. In contrast, conscientiousness did not influence work–family outcomes through occupational prestige. Additionally, GMA and conscientiousness were both related to WFE/FWE through problem coping, whereas conscientiousness was related to FWC through avoidance coping. Examining the relative effects of GMA and conscientiousness, we found that the indirect effects of GMA through occupational prestige were stronger than those of conscientiousness, whereas the indirect effects of conscientiousness through problem coping were stronger than those of GMA. We discuss our findings in terms of the mechanisms through which stable individual differences may exert influences on work–family outcomes.     

Pacifying Muslims in Germany’s ‘City of Peace’: interreligious dialogue as a tool of governance in Osnabrück

ABSTRACT

Addressing Muslims as a target group in municipal politics is a relatively new development in German cities. Interreligious dialogue, often initiated by established Christian actors, provides a format for doing so. In our local West German case study, the politics of dialogue link up with a historical narrative of Osnabrück as ‘City of Peace’, creating a semantic framework which is hard to resist, yet not undisputed. As a governance tool, interreligious dialogue has the potential to pacify and to structure social relations. It tends to prefer and support certain subject positions, while neglecting others. In this contribution we focus both on actors who are involved in local interreligious dialogue as well as those who – for diverse reasons – do not participate, and who question or oppose it. Thus, we analyse the effects of interreligious dialogue on local subjectivation processes, including alternative reactions that might challenge the dominant paradigm.     

Conflict tasks and the diffusion framework: Insight in model constraints based on psychological laws

Formal models of decision-making have traditionally focused on simple, two-choice perceptual decisions. To date, one of the most influential account of this process is Ratcliff’s drift diffusion model (DDM). However, the extension of the model to more complex decisions is not straightforward. In particular, conflicting situations, such as the Eriksen, Stroop, or Simon tasks, require control mechanisms that shield the cognitive system against distracting information. We adopted a novel strategy to constrain response time (RT) models by concurrently investigating two well-known empirical laws in conflict tasks, both at experimental and modeling levels. The two laws, predicted by the DDM, describe the relationship between mean RT and (i) target intensity (Piéron’s law), (ii) standard deviation of RT (Wagenmakers–Brown’s law). Pioneering work has shown that Piéron’s law holds in the Stroop task, and has highlighted an additive relationship between target intensity and compatibility. We found similar results in both Eriksen and Simon tasks. Compatibility also violated Wagenmakers–Brown’s law in a very similar and particular fashion in the two tasks, suggesting a common model framework. To investigate the nature of this commonality, predictions of two recent extensions of the DDM that incorporate selective attention mechanisms were simulated and compared to the experimental results. Both models predict Piéron’s law and the violation of Wagenmakers–Brown’s law by compatibility. Fits of the models to the RT distributions and accuracy data allowed us to further reveal their relative strengths and deficiencies. Combining experimental and computational results, this study sets the groundwork for a unified model of decision-making in conflicting environments.     

Hegel and the history of idealism

ABSTRACT

This article attempts to expose an unwarranted narrowness in the study of idealism in nineteenth century philosophy, and to show that the field of idealism is much wider than usually assumed. This narrowness stems from the influence of Hegel’s history of philosophy, which saw the idealist tradition as beginning in Kant, passing through Fichte and Schelling, and then culminating in his own system. This conception of history has been disseminated by Hegel’s followers and still prevails today. I argue that this conception is too narrow for several reasons. First, it ignores the romantic idealists (Hölderlin, Novalis, Schlegel); second, it excludes the opposing tradition of idealism of Herbart, Fries and Beneke, which affirmed (against Schelling and Hegel) transcendental idealism, an empiricist epistemology, the existence of the thing-in-itself and the value of the Kantian dualisms; and, third, it neglects the history of idealism after Hegel later in the nineteenth century, more specifically, the idealism of Trendelenburg, Lotze and Hartmann.