Effecting organizational change: A "mineralogical" theory of organizational modifiability.

This article presents a "mineralogical" theory of organizational modifiability. The basic idea is that organizations differ in the degree to which they are modifiable. Interventions within organizations may succeed or fail as much as a junction of the modifiability of the organization as a junction of the intervention itself. The article considers the questions addressed, by the theory, the theory itself, concrete examples of the theory, implications for interventions, the measurement of aspects of the theory, and conclusions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A threat-appraisal perspective on employees' fears about antisocial workplace behavior.

This article uses a threat-appraisal model to examine the antecedents and consequences of antisocial behavior in an urban public school system. Teachers (compared with nonteachers) and middle and high school employees (compared with elementary school employees) reported higher levels of exposure to and fears about antisocial behavior. A path analysis demonstrated that threat appraisals partially mediate the relationship between antisocial behavior and job satisfaction and indirectly affect turnover intentions. These effects were consistent across high- and low-contact job types and across elementary, middle, and high school employees. The authors used the threat-appraisal model to describe the consequences of different interventions and found empirical evidence for employee voice and security measures as intervening variables. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Making contact: Uses of language in psychotherapy.

Reviews the book, Making contact: Uses of language in psychotherapy by Leston Havens (see record 1986-97288-000). Drawing on ideas from psychoanalytic, existential, and interpersonal theories, the author has provided a thought-provoking and practical book about how to reach, affect, and influence the distant or absent patient through language. This book is not only thought-provoking and practical but also a pleasure to read; Havens possesses a graceful literary style that is vivid, witty, and filled with fresh metaphors. Havens avoids traditional terminology for describing the more disturbed patient in favor of a personal and less objectifying way of speaking. Havens has provided a framework for conceptualizing how language can be used in a disciplined and powerful way to locate the lost selves of our patients. By calling attention to how we speak, he reminds us that language, used empathically and authentically, is the most powerful tool we have to bridge the often wide chasm between us and our patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Research on telehealth and chronic medical conditions: Critical review, key issues, and future directions.

Objective: To provide a critical review of studies on the impact of telecommunication-based interventions for persons with chronic disabilities. Design: Only those studies that focused on specific health care or clinical interview outcomes and included at least 1 comparison condition were selected for review. Ten studies met these criteria. Results: Overall, the results of initial studies suggest that telecommunication-based interventions may be an efficient and effective way of providing services for chronically disabled populations, even for those who have no previous experience with the technologies. Conclusions: The number of controlled trials examining telecommunication-based interventions for those with chronic disabilities remains small. Future research should endeavor to increase sample size, use conceptually meaningful control groups, focus on cost utility, and investigate which types of telecommunication-based interventions provide the best match with specific populations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Efficacy of clinical interventions for indirect exposure to terrorism.

Two clinical interventions to moderate negative responses to media exposure to terrorism were tested. Participants were 300 young Israeli adults randomly allocated to a terrorism or nonterrorism televised news clip and assigned to 1 of 3 preexposure intervention conditions--cognitive, emotional, or control. Emotional responses of anxiety and anger and attitudinal responses of stereotypes and enemy perception were measured prior and subsequent to manipulation. Results indicated higher posttest levels of anxiety, anger, stereotypes, and negative enemy perception in the terrorism versus nonterrorism media exposure. In the terrorism group, clinical interventions moderated anxiety and increased willingness for conflict resolution. Findings indicate contributions of preparatory interventions for the public in certain contexts of terrorism and its media coverage. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A guiding framework and approach for implementation research in substance use disorders treatment.

This paper introduces readers to the concepts of implementation science, implementation theory, and implementation frameworks and models. A wide range of models has been published in the literature related to implementation. The paper will present an overview of the Consolidated Framework for Implementation Research (CFIR), which is a comprehensive typology that unifies and consolidates the array of constructs that influence implementation from the perspective of these models. The CFIR is then used to evaluate implementation models used in studies of substance use disorder (SUD) treatments. Implementation research is scarce, with few prospective studies of theory-driven implementation. We assert that future research in SUD needs to meet three overarching objectives to promote wider implementation of evidence-based practices: (a) differentiation of core versus adaptable components of evidence-based interventions need; (b) development of methods to design implementation strategies, effectively adapted to the broad context; and (c) design and testing of predictive models to assess likelihood of effective implementation and prospects for sustainability while taking into account salient contextual factors. A recommended strategy for accomplishing these objectives is described. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Implementation of evidence-based substance use disorder continuing care interventions.

