Family Therapy with Couples and Individuals with Parkinson’s Disease

Family therapists are increasingly called upon to work with individuals and families with medical issues, but often do not have sufficient background on the issue to be most helpful. The purpose of this paper is to help family therapists understand Parkinson’s Disease (PD) and its impact on the individual and his or her family. PD is the second most prevalent neurodegenerative disorder in the United States, following Alzheimer’s disease (Hirtz et al., Neurology 68:326–337, 2007). According to the Parkinson’s Disease Foundation, approximately 60,000 individuals are diagnosed with PD every year, and approximately one million Americans are currently living with PD. In this paper, we provide an overview of PD based on research and the second author’s many years of providing services for individuals with PD, as well as offer specific recommendations for providing family therapy using narrative, solution-focused and emotionally focused therapy based on the first author’s work as a family therapist with individuals, groups, and couples dealing with PD.     

Indigenous Adoption of Novaco’s Model of Anger Management Among Individuals with Psychiatric Problems in Pakistan

The present study was designed to indigenously adopt Novaco’s model of anger management and examine its efficacy among individuals with psychiatric problems in Pakistan. For the assessment of anger and psychiatric problems, Urdu-translated versions of Novaco Anger Inventory (NAI), Anger Self-Report Questionnaire (ASR) and Depression Anxiety Stress Scale were used. A sample of 100 individuals was divided into two groups: a treatment group (received the indigenously adopted model of anger management) and a control group (received general counseling). Results of mixed repeated-measures ANOVA revealed that individuals in the treatment group significantly (p < .01) scored lower on the NAI and ASR (at post-assessment) as compared to the control group. Therefore, the indigenous model of anger management was shown to be more effective than general counseling for anger management.     

Are Individuals with Schizophrenia or Schizotypy More Creative? Evidence from Multiple Tests of Creative Potential

Schizophrenia and schizotypy have been often associated with above average creativity; however, empirical studies on the relationship between schizophrenia spectrum disorders and enhanced creativity generated inconsistent results. This research investigates if the association between schizophrenia spectrum disorders and creative potential levels is dependent upon which cognitive processes are examined during administered tests of creative potential. Our study examined 117 participants stratified into the following three subgroups: (a) 39 psychometrically determined low-schizotypal individuals, (b) 35 psychometrically determined high-schizotypal individuals, and (c) 43 patients with schizophrenia. Each participant completed 2 divergent thinking (DT) tasks, 2 convergent thinking (CT) tasks, and 2 creative tasks that combine both DT and CT processes. The data suggest that Group C had typical abilities in the DT, CT, and the combined creative thinking tasks; however, the group as a whole had intact originality during the Figural Completion (DT task) and the Tangram Construction (combined task). Notably, Group B showed significant advantages in both verbal and figural DT tasks. Group A and Group B demonstrated no significant differences in the creative thinking processes of CT; however, both groups outperformed Group C in these tasks.     

Mind Over Matter? The Role of Individual Perceptions in Understanding the Social Ecology of Housing Environments for Individuals with Psychiatric Disabilities

There is a disagreement in place‐based research regarding whether objective indicators or individual perceptions of environments are better predictors of well‐being. This study assessed environmental influences on well‐being for 373 individuals with psychiatric disabilities living independently in 66 neighborhoods in the southeastern United States. Three questions were examined utilizing random effects models: (1) How much variance in personal and neighborhood well‐being can be explained by neighborhood membership? (2) What is the relationship between participant perceptions of neighborhood quality and researcher ratings of neighborhood quality? and (3) What is the relative influence of individual perceptions, perceptions aggregated by neighborhood, and researcher ratings of neighborhood quality in predicting personal and neighborhood well‐being? Results indicate that individual perceptions of neighborhood quality were more closely related to well‐being than either aggregated perceptions or researcher ratings. Thus, participants’ perceptions of their neighborhoods were more important indicators of their well‐being than objective ratings made by researchers. Findings have implications for measurement approaches and intervention design in placed‐based research.     

Patients’ Experience of a Narrative Group Therapy Approach Informed by the “Tree of Life” Model for Individuals with Anorexia Nervosa

The aim of this study was to develop and evaluate a pilot group using the Tree of Life model for individuals with a diagnosis of anorexia nervosa. Qualitative feedback from patients was collected in a focus group and analyzed using thematic analysis. Four themes were identified: (1) an image to remember, share, and change, (2) constructing an alternative perspective, (3) hope, and (4) creating a sense of community. The results and their implications are discussed.     

Does Mastery of ABLA Level 6 Make it Easier for Individuals with Developmental Disabilities to Learn to Name Objects?

