A model for police officer burnout

This article presents an empirically derived model of police officer burnout based on 199 male police officers. A brief review of research on police officer stress is also provided.This chapter is a summary of research conducted by Dr. Alan M. Goodman for his doctoral dissertation entitledA Model for Police Officer Burnout, June 1983, California School of Professional Psychology, San Diego.Alan M. Goodman, Ph.D. obtained his Ph.D. in Clinical Psychology from the California School of Professional Psychology in San Diego, California. In addition, Dr. Goodman is a School Psychologist and is a consultant to several school districts in Southern California. Dr. Goodman has been employed in both inpatient and outpatient mental health settings. Most recently, Dr. Goodman has been a Registered Psychologist at Catholic Community Services in San Diego where he conducted individual, conjoint and family therapy sessions for a varied socioeconomic population, including city service personnel.Dr. Goodman has conducted extensive observations of police officers on the job through the Ride-A-Long program in which non-police personnel may accompany police officers on a particular shift of duty. In addition, he has consulted with numerous police chiefs regarding the various high-risk factors for those police officers who may be experiencing burnout and stress. In addition, intervention strategies in order to alleviate these feelings were discussed with these officials.     

Evaluation of a comprehensive inpatient rational-emotive therapy program: Some preliminary data

Mental health practitioners are faced with a profound challenge surrounding the prevalence of adult mental disorders, the need for inpatient treatment programs, and the costs of such programs. This paper describes the development of an adult inpatient psychiatric program based on Rational-Emotive Therapy. Specific elements of this program are described briefly, and preliminary outcome data presented on 372 patients. Concerns and future directions are also discussed. Development of adult inpatient psychiatric programs based on Rational-Emotive Therapy would appear to be one method of providing effective and cost-efficient treatment within the current cost-containment atmosphere of psychiatric treatment.Dr. Nottingham is an Associate Fellow and Approved Supervisor of the Institute for Rational-Emotive Therapy. He is in independent practice with Germantown Psychological Associates, P.C. and is Director of Psychology at Parkwood Hospital, Olive Branch, MS. Dr. Neimeyer is an Associate Professor and Director of Clinical Training in the Department of Psychology of Memphis State University. He has written extensively in the areas of cognitive and constructivist psychotherapy, and is co-editor of the International Journal of Personal Construct Psychology.The authors would like to thank Kat Bagley, Joe Grillo, Ivey Bright, Brooke Bensen, Cathy Michas, Brad Barris, Lori Passmore, David Wilkins, and Dee Conrad for their help with data collection. Additionally, without the assistance and support of the Parkwood Hospital administration and staff, neither this treatment program nor this paper could have been developed.Portions of this paper based on earlier data analyses were presented at the Mississippi Psychological Association Convention, September, 1990. This research was conducted at Parkwood Hospital.     

Clinical models in RET: An advanced model of the organization of emotional and behavioural disorders

Based on Albert Ellis' original ABC model and Richard Wessler's 8-step model, a new model of emotional disturbances is described. The new model attempts to express graphically some important principles of RET theory as well as its recent advancements and innovations. The clinical usefulness of the model, both in the assessment process and in planning therapeutic interventions, is discussed with particular attention to secondary symptoms of emotional disturbances.Cesare DeSilvestri, M.D., is an associate fellow and RET training supervisor of the Institute for Rational-Emotive Therapy, Executive Director and Director of Training of the Institute for Rational-Emotive Therapy (Italy), a guest-professor of clinical psychiatry at the Institute of Psychiatry, School of Medicine, State University of Rome, Italy, and is engaged in private practice in Rome and Milano, Italy.     

Measuring How We Preach What We Practice: Psychoeducational Change in Depressed Inpatients

This study investigated the relationship between acquisition of psychoeducational principles and symptomatic improvement in depressed in-patients. One hundred and twenty-three inpatients hospitalized on a Cognitive Therapy Unit were administered the Test of Cognitive Behavioral Principles (TCBP) and the Beck Depression Inventory at admission and discharge. It was predicted that the TCBP scores would be higher at discharge than at pre-testing at admission. Further, it was hypothesized that the higher TCBP scores at post-test would be significantly correlated with lower Beck Depression Inventory scores at post-test. The results revealed that inpatients' TCBP scores improved over the course of treatment supporting the first hypothesis. However, the data did not support the second hypothesis as there was not a significant relationship between the TCBP scores and the BDI scores at discharge. The results are discussed in terms of clinical, theoretical, and methodological implications.     

