The third dimension: Value‐oriented contents in psychological contracts

We propose value-oriented content of psychological contracts as being distinct from transactional and relational content, which we affirm using confirmatory factor analysis for employee, as well as organizational obligations. In a sample of 171 German parish volunteers, value-oriented volunteer and relational organizational obligations are significantly and positively related to job satisfaction as well as to time spent volunteering. The distinctive role of value-oriented content is reinforced by the finding that its associated employee obligations were the only ones that were significantly and positively related to both outcomes. Thus, value-oriented obligations may foster favourable work relationships and may even have the potential to stabilize work relationships during crises if obligations regarding an organization's core values are fulfilled. Examining the generalizability of these findings to nonvolunteer samples in future research is recommended.     

Severity of childhood attention-deficit hyperactivity disorder--a risk factor for personality disorders in adult life?

Some evidence points to an increased rate of cluster B and C personality disorders (PDs) in adult ADHD patients. In order to assess axis II disorders comprehensively we used the diagnostic instrument of the WHO. In sixty adult out-patients with ADHD according to DSM-IV criteria PDs were assessed with the International PD Examination (IPDE) and severity of childhood ADHD with the Wender-Utah-Rating Scale (WURS). We found at least one PD in 25% of cases. Cluster C PDs were most common (36.6%) followed by Cluster B (23.3%) and A (8.3%). Avoidant (21.7%) and borderline (18.3%) were the most frequent single PD entities. ADHD patients with PD suffered from significantly more severe childhood ADHD compared to those without co-occurring PD. Applying the IPDE we confirmed a high number of PDs among adult ADHD patients. Our findings point to a higher vulnerability for the development of PDs in patients with severe childhood ADHD.     

A contextual perspective of clinical judgement in couples and family therapy: is the bridge too far?

This paper reviews the clinical judgement literature and discusses its applicability to the practice of couples and family therapy. Key findings and conceptual foundations are highlighted. A contextual perspective is advocated to guide future investigations and to enhance the generalizability of the literature to the real-life experiences of therapists. Suggestions for theory development and future research are provided.     

Experiencing malevolent voices is associated with attentional dysfunction in psychotic patients

Inattention in people with schizophrenia is common. However, there has been little research on the association between inattention and auditory hallucinations. The aim of the study was to investigate how inattention is affected by beliefs about voices as benevolent and malevolent and perceived control of voices. A total of 31 patients who experienced auditory hallucinations and who met the criteria for schizophrenia or other psychosis completed the attention subscale of the Scale for the Assessment of Negative Symptoms (SANS) and the Connors’ Continuous Performance Test II (CCPT‐II). The revised Beliefs About Voices Questionnaire (BAVQ‐R) was used to assess malevolent and benevolent beliefs about voices, and severity of auditory hallucinations (the Psychotic Symptom Rating Scales; PSYRATS) was used to assess perceived control of voices and frequency of voices. Levels of depression (the Beck Depression Inventory; BDI), anxiety (the Beck Anxiety Inventory; BAI), severity of overall psychiatric symptoms (the Brief Psychiatric Rating Scale; BPRS), and severity of negative symptoms (SANS) were assessed to control for their potential confounding effects. The relations between the variables were explored with correlations and multiple hierarchical regression analyses. The results indicated that more malevolent, but not more benevolent, beliefs about voices predicted lower levels of attention, independently of general psychiatric symptoms and various other psychotic symptoms such as frequency of and perceived control of voices. These findings suggest an important relationship between malevolent beliefs about voices and levels of inattention. The possible impact of changing beliefs about voices to improve attentional functioning is discussed.     

