Fostering learning-in-organizing through narration: Questioning myths and stimulating multiplicity in two performing art schools

This article is organized around the concept of “learning-in-organizing” to capture the collective, dynamic, and relational nature of how groups of persons, moving together through space and time, can come to gain knowledge and appreciation of a given issue through “storying” their experiences. Learning is understood as an integral part of the process of organizing. I suggest that the character and modes of learning vary depending on the stage of organizing. These move through stages of relative stability (“gaming”) and change (“playing”). The learning that takes place during a relative stable period has the character of monitoring and is primarily problem driven. During change, more complicated learning occurs. Inherited myths and rules are called into question; situations and problems are redefined as a result of the conflicting stories told by social actors. This article covers considerable theoretical and practical ground in outlining and illustrating this dynamic narrative approach to organizational learning. It includes a case concerned with making self-care a public issue among the communities of two performing art schools. The example shows that in situations where inherited narratives are no longer adequate, it is possible to foster transformational learning through reflexive dialogues if participants are willing to share their experiences, to take each other seriously, and to acknowledge multiplicity.     

Existential and religious issues when admitted to hospital in a secular society: Patterns of change

Situated in a secular culture, this study examined the relationship between four dimensions of health and a number of existential, religious, and spiritual/religious practice variables in questionnaires sampled from 480 Danish hospital patients. Illness dimensions were: self-rated health, severity of illness, illness duration, and recent changes in illness. The results indicated the youngest age group (<36 years) to be the most active on all existence/religious/practice variables. Small overall correlations were found between the illness dimensions and existential/religious/practice variables, but results had underlying complex patterns. The dimension of severity of illness showed the most consistent results in the expected direction: the worse the illness, the more existential/religious/practice activity, but very different patterns were found for men and women. Men generally had low levels of existential/religious/practice issues, when illness was not severe, but levels heightened when illness turned worse. The opposite was the case for women who had overall higher levels, when illness was not severe, but unexpectedly lost interest and activity when the illness grew worse, especially regarding the religious faith variables. When illness turned to the better, women (re)gained religious faith. The illness duration of 1–3 months showed to be the most sensitive period for the existential/religious/practice variables involved. The patients’ experience of change in existential/religious/practice issues and the actual measured change pattern did not always follow each other. The findings might contribute to clinical reflection and planning in health care settings in secular societies like in Scandinavia.     

Intersecting cultural identities and help-seeking attitudes: the role of religious commitment,gender, and self-stigma of seeking help

ABSTRACT

The current study (N?=?404) used a moderated moderation model to examine how gender, religious commitment, and self-stigma toward seeking psychological help may interact in the prediction of help-seeking attitudes. Bivariate zero-order correlations indicated that help-seeking attitudes was negatively associated with self-stigma of seeking help (r?=??.55) and positively associated with religious commitment (r?=?.14), and self-stigma was not significantly associated with religious commitment. Men reported more negative attitudes than women (ΔM?=??.18). Furthermore, multiple regression results revealed a three-way interaction such that the relationship between gender and help-seeking attitudes was moderated by both self-stigma and religious commitment. Specifically, men with high religious commitment and high self-stigma endorsed the most negative help-seeking attitudes, suggesting that religious men’s help-seeking attitudes may be particularly susceptible to the influence of self-stigma. Implications for research and the development of targeted interventions are discussed.     

普通儿科住院患者自动出院的原因分析

单中心回顾性调查2011年1月~2012年11月普通儿科住院患儿自动出院1 088例,自动出院率18.7%（1 088/5 827）,其主要原因集中在症状或体征改善、经济困难、家庭因素、依从性差、医患矛盾、疗效欠佳、病房环境差、转院治疗等.儿科住院患者选择自动出院是对医疗制度与管理、医疗水平、服务态度、沟通技巧、家庭背景、社会救助等因素的综合考量.做好社会、医疗机构和医疗制度三方面积极救助环节是改善医患矛盾、减少患儿自动出院的有效措施.     

Resistance,reactance, and misinterpretation: Highlighting the challenge of persuading people with depression to seek help

Interventions that increase help‐seeking among people with depression have the potential to save lives. Several efforts have been impressively successful; however, research has also chronicled inconsistent results, with some endeavors indicating boomerang effects. The goal of the current analysis is to synthesize select findings from cognitive theorizing on depression with persuasion scholarship to explain how and why the combination of unfavorable attitudes toward help‐seeking, attitudes that are increasingly resistant to influence, psychological reactance, and cognitive errors can result in challenging responses to messages encouraging help‐seeking among people with depression. In addition, we highlight the importance of utilizing theory‐based approaches to circumvent resistance to persuasion and provide an explanation as to why the provision of immediate help‐seeking mechanisms could be a key aspect of successful intervention efforts. We also stress the importance of formative research and pilot testing, and warn against the potentially harmful error of assessing messages targeting people with depression on those without heightened levels of depressive symptomatology. Ideally, this effort will draw attention to the challenge of persuading people with depression to seek help and also motivate social psychologists to consider the ways they can use their craft to positively influence the health and well‐being of people with depression.     

