Unrealistic beliefs of clinical couples: Their relationship to expectations,goals and satisfaction

Abstract

Forty-seven marital therapy couples completed inventories measuring unrealistic beliefs about self and unrealistic beliefs about marital relationships. In addition, they completed questionnaire measures of their expectations and goals for therapy and their levels of marital satisfaction. As hypothesized, the clients' unrealistic beliefs, particularly those regarding relationships, were negatively associated with their estimated chance for improvement in therapy, desire to improve rather than terminate the relationship, preference for marital versus individually oriented treatment, and overall marital satisfaction. These results are consistent with the theoretical rationale for cognitive therapy with clinical couples and suggest specific targets for intervention in this process. Directions for future research are discussed.     

Gender,Socialization, and Money1

We examine the familial experiences of 605 university students surrounding money, and their current beliefs and attitudes about money. A survey examined parental practices regarding money, gender beliefs about equal and unequal earnings, money as it relates to assessments of the self and others, current financial practices, and plans and expectations regarding future financial earnings. Gender comparisons of 12 factors revealed separate and distinct money socialization tracks for men compared to women. Parents were described as having a very different set of practices and expectations for sons and daughters, and the male and female students also sharply differed in a number of ways on their attitudes and behaviors regarding money. For males, money was positively valued. Females had a negative value for money. These money tracks were more sharply differentiated and positively associated among students from higher social classes.     

Optimizing preoperative expectations in cardiac surgery patients is moderated by level of disability: the successful development of a brief psychological intervention

Patients’ expectations have shown to be a major psychological predictor of health outcome in cardiac surgery patients. However, it is unclear whether patients’ expectations can be optimized prior to surgery. This study evaluates the development of a brief psychological intervention focusing on the optimization of expectations and its effect on change in patients’ expectations prior to cardiac surgery. Ninety patients scheduled for coronary artery bypass graft were randomly assigned to (1) standard medical care, (2) additional expectation manipulation intervention (EMI), and (3) additional attention control group. Therapists’ fidelity to intervention manuals and patients satisfaction with the intervention were assessed for both active intervention conditions. Patients’ expectations about post-surgical disability, treatment control, personal control, and disease duration were assessed before and after the psychological intervention. Demographical, medical, and psychosocial characteristics and disability were assessed at baseline. Treatment fidelity and patient satisfaction was very high in both intervention conditions. Only patients receiving EMI developed higher personal control expectations and longer (more realistic) expectations of disease duration. The effect of intervention group on patients’ disability expectations and patients’ personal control expectations was moderated by patient’s level of disability. EMI patients with low to moderate disability developed positive expectations whereas patients with high disability did not. This study shows the successful development of a short psychological intervention that was able to modify patients’ expectations, especially in those with low to moderate disability. Given the robust association of expectations and surgery outcome, such an intervention might offer the opportunity to enhance patients’ health following cardiac surgery.     

DEFINING DISABILITY FOR WOMEN AND THE PROBLEM OF UNPAID WORK

National policy and much of scholarly research on disability overlook the importance of unpaid family work and instead focus on disability in paid work, largely in male samples. Because of societal expectations about appropriate social roles for men and women, women tend to assume responsibility for unpaid work in the family and also tend to have paid work that is characterized by low pay and limited autonomy. This article discusses the political, theoretical, and methodological issues relating to defining and measuring paid and unpaid work disability for women and men within the context of these structural factors. The results of a study analyzing disability in both paid work and unpaid family work among a sample of 206 women with rheumatoid arthritis are presented. The study demonstrates the feasibility of measuring disability in family work and shows that women experience significant limitations in homemaker functioning as well as in paid work roles.     

Fear of the dark: interactive effects of beliefs about danger and ambient darkness on ethnic stereotypes

Two studies examined effects of ambient darkness and chronic beliefs about danger on activation of stereotypes about Blacks. Chronic beliefs were measured by a Belief in a Dangerous World (BDW) questionnaire. In Study, 1, participants in either a dimly lit or dark room saw photos of Black men and rated the extent to which specific traits described the cultural stereotype of Blacks. In Study 2, participants in either a well-lit or dark room completed reaction-time tasks assessing implicit associations between Blacks and evaluative attributes. Separate measures assessed stereotypes connoting danger versus those that are merely derogatory. Results revealed BDW x Darkness interactions on activation of danger-relevant stereotypes: BDW positively predicted activation in dark but not in light conditions. It appears that chronic beliefs about danger can facilitate activation of functionally relevant stereotypes, but this effect occurs primarily under circumstances (such as darkness) that heuristically suggest vulnerability to harm. Conceptual implications are discussed.     