Post-Admission Cognitive Therapy: A Brief Intervention for Psychiatric Inpatients Admitted After a Suicide Attempt

To date, no empirically based inpatient intervention for individuals who have attempted suicide exists. We present an overview of a novel psychotherapeutic approach, Post-Admission Cognitive Therapy (PACT), currently under development and empirical testing for inpatients who have been admitted for a recent suicide attempt. PACT is adapted from an efficacious and brief outpatient cognitive therapy protocol (Brown, Henriques, Ratto, & Beck, 2002; Brown et al., 2005) for inpatient delivery to individuals with recent suicide attempts. Within a cognitive framework, attempting suicide is conceptualized as a maladaptive coping strategy that deserves immediate targeted clinical attention regardless of the patient's diagnosis. The primary aims of PACT are to reduce the likelihood of suicide attempt recurrence as well as decrease the severity of established psychological risk factors for suicide. The three phases of PACT involve (1) building a therapeutic alliance and developing a cognitive conceptualization based on the recent suicide attempt; (2) instilling hope, practicing effective coping strategies, and addressing problem-solving deficits; and (3) preventing relapse, constructing a safety plan, and promoting timely linkage with outpatient aftercare services. The efficacy of PACT as a targeted inpatient treatment package remains to be established. The cognitive behavioral components of PACT, as described here, are based on evidence-informed practices aimed at improving the quality of care provided to inpatients following a suicide attempt.     

Use of the Survey of Personal Beliefs Scale: Further validation of a measure of irrational beliefs with psychiatric inpatients

Development of valid instruments for measuring underlying irrational beliefs is necessary for ongoing research of Rational-Emotive Therapy (RET). This study was designed to further evaluate the validity of one such measure, the Survey of Personal Beliefs (SPB). Adult psychiatric inpatients completed the SPB and measures of depression, hopelessness, and anxiety, as well as a conceptually similar measure of irrational thinking, the Belief Scale. It was predicted that if construct validity exists for the SPB then a significant correlation would exist between irrational beliefs as measured by the SPB and depression, hopelessness, and anxiety. It was also predicted that if the scale has construct validity, then patients being treated with RET would demonstrate a greater reduction in irrational thinking based on SPB scores than would inpatients receiving treatment not based on RET. To evaluate for discriminate validity, it was predicted that the SPB would correlate more highly with a conceptually similar measure of irrational thinking than with measures of depression, hopelessness, and anxiety. The findings of this study offer support for the validity of the SPB. Additional and unexpected findings as well as recommendations are discussed.Dr. Nottingham is an Associate Fellow and Approved Supervisor of the Institute for Rational-Emotive Therapy. He is in independent practice with Germantown Psychological Associates, P.C. and is Director of Psychology and Clinical Director of Adult Mental Health Services at Parkwood Hospital, Olive Branch, MS.I would like to thank Ivey Bright, Brad Barris, and Dee Conrad for their assistance in data collection. Additionally, without the assistance and support of the Parkwood Hospital administration and staff, this research could not have been completed.     

Living with diabetes

Management of diabetes can be affected by emotional distress in two ways: directly, via the effect of stress on glycemic control, and indirectly via effects on self-care routines. Rational-emotive therapy, along with a number of other cognitive, emotive, and behavioral tools, is an important intervention for patients who have diabetes-related distress. The authors describe personal and professional examples of the application of these tools to living rationally with diabetes.Richard R. Rubin, Ph.D. is a staff member of the Diabetes Center and the Pediatric Diabetes Clinic at the Johns Hopkins Hospital. In addition, he has a private psychotherapy practice, substantially devoted to counseling and coping skills training for people with diabetes.Susan R. Walen, Ph.D. is an Associate Professor in the Department of Psychology, Towson State University and Director of the Baltimore Center for Cognitive Therapy. She is the coauthor ofA Practitioner's Guide to Rational-Emotive Therapy.Albert Ellis, Ph.D. is the founder of Rational Emotive Therapy and president of the Institute for RET in New York City. He is the author of more than 50 books and 600 journal articles on psychotherapy topics.     

