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PubMed2002

Whining, griping, and complaining: positivity in the negativity.

Recent years have seen a surge of interest in the positive psychology movement. The emphasis of positive psychology is on human virtue rather than on human vice, on human strength rather than human frailty. In an effort to focus on what is good about human nature, however, the positive psychology movement has neglected to examine the redeeming features of seemingly aversive behaviors. Thus, the purpose of the present article is to broaden the scope of positive psychology by examining, in addition to its negative facets, the positive features of one particular aversive behavior, complaining. After defining complaining, we address the personal, relational, interpersonal, and material benefits of complaining to show that there is, indeed, positivity in the negativity.

Affect↗
PubMed2004

Outcomes after spinal cord injury: comparisons as a function of gender and race and ethnicity.

OBJECTIVE: To identify gender and racial and ethnic differences in subjective well-being (SWB), participation, and general health ratings in participants with spinal cord injury (SCI). DESIGN: A multisite, cross-sectional study that used stratified sampling to identify and maximize participation among groups of people traditionally underrepresented in SCI research. SETTING: Four Model Spinal Cord Injury Systems participated in the data collection. The primary site was a large southeastern specialty hospital; the other 3 were in the western and mountain regions of the United States. PARTICIPANTS: A total of 512 participants, 475 of whom were included in the analysis. This group included relatively equal portions of whites, African Americans, American Indians, and Hispanics. Approximately 40% of the sample was women. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The primary outcome measures included 2 measures of SWB (Life Situation Questionnaire-Revised, Older Adult Health and Mood Questionnaire), 1 measure of participation (Craig Handicap Assessment and Reporting Technique), and several items from the Behavioral Risk Factor Surveillance System. RESULTS: The majority of racial and ethnic differences in SWB related to specific life areas (eg, economics, employment), rather than more global outcomes (eg, engagement, health), with whites generally reporting the best outcomes, followed by African Americans. American Indians, and whites generally reported the highest participation scores, whereas limited differences were noted between the racial and ethnic groups on health indicators. Women reported lower satisfaction with health, more poor mental health days, and lower SWB related to home life, but higher SWB related to interpersonal relations. CONCLUSIONS: There are racial and ethnic differences in outcomes after SCI focused primarily on subjective outcomes in areas in which racial and ethnic minorities have traditionally been disadvantaged. The results of this study direct rehabilitation professionals to the outcomes that need to be targeted for intervention to eliminate inequities in outcomes for all persons with SCI.

Adult↗
PubMed2006

Predicting mental health outcomes in female working carers: a longitudinal analysis.

This study investigated the factors contributing to psychological distress and positive affect over time in female working carers of older people. Questionnaires (including measures of work-related, care-related, interpersonal and psychological aspects of working and caring) were distributed to 275 female working carers in the UK, the majority of whom were working as nurses in the National Health Service. In cross-sectional analyses, higher work stress and work demands predicted higher psychological distress among respondents. Better carer health, lower external pressures to care and higher work satisfaction predicted greater positive affect. The combined effects of greater work stress and work demands also predicted higher levels of psychological distress at follow-up (after one year), whereas younger age and lower work stress predicted greater positive affect over time. We conclude that more stressful and demanding work roles appear detrimental to carers' mental health, while lower stress occupational roles may be beneficial, providing satisfaction and fulfilment outside of the caring role. Older female carers may be especially at risk of psychological distress, possibly due in part to increasing health problems of their own.

Affect↗
PubMed2001

Excessive reassurance seeking: delineating a risk factor involved in the development of depressive symptoms.

Six studies investigated (a) the construct validity of reassurance seeking and (b) reassurance seeking as a specific vulnerability factor for depressive symptoms. Studies 1 and 2 demonstrated that reassurance seeking is a reasonably cohesive, replicable, and valid construct, discernible from related interpersonal variables. Study 3 demonstrated that reassurance seeking displayed diagnostic specificity to depression, whereas other interpersonal variables did not, in a sample of clinically diagnosed participants. Study 4 prospectively assessed a group of initially symptom-free participants, and showed that those who developed future depressive symptoms (as compared with those who remained symptom-free) obtained elevated reassurance-seeking scores at baseline, when all participants were symptom-free, but did not obtain elevated scores on other interpersonal variables. Studies 5 and 6 indicate that reassurance seeking predicts future depressive reactions to stress. Taken together, the six studies support the construct validity of reassurance seeking, as well as its potential role as a specific vulnerability factor for depression.

