Burnout is a psychological syndrome characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. Due to the demands of treating people with psychological problems, burnout is prevalent among psychotherapists. In this article, we present a comprehensive review of 44 quantitative and qualitative studies from the past decade focusing on both the risk factors for, and effects of, burnout among psychotherapists. Factors influencing burnout include perceived job control, the nature of psychotherapists' caseload, countertransference reactions, supervisory support, and psychotherapists' mental health history. Burnout affects psychotherapists' general well-being, as well as the extent to which clients engage in and benefit from psychotherapy. Implications for psychotherapists and their supervisors for burnout prevention and intervention are discussed, and recommendations for further research in this area are identified. Clinical Impact StatementQuestion: What does research from the past decade reveal about the prevalence, predictors, and consequences of burnout among mental health professionals? Findings: A review of 44 studies found that factors related to therapists' workplaces, clients, and personal characteristics can affect their physical and psychological well-being, as well as client outcomes. Meaning: This information can be used to help prevent and treat burnout among psychotherapists. Next Steps: Research is needed to evaluate programs designed to prevent and minimize burnout among psychotherapists.

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International audienceWhile the poor response implications of supply are often not elaborated on in literature, postponement has recently been mentioned as a useful tool for managing supply risk and disruptions. To interpret this in a more complete manner, this paper has attempted to explore the role of postponement in supply chain risk management from a complexity perspective. After a review of the relevant literature, it first draws insights emerging from normal accident theory that addresses the system characteristics of catastrophic accidents and applies them to supply chain disruptions. This is followed by the utilisation of normal accident theory to explain the role of postponement in supply chain risk management. Building on this, this paper also investigates the complexity implications of some commonly recommended measures to mitigate supply chain disruptions. In certain circumstances, the introduction of those measures may add to the complexity of a system and thus become inherently infeasible. The paper concludes with a summary and some suggestions for further research

Disorders of consciousness are a heterogeneous mixture of different diseases or injuries. Although some indicators and models have been proposed for prognostication, any single method when used alone carries a high risk of false prediction. This study aimed to develop a multidomain prognostic model that combines resting state functional MRI with three clinical characteristics to predict one year-outcomes at the single-subject level. The model discriminated between patients who would later recover consciousness and those who would not with an accuracy of around 88% on three datasets from two medical centers. It was also able to identify the prognostic importance of different predictors, including brain functions and clinical characteristics. To our knowledge, this is the first reported implementation of a multidomain prognostic model that is based on resting state functional MRI and clinical characteristics in chronic disorders of consciousness, which we suggest is accurate, robust, and interpretable.

This paper investigates if inter-organizational socialization mechanisms initiated by a buyer organization towards a strategic supplier can influence the culture within that supplier organization to ultimately improve supplier performance to the buyer. Design/methodology/ approachUsing a quantitative sample of 279 UK companies from across a variety of industry sectors, statistical techniques were utilised to examine the effect of informal and formal socialisation mechanisms on the culture of a strategic supplier as measured by their organizational practices and the subsequent supplier performance outcomes. FindingsIt was found that both informal and formal socialization efforts by a buyer organization have a significant influence on the culture of the supplier organization as measured by their organizational practices. Socialization efforts by the buyer organization influence the organizational practices of the supplier to be more result-oriented, employee-centred, open, pragmatic to customer needs and market focused. These organizational practices were found to positively influence supplier operational performance in the eyes of the buyer organisation as measured by on time delivery, conformance to product specifications, flexibility to respond to changing customer needs and cost reduction initiatives. Research implicationsModelling the influence of informal and formal socialisation efforts by a buyer on the organisational culture of a key supply chain partner provides new insights to academics.Firstly, this work makes a significant contribution to the extant research on socialization in the supply chain literature. Secondly, it raises the importance of understanding the influence of culture on supplier operational performance. LimitationsAlthough the study used a dyadic method to validate the cultural insights, our study only took a snapshot of culture at one point in time. Organization culture as displayed through organizational practices is a complex construct that changes over time. Therefore, to further understand the intricacies of organization culture, a longitudinal study would be useful in the future. Secondly, future studies could develop into themes such as the green supply chain and sustainability issues. Finally, our study was undertaken in the UK. It would be useful to replicate this study in a different setting, including Eastern countries. Practical implicationsOrganisations should engage early with their key supply base from a socialisation perspective. The importance of joint away days, cross function teams alongside effective communication and on site visits have been fund to have a significant influence on shaping a high performance culture along the supply chain. Therefore, a buyers' early understanding of their key supplier's culture via these mechanisms appear critical for long-term supply chain success. Measuring supplier culture at the visible level of organizational practices removes the ethereal qualities often attributed to culture as a concept; buyers can influence supplier culture. ...

In view of the slow rate of postponement applications, this paper attempts to examine postponement strategies from an inter-organisational perspective. The paper first reviews the literature on different postponement strategies (including logistics postponement, production postponement, purchasing postponement and product development postponement) mainly within the context of supply chain or supply network. Then, two research questions are formulated. This is followed by the investigation into the intra-organisational structure and capacity planning in postponement applications. The paper concludes with some suggestions for further research.

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BackgroundThere is some evidence that obstructive sleep apnea (OSA) patients have white matter integrity abnormality in the corpus callosum (CC). However, whether the CC subregions are differentially affected in OSA is largely unknown.MethodsTwenty patients with OSA and 24 well‐matched healthy controls were enrolled and underwent diffusion tensor imaging (DTI) and clinical and cognitive assessments. DTI tractography was used to reconstruct the CC which was divided into five subregions. Intergroup differences in multiple diffusion metrics of each CC subregion and their correlations with clinical and cognitive parameters were tested.ResultsIn comparison with healthy controls, OSA patients exhibited white matter integrity alterations in the anterior CC, characterized by increased radial diffusivity (RD) in the subregion 1 and decreased fractional anisotropy (FA) along with increased mean diffusivity (MD) and RD in the subregion 2. Moreover, we found that the lower microstructural integrity in the anterior CC was correlated with worse prospective memory and sustained attention in OSA patients.ConclusionsThese findings indicate that the selective impairments of the anterior CC may help clarify the neural correlates of cognitive impairments in OSA.