Forced migration, adolescence, and identity formation

Adolescence is a complex biopsychosocial phenomenon. All the inner-subjective changes in adolescents take place within the context of a specific social environment, which offers the necessary ideological setting that adolescents must confront in the course of their identity formation. Forced migration creates conditions under which the adolescent Ego may be traumatized more easily, resulting in the development of defensive mechanisms, which may interfere with the natural process of identity formation. The aim of this paper is to investigate how a traumatic situation such as forced migration may affect the mechanisms of identity formation in adolescence. For this purpose, clinical material, consisting of two cases of psychoanalytical psychotherapy of adolescents who were forced to immigrate to Greece, is presented and discussed in a psychoanalytical theoretical framework, along with the historical-sociological background.Dimitris C. Anagnostopoulos, M.D., is a child psychiatrist and psychoanalyst, Child and Adolescent Psychiatric Unit, Community Mental Health Center, Psychiatric Department, Medical School, University of Athens, Athens, Greece.Maria Vlassopoulos, Ph.D., is at the Child and Adolescent Psychiatric Unit, Community Mental Health Center, Psychiatric Department, Medical School, University of Athens, Athens, Greece.Helen Lazaratou, M.D., is at the Child and Adolescent Psychiatric Unit, Community Mental Health Center, Psychiatric Department, Medical School, University of Athens, Athens, Greece.     

Recent books

Abstract

Niedenthal, P.M., & Kitayama, S. (Eds.). (1994). The heart's eye: Emotional influences in perception and attention. San Diego, CA: Academic Press. ISBN 0–12–410560–2. 289pp. $55.00

MacKinnon, N.J. (1994). Symbolic interactionism as affect control. Albany, NY: State University of New York Press. ISBN 0–7914–2042–6 (pbk). 245pp. $19.95.

Cuthbertson-Johnson, B., Franks, D.D., & Doman, M. (Eds.) (1994). The sociology of emotions: An annotated bibliography. New York Garland Publishing. ISBN 0–8240–2321–8. 222pp. $37.00

Flanagan, O., & Rorty, A.O. (Eds.) (1990). Identity_; character and morality: Essays in moral psychology. Cambridge, MA: MIT Press. ISBN 0–262–56074–7 (pbk). 487pp. $18.50.

Mackie, D.M., 8 Hamilton D.L. (Eds.) (1993). Affect, cognition, and stereotyping: interactive processes in group perception. San Diego, CA: Academic Press. ISBN 0–12–46441–0–4. 389pp. $59.95

Dobson, K.S., & Kendall, P.C. (Eds.) (1993). Psychopethology and cognition. San Diego, CA: Academic Press. ISBN 0–12–404175–2. 492pp. $49.95.

Graham, G., & Stephens, G.L. (Eds.) (1994). Philosophical psychopathology. Cambridge, MA: The MIT Press. ISBN 0–262–07159–2. 332pp. $34.95.     

The Hispanic Treatment Program: Principles of effective psychotherapy

The Hispanic Treatment Program was an inpatient psychotherapy Unit at the Colorado State Hospital that operated from October 1979 to February 1982. Staffed exclusively with personnel of Hispanic heritage, the Program emphasized the use of linguistic and cultural elements, as well as the customs and beliefs characteristic of Hispanic culture. A specialized inpatient treatment unit for Hispanic patients with psychotic (especially, schizophrenia) disturbances, the Program offered a unique opportunity to these patients by providing a variety of psychotherapies conducted in a culturally-sensitive manner. Spanish and English were used in a manner conducive to enhancing the treatment process, with flexibility in use of language.This project was supported by Grant No. ROlMH29016-01A2, awarded by the National Institute of Mental Health, Center for Minority Group Mental Health.The authors acknowledge Gregorio Kort, M.D. and Wayne Smyer, M.A. and other staff for their contributions to the development and success of the Hispanic Treatment Program.Original version of paper was selected for the First Senior Award given by the Psychological Services Center's (NYSCP) Minority Mental Health Award Competition.     

