Medical Psychology Services in Dutch General Hospitals: State of the Art Developments and Recommendations for the Future

In this article an overview is presented of the emergence of medical psychology in the care of somatically ill patients. The situation in the Netherlands can be considered as prototypical. For 60 years, clinical psychologists have been working in general, teaching and academic hospitals. Nowadays, they are an integrated non-medical specialism working in the medical setting of hospitals in the Netherlands, and are a full-member of the medical board. This paper discusses several topics: the position of the general hospital in the health care system in the Netherlands, the emergence of medical psychology in Dutch hospitals, the role of the professional association of medical psychologists, and the characteristics of patients seen by clinical psychologists. Following the discussion about the situation of medical psychology in other countries, recommendations are formulated for the further development of medical psychology in the Netherlands as well as in other countries.     

学业自我概念及其与学业成绩关系的研究述评

自1976年Shavelson将自我概念区分为学业自我概念和非学业自我概念以来,教育心理学家对学业自我概念的结构及学业自我概念与学业成绩的关系进行了广泛研究。本文在阐述学业自我概念的多侧面结构和等级结构模型的基础上,着重探讨了学业自我概念与学业成绩的关系,并对学业自我概念的研究进行了展望。     

童年中期儿童社会能力与学业成就的交叉滞后研究

本研究采用同伴提名法、问卷法,对武汉市一所小学3、4、5、6年级儿童进行6个月的追踪调查。采用交叉时序滞后设计,考察了同伴关系4个特征水平(群体水平、双向关系水平、人际互动水平和个体特征水平)的变量与学业成就的相互预测关系。结果表明,在控制了前测学业成就后,前测的社会喜好、积极友谊质量、社交领导行为可以分别正向预测后测的学业成就,而前测的攻击行为可以负向预测后期的学业成就;在控制了前测的社交自我知觉后,学业成就可以正向预测后期的社交自我知觉。     

Report of the Working Group on Clinical Services

Prepared by the Working Group on Clinical Services from the November 1995 Georgetown conference sponsored by the Association of Medical School Psychologists, this paper focuses upon issues related to the effects of health care reform and changes to the health care system on psychologists practicing within academic health care settings. Discussion of the changes in the health care economic system and the call for cost-effectiveness produced five specific suggestions for psychology to establish accountable, data-based models of behavioral health care.     

Medical Center Politics and Decisions: A Discussion

Presented as part of a symposium at the 1996 American Psychological Association Convention in Toronto, Canada, this paper reflects an historical overview of the political issues faced by psychologists in academic medical centers. Ivan Mensh, Ph.D., senior psychologist and founding member of the Association of Medical School Psychologists, suggests that those psychologists involved in medical education should learn who the decision makers are and how decisions are made at academic medical centers in order better to assure the continued viability of psychology in those settings.     

贵州省高师本科大学生学业自我效能感与心理健康水平的研究

运用大学生学业自我效能感量表和SCL-90症状自评量表对高师本科大学生进行调查,探讨其学业自我效能感与心理健康水平的关系。结果表明：1、在学习能力自我效能感上,大一至大四学生无年级、性别、专业的显著差异;在学习行为自我效能感上,大三、大四差异显著;2、大四与其他各年级学生在自评症状各因子上存在极显著差异,男女生在自评症状的强迫和偏执两因子上存在显著差异;3、学业自我效能感高的学生与学业自我效能感低的学生在人际关系敏感、抑郁因子上差异显著;4、自我效能感与心理健康水平存在较高相关。     

The 2003 Survey of Academic Medical Center Psychologists: Implications and Outlook

This paper offers commentaries on Pate and Kohout’s (2005) report of data from the 1997 and 2003 surveys of psychologists in medical school settings. The commentaries reflect upon the significance of the survey findings and implications for psychology’s role in medical school and academic health science settings. Though the response rate to the survey was disappointing, the data indicate that psychologists are moving up in academic rank, and have made substantial gains in salary. The data also indicate that among psychologists who are medical staff members, who constitute half the 2003 sample, an increasing proportion are functioning autonomously as reflected in gains in the percentage having admitting privileges, staff voting privileges, and authority to write orders. Research continues to be a major focus for psychologists in academic medical centers. Overall, the findings indicate that psychologists can have productive, satisfying careers in medical school/academic health center settings—though there is one troubling sign, a sizeable drop in the number of positions being created for younger, more recently trained psychologists. Methodological enhancements are described that could improve the quality, scope, and usefulness of data from future studies, both for understanding long-term trends and for conducting salary negotiations. High quality data provide a solid foundation for advocating for psychologists’ full participation in the life of medical schools and academic health centers.     

初中生人格型乐观、应对策略与学业成绩的关系

采用生活取向测量、应对方式量表对514名初中生进行调查,旨在了解人格型乐观主义、应对策略与学业成绩之间的关系。运用相关分析和回归分析的方法对它们的关系进行了考察。结果发现初中生积极和消极应对策略在其乐观主义影响学业成绩中的中介效应不显著,在不同学业成绩群体中,乐观主义、应对策略和学业成绩的关系会产生变化,乐观主义和积极应对策略对学业成绩有显著的预测力。     

The Double Cohort retention and academic success comparison: are students in the new Ontario secondary school program disadvantaged?

In September 2003, Ontario universities accepted a double cohort of new students resulting from the Ontario government’s decision to eliminate Grade 13. The admission to university of two categories of students distinguished by their age and high school program raised a number of questions, not only in terms of admission infrastructure but mostly in what concerns the sum of student retention, academic success, and graduation. Factors associated with success and with the maintenance of university studies are numerous: stress, socioeconomic status, parents’ education, intellectual capacities, motivation, social abilities, and social support (Olds & Papalia, 2000). Therefore, the objectives of this study were: (1) to test the hypothesis of a double cohort effect on student academic success during the first year of university, (2) to verify the hypothesis that high school academic history, socioeconomic variables related to stress and perceived stress predict academic success and retention at the end of first year university. In September 2003, 300 first year students answered questionnaires inquiring about their high school program and high school GPA, their socioeconomic characteristics, and their perceived stress. These measures were then used to predict drop out, final GPA, number of credits attempted, passed and failed in June 2004. Results showed that school persistence and first year university academic achievement are mostly predicted by gender, high school GPA, type of financial resources, and number of hours worked at a paid job. Although not significant, we have found a higher proportion of Grade 12 students who dropped out during first year at university, suggesting a possible long-term effect of high school program on academic achievement.     

THE EFFECTS OF RECIPROCAL PEER TUTORING AND GROUP CONTINGENCIES ON THE ACADEMIC PERFORMANCE OF ELEMENTARY SCHOOL CHILDREN

We evaluated the effects of reciprocal peer tutoring combined with group reinforcement contingencies on the arithmetic performance of 12 underachieving fifth-grade students. Results indicated that the intervention increased the students' arithmetic performance to a level indistinguishable from their classmates during treatment and 12-week follow-up phases. Pre-, post-, and follow-up sociometric data indicated that the students who participated in the treatment groups increased their amount of peer affiliation with other treatment group members.