Taking counselling and psychotherapy outside: Destruction or enrichment of the therapeutic frame?

This paper will explore emerging issues in the practice of counselling and psychotherapy in the outdoors, which the authors encountered when they took their clients outside of the traditional therapy room. The outdoors is defined as natural areas and spaces, such as woods and parks which have been termed ‘nearby nature’ (Kaplan &; Kaplan, 1989 Kaplan, R. Kaplan, S. (1989). The experience of nature a psychological perspective. New York: Cambridge University Press [Google Scholar]) and also more remote areas such as mountains and moors which are more isolated from civilisation, what some have termed wilderness (Mcfarlane, 2007). Particular emphasis will be given to the ‘frame’ of psychotherapy and how aspects of this are affected by moving outdoors, in particular contracting in relation to confidentiality and timing. The relationship in psychotherapy will be explored in relation to issues of mutuality and asymmetry alongside the role of nature in the therapeutic process. Lastly the challenges and therapeutic potential of psychotherapy in nature will be explored.     

Perceptions of stress and stress interventions in finance organizations: Overcoming resistance towards counselling

This paper presents the findings from a qualitative study conducted to gain further insight into the attitudes of finance organizations towards workplace stress and stress interventions. Semi-structured interviews were used and seven individuals, each representing their organization, participated in the study. Interpretative Phenomenological Analysis (IPA) (Smith, J., Jaraman, M., & Osborn, M. 1999 Smith J Jaraman M Osborn M 1999 Doing interpretative phenomenological analysis In M. Murray & K. Chamberlain (Eds) Qualitative Health Psychology London Sage [Crossref] [Google Scholar] was used to analyse the data. In M. Murray & K. Chamberlain (Eds), Qualitative Health Psychology. London: Sage.) was used to analyse the data. One main theme that emerged was “resistance towards counselling for stress”. This theme and several related sub-themes are discussed, and suggestions to reduce resistance to counselling for stress are presented in a model.     

Therapeutic Assessment in Personality Disorders: Toward the Restoration of Epistemic Trust

Abstract

Research evidence suggests Therapeutic Assessment positively affects clients with problems in living, including clients with personality disorders, who are typically quite resistant to change. Importantly, this change takes place quickly, in relatively few sessions. This article draws on a relatively new evolutionary-based theory of epistemic trust (ET) and epistemic hypervigilance (EH) as a lens to plausibly explain the efficacy of TA, and especially its influence on PD clients' alliance and motivation for subsequent psychotherapy (Fonagy, Luyten, &; Alison, 2015 Fonagy, P., Luyten, P., &; Allison, E. (2015). Epistemic petrification and the restoration of epistemic trust: A new conceptualization of borderline personality disorder and its psychosocial treatment. Journal of Personality Disorders, 29, 575–609.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). ET is the willingness to take in relevant interpersonally transmited information and it is essential to the immediate success of psychotherapy and its long-term impact. The collaborative, intersubjective framework of TA and many of its specific techniques might be understood as highly relevant to restoring ET in clients, especially those with PD. We close by discussing implications for psychological assessment, psychotherapy, and research.     

Interpersonal Subtypes in Social Phobia: Diagnostic and Treatment Implications

Interpersonal assessment may provide a clinically useful way to identify subtypes of social phobia. In this study, we examined evidence for interpersonal subtypes in a sample of 77 socially phobic outpatients. A cluster analysis based on the dimensions of dominance and love on the Inventory of Interpersonal Problems–Circumplex Scales (Alden, Wiggins, &; Pincus, 1990 Alden, L. E. and Phillips, N. 1990. An interpersonal analysis of social anxiety and depression. Cognitive Therapy and Research, 14: 499–513. [Crossref], [Web of Science ®] , [Google Scholar]) found 2 interpersonal subtypes of socially phobic patients. These subtypes did not differ on pretreatment global symptom severity as measured by the Brief Symptom Inventory (Derogatis, 1993 Derogatis, L. R. 1993. Brief Symptom Inventory: Administration, scoring, and procedures manual , (4th ed.), Minneapolis, MN: NCS Pearson Assessments, Inc.  [Google Scholar]) or diagnostic comorbidity but did exhibit differential responses to outpatient psychotherapy. Overall, friendly-submissive social phobia patients had significantly lower scores on measures of social anxiety and significantly higher scores on measures of well-being and satisfaction at posttreatment than cold-submissive social phobia patients. We discuss the results in terms of interpersonal theory and the clinical relevance of assessment of interpersonal functioning prior to beginning psychotherapy with socially phobic patients.     

