Impressions of Psychotherapists’ Offices: Do Therapists and Clients Agree?

Do therapists and potential clients similarly evaluate offices of practicing clinicians?Furnishings in a therapist\u27s office can create a welcoming environment, yet little research examines perceptions of such furnishings, leading to the focus of this research. In a previous study with 30 color photographs of psychotherapists\u27 offices, students favored clinical settings that were soft, personalized, and orderly (Nasar & Devlin, 2011). Using the same 30 photographs, the present studies had 32 licensed psychotherapists evaluate the quality of care, comfort in the setting, and therapist qualities they expected clients to experience in each office. The judgments that therapists thought clients would make had high correlations withthe earlier judgments of students; each group\u27s composite evaluation improved significantly as the office became softer and more orderly. This brief report concludes by recommending the features likely to create a welcoming therapeutic office. (PsycINFO Database Record (c) 2012 APA, all rights reserved

Universal Design and Visitability: from Accessibility to Zoning

National Endowment for the Art

Effects of antiplatelet therapy on stroke risk by brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases: subgroup analyses of the RESTART randomised, open-label trial

Background Findings from the RESTART trial suggest that starting antiplatelet therapy might reduce the risk of recurrent symptomatic intracerebral haemorrhage compared with avoiding antiplatelet therapy. Brain imaging features of intracerebral haemorrhage and cerebral small vessel diseases (such as cerebral microbleeds) are associated with greater risks of recurrent intracerebral haemorrhage. We did subgroup analyses of the RESTART trial to explore whether these brain imaging features modify the effects of antiplatelet therapy

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Environment and Behavior Do Seats, Food Vendors, and Sculptures Improve Plaza Visitability? Do Seats, Food Vendors, and Sculptures Improve Plaza Visitability?

Abstract Building on Whyte's work on livable places, the present study developed a four-item scale to assess visitability and used it to test whether three attributes identified by Whyte-seating, food, and triangulation-increase visitability. The study used color slides of three plazas altered for the presence or absence of each attribute. Sixty participants (23 men and 37 women) rated slides of the plazas on each of four items on the Perceived Visitability Scale (PVS). The four items had high interitem reliability, and each item and their composite had high interobserver reliability. The visitability ratings showed that plazas with seats, food, or sculpture had higher scores than plazas without those elements; and the combination of seats and sculpture had higher scores than either element alone. Contradicting Whyte, there was no statistically significant effect of gender. Seats, sculpture, and the perceived compatibility of elements with one another may improve plaza visitability

Advances in Environmental Psychology

When Plenum stopped publishing its edited series—Human Behavior and Environment and Advances in Environment, Behavior and Design—the field of environmental psychology suffered a loss. Scholars could go to one of the edited Plenum books to find state-of-the-art reviews on existing and emerging areas of research. [...

The Evaluative Image of the City

This volume builds on the work of Kevin Lynch, whose key 1960 work The Image of the City transformed the way design professionals and social scientists deal with urban form and design. The author explores further the role of human evaluations of the cityscape, and describes how to assess, plan and design the appearance of cities to please the inhabitants. He presents a series of studies on evaluative images, discusses methodologies, findings and applications to design and planning at various stages

Environmental aesthetics : theory, research, & applications.

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