Evaluating the effectiveness of goal setting and textual feedback for increasing moderate‐intensity physical activity in adults

The purpose of this study was to evaluate the effectiveness of goal setting and textual feedback, without additional intervention components, for increasing moderate‐intensity physical activity, specifically the weekly number of intense steps measured by a Fitbit. A multiple baseline across participants design was employed with four participants using a Fitbit Flex accelerometer to measure intense steps. Results showed a substantial increase in weekly number of intense steps for three out of four participants following the intervention.     

Developing Clear and Useful Scoring Procedures for Goal Attainment Scaling in Longitudinal Case Studies

This article examines scoring procedures for Goal Attainment Scaling (GAS) and suggests a new scoring procedure to communicate GAS outcomes in longitudinal studies. Analysis is based on longitudinal case studies that evaluate transitioning from psychiatric institutions to independent living. Five scoring methods are identified: raw scores; sum of score differences; mean scores; T-scores; and graphing raw scores. Graphing raw scores is presented as an alternative method of expressing GAS scores for studies with few participants and multiple time points. This enables easy interpretation of goal attainment, and allows for fluctuation in performance as is typical in clinical practice.     

高中生生涯学习经验问卷的编制及信效度检验

在文献分析基础上,以Holland（1997）职业理论和社会认知生涯理论为理论依据,结合国内高中生生涯活动的实际情况,编制了高中生生涯学习经验问卷。验证性因素分析结果表明,该问卷属于多维度因素结构,包含Holland六种生涯领域学习经验分问卷,每种分问卷包括成就表现、口头劝服、替代学习和积极情绪唤起等四个学习经验。信效度检验结果表明,该问卷多维构念合理,拟合良好,具备良好的内部一致性信度和构念效度。以中国个人球形职业兴趣量表简版中的生涯自我效能分量表为关联效标,发现在每种生涯领域下的生涯学习经验与生涯自我效能感都显著正相关,支持了量表的实证效度。该问卷可以作为我国高中生生涯学习经验的测量工具。     

Priority setting in health care: on the relation between reasonable choices on the micro-level and the macro-level

There has been much discussion about how to obtain legitimacy at macro-level priority setting in health care by use of fair procedures, but how should we consider priority setting by individual clinicians or health workers at the micro-level? Despite the fact that just health care totally hinges upon their decisions, surprisingly little attention seems being paid to the legitimacy of these decisions. This paper addresses the following question: what are the conditions that have to be met in order to ensure that individual claims on health care are well aligned with an overall concept of just health care? Drawing upon a distinction between individual and aggregated needs, I argue that even though we assume the legitimacy of macro-level guidelines, this legitimacy is not directly transferable to decisions at micro-level simply by adherence to the guidelines’ recommendation. Further, I argue that individual claims are subject to the formal principle of equality and the demands of vertical and horizontal equity in a way that gives context- and patient-related equity concerns precedence over equity concerns captured at the macro-level. I conclude that if we aim to achieve just health care, we need to develop a complementary framework for legitimising individual judgment of patients’ claims on health care resources. Moreover, I suggest the basic structure of such a framework.     

A case history: from traumatic repetition towards psychic representability

This paper is devoted principally to a case history concerning an analytic process extending over a period of almost ten years. The patient is B, who consulted the author after a traumatic episode. Although that was her reason for commencing treatment, a history of previous traumatogenic situations, including a rape during her adolescence, subsequently came to light. The author describes three stages of the treatment, reflected in three different settings in accordance with the work done by both patient and analyst in enabling B to own and work through her infantile and adult traumatic experiences. The process of transformation of traumatic traces lacking psychic representation, which was undertaken by both members of the analytic couple from the beginning of the treatment, was eventually approached in a particular way on the basis of their respective creative capacities, which facilitated the patient's psychic progress towards representability and the possibility of working through the experiences of the past. Much of the challenge of this case involved the analyst's capacity to maintain and at the same time consolidate her analytic posture within her internal setting, while doing her best to overcome any possible misfit (Balint, 1968) between her own technique and the specific complexities of the individual patient. The account illustrates the alternation of phases, at the beginning of the analysis, of remembering and interpretation on the one hand and of the representational void and construction on the other. In the case history proper and in her detailed summing up, the author refers to the place of the analyst during the analytic process, the involvement of her psychic functioning, and the importance of her capacity to work on and make use of her countertransference and self-analytic introspection, with a view to neutralizing any influence that aspects of her 'real person' might have had on the analytic field and on the complex processes taking place within it.     

