Moral Responsiveness and Discontinuity in Therapy: A Qualitative Study

Phenomenological qualitative methods were used to identify and describe moral elements in therapeutic relationships. Using the relational philosophy of E. Levinas (1961/1969, 1979/1987) as a base, data in which therapists and clients identified and described morally responsive experiences in therapy sessions were analyzed. These moments were often unexpected and included categories of surprise, interruption, willingness to change, and clarifications/repairs. Additional moral phenomena related to therapists' attitudes included asymmetrical indebtedness, attitude of serving, and tentativeness of diagnosis. Identified moments of moral responsiveness were frequently associated with clients' progress in therapy. This suggests that conceptually smooth and uninterrupted therapy may be less helpful than therapy that is discontinuous and able to change in the moment.     

The Effects of Computer Monitoring,Standards, and Rewards on Work Performance,Job Satisfaction,and Stress1

The effects of automated computer monitoring under different conditions of performance standards and reward were examined in two studies conducted in a simulated organization. In the first study, 37 computer operators were divided into six groups who worked for a 2-week period under different levels of performance standards. Individual keystrokes per hour and productive time was monitored by the computers for all of the groups (one group was a control group which was monitored but was unaware of the monitoring). Four of the six groups were assigned work standards, and performance against standards was also monitored for these four groups. Feedback reports on the monitored performance were available on demand at the individual consoles for those groups which were informed of the monitoring. The results showed that computer monitoring and feedback led to increased key rate compared to the control group which was not aware of monitoring. There was little effect of monitoring on work quality, satisfaction, and stress. In the second study, 24 operators worked for a 9-week period under various performance standards and rewards. Individual keystrokes per hour, productive time, and performance against standards were monitored by the computers for all workers. Feedback reports on performance against standards and rewards earned were available on demand at the individual consoles. The results revealed that the feedback from different combinations of standards and rewards had varying effects on performance, satisfaction, and stress. These effects, and the results from the first study, are discussed in terms of goal setting and expectancy theory.     

Meta-analysis of medical self-help groups

Self-help groups (SHGs) may rival all other forms of treatment sometime within the next century (see Goodman & Jacobs article in "The Handbook of Group Psychotherapy," Wiley, 1994), though the "purist" model of SHGs seems inaccurate because many professionals are actually involved. Although traditional forms of group treatment have kept pace with empirical research (Fuhriman & Burlingame, "The Handbook of Group Psychotherapy," 1994), SHGs have not. In particular, medical SHGs, often promoted by hospitals as viable treatment alternatives, have no systemized database from which to draw conclusions about overall effectiveness compared to traditional group therapies. A preliminary assessment of this area is presented using a meta-analysis of articles culled from a comprehensive review of the literature from 1970 to 1997. Results indicate that although the posttreatment analysis produced no significant differences between active and control conditions, pre to posttreatment scores indicated that SHGs produced higher patient improvement when compared to the control condition. Future implications for research and use of medical SHGs are explored.     

Social Validation of the Outcome Questionnaire—45: An Assessment of Asian and Pacific Islander College Students

This study tested the appropriateness of Outcome Questionnaire‐45 norms for Asian and Pacific Islander students. Both groups scored higher, based on participants' self‐reported general functioning, than the norms and more frequently met criteria for clinical classification, a possible indication of greater distress. The authors discuss findings and therapeutic applications. Este estudio probó la conveniencia de Resultado del Cuestionario—45 normas para los estudiantes Asiáticos y Isleño Pacífico. Los dos grupos estubirieron un puntaje alto, basado en la función general de ser‐informó, que las normas, y con más frecuencia encontró los criterios para la clasificación clínica, una indicación posible de anguista más alta. Los autores discuten los hallazgos y las aplicaciones terapéuticas.