完美主义心理研究的历史和现状

完美主义(perfecrionism)心理是《心理障碍诊断与统计手册》(DSM-Ⅲ)的重要的诊断标准之一,被认为参与多种心理障碍的形成与发展。但是长期以来,对于完美主义心理缺少精确的定义和量化研究。上世纪八十年代以来,在欧美的心理咨询和资质优异教育领域,这种心理愈来愈被看作是与个体的心理健康及创造力息息相关的人格特质,并且已普遍承认这种特质是多维度、多侧面的。本文追溯了完美主义心理研究的历史渊源。介绍了完美主义心理研究的现状和进展。     

Smoking and Non-Clinical Panic Attacks: An Initial Empirical Test of Panic-Relevant Cognitive Processes

The present study evaluated panic-relevant cognitive processes in a sample of persons ( n = 70) who met criteria for either: (a) a positive panic attack history and regular smoking (smoking at least 10 cigarettes per day for S 12 months); (2) a positive panic attack history but no history of smoking; or (3) regular smoking history alone (smoking at least 10 cigarettes per day for S 12 months). As hypothesized, participants in group (a) demonstrated significantly greater bodily vigilance and anxiety sensitivity Mental Incapacitation Concerns compared with persons in either groups (b) or (c). Effects involving other dimensions of anxiety sensitivity, suffocation fear and trait anxiety did not discriminate between panickers as a function of smoking status. The observed effects could not be attributed to self-reported physical health status or history of medical problems. The implication of the present findings for understanding the potential role of smoking in panic pathology is discussed.     

Diagnosing agoraphobia in the context of panic disorder: examining the effect of DSM-IV criteria on diagnostic decision-making

A diagnostic and statistical manual (DSM)-IV diagnosis of agoraphobia in the context of panic disorder (PD) is based on three nosologically sufficient criteria: (1) avoidance, (2) use of companions, and (3) endurance of situations despite distress. Therefore, an agoraphobia diagnosis can be made across an extremely broad range of cases including when there are no avoidance behaviors (e.g., the patient endures the situation). It was hypothesized that clinicians do not weight these criteria equally and that the DSMs individual, sufficient criteria lead to poor inter-rater reliability. Clinicians (N=48) rated hypothetical patients with symptom profiles emphasizing each of these three criteria. Consistent with expectation, clinicians differentially weighted these criteria. Avoidance was relatively more apt to produce a diagnosis when only one criterion was emphasized in clinical vignettes. Inter-rater reliability was poor in instances when only one sufficient criterion was highlighted. Knowledge concerning DSM criteria resulted in a greater rate of agoraphobia endorsement, but knowledge did not account for the overall pattern of findings.     

Race and the Criminal Justice System Response to Sexual Assault: A Systematic Review

Prior research has consistently documented that the vast majority of sexual assault cases do not progress through the criminal justice system. However, there is less agreement in prior work on how race influences case progression, resulting in a literature frequently described as “inconsistent.” This systematic review examines all prior research that has included race as an independent variable in predicting the criminal justice system response to sexual assault (N = 34) in an effort to provide insight into seemingly disparate findings. We assess each study for the degree to which race was a focal point of interest, if and what theory was used to inform the investigation of race, how samples were drawn, and how and whose race was measured. Results illustrate that findings in prior research are not inconsistent, but rather unite to tell a nuanced story of the role of race in the criminal justice system response to sexual assault. The review demonstrates how decisions made by researchers throughout the research process can have significant impacts on reported findings, and how such findings may be used to influence policy and practice.     

Effects of perceived criticism on anxiety and depression during behavioral treatment of anxiety disorders

The present study explored the effect of perceived criticism (PC) on levels of anxiety and depression during behavioral treatment among patients diagnosed with obsessive-compulsive disorder (OCD) or panic disorder with agoraphobia (PDA). We posited that patients' perceptions of relatives' criticism and the degree to which they were upset by the criticism (UC) would be related to negative affect and discomfort during exposure. The sample included 75 patients with a primary diagnosis of OCD (n=43) or PDA (n=32) and their participating relatives. Measures of patients' weekly ratings of PC and upset about the criticism, anxious and depressed mood, and subjective discomfort during exposure treatment were analyzed using a mixed model regression approach (SAS Proc Mixed). Patients' anxious and depressed mood predicted greater discomfort during exposure. Patients who were more UC also had higher weekly ratings of anxiety and depression, and more discomfort during exposure sessions. Findings suggest that treatment outcome may be improved by attention to patients' reactions to their interpersonal environment.     

