Psychosocial Predictors of Health Status and Health Care Costs among People with Fibromyalgia

The purpose of the present study was to examine the effects of psychosocial characteristics on health status and the relationship between health status and health care use and costs in a group of people with fibromyalgia (FMS) over a 1-year period. The participants were 600 members of a large health maintenance organization. Demographic characteristics (age, education, employment status, ethnicity and income), need variables (comorbid conditions and baseline health status), and psychosocial variables (self-efficacy, helplessness, coping, and depression) were examined. Better health status at baseline, use of emotion-focused coping, and higher self-efficacy predicted better health status the following year. Higher health care use at baseline, being Caucasian, being older, and having more co-morbid conditions predicted higher health care use at 1 year. Only health care costs at baseline predicted health care costs the following year. Our results indicate that health care use and cost tend to be stable. Intense interventions focused on changing patterns of health care use and methods for coping with the change need to be developed and tested.     

The prediction of turnover intention by means of employee engagement and demographic variables in a telecommunications organisation

This study sought to determine the prediction of turnover intention by employee engagement and demographic variables in a large South African information and communication technology (ICT) organisation. Cross-sectional survey data was collected from the organisation. Using a sample of 2276 participants the Utrecht Work Engagement Scale (UWES) was employed to measure employee engagement, while the Intention to Stay Questionnaire (ISQ) measured turnover intentions. Employee engagement was significantly negatively related with turnover intentions. A factor analysis conducted on the UWES indicated that activation accounted for 10% of the variance in turnover intentions. Age and tenure had statistically significant negative relationships with turnover intentions, whilst qualification and race had significant positive relationships with turnover intentions. The results also confirmed the predictive model of employee engagement as well as the impact of the demographic variables of race, age, tenure on turnover intentions. The study has practical implications in relation to its ability to contribute to human resources activities in the form of differentiated remuneration and retention strategies based on differences in age and tenure.     

LOGICAL ANALYSES OF VIPASSANĀ MEDITATION

ABSTRACT

In this paper we propose logical analyses of Vipassanā Meditation as modus ponens or universal instantiation, as based upon identification, analysis, and interpretation of the meditation as a (spiritual) thought experiment (STE like e.g. huàtóus and kōans in Chan and Zen).*

The analyses consist in completing the unfinished enthymematic argument of the Sutta-nipāta by explication of hidden major. We speculate the thought experiment inference might be brought about by a faculty like mindfulness. The thought experiment analyses link the meditation to global cross-cultural theories and arguments in philosophy as Ibn Sīnā’s Flying Man and, notably, René Descartes’s Cogito. Last, we will give some indications how Vipassanā Meditation may be explained with help of western theories of consciousness.     

Relationships Between Attachment Security and Self-Construal Orientations

The authors report the results of two studies in which they explored the relationship of related and individuated self-construals, as suggested by the balanced integration—differentiation (BID) model (E. O. Imamo?lu, 2003), with (a) general attachment security in the first study (N = 168 Turkish university students) and (b) relationshipspecific attachment security with the family, peers, and romantic partners in the second study (N = 110 Turkish university students). Results indicated that attachment security tended to be associated with the relational self-orientation; however, when relatedness was complemented with individuation, there was a trend toward enhanced attachment security that reached significance when multiple measures of attachment across relationship contexts were considered. The authors discuss results with reference to their implications for attachment theory and the BID model.     

Hierarchical Error Evaluation: The Role of Medial-Frontal Cortex in Postural Control

Motor error evaluation appears to be a hierarchically organized process subserved by 2 distinct systems: a higher level system within medial-frontal cortex responsible for movement outcome evaluation (high-level error evaluation) and a lower level posterior system(s) responsible for the mediation of within-movement errors (low-level error evaluation). While a growing body of evidence suggests that a reinforcement learning system within medial-frontal cortex plays a crucial role in the evaluation of high-level errors made during discrete reaching movements and continuous motor tracking, the role of this system in postural control is currently unclear. Participants learned a postural control task via a feedback-driven trial-and-error shaping process. In line with previous findings, electroencephalographic recordings revealed that feedback about movement outcomes elicited a feedback error–related negativity: a component of the human event-related brain potential associated with high-level outcome evaluation within medial-frontal cortex. Thus, the data provide evidence that a high-level error-evaluation system within medial-frontal cortex plays a key role in learning to control our body posture.     

