ORCID Profile
0000-0002-4400-2812
Current Organisation
Australian National University
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Publisher: Wiley
Date: 26-09-2023
DOI: 10.1002/CAPR.12585
Abstract: The working alliance construct faces persistent issues with conceptualisation. We present a social identity analysis of working alliance. Here, we examine the links between alliance, the focal shared sense of “us” in social identification and identity leadership scholarship, and research on the role of “voice” (i.e., being provided with the opportunity to state one's own perspective to others) in enabling procedural justice. We hypothesised that working alliance would be predicted by group processes (i.e., social identification, identity leadership and procedural justice) and serve as an important mediator through which these processes enable desired therapeutic and organisational outcomes. An online experiment s led participants recently in therapy for a diagnosed mental disorder and recently employed. Participants were randomly assigned to recall either a therapy session or work meeting in which they had received or not received voice. Social identification, identity leadership and procedural justice were found to account for approximately 70% of variance in working alliance. Working alliance, in turn, predicted positive affect, negative affect and satisfaction, in addition to mediating the relationship between group‐based processes and these outcomes. These novel findings suggest that group‐based processes are useful for conceptualising the working alliance in therapy, by both enhancing theory and providing practical clinical strategies for facilitating alliance.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 17-06-2020
DOI: 10.1097/BPO.0000000000001615
Abstract: Progressive hip displacement in children with cerebral palsy (CP) is monitored by measuring migration percentage (MP) on anteroposterior (AP) pelvis radiographs. Accurate measurement of MP requires the lateral margin of the ossified acetabulum to be identified for the placement of Perkin’s line. It has been suggested that when there is an erosion of the acetabular rim, described as a gothic arch, the midpoint of the arch be used for the placement of Perkin’s line. However, this requires that there be agreement on what constitutes a gothic arch. The purpose of this study was to evaluate the inter-rater and intrarater reliabilities of identifying a gothic arch on pelvis radiographs. An online survey with 100 AP pelvis images (200 hips) of children with CP was sent to international experts. Participants were asked to identify which hip(s) had a gothic arch (left, right, both, and neither). The Fleiss κ statistic for inter-rater reliability was calculated. Eight weeks later, the images were shuffled and redistributed to calculate intrarater reliability. The initial survey was completed by 10 participants with 9 participants completing the second survey. The average inter-rater κ value was 0.18 [95% confidence interval (CI), 0.14-0.23] and 0.19 (95% CI, 0.14-0.24) for the 2 surveys, respectively. Among the pediatric orthopaedic surgeons subgroup, the κ values were 0.06 (95% CI, 0.02-0.1) and 0.08 (95% CI, 0.03-0.13). The average intrarater reliability κ value was 0.61 (95% CI, 0.2-1), ranging from 0.32 to 0.86. There were poor inter-rater and moderate intrarater reliabilities in identifying a gothic arch on AP pelvis radiographs in children with CP. Further characterization and clarification of what constitutes a gothic arch are required. The lack of agreement on the identification of a gothic arch may negatively impact the measurement of MP and referrals to a pediatric orthopaedic surgeon.
Publisher: American Psychological Association (APA)
Date: 12-2021
DOI: 10.1037/GDN0000170
Publisher: Wiley
Date: 13-01-2019
DOI: 10.1002/OSP4.315
No related grants have been discovered for Georgina Lee.