Security is something that people tend to care about. But is it also something that they should care about? To explore this question, this dissertation first develops a new conceptual framework of... Show moreSecurity is something that people tend to care about. But is it also something that they should care about? To explore this question, this dissertation first develops a new conceptual framework of security. Next, it analyses how security relates to some key values for liberal democratic societies. The first of these is well-being. It is argued that there are important ways in which security can contribute to somebody’s well-being – but there are also ways in which security may hamper a person’s flourishing. The second value is freedom. It is shown that in public decision-making freedom and security may come at each other’s cost – yet there are also ways in which the two can work to each other’s benefit. The third value is equality. It is demonstrated that in order for a society to meet the demands of equality it must provide its members with a particular set of securities – while at the same time the pursuit of equality puts another set of securities out of reach. Ultimately, this dissertation finds no reason for considering security to be good for its own sake, but it argues that security can be good for the sake of well-being, freedom, and equality. Show less
Debets, M.P.M.; Tummers, F.H.M.P.; Silkens, M.E.W.M.; Huizinga, C.R.H.; Lombarts, K.M.J.M.H.; Bogt, K.E.A. van der 2023
BackgroundWhile night shifts are crucial for patient care, they threaten doctors' well-being and performance. Knowledge of how the impact of night shifts differs for doctors is needed to attenuate... Show moreBackgroundWhile night shifts are crucial for patient care, they threaten doctors' well-being and performance. Knowledge of how the impact of night shifts differs for doctors is needed to attenuate the adverse effects of night shifts. This study aimed to obtain more precise insight into doctors' feelings surrounding night shift by: identifying profiles based on doctors' alertness, contentedness and calmness scores before and after night shifts (research question (RQ) 1); assessing how doctors' pre- and post-shift profiles change (RQ2); and determining associations of doctors' demographics and shift circumstances with alertness, contentedness and calmness change (RQ3).MethodsLatent Profile Analysis using doctors' pre- and post-shift self-rated alertness, contentedness and calmness scores was employed to identify pre- and post-shift profiles (RQ1). A cross-tabulation revealed pre- and post-shift profile changes (RQ2). Multiple regressions determined associations of demographics (i.e. age, sex, specialty) and night shift circumstances (i.e. hours worked pre-call, hours awake pre-call, shift duration, number of consecutive shifts, total hours of sleep) with alertness, contentedness and calmness change (RQ3).ResultsIn total, 211 doctors participated with a mean age of 39.8 & PLUSMN; 10 years; 47.4% was male. The participants included consultants (46.4%) and trainees (53.6%) of the specialties surgery (64.5%) and obstetrics/gynaecology (35.5%). Three pre-shift (Indifferent, Ready, Engaged) and four post-shift profiles (Lethargic, Tired but satisfied, Excited, Mindful) were found. Most doctors changed from Ready to Tired but satisfied, with alertness reducing most. Age, specialty, sleep, shift duration and the number of consecutive shifts associated with alertness, contentedness and calmness changes.ConclusionsThe results provided nuanced insight into doctors' feelings before and after night shifts. Future research may assess whether specific subgroups benefit from tailored interventions. Show less
Dalmaijer, E.; Leeuwen, M. van; Putte, E. van de 2021
The aim of this article is to show what a linguistic-stylistic approach can offer for the study of correlations between language use and well-being, in which quantitative and qualitative analysis... Show moreThe aim of this article is to show what a linguistic-stylistic approach can offer for the study of correlations between language use and well-being, in which quantitative and qualitative analysis go hand in hand. As a case study, we investigate whether there are differences in the language used by recovered and non-recovered adolescents who followed the online FitNet treatment for chronic fatique syndrome (CFS). More specifically, we analyzed whether there are differences between both groups in their use of five linguistic means that hide agency. Our results indicate that this is the case indeed: non-recovered patients used these linguistic means more often than recovered patients. In addition, both patient groups show a different development during the therapy: while non-recovered patients increased their use of these stylistic phenomena during the treatment, recovered patients decreased their use of these same phenomena. As such, our study shows that there is indeed a correlation between the use of certain formulations in the language used by patients with CFS and (a change in) their well-being. It is argued that the linguistic means that we investigated, could not have been analysed with a purely computational approach, and that a linguistic-stylistic approach is thus of added value for studying correlations between language use and recovery. Show less