Interpreting President Barack Obama's Facial Displays of Emotion: Revisiting the Dartmouth Group

Charismatic presidents like John F. Kennedy, Ronald Reagan, and now Barack Obama have been able to overcome stereotype‐based barriers to political power by connecting emotionally with viewers, particularly through their nonverbal skills. In this study we focus on the facial displays of emotion by President Obama and how participants interpret them. This study builds upon the pioneering research of the Dartmouth Group concerning response to displays of happiness‐reassurance by political leaders. It will first replicate and extend upon existing research by using Ekman and Friesen's Facial Action Coding System (FACS) to characterize facial displays by President Obama, specifically three neutral displays and three different types of smiles. Second, this study replicates research carried out over two decades ago concerning individual differences in sex, ethnicity, and age cohort on response to political candidates culturally defined as Black. Video focusing on the head and torso were FACS coded and presented in a web‐based experiment to 79 participants working at a southern institution of higher education. The participants identified the emotions felt by President Obama on a scale ranging from “not at all” to “extremely” focusing on the basic emotion terms of: “Happy” and “Playful” (happiness‐reassurance) and “Angry” and “Disgusted” (anger‐threat). Findings suggest participants differentiate between subtle facial‐display differences and that there are differences based upon ethnicity and support for President Obama when they interpret his facial displays of emotion.     

An Activities Approach to the Treatment of Mentally Retarded Clients in an Acute Care Psychiatric Hospital

This article describes therapeutic activities offered in an occupational therapy treatment program for mentally retarded patients in an acute-care hospital facility. Implications of therapeutic activities for the building of ego strengths are discussed.     

Going Under Toward the Abyssal Question: Heidegger's Confrontation with Hegel on Negativity

Consulting Heidegger's other texts composed during 1936–1942, this article employs a principle of charity and constructs a consistent discourse about an inceptual negativity Heidegger articulates through a confrontation with Hegel in GA 68. Heidegger deliberately differentiates his use of denial (Verneinung) that bears Being-historical significance from Hegel's Negation that allegedly aims at synthesis or elevation as a dialectical movement. Being unsatisfied with his approach that remains entangled with metaphysics in the Contributions, Heidegger attempts to transform the question of the Nothing from a subsidiary question to Beyng to an abyssal question. One needs to go under toward the Nothing in its concealed, conjoined, and most intimate relation to Beyng. The movement of going under is fundamentally significant for transitions that could occur from out of the history of Beyng. Never being the fullness of essence, the Nothing places a limit on Beyng, constantly thwarts its unfolding, and maintains it in finitude.     

OTR Burnout

When job stress beconies chronic, it can result in the syndrome of burnout. This is characterized by feelings of reduced personal accomplishment, emotional exhaustion, and depersonalizing attitudes towards patients and colleagues. This pilot study explored burnout in a sample of hospital-based registcrcd occupational therapists employed in Virginia. Scores from 129 OTRs on the Maslach Burnout lnventory and a demographic data sheet were analyzed. Burnout scores were compared for OTRs working in physical disabilities, mental health, and developmental disabilitics. Also, the subjects were compared bascd on time spent in direct patient scrvice. The sample rcported moderate levels of burnout. The only statistically significant finding was that the OTRs who spent the least time with patients reported more depersonalization (intensity only) than their peers. Thc results did not replicate those from a previous report that psychiatric occupational therapists arc experiencing more burnout than other occupational therapists. Much further research appears to bc needed on the topic.