Career self-efficacy, career outcome expectations and vocational interests among Japanese university students

The Social Cognitive Career Model proposes that career interests arise from beliefs about capability to execute a course of activity (self-efficacy), and beliefs about the consequences of performing particular activities (outcome expectations). In our study, 301 Japanese university students were given questionnaires including the Vocational Preference Inventory and scales assessing Career Self-efficacy and Career-outcome Expectations. Hierarchical multiple regression analyses indicated both self-efficacy and outcome expectations were significantly related to vocational interests. Outcome expectations accounted for significant incremental variance in explaining interests across six of Holland's vocational environments. Implications of social cognitive theory for career development and interventions among Japanese university students are discussed.     

Lay Perceptions of Psychotherapists in South Africa

The study investigated South African layperson perceptions of psychotherapists. Participants were 10 males and 25 females (Whites = 23, Blacks = 10, Coloreds = 2; age range 20 to 59). Semi structured interviews were used to study expectations, attitudes and stereotypical beliefs and behavior towards psychotherapists. Laypersons perceived psychotherapists negatively, and would personally not want any assistance from psychotherapists.     

Leg-amplitude differentiation guided by haptic and visual feedback to detect alterations in motor flexibility due to Total Knee Replacement

Following total knee replacement (TKR), patients often persist in maladaptive motor behavior which they developed before surgery to cope with symptoms of osteoarthritis. An important challenge in physical therapy is to detect, recognize and change such undesired movement behavior. The goal of this study was to measure the differences in clinical status of patients pre-TKR and post-TKR and to investigate if differences in clinical status were accompanied by differences in the patients’' motor flexibility. Eleven TKR participants were measured twice: pre-TKR and post-TKR (twenty weeks after TKR). In order to infer maladaptation, the pre-TKR and post-TKR measurements of the patient group were separately compared to one measurement in a control group of fourteen healthy individuals. Clinical status was measured with the Visual Analogue Scale (VAS) for pain and knee stiffness and the Knee Injury and Osteoarthritis Outcome Score (KOOS). Furthermore, Lower-limb motor flexibility was assessed by means of a treadmill walking task and a leg-amplitude differentiation task (LAD-task) supported by haptic or visual feedback. Motor flexibility was measured by coordination variability (standard deviation (SD) of relative phase between the legs) and temporal variability (sample entropy) of both leg movements. In the TKR-group, the VAS-pain and VAS- stiffness and the subscales of the KOOS significantly decreased after TKR. In treadmill walking, lower-limb motor flexibility did not significantly change after TKR. Between-leg coordination variability was significantly lower post-TKR compared to controls. In the LAD-task, a significant decrease of between-leg coordination variability between pre-TKR and post-TKR was accompanied by a significant increase in temporal variability. Post-TKR-values of lower-limb flexibility approached the values of the control group. The results demonstrate that a clinically relevant change in clinical status, twenty weeks after TKR, is not accompanied by alterations in lower-limb motor flexibility during treadmill walking but is accompanied by changes in motor flexibility towards the level of healthy controls during a LAD-task with visual and haptic feedback. Challenging patients with non-preferred movements such as amplitude differentiation may be a promising tool in clinical assessment of motor flexibility following TKR.     

Identifying expectations about the strength of causal relationships

When we try to identify causal relationships, how strong do we expect that relationship to be? Bayesian models of causal induction rely on assumptions regarding people’s a priori beliefs about causal systems, with recent research focusing on people’s expectations about the strength of causes. These expectations are expressed in terms of prior probability distributions. While proposals about the form of such prior distributions have been made previously, many different distributions are possible, making it difficult to test such proposals exhaustively. In Experiment 1 we used iterated learning—a method in which participants make inferences about data generated based on their own responses in previous trials—to estimate participants’ prior beliefs about the strengths of causes. This method produced estimated prior distributions that were quite different from those previously proposed in the literature. Experiment 2 collected a large set of human judgments on the strength of causal relationships to be used as a benchmark for evaluating different models, using stimuli that cover a wider and more systematic set of contingencies than previous research. Using these judgments, we evaluated the predictions of various Bayesian models. The Bayesian model with priors estimated via iterated learning compared favorably against the others. Experiment 3 estimated participants’ prior beliefs concerning different causal systems, revealing key similarities in their expectations across diverse scenarios.     