Rational-emotive therapy in the therapeutic community

Therapeutic Communities (TC's) have become increasingly popular in the treatment of substance abusing psychotherapy clients. Their popularity appears to have stemmed from the failures of traditional and more individual treatment modalities. Approaches focusing on immeasurable constructs and often irrelevant past events are argued to contribute to symptom maintenance and resistance in this client population. It is argued that a more direct, responsibility-oriented approach be implemented in a systematic and consistent fashion in order to facilitate treatment. The systematic application of Rational-Emotive Therapy in a self-contained therapeutic system is discussed.Raymond J. Yeager Ph.D., is Director of Psychological Services at A.P.P.L.E. Inc.: A Program Planned for Life Enrichment, a graduate fellow and staff therapist at the Institute for Rational-Emotive Therapy and is a privately practicing psychologist in Commack and Huntington, Long Island, N.Y.Raymond DiGiuseppe, Ph.D., is a Diplomate of the American Board of Professional Psychology, is the Director of Training and Research at the Institute for Rational-Emotive Therapy, is an Assistant Professor of psychology at St. John's University and is in private practice in Hempstead, L.I., N.Y.John T. Olsen is a certified substance abuse counselor at A.P.P.L.E. Inc. He is a graduate of APPLE'S residential program and has worked in the field of substance abuse treatment and prevention for over 11 yearsLogan Lewis ia the President and founder of APPLE Inc.Robert Alberti is the Program Director of APPLE's residential treatment program, and is a certified substance abuse conselor.     

Interrelations of empathy,cognition, and moral reasoning with dimensions of juvenile delinquency

The interrelations of a variety of indices of sociocognitive development (empathy, role-taking, logical cognition, and moral reasoning) were studied in delinquent and nondelinquent adolescents. Delinquent males (grouped into psychopathic, neurotic, and subcultural subgroups) and a matched nondelinquent comparison group were administered individually two empathy scales (the Davis Interpersonal Reactivity Index and the Mehrabian and Epstein Questionnaire Measure of Emotional Empathy), an adaptation of Byrne's and Flavell's role-taking tasks, two Piagetian cognitive tasks, and two of Kohlberg's structured moral dilemmas. Delinquents as a group displayed significantly more immature modes of role-taking, logical cognition, and moral reasoning than did nondelinquents. The delinquent subgroups, however, did not significantly differ from one another on these dimensions. Role-taking, logical cognition, and moral reasoning were significantly related to one another. Anticipated differences in level of empathy between the delinquent and nondelinquent adolescents failed to occur. A number of interpretations for this unexpected finding are offered.This study is based on a doctoral dissertation submitted to the University of Texas at Austin (Lee, 1983) and presented in part at the meetings of the Western Psychological Association, San Jose, April 1985, and the International Society for the Study of Behavioural Development, Tours, France, July 1985. Appreciation is expressed to James Bieri, Edward T. Emmer, Guy J. Manaster, Philip M. Powell, and Robert K. Young for constructive suggestions at various phases of the study.Delinquents were drawn from the Brownwood (Texas) State School through the cordial collaboration of Adrian Moore, Director of Planning, Research, and Evaluation of the Texas Youth Commission. The support of Cary Cockerell, superintendent at the Brownwood State School, and Dann Barger, superintendent at the Statewide Reception Center, and their staff was also instrumental in securing delinquents. Nondelinquents were obtained through the cooperation of Jack Allison, principal of the Travis High School, Austin, Texas, and his staff. Freda M. Holley, Director of the Office of Research and Evaluation, Austin Independent School District, and her staff are thanked for their assistance in obtaining these subjects.The contributions of Danny Escobar and of Ping-Fong Chu in scoring protocols is gratefully acknowledged.     

THE NUTS AND BOLTS OF TRANSFORMATION: SCIENCE FICTION'S IMAGINED TECHNOLOGIES AND THE CIVIC IMAGINATION

This is an introduction to the thematic section on Science Fiction's Imagined Technologies, which includes three articles that were presented at the annual meeting of the American Academy of Religion (AAR) in San Diego, CA on November 24, 2019.     

Skinner boxes for psychotics: operant conditioning at Metropolitan State Hospital

Between 1953 and 1965, Ogden Lindsley and his associates conducted free-operant research with psychiatric inpatients and normal volunteers at Metropolitan State Hospital in Waltham, Massachusetts. Their project, originally named "Studies in Behavior Therapy," was renamed "Harvard Medical School Behavior Research Laboratory" in 1955. This name change and its implications were significant. The role of the laboratory in the history of the relationship between the experimental analysis of behavior and applied behavior analysis is discussed. A case is made for viewing Lindsley's early work as foundational for the subfield of the experimental analysis of human behavior that formally coalesced in the early 1980s. The laboratory's work is also contextualized with reference to the psychopharmacological revolution of the 1950s. Finally, a four-stage framework for studying the historical and conceptual development of behavior analysis is proposed.     