Level 6 of the Assessment of Basic Learning Abilities (ABLA) assesses the ease or difficulty with which persons with developmental disabilities are able to learn a two-choice auditory-visual discrimination. We investigated whether participants who passed ABLA Level 6 (Group 1) would more readily learn object naming (vocal tacts) than those who failed ABLA Level 6 (Group 2). The groups were matched on the Communication Subscale of the Vineland Adaptive Behavior Scale. Results indicated that Group 1 met mastery criterion for a significantly larger number of naming responses and in significantly fewer trials than Group 2. The implications for language training are discussed.     

Multiracial Children’s and Adults’ Categorizations of Multiracial Individuals

Research has explored how multiracial individuals are categorized by monoracial individuals, but it has not yet explored how they are categorized by multiracial individuals themselves. We examined how multiracial children (aged 4–9 years old) and adults categorized multiracial targets (presented with and without parentage information). When parentage information was provided, multiracial targets were more likely to be categorized as neither wholly Black nor wholly White. However, both multiracial adults and children more often categorized multiracial targets as Black than as White regardless of the absence or presence of parentage information. For multiracial children, increased contact with White people predicted the tendency to categorize multiracial targets as Black. These data suggest that multiracial children’s categorizations are more flexible than those of monoracial children in previous research and that the tendency to categorize multiracial targets as Black emerges early in development within multiracial samples and is especially likely in predominantly White contexts.     

Are Individuals Always Aware of Their Trauma-Related Intrusive Thoughts? A Study of Meta-Awareness

Individuals are not always aware of their mental content. We tested whether lack of awareness occurs in those who have experienced trauma, with and without posttraumatic stress disorder (PTSD). We also examined the role of proposed cognitive mechanisms (working memory and inhibition) in explaining unnoticed intrusions. Individuals with PTSD (n = 44), and varying levels of symptoms (high posttraumatic stress [PTS]: n = 24; low PTS: n = 37) reported on intrusive thoughts throughout a reading task. Intermittently, participants responded to probes about whether their thoughts were trauma related. Participants were “caught” engaging in unreported trauma-related thoughts (unnoticed intrusions) for between 24 and 27% of the probes in the PTSD and high PTS groups, compared with 15% of occasions in the low PTS group. For trauma-related intrusions only, participants lacked meta-awareness for almost 40% of probes in the PTSD group, which was significantly less than that observed in the other groups (～60%). Contrary to predictions, working memory and response inhibition did not predict unnoticed intrusions. The results suggest that individuals who have experienced significant trauma can lack awareness about the frequency of their trauma-related thoughts. Further research is warranted to identify the mechanisms underpinning the occurrence of unnoticed intrusions.     

Three-Way Tucker2 Component Analysis Solutions of Stimuli × Responses × Individuals Data with Simple Structure and the Fewest Core Differences

Multivariate stimulus-response designs can be described by a three-way array of stimuli by responses by individuals. Its underlying structure can be represented by a network based on the Tucker2 component model in which stimulus components are connected with response components by means of the links that differ between individuals. For each individual such links are represented in a slice of the extended core array. For a proper understanding of these links, it is desirable that [1] the individual core slices as well as the component matrices have simple structures and [2] the differences of core slices between individuals are as few as possible. For attaining [1] and [2] we propose a method in which both the component matrices and the core slices of a Tucker2 solution are transformed simultaneously in order that the component matrices match simple target matrices and the core slices are summarized by a simple target slice. The proposed method is evaluated in a simulation study and illustrated with a three-way data array of semantic differential ratings.     

Effect of a Vocationally‐Focused Brief Cognitive Behavioural Intervention on Employment‐Related Outcomes for Individuals with Mood and Anxiety Disorders

Internet-delivered cognitive behavioural therapy (CBT) can be an effective method for treating major depression, but it often works best when therapist support is provided in the form of e-mail support or telephone calls. The authors investigated whether there were any intraclass correlations within therapists when delivering CBT for major depression via the Internet. They included data from two trials involving 10 therapists treating a total of 103 patients. The results of a nested one-way model in which participants were treated as raters for different therapists indicated that measures pertaining to symptom reductions (Beck Depression Inventory, Montgomery-Åsberg Depression Rating Scale–Self Report, and Beck Anxiety Inventory) did not support a clustering of data within therapists. However, the outcome on a secondary measure of life satisfaction (Quality of Life Inventory) yielded a significant intraclass correlation coefficient for therapists (r = .24, p = .001). The authors propose that text-based treatments are less sensitive to therapist effects when it comes to the primary symptom measures, but that treatment effects not directly targeted by the specific treatment program may be more dependent on the way the support is given and by whom (therapist effect). Limitations of the study are discussed.     

