临床医生价值观隐性知识对工作绩效影响的实证研究

为了解价值观隐性知识对临床医生工作绩效的影响,为医院人力资源管理工作提供依据。运用人口学基本情况和经修订的临床医生价值观隐性知识量表、工作绩效量表,对唐山市3所三级甲等医院的270名临床医生进行调查,运用SPSS170．统计软件、Pearson相关分析和多元逐步回归分析对获得的数据进行分析。结果显示,临床医生价值观隐性知识水平与工作绩效水平均较高,但临床医生的“内驱力和动机”和任务绩效得分最低;临床医生“自知能力与发展目标”、“内驱力和动机”对工作绩效水平的影响有统计学意义。通过研究可以得到这样的结论：价值观隐性知识是影响临床医生工作绩效的主要因素,提高临床医生的“自知能力与发展目标”、“内驱力和动机”的水平是提高工作绩效的关键。     

Family of Origin Supervision in the Workplace: Impacts on Therapist and Team Functioning

The Adolescent and Family Unit at Redbank House carried out a trial of Bowen's Family of Origin Coaching that has prompted us to comment on the usefulness of this approach as a component of clinical supervision. This article will describe how this trial came about, the process adaptations required to make it possible and how some of the ethical dilemmas raised by this approach were addressed. Personal reflections from the team members will be shared, and our observations in terms of impact of this form of supervision on clinical functioning, team cohesion and service provision will then be discussed. In essence, we aim to provide an anecdotal account of our experience and ask the question, ‘Is supervision that focuses on the therapist's individual functioning as a product of their intergenerational patterns a valid use of resources in a clinical setting?’     

Development and Evaluation of a Web-Based Clinician Training Program for a Family-Focused Depression Preventive Intervention

This study evaluated the acceptability, feasibility, and satisfaction associated with a newly developed online clinician training program for the Family Talk preventive intervention, both alone and together with a redesigned, shortened, face-to-face component. Fifty-eight predominately in-home therapy clinicians participated in the study. Results indicated that clinician participants found the online training to be enjoyable and comprehensive, and they reported that the most beneficial training package involved the combination of web-based and in-person training. This combined training could efficiently cover necessary didactic material online while also delivering important clinical skill practice and in-person discussion. Exceptions, limitations, and important future research questions are discussed.     

Engaging with Parents in Child and Adolescent Mental Health Services

This paper asks the question: How can child and adolescent mental health clinicians constructively engage parents as a resource in the young person's treatment? It draws from qualitative research data that explore parents' experience of their involvement in their adolescent's mental health treatment program. The paper especially focuses on challenges for clinicians in engaging with parents as part of the treatment program for young people. Clinicians' input about their perceptions of interacting with parents is utilised alongside parents' experiences of their involvement in clinical processes. The clinician data revealed key challenges were managing their reactions to parent defensiveness; broadening the focus from just alleviating symptoms in the young person; not taking sides with the young person; and resisting becoming an expert instructor. The paper discusses Murray Bowen's original family research about engaging parents in treatment with the symptom bearer and addresses how clinicians can build a positive alliance with parents that avoids blame while constructively opening exploration of the family relationship process as part of a collaborative approach.     

利用期望理论构建临床教师激励机制

医学院校扩招后，临床教师工作压力增大，临床教学管理制度尚未完善，临床教学水平和质量缺乏行之有效的考核机制。为此，根据美国心理学家弗鲁姆的期望理论，从报酬期望、成就期望和机会期望三方面对临床教师激励机制进行改革设想。     

The Psychodynamics of a Clinician's Hope: A Delicate Balance

A clinician's sense of hope is not easily maintained in the therapeutic situation. Exploring the psychodynamics of hope in two interviews—one focusing on a community mental health psychotherapist and the other on a school social worker—this paper proposes that maintaining hope requires an intense affect state, an active blend of emotional and intellectual reflections in the mind of the clinician. Ongoing hope is the product of a delicate balance between a clinician's tolerance for the tragic in life and the expectations of positive treatment outcome. These reflections occur in an intrapsychic space, a point of juncture between the clinician's primary process longings/fears and secondary process thoughts. Hope is constructed in this space. It gains its language, form, and substance from the integration of personal experience, client observation and clinical theory. Reflective activity helps a clinician avoid disabling transference to a client and promotes identifications that lead to realistic treatment goals.     

Trauma and the Clinician: Therapeutic Implications in Clinical Work with Clients

This article explores clinical issues related to self-disclosure to clients following a traumatic event in clinicians' lives. In particular, special attention is paid to the role of self-disclosure in clinical work when clinicians are conflicted about whether or not to share personal information or how to communicate it to clients due to the nature of the trauma. Therapeutic implications, both short and long term, associated with such self-disclosure are discussed.     

The time is now: the need to develop team performance consultants in Canadian healthcare institutions

Malaysia has emerged as a major economic force in the Asia-Pacific region. While the recent growth is supported in part by government incentives, much credit can be attributed to the development of small-medium enterprises (SMEs). Recent US studies have found evidence of extensive HRD in small to mid-sizedbusinesses, and otherrecentstudies found higherlevels ofjob satisfaction among employees of small firms. This study measures the nature and extent of HRD; the level of job satisfaction among workers; and determines the correlation between workplace learning and job satisfaction in Malaysian SMEs.     

Boundaries and Family Practices: Implications for Assessing Child Abuse

SUMMARY

Family practices related to hygiene, affection behavior, and privacy were studied using a sample of mental health and child welfare professionals. The professionals were asked to use their own experience to state up to what age it was acceptable for parents and children of the same gender and mixed gender to engage in certain family practices. For virtually all family practices, respondents reported lower appropriate ages for mixed gender pairs. Family practices were acceptable for mothers with their daughters up to older ages than fathers with their sons. Results indicate high variability in the responses regarding appropriate ages, as well as whether the behavior was ever acceptable. The implications of these substantial differences among professionals who often assess these practices as “soft signs” related to abuse are discussed.     

Irmgard Wessel: The Making of a Clinical Social Worker

Irmgard Wessel is a unique woman whose quiet, hard-working way generates ideals that are inspirational. With little fanfare, Irm's work has had a major impact in the field of clinical social work and clinical social work education. As each of us is inspired and encouraged by the knowledge of such exceptional social work clinicians, the discipline, as a whole, is enhanced. This paper describes not only Irmgard Wessel's career, but also adds a biographical understanding of her development from childhood to clinician, educator, and activist. It is about the making of an extraordinary clinical social worker.