Leadership behavior,group climate and outcome in group psychotherapy: A study of outpatient psychotherapy groups

A recent clinical study of outpatient psychotherapy groups in a community mental health center explored the linkage between group leadership variables, group climate, and outcome. The study involved nine outpatient therapy groups, over 50 group clients, and several group therapists. A repeated measures design involving assessment of clients' outcome and level of functioning, group leadership style, and group climate was used to assess changes over a 6-month period. The findings suggest: 1) a reduction in symptoms and improved functioning for clients; 2) a similarity of perceptions by members and leaders of perceived leadership behaviors and group climate; 3) the presence of direct and indirect influences of group climate and leadership behavior on clients' outcome; and 4) a linkage between leadership behavior and group climate with the theoretical orientation of the group. The findings of the research are discussed in relation to the understanding of specific effects in group psychotherapy and the implications for construction of group psychotherapy theory.The authors would like to thank Robert Dies, Ph.D., for his helpful suggestions in the early phase of this study; Roy MacKenzie, M.D., for permission to use the Group Climate Questionnaire; Diane DePalma, Ph.D., for permission to use the Global Leadership Behavior Index; Chris Boltwood, B.A., for her untiring efforts in administering the instruments and coding and entering the data; and most importantly, the psychotherapy group members and the group therapists for their cooperation in this endeavor—without their help, this clinical study would not have been possible.A version of this paper was presented at the Annual Meeting of the American Group Psychotherapy Association, 1987, New Orleans, Louisiana. Lenore Phipps, R.N., M.S., C.S., was formerly Director, Group Psychotherapy Program at Park Ridge Mental Health Center, Rochester, now in private practice at Guild Medical Center, Norwood, MA 02062.     

Indclus: An individual differences generalization of the adclus model and the mapclus algorithm

We present a new model and associated algorithm, INDCLUS, that generalizes the Shepard-Arabie ADCLUS (ADditive CLUStering) model and the MAPCLUS algorithm, so as to represent in a clustering solution individual differences among subjects or other sources of data. Like MAPCLUS, the INDCLUS generalization utilizes an alternating least squares method combined with a mathematical programming optimization procedure based on a penalty function approach to impose discrete (0,1) constraints on parameters defining cluster membership. All subjects in an INDCLUS analysis are assumed to have a common set of clusters, which are differentially weighted by subjects in order to portray individual differences. As such, INDCLUS provides a (discrete) clustering counterpart to the Carroll-Chang INDSCAL model for (continuous) spatial representations. Finally, we consider possible generalizations of the INDCLUS model and algorithm.We are indebted to Seymour Rosenberg for making available the data from Rosenberg and Kim [1975]. Also, this work has benefited from the observations of S. A. Boorman, W. S. DeSarbo, G. Furnas, P. E. Green, L. J. Hubert, L. E. Jones, J. B. Kruskal, S. Pruzansky, D. Schmittlein, E. J. Shoben, S. D. Soli, and anonymous referees.This research was supported in part by NSF Grant SES82 00441, LEAA Grant 78-NI-AX-0142, and NSF Grant SES80 04815.     

Numerical taxonomy of aphasia

Two hundred consecutively seen aphasics, 142 of them with infarcts, were examined by tests of fluency, comprehension, repetition, naming, and information content. The language scores were subjected to a minimum variance clustering algorithm separately for the total and for the infarct groups. The latter generated 10 clusters on a dendrogram. Attribute analysis of each cluster provided a clinically meaningful profile of language performance for these groups. The degree of correlation of most computer generated clusters with clinically recognized groups was high, and the homogeneity of some of the clusters is striking. An exception appears to be “conduction aphasia,” which is bimodally distributed. One of these clusters, with high fluency and low comprehension scores, was renamed “afferent conduction” aphasia, and the other, with lower fluency and higher comprehension, was renamed “efferent conduction” aphasia. The Principal Components Analysis was used to evaluate the discriminatory value of language characteristics, and the Nearest Neighbor Network Analysis was used to evaluate the significance of clustering. The dendrogram for all aphasics showed a less specific and less homogenous six clusters.     

On Online Practices of Hospitality in Higher Education

Studies in Philosophy and Education - This article contributes to conversations on hospitality in educational settings, with a focus on higher education and the online context. We integrate...     