Continuing care following initial substance use disorder treatment often is associated with improved treatment outcomes and evidence-based interventions (EBIs) have been developed in this area. However, rates of patient participation in continuing care treatment and mutual help groups (MHGs) are low and a large gap exists between the existing EBIs and actual clinical care. This paper uses the Consolidated Framework for Implementation Research (CFIR; Damschroder et al., 2009) to review the literature on continuing care treatment and monitoring, and mutual help-group promotion. Although existing research provides implications for implementing EBIs in continuing care, few direct implementation trials have been conducted. This literature indicates that EBIs in continuing care have been successfully modified for different settings, that they can be delivered using different modalities (e.g., individual, group, and telephone-based care), and that low cost options are available. Additionally, much is known about the differential effectiveness of continuing care with different populations that may guide treatment programs and providers in selecting the most effective interventions for their clients. One significant barrier to successful implementation of EBIs for continuing care is the lack of information about incentives for providing continuing care across what in the CFIR terminology is a program's outer setting (i.e., external economic, political, and social setting), and its inner setting (i.e., internal political, structural, and cultural contexts). Implications for implementation of EBIs in substance use disorder continuing care are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

There is no outside: Empathy and authenticity in psychoanalytic process.

Within the relational revisioning of psychoanalysis, important questions have emerged concerning the compatibility or incompatibility of the empathic understanding so treasured by self psychology and the authentic participation championed by relational analysts more indebted to the interpersonalist and Kleinian traditions. Does remaining close to the patient's emotional perspective require the analyst to become dishonest or inauthentic? Or conversely, does authentic participation require an emotional distance incompatible with empathic understanding? The author argues for a clinical sensibility and a theoretical/philosophical orientation that renders authenticity and empathy not only compatible with but also necessary to each other. This solution proceeds not by an appeal to dialectic, paradox, or shifting listening perspectives, but rather by questioning the assumptions that create the apparent opposition. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Leonard Saxe.

Presents an overview of the career and achievements of Leonard Saxe. For notable scientific contributions to psychology in the public interest. His research has both advanced human justice and led others to view national policies differently. Since 1980 his research on psychological interventions has provided guidance for the Congressional Office of Technology Assessment. His charge in each of four major studies was to conduct a scientific analysis of a national issue: (1) psychotherapy and its effectiveness; (2) evaluation of various treatments for alcohol abuse; (3) polygraph testing; and (4) the children's mental health system. The research findings have been used by Congress and other policy making groups, and each study has produced significant publications for the use of other scientists. Throughout his career Leonard Saxe has been an inspiring researcher and teacher, committed to advancing psychological knowledge and its application in the design of humane solutions to national problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Therapeutic experiencing: The process of change.

Reviews the book, Therapeutic experiencing: The process of change by Alvin R. Mahrer (1986). In one sense, Mahrer makes the reviewer's task easy by summarizing in his introduction such key points as the purpose of his book, its scope, and its intended readership. Mahrer has two stated purposes: one is "to show how to do experiential therapy" and the other is "to build upon the various members of the experiential family and to propose a single theory of experiential psychotherapy complete with its own methods of bringing about therapeutic change." There are three conditions, however, which must be met in order to enable the reader to do experiential therapy. The first is that the reader is familiar with and sympathetic to existential-humanistic thinking. It is to all such therapists, as well as to their patients, that this book is addressed. The other two conditions that must be fulfilled in order to undertake experiential therapy are that the reader understands how to start each experiential therapy session and knows how to listen experientially. These latter two conditions are the subject of an earlier book by Mahrer, Experiential Psychotherapy: Basic Practices, which is thus basic reading for anyone intending to apply the method described in the current volume, as these two conditions together comprise the essential first of five steps that constitute each experiential psychotherapy session. The current volume picks up the method only at step two, "carrying forward of potentials for experiencing," and covers the remaining steps as well: "experiencing the relationship with deeper potentials, experiential being of the deeper potentials, and being/ behavioral change." In Therapeutic Experiencing , Mahrer stipulates that the patient should have a minimum of three hundred sessions, distributed over a 3-year period, and return for therapeutic work every two years or so for about 10 to 15 sessions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)