This dissertation reports about the construction and validation of the Apperception Test God Representations. First, results of a meta-analysis demonstrated that for adherents of monotheistic... Show moreThis dissertation reports about the construction and validation of the Apperception Test God Representations. First, results of a meta-analysis demonstrated that for adherents of monotheistic religions, their perceived and experienced relationship with the personal god they believe in, was associated with well-being and distress. Also, as was expected based on object-relations and attachment theory, God representations were associated with views of self and others and with neuroticism/optimism. However, these results were mostly based on self-report measures of God representations, which are thought to be susceptible to social desirability and doctrine effects. Many scholars believe that God representations are for an important part implicit. Because well-validated implicit God representation measures did not exist, this thesis project examined the validity of a newly developed measure. In a group of 74 Christian patients with personality disorders and a group of 71 Christian nonpatients, associations of implicitly measured God representations with implicitly and explicitly measured distress and object-relational and explicitly measured personality functioning were compared with associations of explicitly measured God representations with these variables. For patients, associations between changes in God representations and changes in distress and explicit object-relational functioning after psychotherapy were examined. Results predominantly corroborated the construct validity of the ATGR. Show less
The average person spends more than one-third of their life working. Considering that work plays a central role in our lives, many of us are concerned about choosing career paths that are... Show moreThe average person spends more than one-third of their life working. Considering that work plays a central role in our lives, many of us are concerned about choosing career paths that are sustainable. However, as much as we want to, we cannot craft sustainable careers by simply making the right career decisions. Our careers are continuously affected by less controllable aspects in our lives, such as societal changes and the organization we work for. To understand what makes careers sustainable, we need to investigate how the person together with other contextual stakeholders can influence sustainable careers. This dissertation consists of four empirical chapters that study the consequences of a number of contemporary career choices made by the individual, such as working from home and becoming self-employed, and the influence of supervisors and society on sustainable careers. Additionally, this thesis sheds light on the challenges that certain minority group members face in building a sustainable career. The findings demonstrate that contemporary work forms, such as working from home, have the potential to promote sustainable careers but only if supervisors support individuals’ decisions. Moreover, this dissertation shows that women and non-parents may face greater challenges in crafting a sustainable career. Show less
Boomsma, C.; Pahl, S.; Jones, R.V.; Fuertes, A. 2017
Purpose - The purpose of this paper is to evaluate the effects of the Dutch "Skills for Life" programme on students' health behaviours, bullying behaviour and suicidal ideation.Design/methodology... Show morePurpose - The purpose of this paper is to evaluate the effects of the Dutch "Skills for Life" programme on students' health behaviours, bullying behaviour and suicidal ideation.Design/methodology/approach - The effectiveness of the "Skills for Life" programme on health behaviour outcomes was evaluated at three points in time in using a cluster randomized controlled study design with a follow-up of 20 months. In total, 27 schools and 1,394 students were included.Findings - The programme was judged to be well implemented in just under half of cases. The outcome results for the experimental group (EG) compared with controls present a complex picture at the three different time points used for evaluation. There was a clearly positive effect on levels of alcohol consumption and a clearly negative effect on smoking across time. There was a mixed picture over time for suicide ideation and for bullying including sexual bullying (although the prevalence rates for bullying were low and thus results should be treated with caution). There were generally more positive impacts on students with lower educational levels including less suicidal ideation and less bullying.Research limitations/implications - Limitations were the dropping out of several schools during the study and the low level of fidelity of the curriculum. Social emotional learning (SEL) programs can be part of a health promoting school framework but should be more tailored to disadvantaged school populations.Originality/value - The findings indicate that students with a less optimal starting position, when it comes to health related behaviours, benefit most from a SEL programme. This indicates that schools with disadvantaged school populations could benefit most from a Health Promoting School approach. Show less
This thesis describes the role of a problem solvingintervention approach in improving quality of work and well-being of healthcare employees. The promising results of a problem solving intervention... Show moreThis thesis describes the role of a problem solvingintervention approach in improving quality of work and well-being of healthcare employees. The promising results of a problem solving intervention as wellas the strength and limitations of it, point at the possible importance ofproblem solving research within the field of health care employeesinterventions. The study limitations that are described in the generaldiscussion, however, also point at the need for carefull interpretation of thestudy results. Therefor, more extensive research is needed to furtherunderstand the interventional and theory based mechanisms that underlie healthcare employees problem solving behaviors. There is stil much more to know aboutthe role of specific problem solving mechanisms in health care interventions.Implementing the results of this thesis in future problem solving studies inhealth care employees might bring the appli cation of problem solving theory inthe field of worksite health promotion up to a next level. Show less