Hybridized Indigenous Healing in the Kyrgyz Republic: Helping Survivors of Violence

ABSTRACT

Harmful consequences of civil unrest in 2010, in the Southern region of the Kyrgyz Republic in Osh, continue to have an impact on communities to the present day. One of the most significant effects has been numerous undiagnosed cases of rape and other types of gender-based violence (GBV) that occurred during the interethnic conflict. The true prevalence rate of GBV cases is still unknown. For example, according to official data from the Ministry of Internal Affairs (2011), there were only seven cases of rape during the conflict; however, crisis center reports documented 322 rapes (Molchanova, 2016 Molchanova, E. (2016). Okazanie psihologicheskoi pomoshci licam, postradavshim ot genderno-gonasiliya vo vremya krizisov i chrezvichainih situacii. Bishkek, Kyrgyz Republic: AltynPrint Publishing House.  [Google Scholar]). Cultural norms dictate that women who experience GBV hide their “shame,” which is why only a small percentage of victims with PTSD symptoms resulting from GBV seek out services from professionals, such as from crisis centers, psychologists and psychiatrists, and police. Indigenous healers are often the first and only stop for help-seeking. However, the influences of diverse religious beliefs and practices as well as the development of Western-style helping methods in the Kyrgyz Republic have shaped the practice of traditional healing. This hybridization, which is a process of including religious and even medical practices into traditional healing, started in the middle of the 1990s, and now, the extensive networks of traditional healers in the Kyrgyz Republic often combine traditional rituals with Islamic prayer, herbal treatment, massage, and other techniques. This article explores the hybridization of indigenous healing in the Kyrgyz Republic as a consequence of a variety of social transformations, and, as a result of polymorphism, the complexity and clinical variability of posttraumatic symptoms in Kyrgyz cultural settings.     

The Gendered Expressions of Self-Control: Manifestations of Noncriminal Deviance Among Females

The present study explores the relationships between Gottfredson and Hirschi's (1990 Gottfredson , Michael R. and Hirschi , Travis . 1990 . A General Theory of Crime . Stanford , CA : Stanford University Press . [Google Scholar]) concept of low self-control and two forms of deviance more common among females than males, borderline personality characteristics and eating disorders. Ordinary least squares regression models revealed that self-control was significantly associated with both borderline personality characteristics and eating disorder symptoms among a sample of 161 female undergraduates. The findings of the present study highlight the potential utility in expanding our focus of the effects of low self-control beyond traditional analogous behaviors, especially when attempting to understand female behavior.     

Examining the Effects of Reading Modality and Passage Genre on Reading Comprehension in Middle School Students

The purpose of the present study was to examine the effects of reading modality (oral versus silent) and passage genre (narrative versus expository) on the reading comprehension of middle school students. A normative sample of sixth- and seventh-grade students (n = 175) read narrative and expository texts from the Qualitative Reading Inventory, Fifth Edition (QRI-5; Leslie &; Caldwell, 2011 Leslie, L., &; Caldwell, J. A. (2011). Qualitative Reading Inventory (5th ed.). Boston, MA: Pearson Education. [Google Scholar]) aloud or silently and then answered questions about what they read. General reading skill was assessed by the Test of Silent Contextual Reading Fluency, Second Edition (TOSCRF-2; Hammill, Wiederholt, &; Allen, 2014 Hammill, D. D., Wiederholt, J. L., &; Allen, E. A. (2014). Test of Silent Contextual Reading Fluency, second edition. Austin, TX: PRO-ED. [Google Scholar]). A 2 (passage genre) X 2 (reading modality) mixed between-within subjects ANOVA was conducted separately by grade. Findings suggest that text genre influenced reading comprehension across both sixth- and seventh-grade students. Expository text was more challenging than narrative text in terms of students' understanding. Importantly, reading modality was not found to influence the reading comprehension of seventh-grade students and only approached significance for the sixth-grade students. These results suggest that although students may have effectively transitioned to being independent silent readers, additional pedagogical support may be required to develop effective strategies for understanding expository text.     

Female Mexican Immigrants in the United States: Cultural Knowledge and Healing

ABSTRACT

Mexican American immigrant women have faced many adversities historically, resulting in significant injuries to their physical and psychological selves. In attempts to heal from such injuries, these women have long engaged in self-healing through maintenance of their own cultural values, identities, and beliefs and also through working with, or even becoming, traditional healers. Such healing processes can be seen as a form of adjustment to a new culture, as well as a maintenance of native culture (Espin, 1996 Espin, O. M. (1996). Latina healers: Lives of power and tradition. Encino, CA: Floricanto Press. [Google Scholar]) and may take the form of a blending of cultures representing a “new indigeneity.” This article highlights such healing practices, including the role of cultural values and beliefs for healing, as well as current efforts to blend cultural healing practices within a framework of equality and respect.     