Effects of Devil′s Advocacy and Dialectical Inquiry on Individuals versus Groups

There is a long history of research that has investigated the effects of cognitive conflict on group and individual decision making. No study has simultaneously compared the effects of two techniques, devil′s advocacy and dialectical inquiry, on the performance of individuals versus groups. In this paper, we report the results of a laboratory experiment that makes this comparison. Artificial groups (groups formed by pooling individuals working independently) obtained an overall lower-quality solution for a case analysis problem than intact groups. However, there were no performance differences between intact groups and the performance of the best member of artificial groups. When artificial and intact groups were examined together, those given the devil′s advocacy treatment produced higher-quality solutions than those given the dialectical inquiry treatment and a simpler expert-based approach involving no conflict. Intact groups given the devil′s advocacy treatment produced higher-quality solutions than those given the expert treatment. Artificial groups given devil′s advocacy produced higher-quality solutions than those given the expert or dialectical inquiry treatment. Overall, the results suggest that the devil′s advocacy treatment has a slightly greater advantage over the dialectical inquiry with individuals than with groups.     

Adopted Individuals’ Views on the Utility and Value of Expanded Carrier Screening

Adoptees may not have family medical history and ethnicity information. Carrier screening assesses reproductive risk. Expanded carrier screening (ECS) screens for many genetic conditions regardless of a patient’s knowledge of family history and ethnicity. This study aimed to better understand the opinions and attitudes of adopted individuals on the use of ECS in determining a patient’s reproductive genetic risks. Specifically, the study assessed how adopted individuals feel that results of ECS may be useful to them and whether adoptees feel that meeting with a genetics professional in the process of undergoing ECS would be useful. Adult adoptees (N?=?124) were recruited online. Their opinions on ECS were explored. The majority reported they had never been offered carrier screening (92%). The majority of adoptees wanted ECS (76%). Neither the amount of contact with biological relatives nor having medical knowledge about biological relatives was significantly associated with adoptees’ desire to pursue ECS. There was a significant positive correlation between adoptees of higher education levels and the amount they would pay for ECS (p?=?0.004). The majority of participants (95%) indicated a genetics professional would be helpful when undergoing ECS. The findings suggest this population may want ECS and support from genetics healthcare professionals. Advocacy for genetic counseling and testing for adoptees appears justifiable.     

Things happen: Individuals with high obsessive–compulsive tendencies omit agency in their spoken language

The study examined the prediction that obsessive–compulsive tendencies are related to an attenuated sense of agency (SoA). As most explicit agency judgments are likely to reflect also motivation for and expectation of control, we examined agency in sentence production. Reduced agency can be expressed linguistically by omitting the agent or by using grammatical framings that detach the event from the entity that caused it. We examined the use of agentic language of participants with high vs. low scores on a measure of obsessive–compulsive (OC) symptoms, using structured linguistic tasks in which sentences are elicited in a conversation-like setting. As predicted, high OC individuals produced significantly more non-agentic sentences than low OC individuals, using various linguistic strategies. The results suggest that OC tendencies are related to attenuated SoA. We discuss the implications of these findings for explicating the SoA in OCD and the potential contribution of language analysis for understanding psychopathology.     

Individuals with intellectual and developmental disabilities: Do educators assign them a fully human status?

The present research investigates the humanity attributions to individuals with intellectual and developmental disabilities (IDD). In three studies, professional educators, who worked in day‐care or community centers, were examined. Humanity attributions were assessed using emotion‐based and trait‐based measures. As expected, individuals with IDD were denied a fully human status: they were perceived as having more non‐uniquely than uniquely human attributes. Furthermore, a lower human status was assigned to individuals with IDD in relation to educators. We also discovered that humanity attributions, but not attitudes, were related to approach/avoidance responses. Altogether, findings show the importance of considering humanity perceptions in the study of social relationships of individuals with IDD. Dehumanizing perceptions can explain the differential treatment these individuals face in various social settings.     

Optimal Predictions in Everyday Cognition: The Wisdom of Individuals or Crowds?

Griffiths and Tenenbaum (2006) asked individuals to make predictions about the duration or extent of everyday events (e.g., cake baking times), and reported that predictions were optimal, employing Bayesian inference based on veridical prior distributions. Although the predictions conformed strikingly to statistics of the world, they reflect averages over many individuals. On the conjecture that the accuracy of the group response is chiefly a consequence of aggregating across individuals, we constructed simple, heuristic approximations to the Bayesian model premised on the hypothesis that individuals have access merely to a sample of k instances drawn from the relevant distribution. The accuracy of the group response reported by Griffiths and Tenenbaum could be accounted for by supposing that individuals each utilize only two instances. Moreover, the variability of the group data is more consistent with this small-sample hypothesis than with the hypothesis that people utilize veridical or nearly veridical representations of the underlying prior distributions. Our analyses lead to a qualitatively different view of how individuals reason from past experience than the view espoused by Griffiths and Tenenbaum.     

