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Given the substantial resources of the United States, the failure of the American federal response to coronavirus disease 2019 (COVID-19) has been both tragic and avoidable. The authors frame this response as an artifact of power-addiction among administration officials and examine the US federal response to the COVID-19 pandemic through the lens of maladaptive denial by government officials, including President Trump.

The authors use qualitative research methods for this study by analyzing key events, public statements by administration officials from multiple credible media reports and US federal government websites. The authors analyzed these data using Weidner and Purohit's (2009) model describing maladaptive denial in organizations and power-addiction among leaders.

The authors' analysis identifies maladaptive denial – and the concomitant power-addiction – as significantly contributing to the Trump administration's failed response to COVID-19. Maladaptive denial and power-addiction characterized Trump as a candidate and for the three years of his presidency preceding the COVID-19 crisis. Whatever normative “guardrails” or checks and balances existed in the American system to restrict the administration's behavior before the crisis were ill-equipped to significantly prevent or alter the failed federal response to the pandemic.

The article applies the model of maladaptive denial in organizations (Weidner and Purohit, 2009) to the public sector, and explores the lengths to which power-addicted leaders and regimes can violate the public's trust in institutions in a crisis, even in the US, a liberal democracy characterized by freedom of political expression. While organizations and change initiatives may fail for a variety of reasons, this case revealed the extent to which maladaptive denial can permeate a government – or any organization – and its response to a crisis.

This longitudinally informed ethnographic work explores the interlocking socioeconomic and cultural roles, changes as well as effects of home-brewed alcoholic beverages in Maragoli society of western Kenya. The informants’ emic perspectives enhance existing knowledge and understanding of the commodification of home-brewing of alcohol. The participants’ experientially anchored views provide refined insights into how home-brews are influenced by the disintegration of livelihoods and women brewers’ need to earn money independently from men’s income to meet their financial needs. This work also documents alcohol-related maladaptive aspects including men’s misappropriation of funds, malnutrition, domestic violence, sexual promiscuity, rape, prostitution, and disposal of agricultural inputs and produce to obtain money to buy brews.

This study used a combination of qualitative and quantitative research methods to enhance data quality, validity, reliability, and deep learning of the dynamics and ramifications of home-brewing of alcoholic products.

This study’s empirical results show Maragoli brewers’ ingenuity in their risk-aversive efforts to: (1) optimize positive benefits and (2) reduce the unintended maladaptive consequences of home-brews.

This work demonstrates that brewers are not passive victims of their productive resource constraints. They exercise ingenuity in producing and selling alcoholic beverages to earn a living even though this venture generates unintended harmful outcomes. This calls for interventions by governmental arms, nongovernmental organizations, and community-based support networks to empower brewers and their clientele to venture into alternative enterprises and consumption of less harmful refreshments. Safety-nets should also be in place to minimize vulnerability and social fragmentation attributable to home-brewed alcohol.

Borderline personality disorder (BPD) is a debilitating illness characterised by a pervasive pattern of emotional instability, interpersonal difficulties and impulsive behaviour in association with repeated self-injury and chronic suicidal ideation. People diagnosed with BPD also have high rates of co-occurring psychopathology, including disorders associated with disturbed impulse control, such as substance use disorder (SUD) and disordered eating behaviours. The co-occurrence of BPD and impulse control disorders contributes to the severity and complexity of clinical presentations and negatively impacts the course of treatment and recovery. This study qualitatively documents aspects of the lived experience and recovery journeys of people diagnosed with BPD and co-occurring SUD and/or disordered eating. This study aims to identify similarities with respect to themes reported at different stages of the recovery process, as well as highlight important factors that may hinder and/or foster recovery.

In-person, in-depth, semi-structured interviews were conducted with 12 specialist service consumers within a clinical setting. Ten women and two men (22–58 years; mean: 35.5 years) were recruited. Interview transcripts were analysed using thematic analysis principles.

