Panning for the gold in health research: Incorporating studies’ methodological quality in meta-analysis

Background: Systematic reviews now routinely assess methodological quality to gauge the validity of the included studies and of the synthesis as a whole. Although trends from higher quality studies should be clearer, it is uncertain how often meta-analyses incorporate methodological quality in models of study results either as predictors, or, more interestingly, in interactions with theoretical moderators.

Objective and methods: We survey 200 meta-analyses in three health promotion domains to examine when and how meta-analyses incorporate methodological quality.

Results: Although methodological quality assessments commonly appear in contemporary meta-analyses (usually as scales), they are rarely incorporated in analyses, and still more rarely analysed in interaction with theoretical determinants of the success of health promotions. The few meta-analyses (2.5%) that did include such an interaction analysis showed that moderator results remained significant in higher quality studies or were present only among higher quality studies. We describe how to model quality interactively with theoretically derived moderators and discuss strengths and weaknesses of this approach and in relation to current meta-analytic practice.

Conclusions: In large literatures exhibiting heterogeneous effects, meta-analyses can incorporate methodological quality and generate conclusions that enable greater confidence not only about the substantive phenomenon but also about the role that methodological quality itself plays.     

Countertransference as object of empirical research?

Abstract

The concept of countertransference as a robust cornerstone of psychoanalytic work has gained momentum over the last five decades. It is a prime example of elastic concepts covering the range from microprocesses to global clinical phenomena. Empirical research on the treatment process has for a long time – and for good reasons – avoided even trying to measure countertransference. We report here on various efforts for approaching a methodology for measuring it. The paper organizes the various approaches in terms of stages of research.     

Interventions in everyday lives: How clients use psychotherapy outside their sessions

The purpose of psychotherapy is to help clients address and overcome problems troubling them in their everyday lives. Therapy can therefore only work if clients include it in their ongoing lives to deal with their problems. Detailed, systematic research is needed on how clients do so in their everyday lives outside their sessions. A design of exploratory case studies on this topic is presented in this article. The main outcomes of such a case study on family therapy are then laid out in general terms. They highlight how treatment practices and clients’ ordinary everyday practices interact when clients change their everyday lives to overcome their troubles. They also highlight what it involves for clients to accomplish this. It is concluded that we need more research on how to understand intervention; on the interaction between interventions and clients’ conduct of their everyday life; on sessions as a particular, secluded part of clients’ ongoing everyday lives, and on how to consider therapists’ procedures and conduct of sessions accordingly.     

Five-item Francis scale of attitude toward Christianity: construct and nomological validity and internal consistency among Colombian college students

The Spanish version of the five-item Francis scale of attitude toward Christianity is a refinement of the short version of the Francis scale of attitude toward Christianity. The scale is a good measurement for intrinsic religiosity. It has been applied previously among Colombian adolescent students. The internal consistency and construct and nomological validity were tested among a sample of 1349 Colombian college students from Santa Marta, Colombia. Participants were aged between 18- and 30-years-old; 51% were men; and 68% were social science students. Exploratory analysis factor, Cronbach alpha and omega McDonald were computed. The scale showed high internal consistency (both alpha and omega = .96) and excellent construct and nomological validity (one factor which explained for 88% of variance; women scored higher than men; and Protestants scored higher than Catholics and students with other religion filiations). The five-item Francis scale can be used further researches in Hispano-America among college students.     

The Option for Life

In today's Anthropocene, the reality of our growing global population, with its requirement of and strain upon the natural world, and our grave projected ecological outlook pose new challenges for Christian ethicists. How can both people and the earth flourish? Discussed within the context of theological and secular reflections on natural law, this article proposes one answer to such a question through a recasting of the human right to nature by way of a deep and wide understanding of vocation. Using Luther as a prototype who demonstrates the innate value of all life forms and offers an innovative working concept of vocation, it is here shown how an emphasis on vocation, when extended ecologically, can promote the option of life for all.     