Adolescent↗
PubMedDate not supplied

Test your troubleshooting knowledge.

While troubleshooting and repairing medical instrumentation may be all that BMETs would like to do, it's just too limited in scope to perform the job effectively. Flattened organizations can require greater responsibility for BMETs--and lead to greater ambiguity. Besides electronic troubleshooting skills, mechanical ability, and the knowledge of how medical equipment normally operates, additional skills are required of the BMET to effectively facilitate a repair--such as knowledge of pertinent codes and standards, job safety laws and guidelines, politeness, and empathy for the equipment user. You will notice that many of these relate to interpersonal relations. The ability to interact with fellow health care workers in a non-threatening manner and to have an appreciation for their perspectives are valuable customer service skills--potentially more valuable than being able to do component-level troubleshooting!

Biomedical Engineering↗
PubMed1988

The dynamic relations among interpersonal behaviors: a test of complementarity and anticomplementarity.

On the basis of the positions of behaviors relative to one another in the interpersonal circle, the principles of complementarity and anticomplementarity specify how people's behaviors influence one another in interpersonal interactions. Pairs of undergraduate women (1 subject, N = 80, and 1 confederate) collaborated for 16 min to create and agree on stories for two pictures. Confederates performed scripted roles that emphasized one of eight interpersonal behaviors. Behaviors were coded into eight categories, and the relative effect of each confederate behavior on each subject behavior was determined. Using the geometric properties of the interpersonal circle, vectors were calculated that identified the relative impact of each confederate stimulus behavior on the overall pattern of subject responses. Results were consistent with the dynamic relations among interpersonal behaviors that complementarity and anticomplementarity propose and demonstrated that how a person behaves toward another systematically and profoundly affects how the other behaves toward the person.

Adolescent↗
PubMed1997

[Psycho-social work conditions as risk factors for premature birth and newborn hypotrophy].

On the basis of the studies carried out the authors verified a hypothesis that psychosocial work conditions and occupational stress are risk factors for premature birth and newborn hypotrophy. The following aspects were considered in the evaluation of psycho-social work conditions: (a) work-related psychological demands; (b) the extent to what an employee is able to control the situation at work; (c) occupational stress arising from the discrepancy between work-related demands and the extent of control over the work situation; and (d) interpersonal relations at work. The analysis covered 219 cases of premature births and 159 cases of newborn hypotrophy. The control group comprised 586 women sampled randomly who gave birth at term to a healthy baby with correct birth weight. The authors found that ill interpersonal relations and a low level of control over the situation at work elevate the risk of giving birth to a baby with hypotrophy, while good interpersonal relations and a high level of control over the situation at work play a protective role. The effect of these psycho-social factors applied only to hypotrophy of a newborn and it was related neither to other features of occupational work nor to biomedical factors. It seems that this kind of factors may have generally less pronounced impact on premature birth.

Adult↗
PubMed1999

Children with autism experience problems with both objects and people.

Kanner (1943), in his classic account, described autism as a specific impairment in interpersonal relations which leaves the child's uses of objects relatively unaffected. This combination of the difficulties in relating to people and the supposedly "excellent" relations to objects figures centrally within many of the current theories of autism, which have had relatively little to say on the question of object use. This paper draws attention to evidence of widespread impairments in relating to objects, not only in interpersonal aspects of object use but also in early sensorimotor exploration and the functional and conventional uses of objects. In stressing these problems with objects, our purpose is not to downplay the social dimension of autism, but rather to highlight the reciprocal nature of the interactions between the child, other people, and objects. Given the evidence that other people play an important role in introducing objects to children, we propose that an impairment in interpersonal relations should itself lead us to expect corresponding disruption in the autistic child's use of objects. Conversely, an unusual use of objects is likely to manifest itself in disturbances in relating to other people, given the importance of a shared understanding and use of objects in facilitating interaction.

Autistic Disorder↗
PubMed1976

[Analogies and contrasts of familial enviornment in juveniles attempting suicide and in toxicomania].

