Personality Organization Research Articles

An integrated approach in the treatment of a patient with pulmonary tuberculosis and tracheobronchial tree with psychological support

One of the complications of the tuberculosis process is tuberculosis of the tracheobronchial tree, which tends to grow in recent years. Many studies indicate the incidence of bronchial tuberculosis from 10% to 40%, taking into account the level of diagnostic measures to detect tuberculosis and the availability of endoscopic services. An important problem in the treatment of tuberculosis is psychological problems in patients, including those with drug-resistant tuberculosis. In phthisiology, attention is drawn to the widespread history of stress in patients with tuberculosis and the complexity of psychological rehabilitation against the background of treatment. In relation to such patients, it is advisable to use a comprehensive medical and psychological approach, including specialized care based on the developed models of psychological rehabilitation. A large number of studies show that among patients with tuberculosis of the trachea and bronchi, young women, non-smokers with a high level of education and income are about 2 times more likely. An important problem is also unstable compliance and low stress tolerance in patients with neurotic personality organization, prone to actualization of maladaptive stereotypes of responding to the difficulties of the treatment process. This clinical example demonstrates the high efficiency of complex treatment of the tuberculosis process, which included anti-tuberculosis therapy, inhalation therapy, surgical treatment and psychological correction. Despite the late diagnosis of the tuberculosis process, relief of intoxication syndrome, cessation of bacte excretion and improvement of the clinical condition were achieved by 2 months of treatment. This approach in the complex treatment of the tuberculosis process is extremely important and relevant to achieve high treatment results.

An Examination of Work Conditions and Well-Being of Slovene Train Drivers

Abstract Background and purpose While the occupation of a train driver can be likened to other transportation professions like truck or bus drivers, it is essential to note that there are distinct hazards exclusive to this role that have a notable impact on the mental and physical well-being of train drivers. The study aims to define personal characteristics, work organisation and work characteristics, professional development and work in general in connection with risk factors among employees who perform the work tasks of train drivers in railway transport. Methodology The study on train drivers in Slovenia was conducted with 179 participants, representing 13.3% of the total population of train drivers. The sample was predominantly male and varied in age, most hailing from the Podravska region. The OPSA digital tool was used to analyse risk factors and gauge psychosocial stress across 17 areas, using a questionnaire split into two sections. Data was collected through online and physical surveys, with voluntary and anonymous participation. Results The study found that the personal characteristics of train drivers do not significantly impact their perception of workplace workload. While professional development factors negatively influenced workload perception, the impact was not statistically significant. However, general work characteristics strongly impact how train drivers perceive their workload. These findings suggest that interventions should focus on modifying general work characteristics to improve train drivers’ work conditions. Conclusions These findings have important implications for the railway industry. They suggest that interventions aimed at improving the work conditions of train drivers should focus on modifying general work characteristics rather than targeting personal characteristics or professional development factors. Future research should explore these relationships and develop strategies to mitigate the identified risk factors.

Outcomes and associated clinical features of people with eating disorders participating in residential treatment facilities: a scoping review

ABSTRACT Residential treatment programs for eating disorders (EDs) have gained popularity in recent years, expanding beyond the United States to countries such as Canada, Italy, and the United Kingdom. These programs offer a “home-like” environment where individuals reside for several weeks or months, emphasising both physical restoration and psychological recovery. This scoping review aimed to provide an update since the most recent reviews on the literature regarding outcomes of residential treatment programs for EDs and to explore clinical features that were associated with these outcomes. Methods used followed the Joanna Briggs Institute guidelines for scoping reviews. A systematic search of electronic databases was conducted, and 12 studies met the inclusion criteria. All studies reported improvements in various outcomes from admission to discharge, including changes in eating psychopathology, weight restoration, depression, anxiety, and quality of life. Additionally, three studies reported positive outcomes at intervals after discharge and three predictive factors (self-compassion, personality organisation, and resistance to emotional vulnerability) were reported in a small number of studies. While residential treatment facilities consistently showed positive outcomes, the review highlights the need for randomised controlled studies to establish the efficacy of these programs for EDs. Future research should include controlled studies comparing residential facilities to other treatment settings and incorporate long-term follow-up outcomes and further studies of emergent predictive factors identified in this review.

