Is This Relevant? Physician Perceptions,Clinical Relevance,and Religious Content in Clinical Interactions

Despite wide support among physicians for practicing patient‐centered care, clinical interactions are primarily driven by physicians’ perception of relevance. While some will perceive a connection between religion and patient health, this relevance will be less apparent for others. I argue that physician responses when religious/spiritual topics come up during clinical interactions will depend on their own religious/spiritual background. The more central religion is for the physician, the greater his or her perception of religion's impact on health outcomes and his or her inclusion of religion/spirituality within clinical interactions. Using a nationally representative sample of physicians in the United States and mediated path models, I estimate models for five different physician actions to evaluate these relationships. I find that a physician's religious background is strongly associated with whether or not he or she thinks religion impacts health outcomes, which is strongly predictive of inclusion. I also find that not all of the association between inclusion and physicians’ religious background is mediated by thinking religion impacts health outcomes. Issues of religion's relevance for medicine are important to the degree that religious beliefs are an important dimension of patients’ lives.     

When lending an ear turns into mistreatment: An episodic examination of leader mistreatment in response to venting at work

Venting—an emotion‐focused form of coping involving the discharge of negative feelings to others—is common in organizational settings. Venting may benefit the self via the release of negative emotion, or by acting as a catalyst for changes to problematic work situations. Nonetheless, venting might have unintended consequences via its influence on those who are the recipients of venting from others. In light of this idea, we provide a theoretical explanation for how leaders in particular are affected by venting receipt at work. Drawing from the transactional model of stress, we theorize that venting tends to be appraised as a threat, which triggers negative emotion that, in turn, potentiates deviant action tendencies (i.e., interpersonal mistreatment). Yet, our theory suggests that not all leaders necessarily experience venting in the same way. Specifically, leaders with higher need for cognition are less influenced by surface‐level cues associated with others’ emotional expressions and find challenging interpersonal situations to be less aversive, thereby attenuating the deleterious effects of receipt of venting. In an experience sampling study of 112 managers across 10 consecutive workdays, we find support for our theoretical model. Altogether, our findings provide insight into the costs incurred when leaders lend an ear to those who vent, which can result in negative downstream consequences.     

Motivation to regulate mood as a mediator between state extraversion and pleasant-unpleasant mood

This experience sampling study investigated whether state extraversion (i.e., momentary extraverted behavior) is positively associated with pleasant affect within persons and whether mood regulation motivation mediates this relationship. Seven times per day for one week, 162 participants reported on their state extraversion, pleasant-unpleasant mood, and mood regulation intention. Higher state extraversion was related to more pleasant mood, and this within-persons relationship held for 89% of individuals. Analyses with lagged predictors revealed that state extraversion predicted an increase in pleasant mood from one occasion to the next. Dispositional extraversion did not moderate the within-persons relationship. Hedonic mood regulation intention mediated the relation between state extraversion and pleasant-unpleasant mood. The findings support a self-regulation explanation of the extraversion-pleasant affect link.     

Applying sampling theories to attitude learning in a virtual school class environment

According to sampling theories of attitude formation, evaluative learning depends on the sampling in the environment. We investigated teachers’ student evaluations in a simulated school class. Two experiments were designed to test distinct implications of experience-sampling models. While the model advanced by Fazio, Eiser, and Shook (2004) and Denrell (2005) led to the prediction of a negativity effect through asymmetric depolarization, another model (Fiedler, 1996) suggested a positivity effect through asymmetric polarization. Findings supported the latter contention. The selective tendency to oversample good students while neglecting weaker students was not radical enough to prevent the correction of negative impressions, precluding a negativity effect. Instead, extended selective sampling led to gradually increasing polarization of positive impressions, and facilitated detection of positive performance changes. While these findings can be reconciled with the Fazio–Denrell model, they highlight the crucial role of auxiliary psychological assumptions about attitude learning, as distinguished from the formal model itself.     