Immediate Psychological Impact of the Deepwater Horizon Oil Spill: Symptoms of PTSD and Coping Skills

Five hundred eighty-eight participants completed the Short Post Traumatic Stress Disorder Rating Interview (SPRINT; Connor &; Davidson, 2001 Connor, K. and Davidson, J. 2001. SPRINT: A brief global assessment of post-traumatic stress disorder. International Clinical Psychopharmacology, 16(5): 279–284. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) and the Brief COPE (Carver, 1997 Carver, C. S. 1997. You want to measure coping but your protocol's too long: Consider the Brief COPE. International Journal of Behavioral Medicine, 4(1): 92–100. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) to determine the psychological impacts and coping styles of the Deepwater Horizon Oil Spill on Gulf Coast residents. Participants were divided into at-risk and nonrisk groups based on their occupations. Results indicated that 28% of the respondents scored above the SPRINT cutoff score, indicating significant levels of posttraumatic stress disorder (PTSD) symptoms. Furthermore, the Brief COPE results revealed that the at-risk group showed a negative correlation between active coping and the level of PTSD-related symptoms. The at-risk respondents also showed negative correlations of PTSD-related symptoms with coping strategies such as acceptance, planning, positive reframing, humor, and religion. Future research directions are also discussed.     

Illicit Sexual Behavior: A Test of Self-Control Theory

Gottfredson and Hirschi (1990 Gottfredson , Michael and Travis Hirschi . 1990 . A General Theory of Crime . Standford , CA : Standford University Press . [Google Scholar]) contend that all deviance is subsumed under self-control theory and that individuals who commit any one deviant act will tend to commit other deviant acts as well. This research tests the correlation of illicit sexual behaviors with crime as they relate to measures of self-control. Secondly, this research examines the Gottfredson and Hirschi argument that their theory is a “general theory” and predicts all forms of deviance whereby low self-control is a predictor of both sexual deviance and crime. These analyses report illicit sexual behaviors are positively correlated with criminal behaviors providing support for Self-Control Theory. Furthermore, the analyses of this data support that low self-control is a predictor of illicit sexual behaviors and crime.     

Construing the Meaning of Authenticity in University Teaching: Comparing Explicit to Implicit Theories

Although recent literature on university teaching highlights “authenticity” as an important concept, the meaning of this complex notion remains elusive. Sternberg (1990 Sternberg, R. 1990. “Wisdom and its relations to intelligence and creativity”. In Wisdom, its nature, origins, and development, Edited by: Sternberg, R. J. 142–159. Cambridge, , UK: Cambridge University Press.  [Google Scholar]) proposed that we gain deeper insight into phenomena that are assumed to be of profound meaning but remain insufficiently understood if, alongside explicit theories of experts, we also consider the implicit theories of nonspecialists. This repertory grid study explored with a sample of lecturers their personal conceptions of authenticity in teaching and how these compare to explicit theories developed by educationalists and philosophers. Implications for theory and professional development, as well as future directions for research, are offered.     

Addressing Item-Level Missing Data: A Comparison of Proration and Full Information Maximum Likelihood Estimation

Often when participants have missing scores on one or more of the items comprising a scale, researchers compute prorated scale scores by averaging the available items. Methodologists have cautioned that proration may make strict assumptions about the mean and covariance structures of the items comprising the scale (Schafer &; Graham, 2002 Schafer, J.L., &; Graham, J.W. (2002). Missing data: Our view of the state of the art. Psychological Methods, 7, 147–177.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Graham, 2009 Graham, J.W. (2009). Missing data analysis: Making it work in the real world. Annual Review of Psychology, 60, 549–576.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Enders, 2010 Enders, C.K. (2010). Applied missing data analysis. New York, NY: Guilford Press. [Google Scholar]). We investigated proration empirically and found that it resulted in bias even under a missing completely at random (MCAR) mechanism. To encourage researchers to forgo proration, we describe a full information maximum likelihood (FIML) approach to item-level missing data handling that mitigates the loss in power due to missing scale scores and utilizes the available item-level data without altering the substantive analysis. Specifically, we propose treating the scale score as missing whenever one or more of the items are missing and incorporating items as auxiliary variables. Our simulations suggest that item-level missing data handling drastically increases power relative to scale-level missing data handling. These results have important practical implications, especially when recruiting more participants is prohibitively difficult or expensive. Finally, we illustrate the proposed method with data from an online chronic pain management program.     