An Overview of Primary Care Family Psychology

This paper describes the application of family psychology to the primary care setting—in service, education and training, and scholarship. Primary care family psychology integrates family systems with biopsychosocial theory, yielding an approach that is uniquely suited to the generalist demands of primary care. This approach attends especially to the effects of relationships on health and healthcare, using the family as a potential resource to the patient just as the healthcare team is a resource to the clinician. Training opportunities in primary care family psychology are growing. The University of Rochester School of Medicine and Dentistry fellowship is described as an example, with core primary care family psychology training in four different clinical sites: Family Medicine, Internal Medicine, Pediatrics, and Obstetrics/Gynecology. Susan H. McDaniel is Professor of Psychiatry & Family Medicine, Director of Family Programs & the Wynne Center for Family Research in Psychiatry, and Associate Chair of Family Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York. Dr McDaniel also directs the Primary Care Family Psychology Fellowship. Picter LeRoux is Associate Professor of Psychiatry & Pediatrics, and Director of the Family Therapy Training Program in Psychiatry, University of Rochester School Medicine and Dentistry, Rochester, New York. Dr. LeRoux also heads the Pediatric Track of the Primary Care Family Psychology Fellowship.     

Rationality,self-regard and the “healthiness” of personality disorders

Although irrationality has been consistently correlated with the intensity of acute clinical syndromes that are characterized by emotional or thought disorders, relationships between irrationality and personality disorders have not been investigated carefully. When they enter treatment, clients at the Institute for Rational-Emotive Therapy (IRET) had personality trait scale scores that accounted for substantial variance in rationality scale scores on several well-validated instruments. The eleven scales of the Millon Clinical Multiaxial Inventory (MCMI) associated with the DSM-III axis II personality disorders had a pattern of relationships with rationality and irrationality that parallels their somewhat surprising relationships with measures of acute emotional distress. Scales 4, 5, 6, and 7 were almost always associated with hyperrationality on most scales and with enhanced self-esteem, as well as with relatively low distress; scales 1, 2, 3, 8, S, and C were associated with irrationality and low self-esteem, as well as with severe distress. The P scale had inconsistent and weak correlations with rationality and self-esteem, as it had with measures of intake distress.Russell C. Leaf is Associate Professor of Psychology at Rutgers. He also directs a research project at the Institute for Rational-Emotive Therapy, in collaboration with the four other authors of this article, on the relationships between intake personality and mental health. He is an Institute Fellow and Supervisor, and previously served as a staff therapist and as the Institute's Director of Clinical Evaluation.Albert Ellis is President of the Institute for Rational-Emotive Therapy.Roslyn Mass is Professor of Psychology at Middlesex County College. She is in charge of data processing and analysis for the collaborative research of this authorial team, and is a Fellow of and previously served as Administrative Director of the Institute for Rational-Emotive Therapy.Raymond DiGiuseppe is Associate Professor of Psychology at St. Johns and Director of Research and Director of Training at the Institute for Rational-Emotive Therapy.Diane Alington is Assistant Director and a core member of the Institute for Health, Health Care Policy and Aging Research at Rutgers, where she conducts a research program on sex differences in adult development.     

Family Treatment of Child Anxiety: Outcomes,Limitations and Future Directions

Anxiety of childhood is a common and serious condition. The past decade has seen an increase in treatment-focussed research, with recent trials tending to give greater attention to parents in the treatment process. This review examines the efficacy of family-based cognitive behaviour therapy and attempts to delineate some of the factors that might have an impact on its efficacy. The choice and timing of outcome measure, age and gender of the child, level of parental anxiety, severity and type of child anxiety and treatment format and content are scrutinised. The main conclusions are necessarily tentative, but it seems likely that Family Cognitive Behaviour Therapy (FCBT) is superior to no treatment, and, for some outcome measures, also superior to Child Cognitive Behaviour Therapy (CCBT). Where FCBT is successful, the results are consistently maintained at follow-up. It appears that where a parent is anxious, and this is not addressed, outcomes are less good. However, for children of anxious parents, FCBT is probably more effective than CCBT. What is most clear is that large, well-designed studies, examining these factors alone and in combination, are now needed.