Language and communication; outline of program for research and training of mentally retarded children.
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A therapy study was conducted with 17 seriously chronically ill schizophrenic patients. Ten patients (Experimental Group) received a psychological therapy program of training in cognitive and communication/social skills (58 sessions of 60 min.). Seven further patients constituted a Control Group. Researched was the question of the potential for change of basic disorders respectively symptoms, and its effect on social behavior. In individual cases significant changes were recorded. As to the therapeutic effects, significant findings were obtained only conditionally. Implications and consequences are discussed in the résumé.
A MUMPS program called MAILBOX allows information to be more efficiently disseminated in a hospital department of clinical biochemistry. Readily accessible to all staff as the department is equipped with video display units in every laboratory and office, MAILBOX allows laboratory staff to send and read departmental messages; send, read, and save personal messages; sign in to and out of the department; and locate all other staff. Departmental messages containing information of general interest are automatically displayed on signing on to MAILBOX. Personal messages are directed to specific people, who are so informed when signing on; they can only be read by the sender and intended recipient(s).
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PURPOSE: Although it is widely recognised that educational interventions may be more effective for people with an 'internal' Locus of Control (who believe that life outcomes are controlled by their own characteristics or actions) compared to people with an 'external' Locus of Control (who believe that life outcomes are controlled by external forces such as luck, fate or others), no study has yet assessed the influence of physicians' Locus of Control (LOC) on communication skills learning. This study aims to test the hypothesis that, in a communication skills training program, physicians with an 'internal' LOC would demonstrate communication skills acquisition to a greater degree than those with an 'external' LOC. METHODS: A non-randomised longitudinal intervention study was conducted between January 1999 and April 2001. Sixty-seven volunteer physicians from private and institutional practice in Belgium participated in a learner-centred, skills-focused, practice-oriented communication skills training program. Communication skills changes were assessed in 2 standardised simulated interviews before and after training (one two-person and one three-person interview). Communication skills were assessed using the Cancer Research Campaign Workshop Evaluation Manual. Physicians' LOC was assessed using the Rotter I-E scale. Communication skills changes of the upper and lower third of physicians in respect of their scores on this scale were compared using group by time repeated measures of variance. RESULTS: In the two-person and three-person interviews, changes in the use of open directive questions were more important among physicians with an "internal" LOC compared with changes observed among physicians with an 'external' LOC (P=0.066 and P=0.004, respectively). In the three-person interview, changes in the use of directive questions, assessing functions and moderate feelings stated explicitly were more important among physicians with an 'internal' LOC compared with changes observed among physicians with an 'external' LOC (P= 0.001; P=0.002 and P=0.011 respectively). CONCLUSION: This study shows that physicians' LOC is a psychological characteristic that could influence the efficacy of a communication skills training program. This evidence supports the idea that a psychological characteristic such as 'internal' LOC may facilitate communication skills acquisition through physicians' belief that communication with patients may be controlled by physicians themselves.
OBJECTIVE: This study evaluated the cost-benefits of a staff communications training program designed to improve patient management skills and relieve staff stress. METHODS: The interpersonal communications program, based on the Carkhuff model, was specially designed for mental health settings. The training program focused on developing accurate empathy by teaching staff members to use appropriate cognitive and emotional components of interpersonal communication. Staff on a short-stay adult inpatient recidivist unit received the training, while those on a matched unit served as a quasi-control group. Data from routine reports from six months before and six months after training were analyzed. The main cost-benefit variables of interest were improved staff retention and patient outcomes. RESULTS AND CONCLUSIONS: The trained unit had less staff turnover, and staff members on that unit used less sick and annual leave. Fewer patients' rights complaints were filed, and fewer assaults on staff were reported. The cost-benefit analysis revealed substantial savings for the trained unit and increased expenditures for the control unit. The results suggested that training in empathic communication skills for direct care staff is a promising proactive, cost-effective approach to coping with staff stress and turnover and may also improve patient outcomes.
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Despite growing numbers of internships and residencies offering training in hypnotherapy, no systematic attempt has been made to assess hypnotherapy beliefs and use among former trainees in these settings. This study investigated posttraining hypnotherapy use and effectiveness beliefs in a sample of 77 former psychiatry residents and psychology interns. Over 50% of the study sample had sought additional hypnotherapy training beyond the standard lectures and seminars, and almost 30% had attended external hypnotherapy workshops or presentations. Beliefs in hypnotherapy effectiveness were high, but use of hypnotherapy in clinical practice was very low. Former residents and interns who had received supervised training with patients, who had attended hypnosis workshops, and who had a colleague using hypnotherapy were more likely to use hypnotherapy following training.
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