Client Personality,Working Alliance and Outcome

Abstract

The relationship of the five-factor model of personality to working alliance, symptoms and well-being was examined in a diverse community mental health sample (N = 103). Agreeableness, openness, extraversion and conscientiousness were associated with alliance. Neuroticism was strongly associated with symptoms, and negatively associated with well-being. Extraversion was moderately associated with well-being. Personality is deserving of further study as a potentially important influence on therapy process and outcome. Part of the much-replicated association of alliance with outcome may be accounted for by personality. Implications for social work practice and research are discussed.     

The Four Es 1-Year Later: A Tool for Predicting the Development of Gambling Problems

The Four Es is a 40-item scale measuring psychological risk for the development of problem gambling behavior. One-year follow-up interviews (n = 395) from a previously reported phone survey in Queensland, Australia (n = 2,577) (Rockloff & Dyer, 2006) tested the ability of the Four Es instrument to prospectively identify persons who would later develop gambling problems. Two groups of participants were selected for the 1-year follow-up interviews, including (1) persons who had gambling problems, high-risk alcohol abuse problems, and/or substance abuse problems (abuse group); and (2) a random selection of other persons from the original survey (random group). The results indicated that the “Excess” trait, which measures impulsive behavior, was predictive of relative increases in gambling problems for both groups over the 1-year period. Additionally, the Four Es questionnaire showed good psychometric properties in the surveys, with a test-retest reliability of r = .70 and a Cronbach’s alpha reliability of α = .90 and .92 in the original and follow-up interviews, respectively.     

A systematic literature review of the etiology of borderline personality disorder from an ecological systems PERSPECTIVE

Borderline Personality Disorder (BPD) is one of the most common, complex, costly, and severely impairing personality disorders, affecting an estimated 2% to 9% of the general population and 40% to 44% of the inpatient psychiatric population. A review of the literature was conducted using a systematic methodology. By incorporating an ecological systems perspective, a holistic and comprehensive critique of the literature surrounding the etiology of BPD is presented. The findings reveal that the etiology of BPD is a complex integration of psychological, biological, and social factors. More specifically, however, this review found that: (1) the etiology of BPD is complex and has many factors, (2) the dominant discourse about the etiology of BPD is based primarily in the psychological and biological literature, and (3) the examination of BPD etiology has focused solely on the individual and microsystems levels, neglecting to consider systemic factors such as the impact of discriminatory health and mental healthcare practices. Findings and future directions are explored through the ecological systems theory lens.     

Estimating E-bayesian and hierarchical bayesian of scalar parameter of gompertz distribution under type II censoring schemes based on fuzzy data

In this study, the E-Bayesian and hierarchical Bayesian of the scalar parameter of a Gompertz distribution under Type II censoring schemes were estimated based on fuzzy data under the squared error (SE) loss function and the efficiency of the proposed methods was compared with each other and with the Bayesian estimator using Monte Carlo simulation.     

Diabetes education program for people with type 2 diabetes: An international perspective

BackgroundIn the Palestinian community, lifestyle changes, rapid urbanization and socioeconomic development, stress, smoking, and changes in food habits has increased the risk of non-communicable diseases especially diabetes mellitus. Diabetes complications can be prevented if the glycemic status of patients with diabetes is maintained within a nearly normal range. Therefore, patient education is critical in controlling blood glucose levels within the normal range.ObjectiveThis study aimed at measuring the effect of diabetes educational intervention program for patients suffering from type 2 diabetes attending the Diabetes Clinic in Tulkarim Directorate of Health.MethodsA short duration observational study involving pre- and post-test educational intervention program was carried out on a relatively small number of type 2 diabetes patients at the Diabetes Clinic in Tulkarim Directorate of Health. In total, 215 patients attended a group-based 4 h educational intervention session about diabetes. The program included explaining diabetes mellitus-symptoms, risk factors, types, treatment and complications and main aspects of self-care of the disease (foot care, eye care, and blood glucose monitoring), main aspects of dietary management, weight reduction, blood pressure, smoking cessation, periodic investigations, home monitoring and importance of physical activity. Knowledge evaluation questionnaire were evaluated pre- and post-study. Anthropometric measurements such as body weight (WT), body mass index (BMI) and laboratory tests such as fasting blood glucose (FBG), hemoglobin A1C (HbA1c), cholesterol (Chol), and triglycerides (TG) were measured both at the beginning and at the end of the study. Significance of the results was assessed by paired t-test at 95% confidence interval.ResultsThe participant’s mean age was 51.07 that ranged between 31 and 70 years. For a total of 215 participants, 41.4% were males and 58.6% were females. The mean weight before educational intervention was 80.81 ± 14.95 kg (82.6 kg for males and 79.5 kg for females) that decreased to 78.9 ± 14.33 kg (81.1 kg for males and 77.3 kg for females) after educational intervention program. The BMI also decreased significantly after educational intervention. The mean fasting blood sugar was 188.65 ± 71.45 mg/dL before educational intervention that decreased to 177.7 ± 66.11 mg/dL after the educational intervention (p = 0.049). The mean glycosylated hemoglobin was 8.57 ± 1.21 before educational intervention that decreased to 7.95 ± 1.42 after educational intervention. The mean value of cholesterol before educational intervention was 183.27 ± 37.74 mg/dL that decreased to 169.57 ± 34.23 mg/dL after educational intervention. The mean triglycerides value decreased after educational intervention from 209.85 ± 171.04 mg/dL to 183.28 ± 152.4 mg/dL (p = 0.025). The mean score of knowledge questionnaire before educational intervention was 60.6 ± 20.65 that increased to 78.1 ± 13.4 after conducting educational intervention.ConclusionsDiabetes education was found to be effective on BMI, FBG, HbA1c, Chol, TG, and knowledge.RecommendationsDiabetes education is a cornerstone in the management and care of diabetes and should be an integral part of health planning involving patient’s family, diabetes care team, community, and decision makers in the education process.     

