The Importance of Fostering Ownership During Medical Training

There is a need to consider the impact of the new resident-hours regulations on the variety of aspects of medical education and patient care. Most existing literature about this subject has focused on the role of fatigue in resident performance, education, and health care delivery. However, there are other possible consequences of these new regulations, including a negative impact on decision ownership. Our main assumption of is that increased shift work in medicine can decrease ownership of treatment decisions and impact negatively on quality of care. We review some potential components of decision ownership in treatment context and suggest possible ways in which the absence of decision ownership may decrease the quality of medical decision making. The article opens with the definition of decision ownership and the overview of some contextual factors that may contribute to the development of ownership in medical residency. The following section discusses decision ownership in medical care from the perspective of “diffusion of responsibility.” We question the quality of choices made within narrow decisional frames. We also compare isolated and interrelated choices, assuming that residents make more isolated decisions during their shifts. Lastly, we discuss the consequences of decreased decision ownership impacting the delivery of health care.     

付出-回馈失衡工作压力理论的迁移、拓展与展望

付出-回馈失衡工作压力理论(Effort-Reward Imbalance,ERI)是基于社会交换公平的工作压力理论,从付出、回馈、过度投入三个方面探讨了工作压力的形成机制和作用机理。在对近十几年来有关ERI模型实证研究文献的梳理和分析的基础上,介绍该理论在多个领域的拓展以及在国内外的新进展,包括对ERI理论中间变量及前因变量的探索,研究者们开始将ERI理论迁移到社会的多个领域,以及ERI理论在中国的检验与创新,并提出研究展望与付出-回馈动态交叉失衡模型的假设构想。     

The relationship between prospective memory and episodic future thinking in younger and older adulthood

Episodic future thinking (EFT), the ability to project into the future to “preexperience” an event, and prospective memory (PM), remembering to perform an intended action, are both examples of future-oriented cognition. Recently it has been suggested that EFT might contribute to PM performance but to date few studies have examined the relationship between these two capacities. The aim of the present study was to investigate the nature and specificity of this relationship, as well as whether it varies with age. Participants were 125 younger and 125 older adults who completed measures of EFT and PM. Significant, positive correlations between EFT and PM were identified in both age groups. Furthermore, EFT ability accounted for significant unique variance in the young adults, suggesting that it may make a specific contribution to PM function. Within the older adult group, EFT did not uniquely contribute to PM, possibly indicating a reduced capacity to utilize EFT, or the use of compensatory strategies. This study is the first to provide systematic evidence for an association between variation in EFT and PM abilities in both younger and older adulthood and shows that the nature of this association varies as a function of age.     

Cognitive approaches to the study of episodic future thinking

The concept of episodic future thinking—the ability to simulate events that may take place in the personal future—has given rise to an exponentially growing field of research that spans a variety of sub-disciplines within psychology and neuroscience. In this introduction to the special issue, we provide a brief historical overview of factors that have shaped research on the topic and highlight the need for additional behavioural work to uncover cognitive mechanisms that support episodic future thinking and differentiate it from other related modes of future-oriented cognition. We conclude by discussing the manner in which the various contributions to the special issue fill the gaps in our knowledge and make some of our own suggestions for future work.     

Family incivility and counterproductive work behavior: A moderated mediation model of self-esteem and emotional regulation

Drawing from the work–home resources model, we examined the relations of family incivility, counterproductive work behaviors (CWB), state self-esteem, and emotional regulation. Results from three-wave lagged data (N = 284) indicated that family incivility was positively correlated with counterproductive work behaviors, and this relationship was mediated by state self-esteem. In addition, emotional regulation mitigated the relationship between family incivility and state self-esteem. The findings suggested that family incivility, as an emotional contextual demand in the home domain, is related to negative outcome (deviant behavior) in the work context (i.e., CWB) through the depletion of the personal resource—state self-esteem, while emotional regulation is a key resource that mitigates this relationship. This paper discusses the implications of these findings with respect to applications and developments of the work–home resources model.     