The family situation of the young addict and the young person who has attempted suicide features anomalous relatives rather than psychiatric pathology as such. These relatives condition disturbed interpersonal relations within the family and these are responsible for the abnormal behavior of the patients. In both groups under examination, the family nucleus proved to be disturbed. Rather than the external structure of the family, the decisive factor was the communication between the various members, namely family cohesion proved to be only partial or actually inexistent in about 70% of cases. A substantial difference between the two groups was the father's affective behaviour towards his wife; the addict's father showed a prevalence of a parasitic attitude, while the mother was more hyper-protective with a tendency to establish a relationship of ambiguous dependence with the child, the young person finding it hard to release himself from this.

Adolescent↗
PubMed2006

[The effect of assertiveness training on communication related factors and personnel turnover rate among hospital nurses].

PURPOSE: The purpose of this study was to investigate the effects of assertiveness training on nurses' assertive behaviors, interpersonal relations, communication conflicts, conflict management style and personnel turnover rate. METHOD: A non-equivalent control group pretest-posttest design was used in this study. Nurses were assigned into the experimental or control groups, each consisting of 39 nurses. Data was collected between January to March 2004. An 'Assertiveness Training Program' for Nurses developed by Park was used for the study. To emphasize assertiveness practice, 5 practice sessions utilizing ABCDE principles were added to Park's program. To examine the effects of the program, differences between the two groups in assertive behaviors, interpersonal relations, communication conflicts, conflict management style and personnel turnover rate were analyzed using ANCOVA. RESULTS: The assertiveness training was effective in improving the nurses' assertiveness behaviors, but was not effective in improving interpersonal relations, reducing the subjects' communication conflicts, changing the conflict management style or reducing their personnel turnover rate. CONCLUSION: There have been many studies about factors affecting nurses' personnel turnover rates, but few have been done about methods of intervention to reduce the personnel turnover rate. Thus, this study provides a significant contribution in attempting such an intervention from nursing management perspectives.

Assertiveness↗
PubMed1997

Health profile of Danish army personnel.

The purpose of the present study was to delineate a health profile of professional Danish army personnel. Two-hundred twenty officers, noncommissioned officers, and gunners on active duty at Varde Barracks, housing the South Jutland Artillery Regiment and the Danish Army Artillery School, were asked about their physical and psychological health, interpersonal relations, and working conditions as well as their dietary, drinking, and smoking habits. Measurements were made of resting pulse rate, blood pressure, height, weight, waist and hip girth, and pulmonary function. The ratio of waist-to-hip girth and body mass index (BMI) were calculated. Psychological well-being was evaluated using the 12-item version of the General Health Questionnaire (GHQ). Psychosomatic symptoms were frequently reported, but very few of those surveyed appeared to have psychiatric disorders as measured by the GHQ. Also, somatic health problems were frequently reported, the most frequent being lower-back pain, mild chest pain, and sensory disorders. Differences in interpretation and reporting of "lasting health problems" may explain the relatively high score for this question. The interpersonal relations, both upward and downward in the hierarchy rank order, received high scores. Compared with the general population, alcohol consumption was very low, whereas smoking-in particular heavy smoking-was much more frequent among professional Danish army personnel. Lung function testing showed significantly poorer mean values of forced expiratory volume in 1st second of expiration and mean forced expiratory flow 25 to 75% of forced vital capacity among smokers compared with nonsmokers, although the mean values for the whole group of both smokers and nonsmokers were well above reference values for all lung function parameters. The frequency of moderately overweight individuals (25 < BMI < or = 30) was significantly higher among the male army personnel than in the general population, whereas this was not the case for obesity (BMI > 30). Abdominal obesity, regarded as an independent risk factor for the development of ischemic heart disease, stroke, diabetes, hypertension, and all-cause mortality, was present in 5%, and 3% belonged to the highest-risk group by having a low BMI as well as abdominal obesity.

Adult↗
PubMed2003

It takes one to know one: interpersonal sensitivity is related to accurate assessments of others' interpersonal sensitivity.