Early child grammars: qualitative and quantitative analysis of morphosyntactic production

This article reports on a series of 5 analyses of spontaneous production of verbal inflection (tense and person–number agreement) by 2-year-olds acquiring French as a native language. A formal analysis of the qualitative and quantitative results is developed using the unique resources of Optimality Theory (OT; Prince & Smolensky, 2004). It is argued that acquisition of morphosyntax proceeds via overlapping grammars (rather than through abrupt changes), which OT formalizes in terms of partial rather than total constraint rankings. Initially, economy of structure constraints take priority over faithfulness constraints that demand faithful expression of a speaker's intent, resulting in child production of tense that is comparable in level to that of child-directed speech. Using the independent Predominant Length of Utterance measure of syntactic development proposed in Vainikka, Legendre, and Todorova (1999), production of agreement is shown first to lag behind tense then to compete with tense at an intermediate stage of development. As the child's development progresses, faithfulness constraints become more dominant, and the overall production of tense and agreement becomes adult-like.     

Factors Moderating Children's Adjustment to Parental Separation: Findings From a Community Study in England

Research findings show that there is marked variability in children's response to parental separation, but few studies identify the sources of this variation. This prospective longitudinal study examines the factors modifying children's adjustment to parental separation in a community sample of 5,635 families in England. Children's behavioral/emotional problems were assessed when children were aged 47 and 81 months; marital quality, maternal depression, socioeconomic circumstances, and demographic variables were assessed prior to the separation from maternal report. Results indicated that 346 mothers separated from their partners in the 3-year period. Preseparation differences were found for measures of family process and parent risk factors, with effect sizes ranging from small to trivial. Parental separation was associated with a significant but modest increase in behavioral/emotional problems, independent of marital quality, maternal depression, socioeconomic circumstances, and demographic variables. Moderation analyses showed that children of cohabiting parents had a greater increase in adjustment problems following parental separation than children of married parents. Further research elucidating the factors that moderate children's adjustment to parental separation is needed to improve our understanding of who may most likely benefit from preventive interventions.     

The structure of vocational interests in Filipino adolescents

The structure of vocational interests was investigated in Filipino high school students (N = 503), who rated their interest in 303 culture-relevant occupational titles and 93 major fields of study. Item-level principal components analyses identified general interest, prestige, and sex-type dimensions, rather than Prediger's (1982) People/Things and Data/Ideas dimensions. Additional factor analyses were conducted to derive scales that measure more specific interests, including Unskilled/Semiskilled Labor, Male-dominated, Engineering/Technology, Science, Medical, Arts, Commerce, Government/Law, and Education. The interest scales showed some resemblance or overlap with Holland's types, and gender differences on the scales conformed to expectations. However, the relationships among the scales and occupations were better accounted for by prestige and sex-type than by People/Things and Data/Ideas dimensions or by Holland's circular model. Developmental, cultural, educational, and economic factors that might account for Filipino students' focus on prestige and sex-type were discussed.     

Synderesis in Late Medieval Philosophy and the Wittenberg Reformers

The present article discusses the concept of synderesis in the late medieval universities of Erfurt and Leipzig and the later developments in Wittenberg. The comparison between Bartholomaeus Arnoldi of Usingen in Erfurt and Johannes Peyligk in Leipzig shows that school traditions played an important role in the exposition of synderesis by the late medieval scholastic natural philosophers. However, Jodocus Trutfetter's example warns against overemphasizing the importance of the school traditions and reminds us of the manifold history of medieval discussions on synderesis, which were more or less familiar to many authors of this period. Finally, the diverse references to synderesis in the texts of Martin Luther, Johannes Bernhardi of Feldkirch and Philip Melanchthon reveal no uniform relationship with late medieval discussions but rather indicate various ways of adopting scholastic ideas and transforming them in the context of humanist and reformation thinking.     

Shooting Genes,Distributing Credit: Narrating the Development of the Biolistic Gene Gun

Using oral histories with scientists, technology transfer managers and other collaborators who were involved with the development of the biolistic gene gun, I investigate how actors narrate their experiences of technology transfer. The individuals who worked on the gene gun draw on two different interpretive repertoires for describing the innovation process: a ‘localized’ repertoire that highlights defined moments and the conceptual contributions of a few individuals; and a ‘distributed’ repertoire that emphasizes longer time frames, the process of technical implementation and the importance of a network of collaborators. Each of these repertoires identifies a different assemblage of actors as deserving of credit and reward for the development of the gene gun. Examining how scientists employ these modes of describing the innovation process offers a way of thinking about how university inventors negotiate tensions around novel features of academic capitalism, such as personal profit arising from the commercialization of university technologies.