A cognitive tool to diagnose predominantly inattentive ADHD behavior

Poor performance on tests of reading comprehension could be the result of weak word-recognition skills, inconsistent attention (ADD), or a combination of the two. Identifying the source of the reading disability (RD) reliably has been difficult because inconsistent attention interferes with reading and weak word recognition skill makes attention wander. The situation is further complicated by the fact that there are no objective diagnostic tests for ADD (Breggin, 1998; Diller, 1998). We proposed a new model of differential diagnosis of ADHD-I/RD and field-tested its utility in two studies. The new diagnostic procedure utilizes intra-individual differences seen in the performance of at-risk learners on tasks related to reading that vary in the degree of sustained attention required for successful performance. The hypothesis is that children whose attention is inconsistent would perform more poorly on tests such as listening comprehension, which require sustained attention, than on tests such as reading comprehension, which are more tolerant of inattention. Such differences will not be seen in the test scores of children who have only a reading disability because their performance on reading tests is determined more by the difficulty level of the tests than by the sensitivity of the tests to attention. The validity of this new model was evaluated by determining the relationship between differences seen in the scores of tests that differ in their attention requirement and the degree of inconsistency in sustained attention as measured by Conners' CPT. The results of the two studies indicate this to be a viable approach. The results of the second study are presented in this report.     

Inhibitory attentional control in patients with frontal lobe damage

The performance of a group of frontal lobe lesion and a group of frontal lobe dementia patients was compared with the performance of their respective matched normal control groups on two tests of inhibitory attentional control-the stop-signal reaction time task and a negative priming task. Both patient groups responded significantly slower than their respective normal control groups, but they showed only marginally significant selective impairments on the measures of inhibition. The data suggest that the specific inhibitory processes evaluated by these two tests are, in general, spared in patients with focal frontal lobe lesions or frontal lobe degeneration.     

Multidimensional scaling study of visual memory of 5-year olds and adults.

Nonmetric multidimensional scaling is expounded as a methodology for investigating memory development. Judgements of similarities between complex objects were obtained from 5-year-olds and adults under two conditions: (1) when objects were simultaneously present at the time of comparison, and (2) when the objects were not simultaneously present and had to be compared on the basis of short-term memory. Scaling solutions for similarity judgments by each age group in the two conditions were obtained. Comparison within each age group of the configurations from the memory condition with the simultaneous condition indicated that the internal representations of both children and adults contained much of the information the subjects extracted from the stimuli during “direct” perception. The scaling techniques, which could be widely applied in developmental studies of memory and perception, are explained and critically discussed.     

Multidimensional scaling of measures of distance between partitions

The techniques of multidimensional scaling were used to study the numerical behavior of twelve measures of distance between partitions, as applied to partition lattices of four different sizes. The results offer additional support for a system of classifying partition metrics, as proposed by Boorman (1970), and Boorman and Arabie (1972). While the scaling solutions illuminated differences between the measures, at the same time the particular data with which the measures were concerned offered a basis both for counterexamples to some common assumptions about multidimensional scaling and for some conjectures as to the nature of scaling solutions. The implications of the latter findings for selected examples from the literature are considered. In addition, the methods of partition data analysis discussed here are applied to an example using sociobiological data. Finally, an argument is made against undue emphasis upon interpreting dimensions in nonmetric scaling solutions.     

The effects of viscosity upon perceived sweetness

U.S. Army Natick Laboratories, Natick, Massachusetts 01760 Six concentrations of sucrose and six concentrations of sodium saccharin were presented as stimuli to 30 Ss. The concentrations were equally spaced logarithmically, covering a 32: I range for each solute. The 12 aqueous solutions were presented at four levels of viscosity, ranging approximately from I to 10,000 centipoises, with sodium carboxymethylcellulose (cellulose gum) as the thickening agent. Magnitude estimates indicate that perceived sweetness decreases with viscosity. In log-log coordinates the Viscosity-sweetness relation is roughly linear with a negative slope, suggesting that sweetness of both sodium saccharin and sucrose varies as a power function of viscosity, with an exponent between ?.20 and ?.25.     

Job characteristics,well-being and risky behaviour amongst pharmacists

Healthcare practitioners’ fitness to practise has often been linked to their personal and demographic characteristics. It is possible that situational factors, such as the work environment and physical or psychological well-being, also have an influence on an individual’s fitness to practise. However, it is unclear how these factors might be linked to behaviours that risk compromising fitness to practise. The aim of this study was to examine the association between job characteristics, well-being and behaviour reflecting risky practice amongst a sample of registered pharmacists in a region of the United Kingdom. Data were obtained from a cross-sectional self-report survey of 517 pharmacists. These data were subjected to principal component analysis and path analysis, with job characteristics (demand, autonomy and feedback) and well-being (distress and perceived competence) as the predictors and behaviour as the outcome variable. Two aspects of behaviour were found: Overloading (taking on more work than one can comfortably manage) and risk taking (working at or beyond boundaries of safe practice). Separate path models including either job characteristics or well-being as independent variables provided a good fit to the data-set. Of the job characteristics, demand had the strongest association with behaviour, while the association between well-being and risky behaviour differed according to the aspect of behaviour being assessed. The findings suggest that, in general terms, situational factors should be considered alongside personal factors when assessing, judging or remediating fitness to practise. They also suggest the presence of different facets to the relationship between job characteristics, well-being and risky behaviour amongst pharmacists.