A comparison of two online cognitive‐behavioural interventions for symptoms of depression in a student population: The role of therapist responsiveness

Objectives: The study aimed to compare the efficacy of eight weekly sessions of a self‐administered online CBT treatment (cCBT; n=51) to a therapist‐assisted email CBT treatment (eCBT; n=50) in University students. Design: The design was a randomised parallel group trial. The study randomised participants with symptoms of depression to one of two available treatments. Method: Participants were offered eight weekly sessions of either cCBT or eCBT. Participants completed the Beck Depression Inventory‐II (BDI‐II) and the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE‐OM) at pre‐and post‐treatment, at weeks 16 and 32 follow‐up. The Working Alliance Inventory‐Short Form (WAI‐SR) was completed at weeks 2, 4, and 6. Results: For both groups, pre‐post within group effect sizes reported were large for the BDI‐II and the CORE‐OM and these were maintained at follow‐up. Perceptions of working alliance were similar in each group, but Bond was significantly stronger for the eCBT condition. WAI scores correlated more positively with the outcome on BDI‐II for those in the eCBT condition than the cCBT condition, but not significantly. Conclusion: There were no significant differences between the two online treatments, both reduced depressive symptoms and improved general functioning. Similarly, at post‐treatment and follow‐up, clinical improvement and recovery was demonstrated for both groups equally. The study demonstrates the possibility for cCBT in a university setting that may contribute to addressing the shortcomings in meeting increasing demands that mental health services presently face.     

网络自我表露的类型、功能及其影响因素

网络自我表露是自我表露在网络空间的延伸.本研究对网络自我表露提出整合性界定,并将其从形式、程度和表达方式三种角度予以分类.网络自我表露对个体存在积极和消极两方面的影响.网络自我表露的产生和发展受社会文化、网络环境、性别、年龄和个体心理等因素的影响.认知实验研究、影响因素的深入探讨、新兴网络媒体的自我表露现象、跨文化研究和特殊群体的网络自我表露等可以成为今后的研究取向.     

Work engagement and voluntary absence: The moderating role of job resources

The present study examined the moderating role of job resources, namely, organizational trust, the quality of employees’ relationship with their manager, and the motivating potential of jobs, on the negative relationship between work engagement and voluntary absence. Employee survey results and absence records collected from the Human Resources department of a construction and consultancy organization in the United Kingdom (n = 325) showed that work engagement was negatively related to voluntary absence, as measured by the Bradford Factor. Furthermore, the results showed that organizational trust and the quality of employees’ relationships with their line managers ameliorated the negative effect of relatively low levels of engagement on voluntary absence. Theoretical and practical implications of the findings are discussed.     

When and why creativity‐related conflict with coworkers can hamper creative employees' individual job performance

We examined when and why focal employees' creativity-related conflict with coworkers is related to their individual job performance. As hypothesized, a survey among 113 employees in 14 manufacturing work groups showed that creativity-related conflict with coworkers escalates into dysfunctional relationship conflict when focal employees have low rather than high trust in those coworkers. In its turn, relationship conflict with coworkers was found to be negatively associated with focal employees' individual job performance when they lack support from their supervisor. Finally, the indirect effect of creativity-related conflict on job performance through relationship conflict was found to be significant when both the first stage moderator of coworker trust and the second stage moderator of supervisory support were low rather than high.     

Ego-Identity Achievement and Perception of Risk in Intimacy in Survivors of Stranger and Acquaintance Rape

One hundred twenty-two women participated in a study of the relationship between acquaintance/stranger rape and the respective variables of ego-identity achievement (attainment of self-image during adolescence that integrates one's ideas of what one is and what one wants to be) and perception of risk in intimacy (perception of close interpersonal relationships as a risky proposition). Results showed that compared to women who had not been sexually assaulted, survivors of rape in general reported lower ego-identity achievement and greater perception of risk in intimacy. Focusing on acquaintance rape and stranger rape with age at the time of assault as possible moderator, it was found that lower ego-identity achievement was systematically related to acquaintance rape in women who had been raped during their adolescent years, but not in survivors of rape during adulthood. Perception of risk in intimacy was significantly higher among women who had been raped when adolescents compared to those who had been raped during adulthood, but only in relation to acquaintance rape.     

