Security of Attachment as a Predictor of Symbolic and Mentalising Abilities: A Longitudinal Study

The development of symbolic and mentalising abilities was examined in 33 children whose security of attachment had been assessed in infancy. It was found that securely attached children: (i) were better able to incorporate an experimenter's play suggestions into their sequences of symbolic play at 31 months; and (ii) performed better on a version of Wimmer and Perner's (1983) unexpected transfer task at age 4. There was also evidence of superior mentalising abilities among the secure group at age 5, despite no group differences being found in general cognitive ability. We suggest that these security-related differences might be related to mothers' propensity to treat their securely attached children as individuals with minds. In support of this hypothesis, mothers in the secure group adopted more sensitive tutoring strategies, and were more likely to describe their children in terms of their mental characteristics. Possible developmental pathways linking security of attachment in infancy with subsequent development were investigated using path analyses.     

Emotional strain and organizational citizenship behaviours: A meta-analysis and review

This paper provides a qualitative review and quantitative summary of the relationship between emotional strain and organizational citizenship behaviour (OCB), and discusses five potential moderators of the strain-OCB relationship. OCB refers to discretionary behaviours that benefit organizations and their members. Emotional strain is important to consider because it has a broad impact on employee behaviours and is possibly more fundamental than other forms of strain. However, it has received less attention than aspects of job-related strain, such as job dissatisfaction. Based on the results of 29 empirical studies with 52 unique effect sizes, meta-analytic results revealed a negative relationship between strain and OCB (corrected estimate of the population correlation coefficient, ρ=-.16). Furthermore, this relationship is moderated by the type of OCB (OCB directed at the organization vs. that directed at individuals), type of organization (private vs. public), publication status (published vs. unpublished), OCB rating source (self vs. other), and type of sample (full-time employees vs. employed students). We present theoretical and practical implications of these findings, including steps that could be taken by organizations to increase OCB and to reduce emotional strain, and suggest directions for future research.     

Human Immunodeficiency Virus (HIV) Seropositive Homeless Men: Behavioral and Social Characteristics

Homeless persons living in US. innercities are at risk for human immunodeficiency virus (HW) infection, but few studies have examined the continued risk behaviors of HIV infected homeless men. We investigated the sexual behavior of 32 homeless men who had tested HIV seropositive. Twenty-five percent of HW positive men reported a history of injection drug use, 34% had sex with men, over 40% had participated in commercial sex, and 59% had been treated for a non-HIV sexually transmitted disease. HIV seropositive men also reported recent sexual behavior, with 62% having sex in the previous month and 50% currently sexually active. Condom use was inconsistent among seropositive men; 44% of vaginal and 50% of anal intercourse occasions in the preceding three months did not involve condoms, and 28% of HW seropositive men did not use a condom during their most recent sexual encounter. Substance use was frequently associated with unprotected sexual behavior among HW seropositive men. Finally, measures of life satisfaction showed that HIV seropositive men were most satisfied with their relationships, mental health, and spiritual well being. These data suggest a need for intensive behavioral.interventions tailored for homeless HW infected men and we recommend that existing substance use treatment and holistic care be incorporated into behavioral interventions for HW infected men.     

Money management,patient safety and customer service among top concerns for physician executives. Interview by Barbara Linney

Find out what's happening today and what the future may be like for physician executives. Seasoned physician executives and well-known physician executive recruiters share their insights on the profession.     

Crossover designs in the presence of carry-over effects from two factors

Experiments, used in the telecommunications industry and elsewhere, are considered that involve the simultaneous application of levels of two unrelated factors, treatments and stimuli, to each of several subjects in a succession of time periods. The existence is suspected of carry-over effects of treatments and stimuli, in the period immediately following the period of their application. Methods are given for the construction of separate sequences of treatments and of stimuli; these methods are based on the Latin squares of Williams and of Russell. In the resulting designs, the treatments and stimuli are either orthogonal or nearly orthogonal, and the coincidence of the direct and carry-over effects of each factor is either balanced or nearly balanced. The efficiencies of the designs are assessed by comparing the average variances of elementary contrasts in the levels of each factor with appropriate lower bounds.     

Optimal Purchase and Transportation Cost Lot Sizing for a Single Item

A review of the literature indicates that the traditional approach for evaluating quantity discount offerings for purchased items has not adequately considered the effect that transportation costs may have on the optimal order quantity; despite the general fact that purchased materials must bear transportation charges. The transportation cost structure for less-than-truckload (LTL) shipments reflects sizable reductions in freight rates when the shipment size exceeds one of the nominal rate breakpoints. However, the shipper must also be aware of the opportunity to reduce total freight costs by artificially inflating the actual shipping weight to the next rate breakpoint, in order that a lower marginal tariff is achieved for the entire shipment. Such over-declared shipments result in an effective freight rate schedule that is characterized by constant fixed charge segments in addition to the nominal marginal rates. Over-declared shipments are economical when the shipment volume is less than the rate breakpoint, but greater than a cost indifference point between the two adjacent marginal rates. This paper presents a simple analytical procedure for finding the order quantity that minimizes total purchase costs which reflect both transportation economies and quantity discounts. After first solving for the series of indifference points that apply to a particular freight rate schedule, a total purchase cost expression is presented that properly accounts for the actual transportation cost structure. The optimal purchase order quantity will be one of the four following possibilities: (1) the valid economic order quantity (EOQ), QC; (2) a purchase price breakpoint in excess of QC; (3) a transportation rate breakpoint in excess of QC; and (4) a modified EOQ which provides an over-declared shipment in excess of QC. Finally, an algorithm which systematically explores these four possibilities is presented and illustrated with a numerical example.     

Social Action Research and the Commission on Community Interrelations

The Commission on Community Interrelations (CCI) was officially launched in 1945 by the American Jewish Congress (AJC) with Kurt Lewin as its chief consultant. Its intent was to bring research to bear on religious and racial discrimination. Espousing the ideals of democratic social engineering, CCI's action research projects aimed for scientific credibility and social utility. This article examines CCI's development from 1944 to 1952. By the early 1950s, changes within the AJC and in local communities and increased legal and mass protest strategies for racial justice as well as changes within social psychology as a subdiscipline challenged the viability of CCI's action research programs.     

Coping With Sexual Orientation–Related Minority Stress

Little is known about how adolescents cope with minority stressors related to sexual orientation. This study examined 245 lesbian, gay, and bisexual (LGB) young adult’s (ages 21–25) retrospective reports of coping in response to LGB minority stress during adolescence (ages 13–19) to test the reliability and validity of a measure of minority stress coping. Further, the study examined associations between LGB minority stress coping and young adult psychosocial adjustment and high school attainment. Validation and reliability was found for three minority stress coping strategies: LGB-specific strategies (e.g., involvement with LGBT organizations), alternative-seeking strategies (e.g., finding new friends), and cognitive strategies (e.g., imagining a better future). LGB-specific strategies were associated with better psychosocial adjustment and greater likelihood of high school attainment in young adulthood, whereas alternative-seeking and cognitive-based strategies were associated with poorer adjustment and less likelihood of high school attainment.     

Factors that support change in the delivery of midwifery led care in hospital settings. A review of current literature

Problem

In hospital units, the network of interdependent relationships between midwives and doctors has positioned midwives within hierarchical relationships of power. Others argue that the physical layout of hospital wards created by biomedicine makes it difficult for midwives to provide midwifery led care. The aim of this review is to identify factors that support change in the delivery of the midwifery led care in hospital settings.