Ecosystem approaches in the practice of national enforcement

The article is devoted to current problems of ecology and enforcement. Ukraine is not a member of the EU, which makes it impossible to directly apply EU norms in national enforcement practice. However, having been ratified the Association Agreement between the European Union and the European Atomic Energy Community and their member states, of the one part, and Ukraine, of the other part is a full-fledged part of the national legal order, which outlines a range of key issues, in particular, the standards that appear before national legislation as a challenge to cooperation on environmental protection issues, and adaptation to EU legislation. The agreement envisages the strengthening of environmental protection activities through the improvement of the health care system, the preservation of natural resources, the improvement of economic and environmental protection efficiency, the integration of environmental policy into other areas of state policy, as well as the increase of the level of production thanks to modern technologies, which will have positive consequences for citizens and enterprises in Ukraine and the EU. As well as the issue of harmonization of legislation on environmental protection, including the implementation of the UNECE Convention on Access to Information, Public Participation in Decision-making and Access to Justice in Environmental Matters (Aarhus Convention), which provides for the involvement of the public in the decision-making process on environmental issues and guarantees access to justice for person and public organizations when environmental legislation and/or provisions of the European Convention on Human Rights are violate.
 The need to analyze domestic judicial practice on environmental legal relations in various jurisdictions is extremely urgent. The application of international ratified documents, in particular the Aarhus Convention, is precisely the source of law that, firstly, opens wide public access to appeal procedures; secondly, it is the legal basis for resolving disputes about compensation for damage to the environment; thirdly, it makes impossible the limited interpretation of the current national legislation of Ukraine, regarding the right to appeal to the court for the protection of an interest protected by law in the sphere of guaranteeing environmental safety; fourthly, guarantees the right to appeal to the court of an unlimited number of persons (can be exercised by citizens personally or jointly through the association of citizens), and the resolution of disputed environmental-legal relations, i.e. those are public; fifth, guarantees the subject of the law access to the court without discrimination based on his actual location or actual center of activity; sixth, it affects the formation of established legal practice in environmental disputes.

Health care management adequacy among French persons with severe profound intellectual and multiple disabilities: a longitudinal study

BackgroundThe care organization of persons with profound intellectual and multiple disabilities (PIMD) varies by country according to the health care system. This study used a large sample of French individuals with severe PIMD/polyhandicap to assess: 1) the adequacy of care setting over a 5-year period and 2) health care consumption.MethodsThe longitudinal study used data from the French EVALuation PoLyHandicap (EVAL-PLH) cohort of persons with severe PIMD/polyhandicap who were receiving managed in specialized care centres and residential facilities. Two assessments were performed: wave 1 (T1) in 2015–2016 and wave 2 (T2) in 2020–2021. The inclusion criteria were as follows: age > 3 years at the time of inclusion; age at onset of cerebral lesion younger than 3 years old; and severe PIMD. The adequacy of the care setting was based on the following: i) objective indicators, i.e., adequacy for age and adequacy for health status severity; ii) subjective indicators, i.e., self-perception of the referring physician about medical care adequacy and educational care adequacy. Health care consumption was assessed based on medical and paramedical care.ResultsAmong the 492 persons assessed at the 2 times, 50% of individuals at T1 and 46% of individuals at T2 were in an inadequate care setting based on age and severity. Regarding global subjective inadequacy, the combination of medical adequacy and educational adequacy, 7% of individuals at T1 and 13% of individuals at T2 were in an inadequate care setting. At T2, a majority of individuals were undermonitored by medical care providers (general practitioners, physical medicine rehabilitation physicians, neurologists, orthopaedists, etc.). Important gaps were found between performed and prescribed sessions of various paramedical care (physiotherapy, occupational therapy, psychomotor therapy, etc.).ConclusionsThis study revealed key elements of inadequate care management for persons with severe PIMD/polyhandicap in France. Based on these important findings, healthcare workers, familial caregivers, patients experts, and health decision-makers should develop appropriate care organizations to optimize the global care management of these individuals.Trial registrationNCT02400528, registered 27/03/2015.

