Effects of Sharing Versus Non-Sharing on Affective Meaning in Collage Activities

Sharing is a common feature in occupational therapy activities. This study compares the effects of sharing and not sharing on the affective meanings of a group collage activity. Twenty-seven university students participated in groups that either shared materials or did not share materials. All subjects completed both shared and non-shared end-products. Affective meaning was measured by Osgood's short form semantic differential. No significant differences were found between sharing and not sharing on the three factors of affective meaning, evaluation, power, and action. One interpretation is that normal university students are little affected by sharing, whereas certain disabled populations might find sharing greatly influences the experience of an activity. Graphs of the collage activities' semantic spaces indicate collage to be a highly positive activity.     

An Aggregate Fieldwork Model: Cooperative Learning,Research, and Clinical Project Publication Components

An occupational therapy psychosocial level-two fieldwork model, which consists of cooperative learning, clinical project or research publication, and interdisciplinary collaboration and intervention, is herein outlined. An example of the model is presented using an acute inpatient psychiatric setting with a multidisciplinary staff and 50 occupational therapy interns. Data on the aggregate fieldwork model collected over a two-and-a-half-year period from: 1) logs; 2) supervision; 3) peer reviewed publications; 4) conference presentations; 5) verbal feedback from the occupational therapy educational institutes; and 6) the supervisor's comparisons with other fieldwork models is presented. The outcome of the aggregate fieldwork model is that students do well, seem to learn more than in 1:1 supervisory models, and manage to publish while on fieldwork. It is hoped that more academic programs will consider working with clinical educators to develop programs based on this model.     

The Impact of a Pre-Vocational Program on Cognition,Symptoms, and Work Re-Integration in Schizophrenia

This study measured the effects of a pre-vocational program on cognition, symptoms, and integration to work in schizophrenia. Twelve participants, receiving pharmacological treatment only, were compared to 14 participants, who were part of a pre-vocational program and who received pharmacological treatment on pre and post measures. The work skills training group was offered by an occupational therapist. Results showed statistically significant differences in negative and general symptoms, visual attention, learning, and integration to work when comparing the two groups in favor of the program. These results provide evidence of the positive effects of occupational therapy interventions in mental health.     

Psychosocial Occupational Therapy Interventions for Substance-Use Disorders: A Narrative Review

The review was conducted to explore psychosocial interventions for adults with substance-use disorders. A refined literature focus was placed on articles published by occupational therapists, or articles published by an allied health professional, that discussed occupational therapy performing the intervention. Ten articles met inclusion criteria, all focusing on aspects of life skills training. Study results support the professions’ ability to enhance functional independence and occupational performance for individuals recovering from substance use. Further, a more controlled investigation is warranted to further define occupational therapy’s scope within substance-use disorder treatment.     

New and Expanded Concepts in Neurophysiology,Psychology, and Sociology Complementary to Llorens' Developmental Theory: Achieving Growth and Development through Occupation for Neonatal Infants and their Families

ABSTRACT

Introduction: This issue expands the Llorens’ Developmental Theory of Occupational Therapy. Llorens drew from multiple theorists from the disciplines of sociology, neurophysiology, biology, ecology, psychology, occupational science, and psychodynamics to provide the profession of occupational therapy with a unified theory to facilitate growth and development for people of all ages—from infancy to old age.

Purpose: The purpose of this issue is to analyze, synthesize, and evaluate the continued relevance of Llorens' theory. In addition, the author evaluates, recommends, and applies updated theoretical premises in the realms of psychodynamics, neurophysiology, contextual ecology, and cognitive science that reflect the relevance of occupational therapy practice for infants and their families in the neonatal intensive care unit.

New Psychological Elements: Through the appropriate use of purposeful occupational activity and affective object relationships, the expanded Developmental Theory of Occupational Therapy provides a unified theory of occupation enablement as intrinsic spatiotemporal adaptation and as extrinsic socio ? cultural and physically contextual occupational adaptation to achieve growth and development across the lifespan.     

