Relationships between climate, process, and performance in continuous quality improvement groups

This study examined relationships between group climate (participants’ learning orientation, feelings of psychological safety, and self-disclosure), process (feedback and conflict), and performance in continuous quality improvement groups. Forty-nine participants in eight hospital groups were surveyed as the groups neared completion. Groups were classified as high or low performing based on interviews with group leaders and facilitators. Ratings of self-disclosure and feelings of psychological safety were related to lower relationship and task conflict and more giving and seeking feedback. Learning orientation was positively related to feedback. Climate and feedback were positively related to creativity of outcomes, while learning orientation and having an active facilitator were related to performance ratings. High performing teams were higher in ratings of learning orientation, facilitation, creativity of outcomes, and overall performance. The results demonstrate the importance of facilitation of learning and interpersonal relationships within structured groups.     

AN ANALYSIS OF AND INTERVENTION IN THE SEXUAL TRANSMISSION OF DISEASE

Sexually transmitted diseases are a serious threat to the public health. Indeed, when an individual seeks medical treatment for a sexually transmitted disease, health authorities frequently attempt to identify, procure, and treat that individual's sexual contact(s). We conducted a comparative analysis of three alternative approaches to tracing the sexual partners of individuals diagnosed as having a sexually transmitted disease. The first approach involved counseling individuals (n = 27) infected with either gonorrhea or nongonococcal urethritis and exhorting them to procure their sexual partners for treatment. In addition to counseling, the second and third approaches involved distributing “occasion cards” for patients to use when informing sexual contacts of the need for treatment. Moreover, in the second approach, the counselor (a nurse or physician) informed infected patients (n = 19) that they and their partners could waive the $3 clinic fee contingent upon the partners seeking treatment within 1 week. In the third approach, the counselor asked infected persons (n = 19) to accept a follow-up telephone contact if their sexual partners failed to seek treatment within 1 week. The third approach was most effective. Ninety percent of the partners identified through this approach sought treatment, versus only about 60% of the partners in the other two conditions. The third approach was also the least expensive, costing about $2.95 to procure each partner for treatment.     

言语-表象型认知风格与外显、内隐记忆的关系

研究探讨言语-表象维度认知风格对外昱、内隐记忆效果的影响。实验采用不同认知风格（言语型和表象型）的被试,以抽象名词和具体名词为测验材料,运用了Jacoby加工分离程序。结果发现：言语-表象维度认知风格对内隐记忆效果的影响与外显记忆不同。（1）表象型被试和言语型被试在识记抽象名词时外显记忆成绩差异显著;（2）言语型-表象型认知风格没有导致内隐记忆的个体差异。     

What does it take to let go? An investigation into the facilitating and obstructing factors of forgiveness–the therapist's perspective

The phenomenon of forgiveness, initially neglected by psychotherapists due to its religious connotation, is finding increasing recognition as a transformative process involving the injured party in a profound way. This thesis is based on therapists’ experiences with clients who have been emotionally wounded. However, its content may be of relevance also for those who are struggling to forgive as well as those who are in a position to help others undergoing this process. Fifteen practitioners, most of them highly experienced, from eleven different countries on four different continents, have shared their observations and experiences by filling in an e-mail administered in-depth questionnaire. The topic has been approached with the following study objectives: the nature of forgiveness, intrapersonal and interpersonal factors affecting forgiveness, and the role of the therapist in the client's process of letting go. A qualitative research design has been applied for the data analysis, to identify the major themes of each research question, representing the facilitating and obstructing conditions relevant for forgiveness. Since the danger of premature forgiveness emerged as a recurrent concern, a “forgiveness chart” has been developed, assigning the analysed data to relevant categories: A reference tool designed to support a genuine process of letting go.     

Technology as prospective ontology

Starting from common-sense notions of ‘furniture of the world’ a process ontology is developed in which prospective is an integral part. Technology as configurations that work (precariously) embodies expectations which structure further development. Examples (a cloned puppy, hotel keys, DC airplanes, stem cells, and overpasses on Long Island) are used to develop the notion of material narratives that are “written”, not just by engineers and designers/producers, but also by users: “reading” implies some further “writing”. In contrast to prevailing notions of technological control (through manipulation of building blocks), the “writing” of nanotechnology is modulation of the invisible and impredictable - an extreme example of unruly technology and repair work after the fact, where in practice control is a gesture not so different from magic. Because ontology cannot be other than prospective, it is political throughout. Thus, prospective technology highlights ontological politics.     

The interactivist model

A shift from a metaphysical framework of substance to one of process enables an integrated account of the emergence of normative phenomena. I show how substance assumptions block genuine ontological emergence, especially the emergence of normativity, and how a process framework permits a thermodynamic-based account of normative emergence. The focus is on two foundational forms of normativity, that of normative function and of representation as emergent in a particular kind of function. This process model of representation, called interactivism, compels changes in many related domains. The discussion ends with brief attention to three domains in which changes are induced by the representational model: perception, learning, and language.     

Indecisiveness and response to risk in deciding when to decide

When making decisions, people must determine not only what to choose but also when to choose. Do individuals modulate behavior in response to potential risks associated with delay in determining when to choose? The present work provides evidence that at least one group of people—indecisive individuals—do not. Two process‐tracing studies simulated a 5‐day college‐course selection period in which new course alternatives appeared on each day. In a risk‐free condition, no risks were associated with delay of decision making over the days. In a risk condition, each day of delay was associated with a risk of loss of existing course alternatives. Unlike decisive individuals, who modulated days of deliberation in response to presence versus absence of risk, indecisive individuals did not. The results illustrate not that indecisive individuals show uniformly increased delay relative to others, but rather that their delay behavior may be more striking in its unresponsiveness to risk. Copyright © 2007 John Wiley & Sons, Ltd.     

For-profit/nonprofit differences in center-based child care quality: Results from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development

In secondary analyses of National Institute of Child Health and Human Development Study of Early Child Care and Youth Development data, multiple indicators of quality (caregiver wages and turnover; child/staff ratio; caregiver education and professionalism; positive caregiving) were compared between child care centers by sector (for-profit/nonprofit) and subsector (for-profit independent/chain, nonprofit church/nonchurch) at multiple points from infancy through prekindergarten. Nonprofit centers evidenced higher caregiver wages and education at most ages and better quality child/staff ratios, turnover, caregiver professionalism, and positive caregiving for toddlers and preschoolers. Subsector differences in preschool classrooms were more complex. In general, quality was higher in nonprofit non-religiously affiliated centers, intermediate in nonprofit religiously affiliated and for-profit independent centers, and lower in for-profit chains, but differences were not found on every indicator or between every group. Further, for-profit chain status predicted lower quality positive caregiving, controlling for family characteristics, staff, and structural quality, at 54 months, but not 36 months. Results support and extend prior research by controlling for family characteristics. Policy implications regarding supply- and demand-side quality-improvement strategies that address market competition and parent choice across subsectors are discussed.     

Psychology is About Processes

Out of the eight points of methodological criticism against contemporary psychology formulated by Watson (Psychological Bulletin 31:755–776, 1934) and put forward by Toomela in this issue, the overemphasis on prediction, the neglect of individual differences, the habit of the differences between the mental states of subjects in objective experimental conditions are particularly important. Modern cognitive psychology has began to remedy those problems, in part by proposing broad, integrative theories. It is not useful to subdivide psychology into “schools of thought” defined by their methodological practices.