高校生命教育现状与学生个性发展问题研究

生命是教育的起始点,教育的最终目标是引导鲜活的、独具个性的生命体得到其个性的充分发展。随着我国经济建设飞速发展,人们将主要精力放在有助于生存的知识和技能的获取上。在这样的背景下,高校把具有个性的生命塑造成知识的载体和社会发展的工具,学生个性特征得不到应有的发展。因此,要认清当前高校在教育理念、教育体制、教育实践等方面不尽如人意的现状,认真分析传统文化及周围环境对高校生命教育和学生个性发展产生的影响,并坚持将生命教育贯穿学生学习全过程、加强专职教师队伍建设、不断丰富生命教育的内容和形式,进一步促进学生个性发展。     

从确认到竞争:被选举权的民主建构

被选举权是标志和象征人民作为"主权者"的地位和身份之基本权利。公民依法主动竞争公共职位是被选举权作为民主权利的内在要求,也是市场经济需要竞争性政治的折射。被选举权的激活对于选拔政治人才,强化权力受托人的责任意识,推动公民参与,促进权力可持续发展,培养公民人格等具有特殊意义。规范被选举权的运作,需要建立和完善权力角逐的平等竞争规则、筛选过滤机制、对当选者的监督制约机制以及纠纷化解体系。     

Notes on testing carry-over effects in continuous data under an incomplete block crossover design

We consider hypothesis testing and estimation of carry-over effects in continuous data under an incomplete block crossover design when comparing two experimental treatments with a placebo. We develop procedures for testing differential carry-over effects based on the weighted-least-squares (WLS) method. We apply Monte Carlo simulations to evaluate the performance of these test procedures in a variety of situations. We use the data regarding the forced expiratory volume in one second (FEV₁) readings taken from a double-blind crossover trial comparing two different doses of formoterol with a placebo to illustrate the use of test procedures proposed here.     

Bootstrap approach to test the homogeneity of order restricted mean vectors when the covariance matrices are unknown

Testing homogeneity of multivariate normal mean vectors under an order restriction when the covariance matrices are unknown, arbitrary positive definite and unequal are considered. This problem of testing has been studied to some extent, for example, by Kulatunga and Sasabuchi (1984 Kulatunga, D. D. S., Sasabuchi, S. (1984). A test of homogeneity of mean vectors against multivariate isotonic alternatives. Mem Fac Sci, Kyushu Univ Ser A Mathemat 38:151–161. [Google Scholar]) when the covariance matrices are known and also Sasabuchi et al. (2003 Sasabuchi, S., Tanaka, K., Tsukamodo, T. (2003). Testing homogeneity of multivariate normal mean vectors under an order restriction when the covariance matrices are common but unknown. Annals of Statistics. 31(5):1517–1536.[Web of Science ®] , [Google Scholar]) and Sasabuchi (2007 Sasabuchi, S. (2007). More powerful tests for homogeneity of multivariate normal mean vectors under an order restriction. Sankhya 69(4):700–716. [Google Scholar]) when the covariance matrices are unknown but common. In this paper, a test statistic is proposed and because of the main advantage of the bootstrap test is that it avoids the derivation of the complex null distribution analytically, a bootstrap test statistic is derived and since the proposed test statistic is location invariance the bootstrap p-value defined logical and some steps are presented to estimate it. Our numerical studies via Monte Carlo simulation show that the proposed bootstrap test can correctly control the type I error rates. The power of the test for some of the p-dimensional normal distributions is computed by Monte Carlo simulation. Also, the null distribution of test statistic is estimated using kernel density. Finally, the bootstrap test is illustrated using a real data.     

关于法人人格及法人人格否定制度的探讨

伴随我国法人制度研究的进一步发展,对法人人格及法人人格否定制度的理论探讨也逐步展开.法人人格的界定、评价是理论前提,探讨法人人格否定制度的构成要件、特征及其在我国的适用问题具有重要的现实意义.