Infantile sexuality: Its place in the conceptual developments of Anna Freud and Donald W. Winnicott

This essay explores the place of infantile sexuality in the theories of Anna Freud and Donald W Winnicott. Both Anna Freud and D.W. Winnicott incorporated and at the same time changed the classical psychoanalytic account of infantile sexuality and the instinctual drives. Whilst Anna Freud remained closer to her father's original conceptualization, she developed a multidimensional model of development which gave the drives a foundational status whist also maintaining their significance in giving meaning and texture to children's subjective experience. Winnicott also retained much of S. Freud's original theorizing except that in a fundamental way he turned it on its head when considering earliest development. For him the establishment of the self was paramount, and the drives and infantile sexuality merely served to give substance to that self.     

The Moderating Effects of Age on the Relationships of Self‐Compassion,Self‐Esteem,and Mental Health

This study investigated the interactive effects of self‐compassion, self‐esteem, and age on mental health. Numerous previous studies have found that self‐compassion has a significant positive association with well‐being but most of these studies were conducted with young adults represented by college students. This study extended the previous findings by comparing its distinctive functions in different age groups. A total of 1,813 adults whose age ranged from twenties to fifties (M = 39.28 years, SD = 11.27) completed a questionnaire measuring self‐compassion, self‐esteem, subjective well‐being, and depression. The results of hierarchical regression analysis indicated that the positive relationship between self‐compassion and subjective well‐being was rendered stronger with older adults. In addition, self‐compassion moderated the relationship between self‐esteem and depression regardless of age. These results imply that self‐compassion may be complimentary to self‐esteem in improving mental health, especially for older adults.     

Religious Quest Orientation and Anti‐Gay Sentiment: Nuancing the Relationship Between Religiosity and Negative Attitudes Toward Homosexuality Among Young Muslims and Christians in Flanders

Public opinion research has repeatedly shown that religious people generally report more prejudice against homosexuality. However, previous research exploring the general mechanisms that underpin this relationship mostly relied on Christian samples in North America. Studies outside North America are few in number and limited in the forms of religiosity they address. Of all indicators that have been studied so far, a religious quest orientation was found to be the only one negatively related to anti‐gay sentiments. This leaves open the question whether the mechanisms for different forms of religiosity can also be found outside North America. Against that background this research note assesses how religious quest orientation, self‐rated religiosity, religious behavior, and authoritarianism are related to prejudice against homosexuality among Christian and Muslim youth aged 14–23 in Flanders (N = 2,834). This study is the first that investigates the relationship between religious quest orientation and anti‐gay sentiments among Muslims. For both Christians and Muslims, we found that even taking into account a wide range of social background and religious characteristics, having a religious quest orientation is related to less prejudice toward homosexuality.     

The role of inhibitory control and ADHD symptoms in the occurrence of involuntary thoughts about the past and future: An individual differences study

In everyday life, people often experience involuntary thoughts about their personal past and future events in response to incidental cues in the environment. Yet, despite the abundance of such cues, our consciousness is not constantly flooded by these involuntary autobiographical memories (IAMs) and involuntary future thoughts (IFTs). The main goal of the present study was to further investigate the possibility that cognitive inhibitory control keeps these involuntary cognitions at bay. To test this inhibition hypothesis, we conducted a large-scale study (n = 157) in which groups of participants with different levels of inhibitory control (low, medium, high) and individuals with ADHD spectrum symptoms were engaged in a laboratory vigilance task in which the frequency of IFTs and IAMs was assessed. Contrary to predictions, although participants across groups differed significantly in terms of their individual inhibitory control capacity, the number of IFTs and IAMs reported during the vigilance task was comparable. In addition, individuals with the ADHD spectrum symptoms did not report more spontaneous thoughts compared to other groups. Together, these findings lend little support for the idea that inhibition is a key mechanism that regulates the occurrence of IAMs and IFTs in everyday life. Other possible mechanisms and avenues for future research are discussed.     

The technologically-mediated self: reflections on the container and field of telecommunications

This paper contains reflections on the use of the imagination in technologically-mediated therapy and analysis. As part of the individuation process the psyche is seen as needing to adapt to new technological ways of communicating. The notion of a technologically-mediated self is posited describing a self which can only be apprehended through, and by, the use of telecommunications. This self is seen as identical to the in-person self, a subset, or superset of it. There is a revisioning of our notions of the container and the field in this work performed through technological-mediation. The need to engage the imagination in approaching this kind of work is emphasized in order to create an imaginal play-space in which the body will be deeply affected. Some thoughts on how the process of individuation might look through such analytic work is presented.