Memorable Experiences in Therapeutic Assessment: Inviting the Patient's Perspective Following a Pretreatment Randomized Controlled Trial

Accumulating evidence documents the efficacy of Therapeutic Assessment (TA) in terms of symptom reduction and other outcomes, but only minimal data speak to the patient's perspective of what is memorable, or potentially important, about this intervention. In line with the humanistic and phenomenological philosophy of TA, we solicited patient input by asking personality disorder (PD) patients who participated in a recent randomized controlled trial (De Saeger et al., 2014 De Saeger, H., Kamphuis, J. H., Finn, S. E., Verheul, R., Smith, J. D., van Busschbach, J. J. V., … Horn, E. (2014). Therapeutic Assessment promotes treatment readiness but does not affect symptom change in patients with personality disorders: Findings from a randomized clinical trial. Psychological Assessment, 26, 474–483. doi:10.1037/a0035667[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) about their experiences. We report on 10 PD patients who were administered semistructured interviews designed to assess an in-depth perspective of undergoing TA. Our methodological approach can be described as phenomenological and integrative, approximating guidelines provided by the Consensual Qualitative Research paradigm (Hill, 2012 Hill, C. E. (Ed.). (2012). Consensual qualitative research: A practical resource for investigating social science phenomena. Washington, DC: American Psychological Association. [Google Scholar]). Four core content domains emerged from the transcribed and coded interview protocols: (a) relationship aspects, (b) new insight into personal dynamics, (c) sense of empowerment, and (d) validation of self. Novel experiences were mostly of a relational nature, and pertained to feeling of being treated like an equal and essential partner in a highly individualized venture. Research and clinical implications of these patient reports of TA participation are discussed.     

Modeling Hierarchical Relationships in Hinkle's Implications Grid Data

There have been few attempts to devise suitable methods of analysis for the implications grid devised by Hinkle (1965 Hinkle, D.N. (1965). The change of personal constructs from the viewpoint of a theory of construct implications. Unpublished Ph.D. thesis, The Ohio State University, Columbus. [Google Scholar]). As Hinkle noted (Hinkle, 1965 Hinkle, D.N. (1965). The change of personal constructs from the viewpoint of a theory of construct implications. Unpublished Ph.D. thesis, The Ohio State University, Columbus. [Google Scholar], p. 63), there are three implications needed to define a hierarchical relationship (A → B, B → C, and A → C). Hinkle did not attempt to test this requirement, as neither did the only other published use of the technique (Fransella, 1972). Subsequently, Caputi, Breiger, and Pattison (1990 Caputi, P., Breiger, R., & Pattison, P. (1990). Analyzing implications grids using hierarchical models. International Journal of Personal Construct Psychology, 3, 77–90.[Taylor & Francis Online] , [Google Scholar]) published a technique that explicitly sought to model implications data with respect to this requirement. In this study we use this technique to both (a) evaluate some of the choice points in the technique using data from the 28 implications grids collected by Hinkle and published as an appendix to his thesis, and (b) subsequently analyze this data to examine the hierarchical relationships as defined above. Our evaluation of the choice points showed that the joint modification approach worked best and that there was a clear cut-off to most fully represent the relationships in the raw data. Our analysis via the modeling approach found that there was no difference between the mean number of transitive superordinate constructs implied by subordinate constructs and the mean number of transitive subordinate constructs implied by superordinate constructs in the modeled data, suggesting that the laddered constructs in this study were not necessarily superordinate to the generating constructs.     