As expected, participants with co-occurring disorders experienced severe forms of psychopathology. The lived experience descriptions aligned with the proposition that people with BPD engage in impulsive behaviours as a response to extreme emotional states. Key emergent themes and sub-themes relating to recovery comprised three domains: factors hindering adaptive change; factors assisting adaptive change and factors that constitute change. An inability to regulate negative affect appears to be an important underlying mechanism that links the three disorders.

This study highlights the potential shortcomings in the traditional approach of treating co-occurring disorders of BPD, SUD and eating disorders as separate diagnoses. The current findings strongly support the adoption of an integrative approach to treating complex mental health issues while concurrently emphasising social connection, support and general health and lifestyle changes.

The findings of this study contribute to the burgeoning BPD recovery literature. A feature of the current study was its use of in-depth face-to-face interviews, which provided rich, many layered, detailed and nuanced data, which is a major goal of qualitative research (Fusch and Ness, 2015). Furthermore, the interviews were conducted within a safe clinical setting with engagement facilitated by a clinically trained professional. There was also a genuine willingness among participants to share their stories in the belief that doing so would inform effective future clinical practice. Their willingness and engagement as participants may reflect their progress along the path to recovery in comparison to others with similar diagnoses. Finally, most of the interviewees were engaging in dialectical behavioural therapy (DBT)-style therapies; two were receiving mentalisation-based therapy treatment, and most had previously engaged in cognitive behavioural therapy or acceptance and commitment therapy-based approaches. The predominance of DBT-style therapy may have influenced the ways that themes were articulated. Future studies could supplement this area of research by interviewing participants receiving therapeutic interventions other than DBT for the treatment of BPD and heightened impulsivity.

The aim of this study is an exploration of the behavioural addictions to work (workaholism) and to use of technology (technolophilia), particularly as they overlap in managers' work routines and expectations placed on their employees.

The paper presents a qualitative analysis of managers' comments from structured interviews and focus groups in several countries.

This research culminated in a model of various adaptations to both work pressure and need to use technology in today's business work, including the potential to over‐adapt or lapse into a pattern of addiction.

The consolidation of multi‐disciplinary literature and the framework of the model will serve as a reference points for continuing research on behavioural addictions related to work and technology.

Human resource professionals concerned with employee well‐being can utilize the components of this model to proactively recognize problems and generate remedies. Specific suggestions are offered to offset undesirable adaptations.

This is the first study to focus on the mutually reinforcing addictions to work and use of technology – an important step forward in recognizing the scope of the issue and generating further research with practical application in business world.

Little is understood about the self-described barriers that recently released HIV-infected prisoners face when accessing healthcare and adhering to medications. The purpose of this paper is to elucidate these barriers from the perspective of released prisoners themselves.

A qualitative assessment using 30 semi-structured interviews explored individuals’ self-reported acute stressors and barriers to health-seeking during community re-integration for recidivist prisoners. Leventhal’s Self-Regulation Model of Illness (SRMI) is applied to examine both structural and psychological barriers.

The SRMI explains that individuals have both cognitive and emotional processing elements to their illness representations, which mediate coping strategies. Cognitive representations of HIV that mediated treatment discontinuation included beliefs that HIV was stigmatizing, a death sentence, or had no physiological consequences. Negative emotional states of hopelessness and anger were either acute or chronic responses that impaired individuals’ motivation to seek care post-release. Individuals expressed feelings of mistrust, fatalism and denial as coping strategies in response to their illness, which reduced likelihood to seek HIV care.

Interventions for HIV-infected individuals transitioning to the community must incorporate structural and psychological components. Structural support includes housing assistance, employment and health insurance, and linkage to mental health, substance abuse and HIV care. Psychological support includes training to enhance agency with medication self-administration and HIV education to correct false beliefs and reduce distress. Additionally, healthcare workers should be specifically trained to establish trust with these vulnerable populations.

The purpose of this study is to identify which social and psychological factors better determine intentions to quit smoking to inform public health policy.