童年中晚期同伴侵害对儿童心理社会适应影响的纵向分析

采用间隔两年的纵向设计, 通过对1767名儿童的同伴侵害以及孤独、抑郁、攻击、行为不良、同伴接纳、同伴拒绝等心理社会适应指标进行调查, 综合运用变量定向的方法和个体定向的方法考察了童年中晚期儿童心理社会适应发展的结果模式, 以及同伴侵害对儿童心理社会适应发展的影响。结果发现, (1)身体侵害、关系侵害与心理社会适应各指标存在显著的即时与纵向相关关系。(2)儿童心理社会适应结果表现为内化问题、外化问题、同伴拒绝、正常发展4种模式。(3)判别分析显示, 9岁的同伴侵害(主要为身体侵害)能预测同伴拒绝、外化问题适应结果模式, 11岁的同伴侵害(主要为关系侵害)能预测内化问题、同伴拒绝适应结果模式。这些结果表明同伴侵害与儿童心理社会适应间的联系具有异质性, 并且先前和当前的侵害经历以及不同类型的侵害与心理社会适应间的联系因适应领域的不同而存在差异。     

自尊与心理性应激的关系初探

自尊水平影响着个体在应激情境中的内分泌反应,在以人个人主义文化下的研究发现,由于低自尊具有较低的内部控制力,因此在应激情境中的唾液皮质醇反应更强烈。但是在中国集体主义文化中,由于集体性自我的评价是自尊的一个重要组成部分,高自尊更加期望集体或社会的积极性评价,因此假设在心理性应激情境下（即个体的能力被否定的时候）,高自尊的应激反应会比低自尊更加强烈。本研究以健康大学生为被试,分别以Rosenberg自尊量表和特里尔社会应激测试（TSST）为实验手段,以自尊量表得分、主观应激报告（5点量表）和客观应激参数（心率和唾液皮质醇）为指标,在中国文化背景下探讨自尊与心理性应激的关系。结果发现,在TSST开始时（20分钟）自尊与心率呈正相关,自尊水平越高,心率越快;在TSST结束后（60分钟）自尊与唾液皮质醇水平呈正相关,自尊水平越高,唾液皮质醇水平越高。总体来说,相对于低自尊被试而言,高自尊被试在心理性应激情境中的反应更为强烈。     

Impact of Transplant-Related Stressors and Feelings of Indebtedness on Psychosocial Adjustment Following Kidney Transplantation

Forty-seven patients answered a questionnaire about stress, feelings of indebtedness toward the donor, and psychosocial adjustment following kidney transplantation. The combination of age, general life stress, and transplant-related stress explained 47% of the variance in psychosocial adjustment. Areas of adjustment most influenced by this combination of predictors included attitudes toward health care, domestic, vocational, social adjustment, and psychological distress. Younger patients endorsed higher levels of transplant-related stress and higher levels of psychological distress. Moderate to intense feelings of indebtedness toward the donor were common but were unrelated to psychosocial adjustment posttransplant.     

Psychosocial Variables as Predictors of Psychological Stress–Induced Ischemia in the Laboratory

This study examined ischemic reactivity to a psychological stress protocol and whether psychological variables could reliably classify individuals as ischemic reactors. Participants were 54 male Veterans Administration patients who had or were suspected of having CAD. Psychological inventories were administered prior to a psychological stress protocol consisting of a surgical video, the Stroop Color–Word task, an arithmetic task, and discussion of a stressful event. Cardiac functioning was evaluated using an ECG Holter monitor and 23.53% of participants were classified as reactors. Mean differences between reactors and nonreactors were found for State Anger, Health Locus of Control—Powerful Others (MHLC-PO), and Depression. State Anger and MHLC-PO emerged as significant predictors of reactor status in logistic regression analyses. Models based on individual scale items suggested three items could be used to achieve higher classification rates. Implications for revising screening procedures for determining risk and possible mechanisms underlying psychological stress–induced ischemia are discussed.