Specific Psychosocial Issues of Individuals Undergoing Genetic Counseling for Cancer – A Literature Review

Approximately 25 % of individuals undergoing genetic counseling for cancer experiences clinically relevant levels of distress, anxiety and/or depression. However, these general psychological outcomes that are used in many studies do not provide detailed information on the specific psychosocial problems experienced by counselees. The aim of this review was to investigate the specific psychosocial issues encountered by individuals undergoing genetic counseling for cancer, and to identify overarching themes across these issues. A literature search was performed, using four electronic databases (PubMed, PsychInfo, CINAHL and Embase). Papers published between January 2000 and January 2013 were selected using combinations, and related indexing terms of the keywords: ‘genetic counseling’, ‘psychology’ and ‘cancer’. In total, 25 articles met our inclusion criteria. We identified the specific issues addressed by these papers, and used meta-ethnography to identify the following six overarching themes: coping with cancer risk, practical issues, family issues, children-related issues, living with cancer, and emotions. A large overlap in the specific issues and themes was found between these studies, suggesting that research on specific psychosocial problems within genetic counseling has reached a point of saturation. As a next step, efforts should be made to detect and monitor these problems of counselees at an early stage within the genetic counseling process.     

A Quantitative Estimate of Schema Abnormality in Socially Anxious and Non‐Anxious Individuals

Although cognitive theories of anxiety suggest that anxious individuals are characterized by abnormal threat‐relevant schemas, few empirical studies have estimated the nature of these cognitive structures using quantitative methods that lend themselves to inferential statistical analysis. In the present study, socially anxious (n = 55) and non‐anxious (n = 62) participants completed 3 Q‐Sort tasks to assess their knowledge of events that commonly occur in social or evaluative scenarios. Participants either sorted events according to how commonly they personally believe the events occur (i.e. “self” condition), or to how commonly they estimate that most people believe they occur (i.e. “other” condition). Participants' individual Q‐Sorts were correlated with mean sorts obtained from a normative sample to obtain an estimate of schema abnormality, with lower correlations representing greater levels of abnormality. Relative to non‐anxious participants, socially anxious participants' sorts were less strongly associated with sorts of the normative sample, particularly in the “self” condition, although secondary analyses suggest that some significant results might be explained, in part, by depression and experience with the scenarios. These results provide empirical support for the theoretical notion that threat‐relevant self‐schemas of anxious individuals are characterized by some degree of abnormality.     

Facing a Disruptive Face: Embodiment in the Everyday Experiences of “Disfigured” Individuals

In recent years, facial difference is increasingly on the public and academic agenda. This is evidenced by the growing public presence of individuals with an atypical face, and the simultaneous emergence of research investigating the issues associated with facial variance. The scholarship on facial difference approaches this topic either through a medical and rehabilitation perspective, or a psycho-social one. However, having a different face also encompasses an embodied dimension. In this paper, we explore this embodied dimension by interpreting the stories of individuals with facial limb absence against the background of phenomenological theories of the body, illness and disability. Our findings suggest that the atypical face disrupts these individuals’ engagement with everyday projects when it gives rise to disruptive perceptions, sensations, and observations. The face then ceases to be the absent background to perception, and becomes foregrounded in awareness. The disruptions evoked by facial difference call for adjustments: as they come to terms with their altered face, the participants in our study gradually develop various new bodily habits that re-establish their face’s absence, or relate to its disruptive presence. It is through these emergent habits that facial difference comes to be embodied. By analyzing the everyday experiences of individuals with facial limb absence, this article provides a much-needed exploration of the embodied aspects of facial difference. It also exemplifies how a phenomenological account of illness and disability can do justice both to the impairments and appearance issues associated with atypical embodiment.     

Needy or Greedy? The Social Psychology of Individuals Who Fraudulently Claim Unemployment Benefits1

This study explored the relationships between diverse social psychological and economic variables and self-reported and officially documented unemployment benefit fraud. Two groups receiving unemployment benefit were studied; a fraudulent group of 45 individuals and an honest group of 51 individuals. Interview measures of financial strain, social norms, opportunity for fraud, social controls, personal strain, personal orientation, perceived risk of punishment, and intolerance of fraud were obtained. The results of univariate and regression analyses revealed that although financial strain and social norms did not differ between the two groups, the fraudulent group had more opportunity, were less well educated, were more alienated and inclined to take risks, and had more positive attitudes toward a variety of kinds of fraud.