The Kenyan assistive technology ecosystem: a network analysis

ABSTRACT Background Assistive technology is central to the realization of the rights of persons with disabilities. However, there remains limited access to assistive technology throughout much of the world, with particularly poor access in lower- and middle-income countries. Evaluating stakeholder engagement in assistive technology networks has been used as a successful strategy to understand and address gaps in the assistive technology ecosystem. Objective The objective of this research was to provide an overview of the Kenyan Assistive Technology Ecosystem, including available assistive products and related services, and an understanding of the nature and strength of relationships between stakeholders Methods In this study, we employed an online qualitative stakeholder survey (2021) with representatives of organizations involved in assistive technology in Kenya. Results The assistive technology network in Kenya is distributed, with Government Ministries and Agencies and Organizations of persons with disabilities central to the network. The strength of relationships is concentrated on awareness and communication, with fewer organizations actively collaborating. Innovation training organizations are not yet well integrated into the network. Conclusions Improving access to assistive technology in Kenya will benefit from greater collaboration amongst all assistive technology stakeholders.

Is your employer branding strategy effective? The role of employee predisposition in achieving employer attractiveness

PurposeEmployer branding (EB) has become a powerful tool for organizations to attract employees. Recruitment communication ideally reveals the image that companies want to portray to potential employees to attract talents with the right skills and competences for the organization. This study explores the impact of EB on employer attractiveness by testing how pre-existing employee preferences interact with EB and how this interaction affects employer attractiveness.Design/methodology/approachA quasi-experiment among 289 final-year students was used to test the relationships between EB, perceived employer image, person-organization (P-O) fit and employer attractiveness, and the potential moderating variables of pre-existing preferences, in this case operationalized as locational preferences. Students are randomly assigned to four vacancies: one with and one without EB cues in two different locations: Groningen and Amsterdam. The authors used standard scales for attractiveness, perceptions of an employer and person-organization fit. The authors test the relationships using a regression analysis.FindingsResults suggest that if respondents have previous predispositions, then their preference can be enhanced using an EB-targeted strategy. Based on these results, the authors can conclude that EB and related practices can be successful avenues for organizations in the war for talent, particularly if they reaffirm previous preferences of potential employees.Originality/valueThe research is original in the way it provides empirical evidence on the relationship between EB and attractiveness, particularly when previous employee preferences exist. This is of value to employers using EB as a tool to influence employer attractiveness.

Dimensional model of adolescent personality pathology, reflective functioning, and emotional maltreatment.

Childhood emotional abuse (CEA) is a recognized risk factor for adolescent mentalizing challenges. However, there's limited understanding about how CEA might influence personality development and elevate the risk of adolescent personality pathology. A deeper grasp of these pathways is crucial, given that adolescence is a pivotal developmental phase for identity integration, personality consolidation, and the emergence of personality disorders. As the emphasis shifts to dimensional perspectives on adolescent personality pathology, the spotlight is increasingly on adolescents' evolving personality organization (PO). Within this framework, personality disorder manifestations stem from inherent vulnerabilities in PO. A comprehensive understanding of how CEA leads to these inherent vulnerabilities in PO can inform enhanced interventions for at-risk adolescents. Nonetheless, our comprehension lacks insight into potential pathways to PO, especially those involving external factors like maltreatment and individual traits like mentalizing. This study sought to bridge these gaps by employing latent factor analysis and structural equation modeling to explore connections between emotional maltreatment, adolescent mentalizing, and PO. A community-based cohort of 193 adolescents (aged 12-17) took part in self-report assessments: the Childhood Experience of Care and Abuse Questionnaire (CECA.Q), the Reflective Functioning Questionnaire for Youth (RFQ-Y), and the Inventory for Personality Organization for Adolescents (IPO-A). The structural equation model revealed a significant direct influence of CEA on both RFQ-Confusion and PO, and a noteworthy direct effect of RFQ-Confusion on PO. Remarkably, the model accounted for 76.9% of the PO variance. CEA exhibited a significant indirect impact on PO through RFQ-Confusion, which was accountable for 52.3% of the CEA effect on PO, signifying a partial mediation by mentalizing. These insights carry substantial clinical implications, especially for devising integrated, trauma-informed strategies for adolescents with personality pathologies. This is particularly relevant for enhancing mentalizing and bolstering personality consolidation among adolescent CEA survivors.