Living and Learning: Reproducing Beliefs in Selective Experience

People's decisions shape their experience. For example, a recruitment officer decides between job applicants and cannot evaluate the suitability of rejected applicants. The selection decisions thus affect the content of the officer's experience of suitable and unsuitable applicants, and experiential learning is achieved from a selective sample of experiences. It is suggested that people's beliefs are sensitive to the content of the experienced sample, but the mind cannot adjust for the selectivity of the sample even when it results from the individual's own decisions. Two experiments with a recruitment task showed that incorrect prior beliefs survive experiential learning when the beliefs are reproduced and thus appear to be confirmed, in actual experience. When the task was to achieve high performance, incorrect prior beliefs persisted because they were reproduced in a smaller sample of selected job applicants. In contrast, when the task was focused on learning, a greater number of applicants were selected, and a more representative experience therefore revised incorrect beliefs. The actual content of the experienced sample is thus crucial for the persistence, as well as for the revision, of incorrect beliefs. Further, as predicted by the hypothesis of constructivist coding, when feedback was absent for rejected applicants, participants constructed “internal feedback” in line with the expectation that the rejected applicant was unsuitable. Thus, when fewer applicants were hired, participants came to believe that the actual proportion of suitable applicants was low. Finally, the implications for efforts to reduce bias and improve experiential learning are discussed. Copyright © 2012 John Wiley & Sons, Ltd.     

Influencing and adjusting in daily emotional situations: A comparison of European and Asian American action styles

Emotions are for action, but action styles in emotional episodes may vary across cultural contexts. Based on culturally different models of agency, we expected that those who engage in European-American contexts will use more influence in emotional situations, while those who engage in East-Asian contexts will use more adjustment. European-American (N=60) and Asian-American (N=44) college students reported their action style during emotional episodes four times a day during a week. Asian Americans adjusted more than European Americans, whereas both used influence to a similar extent. These cultural differences in action style varied across types of emotion experienced. Moreover, influencing was associated with life satisfaction for European Americans, but not for Asian Americans.     

Mapping the Structure of Semantic Memory

Aggregating snippets from the semantic memories of many individuals may not yield a good map of an individual’s semantic memory. The authors analyze the structure of semantic networks that they sampled from individuals through a new snowball sampling paradigm during approximately 6 weeks of 1‐hr daily sessions. The semantic networks of individuals have a small‐world structure with short distances between words and high clustering. The distribution of links follows a power law truncated by an exponential cutoff, meaning that most words are poorly connected and a minority of words has a high, although bounded, number of connections. Existing aggregate networks mirror the individual link distributions, and so they are not scale‐free, as has been previously assumed; still, there are properties of individual structure that the aggregate networks do not reflect. A simulation of the new sampling process suggests that it can uncover the true structure of an individual’s semantic memory.     

局部表象产生中行为性别差异的神经基础

行为研究发现女性具有更好的局部表象产生能力, 但其神经基础尚不清楚。研究采用事件相关电位技术以及小世界网络分析方法, 探索局部表象产生中性别差异的大脑信息加工基础。结果显示在局部表象产生中, 女性行为反应较男性更快, 表象产生诱发的P300-650平均波幅更小, 且大脑功能网络的平均路径长度更短。深入分析发现, 反应时与脑网络的平均路径长度之间成正相关。该结果意味着低耗高效的大脑信息加工模式是女性具有更好的局部表象能力的神经基础。     

Enjoyment as a mediator in the relationship between task characteristics and work effort: An experience sampling study

We studied the mediating role of enjoyment in the relationship between task characteristics and work effort. To this end, an experience sampling study was implemented in which 50 employees reported on the characteristics of the task they were performing, their level of enjoyment, and their level of work effort five times a day for five working days. Results revealed that, at the concurrent level, task characteristics related to changes in task enjoyment, and that these changes were related to changes in work effort. Moreover, the relationships did not disappear when controlling for the three critical psychological states of the job characteristics model (i.e., experienced meaningfulness, experienced responsibility, and knowledge of the results). No cross-lagged relationships were found between enjoyment and work effort. Implications for studies on effort and motivation as well as practical implications are discussed.     

论临床医师创新能力的培养和人生道路的选择

临床医师创新能力培养的关键应该包括医学理论知识和实践经验的积累,但要更加注重培养独立思考和敢于纠错的精神;在基本理论融会贯通的基础上,广泛涉猎是创新思想产生的基础,要能够大道至简,抓住复杂系统中的关键问题,全面地了解科学发展史和发明史,积极谦虚地与他人交流;勤于动脑和善于思考,重视"再发明"训练和思想实验,克服跨专业创新的思想障碍;对临床医师的人生哲学和人生道路的选择提出了一些感悟。