Examining the Prevalence and Predictors of Injury From Adolescent Dating Violence

Medical needs of youth who experience dating violence are not well understood because of limited past research examining the prevalence and predictors of injuries and medical help seeking. To address these gaps, the current study described the prevalence and predictors of injuries from dating violence from grades 8 through 12 in a large sample of youth. Results indicate that one third to one half of youth who experienced any physical and/or sexual dating violence also sustained an injury. Prevalence of injury was highest in the 8th grade and was significantly higher for females than for males across grades 8 through 11. Youth who experienced greater amounts of violent victimization in their relationships (physical, sexual, and psychological) were at the highest risk for injury. Results also suggest that victims at highest risk for injury are girls, White youth, those experiencing multiple types of violence, and those who also engage in perpetration. Given the high prevalence of injury among youth who report dating violence, healthcare professionals may be in a unique position to screen and counsel youth about dating violence. Because the highest prevalence of injury occurred before high school, prevention programs should start early and selected prevention may be used for youth at highest risk for injury.     

Information seeking by rhesus monkeys (Macaca mulatta) and capuchin monkeys (Cebus apella)

Animal metacognition is an active, growing research area, and one part of metacognition is flexible information-seeking behavior. In Roberts et al. (2009), pigeons failed an intuitive information-seeking task. They basically refused, despite multiple fostering experiments, to view a sample image before attempting to find its match. Roberts et al. concluded that pigeons’ lack of an information-seeking capacity reflected their broader lack of metacognition. We report a striking species contrast to pigeons. Eight rhesus macaques and seven capuchin monkeys passed the Roberts et al. test of information seeking—often in their first testing session. Members of both primate species appreciated immediately the lack of information signaled by an occluded sample, and the need for an information-seeking response to manage the situation. In subsequent testing, macaques demonstrated flexible/varied forms of information management. Capuchins did not. The research findings bear on the phylogenetic distribution of metacognition across the vertebrates, and on the underlying psychological requirements for metacognitive and information-seeking performances.     

The marriage checkup: increasing access to marital health care

Despite the ongoing prevalence of marital distress, very few couples seek therapy. Researchers and clinicians have increasingly been calling for innovative interventions that can reach a larger number of untreated couples. Based on a motivational marital health model, the Marriage Checkup (MC) was designed to attract couples who are unlikely to seek traditional tertiary therapy. The objective of the MC is to promote marital health for as broad a population of couples as possible, much like regular physical health checkups. This first paper from the largest MC study to date examines whether the MC engaged previously unreached couples who might benefit from intervention. Interview and survey data suggested that the MC attracted couples across the distress continuum and was perceived by couples as more accessible than traditional therapy. Notably, the MC attracted a substantial number of couples who had not previously participated in marital interventions. The motivational health checkup model appeared to encourage a broad range of couples who might not have otherwise sought relationship services to deliberately take care of their marital health. Clinical implications are discussed.     

How different is a 3D‐printed replica from a conspecific in the eyes of a zebrafish?

Robotics is emerging as a promising tool for aiding research on animal behavior. The possibility of generating customizable, controllable, and standardized robotic stimuli has been demonstrated through a number of behavioral assays, involving vertebrates and invertebrates. However, the specific appraisal of the nature of robotic stimuli is currently lacking. Here, we attempt to evaluate this aspect in zebrafish, through a within‐subject design in which experimental subjects are faced with three experimental conditions. In the first test, we investigated sociability by measuring zebrafish response to a conspecific separated by a one‐way glass. In the second test, we studied zebrafish behavior in response to a 3D‐printed zebrafish replica actuated along realistic trajectories through a novel four‐degree‐of‐freedom robotic platform. Last, we investigated fear responses in a shelter‐seeking test. In agreement with our expectations, zebrafish exhibited an equivalent preference for live and robotic stimuli, and the degree of preference for the robotic replica correlated negatively with the individual propensity to seek shelter. The equivalent preference for the replica and conspecific suggests that the appraisal of the target stimuli is analogous. The preliminary evidence of a correlation between behavioral responses across tests points to the readability of robotics‐based approaches to investigate interindividual differences.     

“It Happens to Girls All the Time”: Examining Sexual Assault Survivors’ Reasons for Not Using Campus Supports

Sexual assault is a prevalent problem in higher education, and despite the increasing availability of formal supports on college campuses, few sexual assault survivors use them. Experiencing sexual assault can have devastating consequences on survivors’ psychological and educational wellbeing, which may intensify if survivors do not receive adequate care. Drawing from existing theoretical frameworks and empirical research, this study used a mixed methodological approach to examine why survivors did not use three key campus supports—the Title IX Office, the sexual assault center, and housing staff—and if these reasons differed across the three supports. Using data from 284 women who experienced sexual assault in college, our qualitative findings identified four overarching themes, including logistical issues (e.g., lacking time and knowledge), feelings, beliefs, and responses that made it seem unacceptable to use campus supports, judgments about the appropriateness of the support, and alternative methods of coping. Quantitative findings revealed that survivors’ reasons for not seeking help differed across supports. Collectively, our findings suggest that community norms and institutional policies can make it challenging for survivors to use campus supports. We propose several suggestions for institutional change (e.g., taking a stronger stance against “less serious” forms of sexual assault, reducing a quasi‐criminal justice approach to investigation and adjudication, limiting mandated reporting).