Adolescent Sexual Assault Disclosure: The Impact of Peers, Families, and Schools

Adolescent sexual assault survivors are more likely to seek support from peers and families than to formal help systems, such as the medical and legal systems. In this study, we conducted in-depth qualitative interviews with N = 20 adolescent sexual assault survivors aged 14–17 who obtained services from Sexual Assault Nurse Examiner Programs to understand the pathways that led them to seek formal help. Our goal was to examine how survivors’ initial disclosures to peers, families, and schools facilitated adolescents’ access to formal help systems. Additionally, we explored how peer, family and school systems interact as mesosystems to effect subsequent disclosures. Results show that the peer and family microsystems were decisive in survivors’ willingness to enter formal systems. Disclosure became more complex when peer, family, and school personnel all became aware of the assault. When these mesosystem interactions occurred with survivors’ consent and produced a helpful response, they were perceived as positive. Alternatively, mesosystem interactions in which survivors had minimal control resulted in greater reluctance to enter formal systems. These conclusions highlight the need educating informal support providers about community services in order to make the disclosure process easier and beneficial for survivors’ recovery and well-being.     

Predicting Bystander Behavior to Prevent Sexual Assault on College Campuses: The Role of Self-Efficacy and Intent

Bystander intervention has been increasingly applied to prevent sexual violence on college campuses. Its underlying theory assumes unidirectional relationships between variables, predicting that bystander behaviors (i.e., actions taken to intervene in sexual violence situations) will be influenced by bystander intentions (BI; i.e., likelihood to intervene in the future), which in turn will be affected by bystander efficacy (BE; i.e., confidence to intervene). One question for theory is whether a reciprocal relationship exists between BI and BE. We used structural equation modeling (SEM) with longitudinal data to test unidirectional and reciprocal causal relations between BI and BE. Participants (n = 1390) were students at a northeastern US university. Four models were examined using SEM: (1) a baseline model with autoregressive paths; (2) a model with autoregressive effects and BI predicting future BE; (3) a model with autoregressive effects and BE predicting future BI; and, (4) a fully cross‐lagged model. Results indicated that reciprocal causality was found to occur between BI and BE. In addition, a final model demonstrated indirect effects of a bystander intervention program on bystander behaviors through both BI and BE at different time points. Implications for theory and practice are described, and directions for future research discussed.     

Language Impairment and Sexual Assault of Girls and Women: Findings from a Community Sample

Both children and adults with disabilities face increased prevalence of abuse and assault, including sexual assault. Women and girls are disproportionately the victims of sexual assault in both disabled and nondisabled populations. Communication difficulties have been identified as a factor that may increase the vulnerability of individuals with disabilities to sexual assault. However, few studies have examined whether language impairment increases risk for sexual assault. This study reports on a community sample of children with speech or language impairment, followed to age 25. Sexual assault history was assessed based on two questions from the Composite International Diagnostic Interview Posttraumatic Stress Disorder module. Women with language impairment (n = 33) were more likely than women with unimpaired language (n = 59) to report sexual abuse/assault, controlled for socioeconomic status. Sexual assault was associated with higher rates of psychiatric disorders and poorer functioning. Women with neither language impairment nor a history of sexual assault had fewer psychiatric disorders and higher functioning than women with language impairment and/or a history of sexual assault.     

患者认知因素对病人满意度的影响与对策研究

揭示了患者的认知因素对满意度的重要影响,提出医务工作者应改变仅是从自我做起,提高病人满意度的传统做法,强调要注重从患方入手,既要降低病人不现实的期望值,又要提高病人对医护服务的感知度.这样,在付出等量医技服务的情况下,通过矫正患者的认知误区,改善患者的认知状况,可获得更高的病人满意度.     

A Danish Model for Treating Victims of Rape and Sexual Assault: The Multidisciplinary Public Approach

High prevalence and long-lasting implications of human-inflicted trauma call for effective treatment approaches reaching clients in need of trauma-specific treatment. Numerous approaches exist, but often with limited empirical support. There is also a tendency toward segregating treatment approaches depending on type of exposure history and presenting symptoms. This might exclude clients in need of trauma-specific treatment; therefore, treatment approaches that can reach more heterogeneous groups of clients are needed. In this article, a group-based treatment approach adjusted to include clients with a wide range of trauma-related problems and traumatic experiences will be presented. A brief outline of the approach is presented, together with the theoretical and empirical background, to facilitate implementation by practitioners and empirical testing.     