Data for this cross-sectional study were collected via face-to-face interaction following the pen-and-paper method. A total of 371 usable responses were received from randomly selected respondents of eight public sector universities located in the South Punjab province of Pakistan. Partial least squares structural equation modeling analysis was performed using SmartPLS program. A supplementary qualitative study, based on 21 in-depth interviews with the smokers, was conducted to augment findings of the quantitative study.

Results showed that protection motivation theory and theory of planned behaviour are supported to predict intentions to quit smoking. Subjective norms have a greater influence on intentions to quit smoking than attitudes towards smoking cessation, while perceived behavioural control fails to predict intentions to quit smoking. Perceived rewards and perceived cost are significant in predicting attitudes towards smoking cessation, while extrinsic rewards predict intentions to quit smoking.

The existing models reported in the literature have sparsely investigated the cognitive (such as motivation and emotions) and social factors (such as social influence and behavioural controls) together as determinants of intentions to quit smoking, leaving room for more studies on an integrated model of these factors. This study takes the opportunity and proposes an integrated model encompassing psycho-social factors to predict tobacco consumption quitting behaviour in an emerging economy context.

Although employee helping behaviors have been widely examined by organizational and human resource management scholars, relatively little is known about the antecedents and consequences of help-seeking in the workplace. Seeking to fill this gap, I draw from the social and counseling psychology literatures, as well as from research in epidemiology and health sociology to first conceptualize the notion of employee help-seeking and then to identify the variables and mechanisms potentially driving such behavior in work organizations. My critical review of this literature suggests that the application of existing models of help-seeking may offer limited predictive utility when applied to the workplace unless help-seeking is conceived as the outcome of a multi-level process. That in mind, I propose a model of employee help-seeking that takes into account the potential direct and cross-level moderating effects of a variety of situational factors (e.g., the nature of the particular problem, organizational norms, support climate) that might have differential influences on help-seeking behavior depending on the particular phase of the help-seeking process examined. Following this, I focus on two sets of help-seeking outcomes, namely, the implications of employee help-seeking on individual and group performance, and the impact of help-seeking on employee well-being. The chapter concludes with a brief examination of some of the more critical issues in employee help-seeking that remain to be explored (e.g., the timing of help solicitation) as well as the methodological challenges likely to be faced by those seeking to engage in such exploration.

University academicians are struggling to engage in teaching, supervision, research and publication. The purpose of this paper is to determine how academicians cope with the various burdens of academia work stressors to overcome burnout.

A cross-sectional study was conducted from January to July 2017. In total, 327 research university academicians were selected using a proportional stratified randomized sampling. Validated measures were used to collect data on perceived work stressors (teaching, research, interpersonal conflicts and career development), coping strategies (adaptive and maladaptive coping) and perceived burnout (emotional exhaustion (EE), depersonalization and personal accomplishment (PA)). The data were gathered via computer assisted self-interviewing (CASI). The research statistical model was tested by two-steps of assessment replicating covariance-based structural equation modeling (CB-SEM) with bootstrapping procedure to generalize the sample to the hypothesized model.

Overall data fit the hypothesized model well (CMIN/df=1.788, GFI=0.833, CFI=0.921, TLI=0.916, RMSEA=0.047) with various degree of explanatory value for EE, depersonalization and PA were 60, 49 and 22 percent, respectively. Academicians were resilient against the burden of teaching. However, they did adopt coping mechanisms to overcome research challenges and interpersonal conflicts. The effects of research and interpersonal conflicts on tri-dimensional burnout mediated by maladaptive coping (f² effect size=0.37) had a larger effect than interpersonal conflicts toward burnout mediated by adaptive coping (f² effect size=0.02).

Academicians adopt maladaptive coping for research and interpersonal conflicts to suppress burnout. An integrative approach at both organization and individual levels is crucial to enhance appropriate coping mechanism to curb with burnout among the academicians of a research university.

This is the first study in Malaysia which uniquely estimate the effects of academician’s work stressors toward burnout with introducing coping strategies as mediators toward work stressors and burnout relationship which has been analyzed via CB-SEM.