Aim This study examined whether people's personality traits and attachment styles would predict their preference for one of three common psychotherapies (psychodynamic, person‐centred and cognitive‐behavioural therapy). Method An online survey was administered to participants (n = 209) for remuneration. Personality traits were measured using the HEXACO‐60; attachment was measured using the Relation‐ships Questionnaire; preference for psychotherapeutic orientation was assessed using the Preferences for Psychotherapy Approaches Scale. Results Regression analyses indicated that various personality traits and attachment styles predict preference of therapeutic orientation. Specifically, the data indicated that openness and secure attachment significantly predicted preference of psychodynamic psychotherapy. No personality traits or attachment styles significantly predicted person‐centred preference. Lastly, previous study of psychology and fearful attachment significantly predicted preference of cognitive‐behavioural psychotherapy. Conclusion This study's findings provide supporting evidence for the claim that people's personality traits and attachment styles are predictive of their preferences for various psychotherapies. Implications for further research are discussed.
Role of the Funder/Sponsor: The National Institutes of Diabetes and Digestive and Kidney Diseases had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. Disclaimer:The interpretation and reporting of these data are the responsibility of the authors and in no way should be seen as an official policy or interpretation of the US government or the Department of Veterans Affairs.
Routine laboratory testing is common among hospitalized patients, with associated harm. Attitudes toward testing and drivers across clinical specialties have not been described. We performed a cross-sectional study and anonymously surveyed inpatient clinicians (nurses, advanced practice providers, and physicians) at a tertiary cancer center regarding attitudes toward unnecessary laboratory testing and its drivers across clinical specialties. A total of 837 providers completed surveys (response rate 53%). Most respondents agreed with daily testing of hospitalized patients and that daily labs generally enhance safety, and those from pediatric and surgical specialties generally valued testing less than others. Participants most commonly indentified habit and institutional culture as important drivers of unnecessary testing. There were differences in other drivers across specialties, with pediatric clinicians identifying family pressure more commonly and fear of litigation less commonly compared to others. Future interventions to reduce unnecessary inpatient laboratory testing should acknowledge different attitudes based on specialty and tailor interventions accordingly.
Patients with cancer face many difficult decisions and encounter many clinical situations that undermine decisional capacity. For this reason, assessing decision making capacity should be thought of at every medical encounter. The culmination of variable disease trajectories, following patients to the end of life, use of high-risk treatments, and other weighty personal decisions require attention to patients’ ability to engage in decisions. Oncologists develop meaningful relationships with their patients. This familiarity may lead to forgoing the process of diligently assessing a patient’s cognitive ability and/or decisional capacity when important decisions need to be made. While the process may feel like it takes place spontaneously, many subtle and overt details are involved with the decisions around cancer care that require pointed questioning and probing. Thus, there are many ways to fall short in determining decisional capacity. Clinicians are inconsistent in their decisional capacity determinations and generally assume more decisional capacity than the patient has. Consult and referral services such as ethics and psychiatry can help with treatment decisions and with assessing underlying psychosocial and psychiatric conditions. Decisional capacity may fluctuate and requires a variable amount of decisional ability depending on the clinical situation; hence, it is time-specific and decision-specific. This review is intended to provide a summary of key components of decisional capacity while highlighting areas in need of clinical refinement.
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For decades, social scientists have observed that people greatly desire a partner who is similar to themselves. Less is known, however, about whether particular similarity domains (e.g., music preferences) may uniquely influence relationship formation. We address this gap by examining people’s preferences for 18 similarity domains in three types of relationships: friendships, casual/short-term, and long-term. The most important similarity domains, across the three relationship types, were political views, career goals, food preferences, travel desires, and music preferences. General similarity was most important in long-term rather than in friendships and casual/short-term relationships, with the latter two relationship types not differing from one another. This pattern emerged for all similarity domains with four exceptions: preferences for books, video games, computer brands, and cell phone brands. No sex differences emerged in similarity domains except in preferences in video games and brands of cell phones and computers. Men rated these domains to be more important than did women. All three of these differences were of relatively small effect size. We tie this work into the larger body of research on similarity and preferences for partner traits.
Purpose: In March-April 2020, New York City was overwhelmed by COVID-19 infections, leading to substantial disruptions in nearly all aspects of care and operations at most local hospitals. This qualitative study of a quaternary, urban oncology hospital investigated the effects of these disruptions upon a professionally diverse cohort of its employees, including physicians, nurses, respiratory therapists, pharmacists, security guards, histology technicians, and environmental services workers. Methods: The participant pool were selected through a combination of purposive and random sampling methodology and coders performed a thematic content analysis of open-ended responses. Results: Analysis revealed several important themes, including concerns about exposure for self and others; patient care as a source of both satisfaction and stress; psychological consequences of uncertainty and ambiguity; family as sources of both comfort and apprehension; the importance of adequate institutional communication; and support from colleagues. Conclusion: Results and analysis provide suggestions for institutional policies and initiatives in the event of a COVID-19 surge or another public health crisis. Administrative efforts should aspire to establish, strengthen, and promote interdisciplinary and interdepartmental efforts to address, and mitigate workplace and personal stressors. through timely and transparent communications, consistent clinical guidance and information about changes in hospital policies and supplemental employee assistance.
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