Coping patterns of in vitro fertilization nurse coordinators: Strategies for combating low outcome effectance

Abstract

Data were gathered concerning coping strategies that nurse coordinators working in the field of in vitro fertilization would use to meet typical work-related stressors. Causality orientation—or tendency to perceive oneself as autonomous, controlled or helpless—was also measured. It was hypothesized that nurses using problem-focused/disengaged strategies, such as thinking about therapeutic successes or trying not to dwell on stressors, and who were high in autonomy, would be most effective in coping with situations where control over outcomes is limited. Statistical analyses revealed a group of nurses following the coping pattern described in the hypothesis. These individuals reported less work-related stress than other nurse coordinators.     

Comments on Article by G. Leonard Burns et al.

No abstract available for this article.     

A Differentiated Legal Approach to the Effects of Spousal Abuse on Children

Summary

In the past decade judges have started to recognize the destructive effects of spousal violence on children, but too many judges and justice system professionals still fail to take adequate account of spousal abuse when dealing with child related issues. Courts need to take a “differentiated” approach to spousal abuse, one that recognizes its different forms, nature and effects on adults and children, with a continuum of responses ranging from ordinary visitation, through supervision of exchanges or visitation, to termination of visitation. Canada should enact legislation that explicitly recognizes spousal abuse as a factor in child related disputes, increase education about domestic violence for judges and other justice system professionals, and provide more support for services such as supervised visitations programs. While this article focuses on Canadian developments and case law, there are similar issues in other countries.     

慢性阻塞性肺疾病急性加重期临床路径应用效果评价

评价临床路径管理在慢性阻塞性肺疾病急性加重期（AECOPD）的应用效果。通过采用回顾性调查,比较进入临床路径（路径组）和没有进入临床路径（对照组）两组患者在住院费用、住院时间及治疗效果3项指标上的差别。结果显示实施临床路径患者（路径组）的平均住院费用、平均住院日等指标均有不同程度的下降,而治愈率有所上升。从而得出临床路径在AECOPD病种的应用能够规范医疗行为,提高医疗护理质量的结论。     

Couple Therapy Interventions for Problems with Extramarital Affairs

SUMMARY

A number of couples request therapy because of relational problems resulting from an extramarital affair. In treating such couples, five phases of cognitive and emotional aspects of problematic affairs have been identified: (1) the start, (2) suspicion and negation, (3) explosion and impulsive reactions, (4) making choices and deadlock, (5) working through. Clients may enter therapy at very different points in these phases. Some come in full crisis, others in the deadlock phase, not being able to decide what to do. A different therapeutic intervention is proposed for each phase.     

Addressing Cultural Factors in Development of System Interventions

SUMMARY

The purpose of this article is to address various issues concerning multicultural interventions at a system level. Diversity is presented through a different conceptual approach and specific implications for school psychological practice are addressed. In this theoretical context an alternative model of school psychological services that was developed in the Greek educational system is presented and a primary intervention program is described as a paradigm of multicultural system/community intervention. Finally, the components of a transnational approach to multicultural system/community interventions that provides the basic procedural guidelines to developing effective, culturally sensitive interventions in the school environment is proposed.     

From Theory to Practice

Abstract

Beginning counselors are often eager to incorporate expressive techniques in their counseling sessions. However, there is still some disconnect between student counselors studying an experiential technique in coursework and supervision, and then executing these activities while conducting a counseling session. The following article provides a rationale for teaching expressive techniques and explores a previously developed model for teaching supervisees. An experiential activity is presented, as well as a case study illustrating the use of the teaching model.     

Moral judgement in adolescents: Age differences in applying and justifying three principles of harm

This study investigated the application and justification of three principles of harm in a cross-sectional sample of adolescents in order to test recent theories concerning the source of intuitive moral judgements. Participants were 46 early (M _age = 14.8 years) and 40 late adolescents (M _age = 17.8 years). Participants rated the permissibility of various ethical dilemmas, and provided justifications for their judgements. Results indicated participants aligned their judgements with the three principles of harm, but had difficulty explaining their reasoning. Furthermore, although age groups were consistent in the application of the principles of harm, age differences emerged in their justifications. These differences were partly explained by differences in language ability. Additionally, participants who used emotional language in their justifications demonstrated a characteristically deontological pattern of moral judgement on certain dilemmas. We conclude adolescents in this age range apply the principles of harm but that the ability to explain their judgements is still developing.     

Collective moral disengagement: Initial validation of a scale for adolescents

Collective moral disengagement refers to shared group beliefs that morally justify negative actions. This study reports an initial validation of the newly developed Classroom Collective Moral Disengagement Scale (CCMDS) for adolescents. This self-report instrument assesses the degree to which mechanisms of moral disengagement are shared by students in their class. Data were collected from two samples of 486 and 654 adolescents attending middle and high schools in Italy. Through exploratory and confirmatory factor analyses the unidimensional structure of the scale was established. Multigroup analyses demonstrated configural, metric and scalar invariance of the model across age and gender groups. The final version of the scale consists of 17 items and it has good internal consistency and validity. It is concluded that the scale is a promising measure for research concerning group level morality.