Outcomes and Findings of Program Evaluation for the Intensive Mental Health Program

We describe changes in adaptive functioning for children enrolled in the Intensive Mental Health Program (IMHP), an innovative model for serving children with the most severe forms of SED. Most children show marked improvements in multiple indicators of role performance and symptomatology. Although a high risk, high need group, most children attended school regularly and lived with a stable caregiver at discharge.     

Effects of Helper and Recipient Sex on the Experience and Outcomes of Comforting Messages: An Experimental Investigation

The purpose of this experimental study was to examine whether and in what ways the sex of the helper and the recipient moderate the effects of comforting messages in face-to-face interactions. A total of 216 participants disclosed an emotionally upsetting event to a confederate trained to display different levels of nonverbal immediacy and verbal person centeredness. Men and women responded very similarly to comforting messages that exhibited different levels of verbal person centeredness and nonverbal immediacy, and this response similarity was not moderated by the sex of the helper. Both men and women were most comforted by messages that exhibited high levels of person centeredness and nonverbal immediacy, and they were least comforted by messages that exhibited low levels of these qualities. Moreover, both sexes viewed highly person-centered and immediate messages as exhibiting the highest comforting quality, and, with one minor exception, both sexes viewed helpers who used these messages as the most competent.     

The Motivations for and Outcomes of Employee Referrals

Research on employee referrals demonstrates positive outcomes for the recruited individual and the organization. However, little research addressed employees who make employment referrals, also known as employee recommenders. To address this gap in knowledge, we developed a conceptual model and present the theoretical basis for addressing the motivation of, and organizational outcomes associated with, employees who make employment recommendations. The model is based on the theories of word-of-mouth communication, cognitive dissonance, self-perception, and attitude change through self-persuasion. Partial support for the model was found in an experimental design simulating an employee referral situation. Results showed an increase in normative commitment of recommenders.     

医患沟通中患者的信息认知

医患沟通在医疗过程中发挥着重要的作用,沟通中的主要内容是信息交流,信息交流的主要目标是达到医患双方的相互理解.论述影响医患沟通中信息认知的几个因素,其中包括信息的形式,情绪因素,沟通行为因素三个方面.通过对这些因素的干预,提高患者对信息的认知能力将使医患沟通更加有效,从而有利于合作式的医患关系的形成.     

Personality Changes Associated with Localized Brain Injury in Elderly Populations

Emotional disturbances following brain damage have been frequently reported in the literature. However, systematic investigation of these disorders and their specific causes were not common until the last 30 years. However, the number of research studies into this area remains slight compared to the voluminous literature on the cognitive effects of brain injury. The completed research has fallen into 3 major areas: (1) The study of clients with localized brain injuries to evaluate whether the site of the injury predicts the emotional reactions; (2) the effect of time poststroke on personality changes; and (3) the relation of neuropsychological deficits to emotional changes. This paper provides a comprehensive review of the research that has been completed in this area with elderly subjects along with an analysis of the current state of the knowledge in this area. Future directions for research to further our understanding are discussed.     

Correlates of Patient Satisfaction Among Menopausal Women

Patient satisfaction can increase compliance and health outcomes in many populations. Menopausal-age women present unique physical and psychosocial concerns that separate them from other populations in their health care needs and preferences. We surveyed 48 women (ages 45–60) regarding their satisfaction with a recent annual exam office visit in a family practice clinic. Women reported the number of quality of life issues they discussed during this visit and which of these they considered most important, as well as menopausal symptoms and perceived health competence. Regression analyses identified variables most related to patient satisfaction. Of three components of visit satisfaction (Quality, Humaneness, and General Satisfaction), Quality was predicted by quality of life issues discussed. Physical, psychological, and functional domains were considered most important to the patients, whereas physical, psychological, and social domains were most often actually discussed in the visit.     

Coming of Age with Self-Managed Teams: Dealing with a Problem Employee

In the wake of documented success stories from organizations using self-managed teams, additional attention should be directed at factors that can enhance as well as diminish their success. The common characteristics of highly desirable team members are described as a setting for understanding performance problems that are created when individuals with co-dependent behaviors are introduced into a team structure. Although it is difficult to pinpoint accurately the number of individuals who are affected by co-dependency, estimates that reach as high as 95 million make discussion and recommendations for dealing with these individuals in a team setting especially useful.     

Inhibition and reappraisal within emotional disclosure: the embodying of narration

The emotional disclosure paradigm (EDP) associates better health with repeated disclosure of emotional experiences. However, disclosure does not bring health benefits for all, and neither does the EDP adequately specify embodied mechanisms or neural pathways whereby benefits might be produced. This paper addresses these issues by offering more sophisticated notions of emotional inhibition and cognitive reappraisal. It then outlines aspects of the somatic marker hypothesis which supports a more comprehensive conceptualization of the processes that may enable both the positive and negative health effects of disclosure.     

护理健康教育与治疗性沟通的比较与思考

根据近年来有关护理健康教育和治疗性沟通的研究,从护理健康教育和治疗性沟通的概念、适用范畴、实施的模式、实施的程序、实施的主客体等角度对两者进行比较和思考,以解决目前临床对两者的困惑。提出治疗性沟通和规范护理健康教育协同进步才是护理学发展之未来。     

Information-Seeking Practices during the Sexual Development of Lesbian, Gay, and Bisexual Individuals: The Influence and Effects of Coming Out in a Mediated Environment

Constructing a sexual identity is one of the major developmental tasks of adolescence. Applying the Media Practice Model, this study retrospectively examines how self-identifying lesbian, gay, and bisexual (LGB) individuals used media during the commencement of the coming-out process and the effects of media use during this pivotal time of development. Results indicate that the Internet plays a critical role in the development of LGB sexual identities. Heavy users of media during the coming-out process are significantly less likely to communicate openly with their families later in life. However, individuals’ reports of loneliness and self-esteem are not affected. Conclusions suggest that mediated forms of communication can be beneficial for sexual exploration among LGB individuals.