Predictive Relationship Between Parental Beliefs and Accommodation of Pediatric Anxiety

Behavior performed by parents to assist a youth in avoiding or alleviating anxiety, known as accommodation, is ubiquitous among pediatric anxiety disorders and strongly related to poor treatment outcome. According to cognitive-behavioral theory, the beliefs parents hold regarding accommodation should predict parental accommodating behavior. Unfortunately, little is known about the beliefs parents hold regarding accommodation, as there exists no validated measure of this construct. First, the psychometric properties were examined for the Parental Accommodation Scale (PAS), a novel measure of parental accommodating behavior frequency (PAS-Behavior scale) and parental beliefs about accommodation (PAS-Belief scale). Second, the relationship between parental beliefs about accommodation and accommodation frequency was examined. Results provide preliminary evidence of the internal consistency and convergent validity of the PAS. Stronger positive beliefs about accommodation significantly predicted accommodation frequency, even after controlling for youth anxiety severity. Specifically, beliefs that accommodation prevents youth from losing behavioral and emotional control significantly predicted accommodation frequency. Therefore, efforts to decrease accommodation in clinical settings should involve correcting maladaptive parental beliefs about accommodation, with a particular emphasis on beliefs regarding the necessity of accommodation in preventing a youth from losing behavioral and emotional control.     

青少年的自主期望、对父母权威的态度与亲子冲突和亲合

通过对704名城乡高一和高三年青少年的问卷调查,探讨了高中阶段青少年－父母关系、青少年的行为自主期望和对父母权威的态度的特点,以及青少年—父母关系与青少年的行为自主期望和对父母权威的态度之间的关系。结果显示,我国城乡青少年对父母权威的认同程度较高,而期望获得行为自主的年龄较晚;青少年的行为自主期望、对父母权威的态度与青少年—父母冲突与亲合在某些方面存在城乡、性别和年级差异;青少年对父母权威的认同程度越高,对与父母发生分歧的接受性越高,其与父母的关系越亲密;那些期望在较晚年龄获得行为自主的青少年,与父亲的冲突较多,但与母亲较亲密     

Age and race differences in racial stereotype awareness and endorsement

Age and race differences in race stereotype awareness and endorsement were examined in 382 Black and White fourth, sixth, and eighth graders. Youths reported their own beliefs and their perceptions of adults' beliefs about racial differences in ability in two domains: academics and sports. Children's own endorsement of race stereotypes was highly correlated with their perceptions of adults' race stereotypes. Blacks reported stronger traditional sports stereotypes than Whites, and 4th‐ and 6th‐grade Blacks reported roughly egalitarian academic stereotypes. At every grade level, Whites reported academic stereotypes that favored Whites, and 6th‐ and 8th‐grade Whites reported sports stereotypes that favored Blacks. Results support the tenets of status theory and have implications for identity development and achievement motivation in adolescents.     

My beliefs about your beliefs: a case study in theory of mind and epistemic logic

We model three examples of beliefs that agents may have about other agents’ beliefs, and provide motivation for this conceptualization from the theory of mind literature. We assume a modal logical framework for modelling degrees of belief by partially ordered preference relations. In this setting, we describe that agents believe that other agents do not distinguish among their beliefs (‘no preferences’), that agents believe that the beliefs of other agents are in part as their own (‘my preferences’), and the special case that agents believe that the beliefs of other agents are exactly as their own (‘preference refinement’). This multi-agent belief interaction is frame characterizable. We provide examples for introspective agents. We investigate which of these forms of belief interaction are preserved under three common forms of belief revision.     

Is disability really an obstacle to success? Impact of a disability simulation on motivation and performance

In Western societies, statistics on the integration of people with disabilities into the labor market consistently indicate that this category of workers faces serious discrimination. Research has evidenced negative perceptions about their occupational skills, despite positive beliefs about their personal qualities. The main purpose of this study was to show how these subjective beliefs about disability can shape performance (speed and accuracy, Studies 1, 3, and 4) and self‐reported motivation (Studies 2, 3, and 4) of able‐bodied persons simulating a disability. Participants were 281 French students without disabilities who carried out a task either with or without a simulated disability. This simulated disability constituted an actual handicap to perform the task (Studies 1 and 2) or not (Studies 3 and 4). The first three studies were focused on cognitive abilities, whereas Study 4 introduced a job interview component. Results consistently showed that participants in the simulated disability situation completed the task more accurately than controls, but took more time to do so. Higher degrees of motivation and perseverance are found for participants in the simulated disability situation, except in a job interview setting. These results are important for understanding how subjective beliefs about persons with disabilities can constitute objective barriers to social participation, and more specifically, to access to the labor market.     