How personality functioning relates to psychological distress and behavioral attitudes during the Covid-19 pandemic.

Functional aspects of personality are crucial for experiencing and handling emotional distress. With the outbreak of the Covid-19 virus and the subsequent installation of mitigation rules of social distancing, severe psycho-social challenges were posed upon people. Research has shown that individuals react differently to these challenges. This study aimed to investigate the role of dimensional aspects of personality during the Covid-19 pandemic. Specifically, we examined how personality functioning, defense mechanisms, and narcissism were related to psychological distress and cognitive and behavioral attitudes towards the rules of social distancing. In a non-clinical sample (N = 254), Level of Personality Functioning Scale, Inventory of Personality Organization, Defense Style Questionnaire, Pathological Narcissism Inventory, and three single questions regarding emotional distress and behavioral attitudes towards the pandemic were used. Structural equation models with reference and residual factors were calculated. Impairments in personality functioning and vulnerable narcissism showed significant positive relationships, adaptive defense mechanisms significant negative relationships with psychological distress during the pandemic. Residual factors for aggression and low moral values showed distinct negative relationships with psychological distress related to social distancing. Amongindividualswho chose to ignore the rules of social distancing, greater impairment in personality organization was found. Personality functioning may elucidate individual differences in psychological distress and compliance with the mitigation rules during the pandemic. Limitations of measures are carefully considered in all interpretations.

The effects of online art therapy on ego functions, emotion regulation, and interpersonal relationship styles in neurotic personality organization

Art therapy, as an effective therapeutic intervention, is used to improve positive self-image and self-awareness, promote insight, and enhance therapeutic communication. This study aimed to evaluate the efficacy of art psychotherapy on ego functions, emotion regulation, and interpersonal relationship styles of individuals with neurotic personality organization. Using a quasi-experimental pretest-posttest design, 60 participants were assigned to intervention and control groups, each further divided into three subgroups (n = 10 per subgroup). The intervention group engaged in online art therapy sessions twice weekly over nine weeks, while the control group received no intervention. Data analysis involved descriptive statistics, paired samples t-tests, and independent t-tests. There was a significant decrease in the intervention group's judgmental subdimensions of the Ego Function Assessment Scale. A significant decrease was found in the intervention group in “awareness” (p < 0.01), “clarity” (p < 0.05), and “impulse” (p < 0.001) subdimensions and total scores of the Difficulties in Emotion Regulation Scale. There was no statistical difference between the intervention and control groups' mean pretests and posttests and comparing those groups with each other concerning IRSQ scores. The online group art therapy led to successful improvements in participants' ego functions and emotion regulations.

Is it True Perceived Fairness can Improve Employee Performance ?