Be It Ever So Humble...: The Controversial Issue of Psychotherapy Groups in the Home Office Setting

Group leaders who have home offices may be disclosing more about their personal lives than they consciously intend. While the home office may be convenient and financially advantageous for the leader, this disclosure can be problematic for both the group therapist and group members. It may provide more information about the leader than some members want to know or are able to metabolize. And although poor boundary maintenance can occur in a professional office setting as well, the leakage in the home office is inevitable. The potential pitfalls seem to be at least threefold: over-stimulation, gaslighting, and the emperor's new clothes effect. These hazards exist independently of the leader's training, competence, or ethics. This paper examines the impact of the home office setting on group treatment. Leaders who practice from the home need to be ever-vigilant of untoward treatment reactions that are related to the setting itself. The article provides vignettes that illustrate the benefits and liabilities of the home office.     

文本表述结构对空间维度非线索更新的影响

采用实时窗口阅读技术,探讨阅读中文本表述结构在情境模型空间维度非线索更新中的作用。实验一结果表明,阅读中,如果文本叙述中采用以人为参照的描述方式,那么可以促进相应空间设置内物体的实时更新。实验二考察了空间设置不同程度的描述对空间信息加工中的影响,结果发现,相对于对空间设置的简单描述,在文本中对空间设置进行精细阐述更有利于情境模型空间维度非线索更新的达成。     

交往情景下个体对说谎的理解及其道德评价

研究探讨了个体理解交往情景下说谎／说真话概念及其道德评价上的年龄差异,以及事实成份、交往动机与交往情景因素在其中的作用。结果表明：(1)3岁到4岁是说谎概念理解的转折点;(2)除3岁儿童外,大部分被试依据事实成份来理解谎前真话;(3)从小学开始,随着年龄的增长,个体对“白谎”与直率真话的道德评价中越来越多地考虑到交往动机或情景因素。     

Blindsided? September 11 and the Origins of Strategic Surprise

The devastating terror attacks of 11 September 2001 have often been characterized as a "bolt from the blue." Drawing inspiration from the political psychological literature on strategic surprise, this article poses the deceptively simple question of why so many U.S. policymakers were caught so woefully off guard last year. Through a preliminary empirical exploration of three broad explanatory "cuts" derived from the relevant interdisciplinary literature—psychological, bureau–organizational, and agenda–political—the authors seek to shed light on the sources of failure that may have contributed to 9/11 and point to promising avenues of investigation for future research as the available empirical record becomes more complete.     

PREVENTING SCHOOL VANDALISM AND IMPROVING DISCIPLINE: A THREE-YEAR STUDY

Vandalism is a major problem facing educators and taxpayers alike. The present investigation analyzed how vandalism costs and student disruption were related to the implementation of a training and consultation package designed to increase the reinforcing ambience of the school. A positive environment, it was posited, would displace previous events that may have set the occasion for vandalism, with cues to promote productive school performance. Eighteen elementary and junior high schools were involved over a 3-year period. Using a delayed treatment control design, treatment was delivered following either 4 or 13 months of baseline. During treatment, teams of school personnel attended training workshops in behavioral strategies for reducing vandalism and disruption by students in school. Each team also met regularly on its campus to plan and implement programs on a schoolwide basis. To demonstrate that reinforcing procedures were actually implemented and accompanied by change in student performance, these variables were periodically probed throughout the study. Project staff also provided consultation. Vandalism costs decreased significantly (p < .05) more in treatment than control schools, with an average reduction of 78.5% for all project schools. Rates of praise delivered by project teachers and other randomly selected teachers in the school increased significantly (p < .05), and rates of off-task behavior by students decreased significantly (p < .05) following treatment. The staff development model used in this study appeared to be both feasible and economical.