Learning and difficult experiences in graduate training in clinical psychology: A qualitative study of Japanese trainees’ retrospective accounts

This study examined the experiences of Japanese clinical psychology trainees in their graduate school with the aim of identifying factors that might enhance or hinder their learning and professional development. We analyzed the interview data obtained from 17 clinical psychologists using grounded theory approach. Two major category groups were generated: Developing as a Clinician and Difficulties. The primary positive learning experiences in Developing as a Clinician were labeled “Hot Learning,” in which trainees acquired professional knowledge and skills through close interpersonal engagement with clients, peers, faculty, and supervisors. In contrast, Difficulties involved trainees’ negative experiences resulting in feelings of self-doubt and incompetence. These experiences occurred in close but sometimes conflicted interpersonal contexts, where trainees felt evaluated in a manner incommensurate with the support they received. We found that the quality of interpersonal relationships, which provided the context for optimal learning for trainees, was paramount to the definition of positive versus difficult learning experiences. Implications for therapist training, professional development and future research are discussed.     

Canaries in the Ethical Coal Mine? Case Vignettes and Empirical Findings for How Psychology Leaders Have Adopted Twitter

Twitter, an online application, allows users to post microblog statements in real time. Have psychologists in leadership positions adopted Twitter? What ethical standards are navigated in doing so? Little research has examined the adoption rate of Twitter within a sample of psychologists. This article outlines a series of case vignettes depicting ethical dilemmas encountered by psychologists who adopt Twitter. Data reviewing Twitter adoption by professional psychologists who served as president within psychology advocacy organizations reveal higher adoption rates from student group leaders than professional organization advocacy presidents. Implications for ethical standards and professional development are discussed.     

School Counselors’ General Self-Efficacy,Ethical and Legal Self-Efficacy,and Ethical and Legal Knowledge

School counselors encounter ethical and legal situations that necessitate the knowledge and confidence to apply decision-making skills. We report the findings from a correlational investigation that examines practicing school counselors’ (N = 287) ethical and legal self-efficacy, ethical and legal knowledge, and general self-efficacy. Higher ethical and legal self-efficacy was associated with higher general self-efficacy and ethical and legal knowledge. The implications of these findings are discussed.     

A scenario for change: reflective practice for post-ordination professional development

The continuing professional development of ordained ministers is an important concept given the ever-changing nature of ministry and society as a whole. Within such a context, professional development needs to cope with continuous change through reflective practice in order to challenge and renew expertise. The proposed scenario for change seeks to embed reflective practice as the central method for the professional development of ordained ministers, thereby extending reflective practice from training and into the mode of lifelong learning. Components of this approach will include: ? Intentional reflective practice as the central methodology.

? Communities of practice as the central location for reflective practice.

? Facilitation as the central mechanism for reflective practice.

     

Ethics Consultation Quality Assessment Tool: A Novel Method for Assessing the Quality of Ethics Case Consultations Based on Written Records

Although ethics consultation is offered as a clinical service in most hospitals in the United States, few valid and practical tools are available to evaluate, ensure, and improve ethics consultation quality. The quality of ethics consultation is important because poor quality ethics consultation can result in ethically inappropriate outcomes for patients, other stakeholders, or the health care system. To promote accountability for the quality of ethics consultation, we developed the Ethics Consultation Quality Assessment Tool (ECQAT). ECQAT enables raters to assess the quality of ethics consultations based on the written record. Through rigorous development and preliminary testing, we identified key elements of a quality ethics consultation (ethics question, consultation-specific information, ethical analysis, and conclusions and/or recommendations), established scoring criteria, developed training guidelines, and designed a holistic assessment process. This article describes the development of the ECQAT, the resulting product, and recommended future testing and potential uses for the tool.     

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.     

高校教师职业心理资本与工作绩效:社会支持的中介效应

用"高校教师职业心理资本量表"、"工作绩效量表"及"社会支持问卷"对来自全国8所高校的718名高校教师进行问卷调查。通过描述性分析、回归及结构方程模型等实证统计方法,深入分析了社会支持、职业心理资本与工作绩效关系模型的理论架构,探究了社会支持在职业心理资本对工作绩效影响的中介模型效应的内在作用机制。研究发现,社会支持、职业心理资本、工作绩效及其各维度之间均存在显著的相关;职业心理资本及其各维度对工作绩效的主效应非常显著;社会支持在职业心理资本及其各维度与工作绩效间的中介效应也均显著。这表明高校教师职业心理资本及各维度对工作绩效不但起着直接的影响作用,而且通过社会支持工作绩效产生了间接的影响。因此,提升高校教师的职业心理资本,建立良好的内、外社会支持系统对提升工作绩效都会形成良好的激励效果,从而实现教师和高校的共同发展。     

免费师范生职业认同感与生命意义的关系

该研究采用师范生职业认同感量表和生命态度剖面图(LAP)中的"生命意义的追寻与肯定"分量表,对258名一至三年级的免费师范生进行问卷调查,探讨免费师范生职业认同感与生命意义的关系。结果表明,免费师范生职业认同感及其各因子均与生命意义及其各因子呈显著正相关;高中低不同职业认同感组的生命意义及其各因子的组别效应显著;免费师范生职业认同感的职业效能、职业意愿与期望、职业价值三因子是生命意义的显著预测变量。     

Quand le genre s’en mêle : quelle conciliation entre vie professionnelle et vie privée ?

Declarations of conciliation between private life and professional life based on three factors (sex, gender and positions) are studied in this paper. Our goals were (i) to show that conciliation between the different life spheres need to be considered both in terms of conflict and of life enrichment; (ii) and to demonstrate that the gender variable has combined effects with sex variables, as well as with positions variables, over the perception of work in relation to family interferences in terms of nature (conflict/enrichment), intensity and direction (family over work versus work over family). The study, conducted with 240 employees of low or high professional positions, based on SWING and BSRI scales, shows the moderating effect of gender on the perceptions of conciliation, whether enriching or conflicting. Our results also allow us to conclude that congruent adjustment (masculine domination) of the levels of our three factors constitute a protecting factor for employees, while an incongruent adjustment can constitute a risk factor, this being especially verified for women.