The performance of the State Civil Service Apparatus can be used as a benchmark to determine the qualifications and competence of government employees, as a measure of public trust in the government. The purpose of this study was to determine the effect of psychological capital and Person Organization Fit on performance by moderating perceptions of fairness at the Pati District Health Office. This research was conducted on employees at the Pati District Health Office with a population of 107 people. The sample takes the entire population to be used as a research sample. Data analysis used validity test with matrix components, reliability test with Cronbach alpha, multiple regression analysis, t test and r2 test with adjust r2 and moderation test. The results of the study concluded that psychological capital had a positive and significant effect on the performance of employees at the Pati District Health Office. Person Organization Fit has a positive and significant effect on employee performance at the Pati District Health Office. The perception of justice is considered unable to moderate the variables of psychological capital and Person Organization Fit on performance in the Pati District Health Office.

Investigating the Relationship Between Kernberg's Personality Organization and Obedience to Authority

Objective: This study aimed to investigate the relationship between Kernberg's personality organization and obedience to authority. Methodology: The present research is fundamental in terms of its objective and utilizes a mixed-methods approach (qualitative-quantitative) in terms of methodology. The statistical population included all undergraduate psychology students at the Islamic Azad University, Kermanshah Branch, in the 2022-2023 academic year. A convenience sampling method was used to select a class of 30 psychology students as the sample. The quantitative phase of the study was descriptive-correlational, while the qualitative phase employed qualitative content analysis. Spearman's correlation test was conducted using SPSS version 26. Data from the interviews were analyzed using MAXQDA 2022, and categorization was based on thematic analysis. Validity was assessed through respondent validation, and the coding reliability achieved a Kappa coefficient of 0.62. Data collection tools included semi-structured interviews, Kernberg's Personality Organization Inventory, and a researcher-made questionnaire. Findings: The results of the correlation test indicated a positive and significant correlation at the 99% confidence level between the variables of obedience and the components of personality, lower-level defenses, reality testing, and personality organization. Additionally, thematic analysis identified eight factors underlying obedience and disobedience: guilt, inner conflict, adherence to inner values, absence of inner conflict, respect for authority, the authority's request, trust in authority, and fear of punishment. Conclusion: It can be concluded that the diversity in obedience and disobedience to authority cannot be explained solely by environmental stimuli. Instead, the interaction between environmental and personality stimuli determines individuals' responses to authoritative commands.

Psychometric properties of the Greek Inventory of Personality Organization – Brief (IPO-Brief-GR) in a community sample of emerging adults

Several studies have evaluated different versions of the Inventory of Personality Organization (IPO) around the world and some shortened versions of the instrument have also been constructed. The aim of this study was to develop the first brief Greek-language version of the IPO (IPO-Brief-GR) to be used for clinical screening and research purposes regarding personality pathology defined according to Kernberg's object relations model of personality organization. Data were collected from a community sample of 543 Greek emerging adults aged 18–29 years (M = 21.45, SD = 2.51) with the 83-item IPO, from which a 30-item version was constructed, based on confirmatory factor analysis of the full measure. The psychometric properties of the IPO-Brief-GR were then examined. Confirmatory factor analyses indicated that a four-factor structure best fitted the data, that is, primitive defenses/identity diffusion, reality testing, aggression, and moral values. Criterion validity and internal consistency reliability were also supported. Measurement invariance across gender using an exact protocol approach (i.e., configural, metric, scalar) was found allowing latent mean comparisons. These preliminary findings support the reliability and validity of the IPO-Brief-GR for the assessment of borderline personality organization and indicate the need for further research into the psychometric properties and clinical utility of this measure.

Development of a Pilot Application for Children with Chronic Medical Conditions Using the Personal Health Library

Abstract Objective Caregivers are responsible for the in-home care of children with chronic medical conditions (CMCs) and may have care-related questions in order to support the child’s higher quality of life. We propose using a digital health platform, the personal health library (PHL), facilitating collection, organization, utilization, storage, and retrieval of health information, that will allow us to develop an mHealth smartphone app to facilitate patient/caregiver engagement and self-care management of children with CMCs. Methods Pilot Application of the PHL in the Pediatric Chronic Medical Conditions Population: We will design the PHL to collect and integrate data from health and non-health information, in various formats and modalities, including 1) Parent/caregiver-reported data; 2) Clinical data and; 3) Social determinants of health (SDoH) data; 4) Observations of Daily Living (ODL) data including the PedsQL Parent Questionnaire and the Functional Status Scale. The app will be customized to provide information regarding training in post-acute hospitalization care and deliver information on troubleshooting medical technology care, i.e. tracheostomy care. Conclusion We expect that the design of the PHL application will ultimately provide a layer of support for parents and caregivers of children with CMCs for whom home health is not available following hospitalization.