大学生英语学习过程中认知因素与情感因素对学业成绩的影响

利用调查问卷法对152名大学生就英语学习中的认知因素(以学习风格和学习策略为核心)和情感因素(以成就动机和学习意愿为核心)对于学习成绩的影响进行了相关研究,继而通过多元回归方法与路径分析技术,探讨了三者之间的因果关系。研究结果表明,学习意愿、成就动机、学习风格与英语成绩之间具有显著性相关,而学习策略与英语成绩之间的相关不显著。学习风格作为中介变量在对学生的英语学习有着重要的影响。学习意愿与成就动机通过学习风格而问接地作用于英语学习绩效。     

错误信息效应的主要理论与影响因素的述评与展望

个体对原始信息的记忆受到随后错误信息的影响而产生错误记忆被称为错误信息效应.通过对新近研究的梳理与归纳,发现错误信息效应的研究热点集中于解释效应产生机制的理论研究以及效应的影响因素研究.因此,本文重点归纳和述评了错误信息效应的五种理论和三类影响因素.未来的研究建议从以下几方面开展:第一,错误信息产生机制和理论研究;第二...     

Telling perfectionists about their perfectionism: Effects of providing feedback on emotional reactivity and psychological symptoms

A randomized, controlled clinical trial was conducted to determine the efficacy of receiving feedback in a sample of maladaptive perfectionists. A total of 60 young adults were randomly assigned to a feedback intervention or control group. Hierarchical Linear Modeling was utilized to analyze the effects of perfectionism over time, as well as the effects of treatment condition on the relationship between perfectionism and outcomes. Measures of interest included emotional reactivity, self-esteem, and psychological distress. Findings revealed that providing feedback to maladaptive perfectionists reduced self-reported global symptomatic distress as well as emotional reactivity. The results are discussed in light of treatment implications, especially with regard to the manner in which perfectionists respond to therapeutic interventions. Overall, study findings suggest that a brief, low-cost feedback intervention is effective at decreasing psychological distress in maladaptive perfectionists and may serve as a beneficial precursor to individual therapy or counseling.     

Dimensions of perceived control: A factor analysis of three measures and an examination of their relation to activity level and mood in a student and cross-cultural patient sample

Abstract

This study investigated whether measures of three perceived control (PC) concepts tapped independent dimensions, were invariant to population characteristics of health and culture, were differentially sensitive to health outcomes, and were discriminable from self-report disability. The Multidimensional Health Locus of Control, Generalized Self-efficacy, and Perceived Health Competence (PHC) Scales were administered to 106 Scottish students and 145 Scottish, Spanish and Irish patients, who also completed versions of the Sickness Impact Profile. Principal Components analyses revealed five factors reflecting scale constructions for students and six factors for patients, as PHC items fell on two factors. Disability items fell on a separate factor from all PC items. Results suggest: (a) PC is multidimensional regardless of health and culture; (b) adequate assessment requires multiple PC measures; and (c) it is meaningful to consider PC as a possible influence on disability.     

认知复杂性与意识水平:Zelazo理论述评

Zelazo等人提出的认知复杂性和控制理论、意识水平模型认为可在问题解决框架内理解执行功能,且执行功能的变化可根据儿童形成和使用的最大规则复杂性的变化来描述,而规则复杂性的变化可根据儿童意识水平的变化来解释。Zelazo的理论提出后受到不少研究者的关注,但也存在一些问题和不足。     

Implementation Matters: A Review of Research on the Influence of Implementation on Program Outcomes and the Factors Affecting Implementation

The first purpose of this review was to assess the impact of implementation on program outcomes, and the second purpose was to identify factors affecting the implementation process. Results from over quantitative 500 studies offered strong empirical support to the conclusion that the level of implementation affects the outcomes obtained in promotion and prevention programs. Findings from 81 additional reports indicate there are at least 23 contextual factors that influence implementation. The implementation process is affected by variables related to communities, providers and innovations, and aspects of the prevention delivery system (i.e., organizational functioning) and the prevention support system (i.e., training and technical assistance). The collection of implementation data is an essential feature of program evaluations, and more information is needed on which and how various factors influence implementation in different community settings.