Sample Sizes for Two-Group Second-Order Latent Growth Curve Models

Second-order latent growth curve models (S. C. Duncan &; Duncan, 1996 Duncan, S. C. and Duncan, T. E. 1996. A multivariate growth curve analysis of adolescent substance use.. Structural Equation Modeling, 3: 323–347. [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]; McArdle, 1988 McArdle, J. J. 1988. “Dynamic but structural equation modeling of repeated measures data.”. In Handbook of multivariate experimental psychology, , 2nd ed. Edited by: Cattell, R. B. and Nesselroade, J. 564–614. New York: Plenum.. [Crossref] , [Google Scholar]) can be used to study group differences in change in latent constructs. We give exact formulas for the covariance matrix of the parameter estimates and an algebraic expression for the estimation of slope differences. Formulas for calculations of the required sample size are presented, illustrated, and discussed. They are checked by Monte Carlo simulations in Mplus and also by Satorra and Saris's (1985) Satorra, A. and Saris, W. E. 1985. The power of the likelihood ratio test in covariance structure analysis.. Psychometrika, 50: 83–90. [Crossref], [Web of Science ®] , [Google Scholar] power approximation techniques for small and medium effect sizes (Cohen, 1988 Cohen, J. 1988. Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum..  [Google Scholar]). Results are similar across methods. Not surprisingly, sample sizes decrease with effect sizes, indicator reliabilities, number of indicators, frequency of observation, and duration of study. The relative importance of these factors is also discussed, alone and in combination. The use of the sample size formula is illustrated using a modification of empirical results from Stoel, Peetsma, and Roeleveld (2003) Stoel, R. D., Peetsma, T. T. and Roeleveld, J. 2003. Relations between the development of school investment, self-confidence, and language achievement in elementary education: A multivariate latent growth curve approach.. Learning and Individual Differences, 13: 313–333. [Crossref], [Web of Science ®] , [Google Scholar].     

Executive function and memory in children with Fetal Alcohol Spectrum Disorder

A complex relation exists between memory and executive functioning (EF), particularly when learning and recalling multifaceted or extensive information (Moscovitch &; Winocur, 2002 Moscovitch, M. and Winocur, G. 2002. “The frontal cortex and working with memory”. In Principles of frontal lobe functioning, Edited by: Stuss, D. T. and Knight, R. T. 188–209. New York, NY: Oxford University Press.  [Google Scholar]). A common instrument for evaluating this relationship is the Rey-Osterrieth Complex Figure (ROCF; Rey, 1941 Rey, A. 1941. L'examen psychologique dans le cas d'encephalopathie traumatique [Psychological examination of traumatic encephalopathy]. Archives de Psychologie, 28: 286–340.  [Google Scholar]; Osterrieth, 1944 Osterrieth, P. A. 1944. Le test de copie d'une figure complexe: Contribution à l’étude de la perception et de la mémoire [The test of copying a complex figure: A contribution to the study of perception and memory]. Archives de Psychologie, 30: 286–350.  [Google Scholar]). The ROCF has proved particularly useful in pediatric research; however, little research has been conducted among children with Fetal Alcohol Spectrum Disorders (FASD).

Seventy children (35 FASD, 35 control), aged 6 to 12 years, were tested using the ROCF. All participants with FASD had received a diagnosis according to the Canadian guidelines for FASD (Chudley et al., 2005 Chudley, A. E., Conry, J., Cook, J. L., Loock, C., Rosales, T. and LeBlanc, N. 2005. Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis. The Canadian Medical Association Journal, 172: 1–21. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) using the 4-digit diagnostic code (Astley, 2004 Astley, S. J. 2004. Diagnostic guide for fetal alcohol spectrum disorders: The 4-digit diagnostic code, 3rd, Seattle, WA: University of Washington.  [Google Scholar]). Significant group differences were revealed with children with FASD demonstrating substantial difficulties in organization, accuracy, and memory. Among children with FASD, a distinctive profile emerged, lending support to the argument that children with FASD experience deficits in EF and memory throughout their development. Information from the present study will not only help to improve understanding of functioning in this population but also provide insight into how to deal with EF and memory deficits in terms of testing, treatment, and intervention.     

On vagueness, 4D and diachronic universalism

I offer a new criticism of the argument from vagueness to four-dimensionalism [Sider 2001 Sider, Theodore. 2001. Four-Dimensionalism: An Ontology of Persistence and Time, Oxford: Clarendon Press. [Crossref] , [Google Scholar]. The argument is modelled after an older argument for mereological universalism [Lewis 1986 Lewis, David. 1986. On the Plurality of Worlds, Oxford: Blackwell.  [Google Scholar] and may be looked upon as a tightened-up and extended version of the latter. While I agree with other critics [Koslicki 2003 Koslicki, Kathrin. 2003. The Crooked Path from Vagueness to Four-Dimensionalism. Philosophical Studies, 114: 107–134. [Crossref], [Web of Science ®] , [Google Scholar]; Markosian 2004 Markosian, Ned. 2004. Two Arguments from Sider's Four-Dimensionalism. Philosophy and Phenomenological Research, 68: 665–673. [Crossref] , [Google Scholar] that the argument from vagueness fails precisely because of this affinity, my recipe for dealing with it is different. I reject the assumption, shared by Sider with his opponents, that synchronic composition and ‘minimal diachronic fusion’ are sufficiently similar to use considerations inspired by the analysis of the former to bear on the latter. My objection to a crucial premise of the argument from vagueness turns on the relevant aspect of dissimilarity between these two cases.