This study applied Andersen??s social cognitive paradigm for the experimental
study of transference to the problem of understanding transference effects on the affective
interactions and clinical inferences of student physicians with standardized patients. The
investigator designed a 2X2 experimental study in which the independent variables were:
source of information for statements about a standardized patient (participant??s own or
matched participant??s) and valence of information in statements about the patient
(positive or negative). Dependent variables were: affect expressed by a student physician
in videotapes of a medical interview with a standardized patient, as measured by a
modified version of the Specific Affect ?? 16 code system (SPAFF-16), and clinical
inferences by the student physician as measured by the Physician Clinical Inferences
Scale (PCIS) developed by the investigator. Covariates included gender, physician
verbosity, and intergenerational family relationship variables as measured by the Personal
Authority in the Family System Questionnaire ?? Version C (PAFS-QVC). A 2X2
MANCOVA was conducted, along with hierarchical regressions of gender and PAFSQVC
variables as predictors of negative and positive affect and clinical inferences (likelihood of treatment success and patient as partner). One sample of undergraduate
medical students (n= 71) provided data for the study.
Results indicated no statistically significant differences between experimental
groups regarding the effect of the experimental manipulation of patient information on
student physicians?? affective interactions and clinical inferences with patients when
gender, physician verbosity, and related PAFS-QVC variables were controlled.
Hierarchical regression analyses of gender and related PAFS-QVC variables onto
positive affect, negative affect, clinical inferences (patient as partner) and clinical
inferences (likelihood of treatment success) revealed statistically significant effects of
intergenerational family relationship and peer relationship variables on student
physicians?? affective interactions and clinical inferences with patients.
| Identifer | oai:union.ndltd.org:tamu.edu/oai:repository.tamu.edu:1969.1/2548 |
| Date | 01 November 2005 |
| Creators | van Walsum, Kimberly Lynn |
| Contributors | Davenport, Donna, Lawson, David |
| Publisher | Texas A&M University |
| Source Sets | Texas A and M University |
| Language | en_US |
| Detected Language | English |
| Type | Book, Thesis, Electronic Dissertation, text |
| Format | 596073 bytes, electronic, application/pdf, born digital |
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