美方专家观点:未来的挑战——信任是临床试验的核心

信任是医患关系的一个基本特征,是社会和医生之间的隐性合同的一部分。合同要求双方的期望值。病人会告诉医生他们内心深处的个人隐私,信任医生会为他们保守秘密,允许医生在他们生病和悲伤时进入家里和医院。但是,要做到这些,医生必须维持包括关爱、保密和承诺的伦理标准。因为信任就像个很小但却很珍贵的宝石－很难得到,又很容易失去,失去之后想要在找回来极为困难。     

互联网对大学生社会性发展的影响

本研究对110名本科大学生的上网情况和他们在对他人的信任感、主观幸福感及社会疏离感三方面的社会性发展进行了测评,结果表明,对互联网的依赖显著影响了大学生的主观幸福感与社会疏离感,上网时间与对网络的依赖程度呈显著正相关。     

社区卫生服务机构实施品牌战略的构想

"看病难"、"看病贵"两大问题,阻碍和谐社会建设、影响人民群众生命健康。大力发展社区卫生服务,将成为在城市缓解老百姓"看病难"、"看病贵"问题的重要举措,但由于种种问题与困难,降低了老百姓对它的信任度。在社区卫生服务机构实施品牌战略,塑造品牌形象,无疑是提升老百姓信任度的一剂良方,社区卫生服务必将迎来飞速发展。     

The ethics of complexity and the complexity of ethics

Abstract

In this paper, we investigate the implications that a general view of complexity - i.e. the view that complex phenomena are irreducible - hold for our understanding of ethics. In this view, ethics should be conceived of as constitutive of knowledge and identity, rather than as a normative system that dictates right action. Using this understanding, we elaborate on the ethics of complexity and the complexity of ethics. Whilst the former concerns the nature and the status of our modelling choices, the latter denotes a contingent and recursive understanding of ethics. Although the complexity of ethics cannot be captured in a substantive normative model, we argue that this view of ethics nevertheless commits one to, what we term, ‘the provisional imperative’. Like Kant’s categorical imperative, the provisional imperative is sub-stantively-empty; however, unlike Kant’s imperative, our imperative cannot be used to generate universal ethical principles. As such, the provisional imperative simultaneously demands that we must be guided by it, whilst drawing attention to the exclusionary nature of all imperatives. We further argue that the provisional imperative urges us to adopt a certain attitude with regard to ethical decision-making, and that this attitude is supported and nurtured by provisionality, transgressivity, irony, and imagination.     

Analgesic effect of Facebook: Priming with online social networking may boost felt relatedness that buffers against physical pain

Social networking sites (SNSs) are extremely popular for providing users with a convenient platform for acquiring social connections and thereby feeling relatedness. Plenty of literature has shown that mental representations of social support can reduce the perception of physical pain. The current study tested whether thinking about SNS would interfere with users’ perceptions of experimentally induced pain. Ninety‐six undergraduate Facebook users were recruited to participate in a priming‐based experiment. They were randomly assigned to one of the three study conditions (SNS prime, neutral prime, or no prime) via rating the aesthetics of logos. The results showed that participants exposed to SNS primes reported less pain of immersion in hot water than did both control groups (neutral‐ and no‐prime). Felt relatedness mediated the link between SNS primes and diminished pain perceptions. This research provides the first demonstration that thinking about SNS can lower experienced physical pain among Facebook users. Online social networking may serve as an analgesic buffer against pain experience than previously thought. The SNS‐enabled analgesia has far reaching implications for pain relief applications and the enhancement of well‐being in human‐interaction techniques.