The relationship between alliance ruptures and hope for change through counseling: A mixed methods study

The negative impact of alliance ruptures on clients’ experiences within the therapeutic process is well documented. One such negative influence may include clients’ hope for counseling as a helpful process. This study used a mixed methods design to explore how alliance ruptures are related to hope for change through counseling. Quantitative data (N = 105) indicated that those who experienced ruptures reported lower levels of the components of hope for change through counseling, (a) pathways and agency, and (b) goal identification. More frequent ruptures and rupture repairs were significantly related to participants’ (n = 35) pathways and agency. Phenomenological analysis of qualitative participants’ (N = 5) experiences elicited 218 meaning units grouped into four themes: disengagement and mistrust in therapy, deepened distress, questioning one’s hope for and belief in therapy, and resilience for therapy. Qualitative and quantitative data indicate that alliance ruptures are related to lower degrees of hope for change through counseling. Results suggest that clients’ perceptions of ruptures fostered disengagement and mistrust of therapists. However, when therapists act to repair ruptures, they may effectively re-engage some degree of hope for change through counseling in clients. Lastly, the role of clients’ persistence in therapy despite experiencing ruptures is discussed.     

The role of affect in suicidal thoughts and behaviors

Risk factors, theoretical explanations, and treatment suggestions for suicidal behaviors have historically focused largely on cognitions, but a more comprehensive picture may be provided by examining the role of affect in suicidal thoughts and behaviors. In the current study the link between affect and suicide within the theoretical framework of the circumplex model was examined empirically. Data from 104 participants demonstrated that both positive and negative affect are related to suicidal thoughts and behaviors, and that affect provided additional information about suicidality over and above the cognitive variable of hopelessness. The findings support that suicidal risk assessment may be enhanced by evaluating both hopelessness and affect, and that negative affect, in particular, is important to address in the treatment of suicidal individuals.     

Cognitive functioning as a contraindication to organ transplant surgery: Dilemmas encountered in medical decision making

A case is presented to illustrate some of the difficulties encountered when providing psychological consultation to evaluate the readiness of patients for pediatric heart-lung transplantation. The outcome of complex medical decision making can often hinge on information provided by the psychological consultant who is attempting to simultaneously serve the needs of the patient as well as the transplant team. Ethical dilemmas frequently arise when medical decision making is driven by limited health care resources and cost constraints. The utility of cognitive functioning as a variable in pediatric transplant decision making is discussed. Recommendations are made for further work in this area on both conceptual and empirical grounds to guide the integration of psychological information into transplant decision making as health care delivery continues to evolve in the future.     

Sugar ingestion and dichotic listening: Increased perceptual capacity is more than motivation

Participants ingested a sugar drink or a sugar-free drink and then engaged in a pair of dichotic listening tasks. Tasks presented category labels then played a series of word pairs, one in the left ear and one in the right. Participants attempted to identify pairs containing a target category member. Target category words were homonyms. For example, arms appeared as a target in the “body parts” category. Nontargets that played along with targets were related to a category-appropriate version of the target (e.g., sleeves), a category-inappropriate version (e.g., weapons), or were unrelated to either version of the target (e.g., plant). Hence, an effect of nontarget type on number of targets missed was evidence that participants processed nontargets for meaning. In the divided attention task, participants monitored both ears. In the focused attention task, participants monitored the left ear. Half the participants in each group had the divided attention task before the focused attention task; the other half had the focused attention task before the divided attention task. We set task lengths to about 12 min so working on the first task would give sufficient time for metabolizing sugar from the drink before the start of the second task. Nontarget word type significantly affected targets missed in both tasks. Drink type affected performance in the divided attention task only after sufficient time for converting sugar into blood glucose. The result supports an energy model for the effect of sugar ingestion on perceptual tasks rather than a motivational model.     

Development of a device to measure human sound localization

Measurements of human sound discrimination and localization are important for basic empirical and clinical applications. After a short survey of other methods such as evoked potentials, the development of a new device to measure human sound localization is described and its use illustrated with some examples. Built from a polyacrylic hemisphere or--in a later version--from an orbicular aluminum frame, the apparatus uses multiple speakers to emit auditory stimuli. The patient sits in the middle of the perimeter and has to press a button when a sound is perceived. In addition, the participant has to identify the correct speaker as the source of the sound. With this method it is possible to map the auditory field.