Association between dimensions of borderline personality organization and pathological narcissism.

Association between dimensions of borderline personality organization and pathological narcissism.

The Mediating Role of Person Organization Fit in the Effect of Perceived Organizational Support in Nurses Working at a University Hospital on Work Stress

The Mediating Role of Person Organization Fit in the Effect of Perceived Organizational Support in Nurses Working at a University Hospital on Work Stress

The effect of person organisation fit based on Waja Sampai Kaputing (POF WASAKA) and quality of work life on employee performance: the mediating role of job satisfaction.

The effect of person organisation fit based on Waja Sampai Kaputing (POF WASAKA) and quality of work life on employee performance: the mediating role of job satisfaction.

The effect of person organisation fit based on Waja Sampai Kaputing (POF WASAKA) and quality of work life on employee performance: the mediating role of job satisfaction

The effect of person organisation fit based on Waja Sampai Kaputing (POF WASAKA) and quality of work life on employee performance: the mediating role of job satisfaction

The Relationship between Neuromuscular Dysfunction of the Bladder and Pathological Narcissism

The results of our study indicate how important it is to pay attention to the characteristics of personality organization (pathological narcissism) in the clinical picture of CPPS. Pathological narcissism contributes to the development of somatic symptoms due to the patient’s increased sensitivity to physical sensations, which, in turn, affects the perception of somatic distress. However, the results of our study force us to state that we are still far from controlling all the pathological aspects of CPPS, low tolerance for coping with stress, deterioration of mood, catastrophic beliefs, narcissistic vulnerability, which makes the experience of pain truly a source of suffering and requires, in addition to medical, psychotherapeutic tactics aimed at strengthening psychological stability in this group of patients.

The Effect of Organizational Climate and Person-Organization Fit on Organizational Commitment: Mediating Role of Job Satisfaction

This study delves into the intricate dynamics between person-organization fit, organizational climate, job satisfaction, and organizational commitment within Perumda Tirta Hidayah, a Regional-owned enterprise in Bengkulu City. Through an analysis of 226 employees, employing the Structural Equation Modeling (SEM) technique with the PLS 3 analysis tool, the research aims to uncover the significant positive impact of person-organization fit and organizational climate on organizational commitment, mediated by job satisfaction. The findings underscore the pivotal roles of organizational climate and person organisation in shaping job satisfaction and organizational commitment among employees. Notably, the study highlights a robust correlation between these factors, indicating that a conducive organizational climate and a strong alignment between individual values and organizational culture are instrumental in fostering job satisfaction and subsequent commitment to the organization. Moreover, the research elucidates the mediating role of job satisfaction in bolstering the relationship between organizational climate, person-organization fit, and employee performance. By serving as a conduit through which positive organizational environments and alignment with organizational values translate into enhanced job performance, job satisfaction emerges as a critical driver of employee engagement and commitment. The implications drawn from this study extend beyond the realms of organizational dynamics to encompass broader considerations for enhancing customer satisfaction. Recognizing the intrinsic link between employee job satisfaction and customer satisfaction, organizations benefit from a proactive approach to fostering a positive work environment and promoting alignment between individual and organizational values. Such initiatives not only cultivate a workforce that is more enthusiastic and engaged but also nurture the development of skills and competencies that underpin sustained commitment among employees. This research contributes valuable insights into how organizational factors influence employee attitudes and behaviours, offering actionable recommendations for organizations seeking to optimize employee satisfaction, performance, and, ultimately, organizational success.