Interpersonal sensitivity (emotional and social) is the ability to accurately assess others' abilities, states, and traits from nonverbal cues. The authors predicted that individuals' interpersonal sensitivity would be related to accurate judgments of friends' interpersonal sensitivity. Fifty participants were recruited, each bringing a friend to participate in performance-based, self-report, and other-rating measures of emotional and social sensitivity. Interpersonal sensitivity was related to accurate judgments of others' interpersonal sensitivity (the "it-takes-one-to-know-one effect"). Neither gender nor acquaintanceship was directly related to accurate judgments of interpersonal sensitivity, nor did either variable moderate the it-takes-one-to-know-one effect.

Adolescent↗
PubMed1991

Quality of object relations versus interpersonal functioning as predictors of therapeutic alliance and psychotherapy outcome.

The purpose of the study was to compare an interview measure of quality of object relations to questionnaire and interview measures of recent interpersonal functioning with respect to the prediction of therapeutic alliance and psychotherapy outcome. The sample consisted of 64 patients who had received approximately 20 sessions of short-term individual psychotherapy within a controlled, clinical-trial investigation. Ratings of therapeutic alliance were provided independently by the patient and the therapist after each session. Outcome measures, which were provided by three sources (patient, therapist, and independent assessor), covered the areas of interpersonal functioning, psychiatric symptomatology, self-esteem, and life satisfaction. Quality of object relations, which characterizes the patient's lifelong pattern of relationships, was the best predictor. It was significantly related to patient-rated and therapist-rated therapeutic alliance and to patient improvement of both general symptomatology and specific target problems. The study also replicated previous studies that have reported significant relationships between therapeutic alliance and therapy outcome. The advantages of pretherapy predictors of therapy outcome, such as quality of object relations, are discussed.

Adjustment Disorders↗
PubMedDate not supplied

Validation of the Lifestress Inventory for people with a mild intellectual disability.

The Subjective Stress Scale (SSS; Bramston & Bostock, 1994) was developed to measure stress in people with a mild intellectual disability. In previous research, the SSS was found to measure two broad dimensions of stress (a) a General Worry factor and (b) a factor that tapped concerns about Negative Interpersonal Relations (Bramston & Fogarty, 1995). The present study sought to continue this line of research by introducing a slightly modified form of the SSS, to be known as the Lifestress Inventory (LI) and examining the psychometric properties of the scale when administered to a new sample of 221 people with mild intellectual disabilities. Confirmatory factor analysis indicated that three underlying factors corresponding to General Worry, Negative Interpersonal Relations, and Coping were sufficient to account for the correlations among the items in the LI. Rasch analysis indicated some improvements to the scoring format for the LI and also showed that the most easily experienced stressors were associated with the Negative Interpersonal Relations dimension. The refinements introduced by the LI and the further demonstration that some of the broad stress dimensions identified in the general population can also be found in people with an intellectual disability represent important milestones for researchers interested in exploring reactions to stress among this population.

Adaptation, Psychological↗
PubMedDate not supplied

Employee motivation: new perspectives of the age-old challenge of work motivation.

In this qualitative study, the 1950s-1970s work of Frederick Herzberg, the father of work motivational research, was compared, and contrasted with current data study about management effectiveness to explore how employee motivation may have changed. Staff members and managers (N = 38), primarily from healthcare settings, but also from academic, public, and private sector businesses were interviewed. Interpersonal relations now ranks first as a motivating factor in this study. Recognition, the work itself, and responsibility are still ranked as critical motivating factors. These are important to understand as work is redesigned. Supporting positive interpersonal relations among subordinates, supervisors, and peers can be viewed as an effective management strategy to facilitate employee motivation. For employees, developing positive interpersonal relations with co-workers can enhance individual motivation and may improve job satisfaction.

Adult↗
PubMed1981

J.L. Moreno: An unrecognized pioneer of family therapy.

J.L. Moreno's fundamental and pioneering contributions to be development of group therapy, encounter, transactional analysis, and especially psychodrama are well known. However, most family therapists seem unacquainted with the fact that from his earliest writings in 1923 J.L. Moreno developed an interactional view of psychotherapy that in 1973 already resulted in formulations of a true systems orientation and very concrete ideas about marital therapy, family therapy, and network therapy. He probably is the first (1937!) therapist that actually involved a husband's lover in conjoint marital therapy. His general theoretical formulations about the pathology of interpersonal relations as well as his practical suggestions for the therapy of the interpersonal relations seem to be insufficiently known to workers and researchers in the field of family therapy.

Family Therapy↗