Effects of area and family deprivation on risk factors for teenage pregnancy among 13-15-year-old girls

Information is needed about how the effects of socio-economic deprivation on teenage pregnancy are mediated by proximal risk factors, in order to target area-wide and family interventions more effectively. Using a 2x2 factorial design, we tested the separate and interacting effects of area deprivation and family deprivation on six specific proximal risk factors for teenage pregnancy: early sexual activity, life expectations, knowledge and beliefs about contraceptives, attitude to abortion, beliefs about love, and use of local sexual health services. Data were collected from 201 13-15-year-old girls in deprived and non-deprived families living in deprived and more affluent areas of the United Kingdom. Area deprivation significantly increased early sexual activity, and both area and family deprivation significantly reduced life expectations. Significant interactions between area and family deprivation showed that the impact of living in a deprived area depends to some extent on family circumstances, with implications for targeting different types of intervention. Living in a deprived area increased early sexual activity much more markedly among girls in deprived families, so interventions to reduce early sexual activity could target individually deprived girls living in deprived areas. Living in a more affluent area increased life expectations, but only among girls in non-deprived families, so both area-wide and individually targeted interventions would be needed to raise life expectations among girls most at risk of teenage pregnancy.     

Engagement in Child and Adolescent Treatment: The Role of Parental Cognitions and Attributions

Parental engagement in the treatment process is influenced by parents' beliefs about the cause of their children's problems, perceptions about their ability to handle such problems, and expectations about the ability of therapy to help them. This paper examines the role of parental cognitions related to attributions and expectations in relation to engagement in child mental health treatment. Reviewed studies indicate that parental attributions and expectations influence three aspects of treatment: help seeking, engagement and retention, and outcome. This paper integrates findings from developmental and clinical research, highlights gaps in the literature, presents the beginnings of a model regarding the parental attributional process as it relates to engagement in treatment, recommends future research directions, and discusses clinical implications.     

Assessing anti-White attitudes and predicting perceived racism: the Johnson-Lecci scale

Five studies are herein reported to describe the development and preliminary validation of the Johnson-Lecci Scale (JLS), a multicomponent self-report measure of anti-White attitudes held among Blacks. Items were generated from the everyday experiences of Black respondents using an act-frequency approach, and the scale configuration was derived using factor analysis. The factor structure was shown to be robust because it was cross-validated in an independent sample. The resulting JLS factors (subscales) were ingroup-directed stigmatization and discriminatory expectations, outgroup-directed negative beliefs, negative views toward ingroup-outgroup relations, and negative verbal expression toward the outgroup. These subscales were shown to predict the interpretations of ambiguously racist scenarios (i.e., perceived racism) and converged with peer evaluations of the target's anti-White attitudes. The subscales also demonstrate both convergent and discriminant validity with other self-report assessments of bias relating to age, gender, education, socioeconomic status, and race.     

Psychological implications of the doctrine of Christian Perfection with special reference to John Wesley's view

The doctrine of Christian Perfection is viewed by some as a wonderful and liberating doctrine, but by others it is seen as producing false expectations and guilt. John Wesley, the first major theologian to develop a theology of Christian Perfection, encountered misunderstandings and problems with this doctrine. He wrote and preached to correct the misunderstandings. Unfortunately, misunderstandings persist and sometimes have psychological effects on individuals. This article explores common understandings, beliefs, and experiences regarding Christian Perfection among evangelical Christians from the holiness tradition. The material was gathered by means of interviews that were recorded. The interviews were then studied by a theologian and by a clinical psychologist in order to examine how close the beliefs were to Wesley's position and what psychological implications were contained in both the beliefs and the experiences related to the belief of those interviewed.     

Motives, involvements, and leadership among black college students

Thematic Apperceptive measures of achievement, affiliation, and power motives, together with consensual judges’ ratings for several clusters of attitudes, beliefs, and actions, and objective data on office-holding were obtained from thirty-eight Black undergraduate university students Overall, need for Power was related to holding office, being rated as influential, and participating in the Black Repertory Theatre. Among Northern-reared Blacks, need for Power related to ratings of activity in the extramural Black community and distrust of the System, among Southern-reared Blacks, need for Power and need for Achievement related to ratings of Pragmatism.