Introduction to Psychiatry by O. Spurgeon English and Stuart M. Finch

Multiple group psychotherapy was employed as the primary treatment modality in a day-treatment program as an innovative multifaceted approach to treating adolescents comorbid for psychiatric and substance abuse diagnoses. The concurrent educational program included a high school on site. The groups included Substance Abuse Group, which promoted the 12-step model; Health Group; Psychotherapy Group; Leisure Time Group; Self-Awareness Group; and Multiple Family Group. The effect of the multiple groups was to provide a variety of experiences focusing on varied aspects of normal and dysfunctional adolescent development. Together the combination of groups served to strengthen the participants' cohesiveness, communicating skills, and hopefulness.     

Evaluation of a Congressionally Mandated Wraparound Demonstration

In order to determine whether expenditures for mental health could be reduced and quality improved, Congress mandated that the Department of Defense conduct a demonstration project utilizing a wraparound mental health service system for child and adolescent military dependents. A longitudinal quasiexperimental design was used to evaluate the cost-effectiveness of the demonstration. The results showed that children in the Wraparound Group received more wraparound services than those in the treatment as usual (TAU) Comparison Group. These services included case management, in-home treatment, and other nontraditional services. The Demonstration also provided better continuity of care. Multiple methods were used to investigate the impact of wraparound. Both groups showed some improvement on some measures but there were no differences between the groups in functioning, symptoms, life satisfaction, positive functioning, or sentinel events. Regardless of which statistical model was used to estimate costs, the Demonstration was also more expensive. The higher level of expenditures for the Wraparound group was a result of some expensive traditional care and the addition of nontraditional services. Several possible explanations of these results are provided.     

Group psychotherapy with alcoholics: Interface with self-help groups

This paper addresses recovering alcoholics' concurrent involvement in psychotherapy groups and self-help groups. A developmental model of alcoholism group psychotherapy is presented, differentiating between early and advanced sobriety. Psychotherapy and self-help groups are compared and contrasted. Multiple group membership entails various areas of compatibility. Divergence and conflict result from differences in underlying conceptual framework and approach. Clinical implications of members' involvement in partially discrepant group settings are explored with an emphasis on transference and countertransference reactions. Multiple group membership is identified as a salient factor in alcoholism group psychotherapy at all levels of recovery.She is also in private practice.This paper was presented at the American Group Psychotherapy Association Annual Conference, Boston, February 1990.     

Influence of movement activities on shape recognition and retention.

Three groups of 4-yr.-old children were asked to complete a form perception assessment instrument prior to, 1 hr. after, and 1 wk. following a treatment. Group 1 participated in a movement-based form perception program, while Group 2 was instructed using a traditional classroom method. A third group which acted as control participated in unrelated movement activities. A repeated-measures analysis of variance gave a main effect of tests and an interaction of groups X tests. Group 2 displayed significantly higher performance on the posttest than Group 1; however, after 7 wk. the performance of Group 2 had decreased to a level below that of Groups 1 and 3, which remained stable.     

A randomized controlled trial on the long-term effects of a 1-month behavioral weight control program assisted by computer tailored advice

OBJECTIVES: To examine the long-term effects of a new behavioral weight control program (Kenkou-tatsujin, KT program). The program consisted of twice-interactive letter communications including computer-tailored personal advice on treatment needs and behavioral modification. DESIGN: A randomized controlled trial comparing Group KM: KT program with 6-month weight and targeted behavior's self-monitoring, Group K: KT program only, Group BM: an untailored self-help booklet with 7-month self-monitoring of weight and walking, and Group B: the self-help booklet only. PARTICIPANTS: Two hundreds and five overweight Japanese females were recruited via a local newspaper. MEASUREMENTS: Weight loss (body weight, BMI, reduction quotient, etc.) and behavioral changes (daily eating, exercise and sleeping habits). FINDINGS: A significant weight loss was observed in all groups. At 1 month, Groups KM and K were superior, but at 7 months, the mean weight loss was significantly more in Group KM than the other 3 groups. At 7 months, 8 dietary habits and 4 physical activities were improved in all subjects. Habitual improvement was related to the weight loss in Groups KM and K at 1 month.     

Yin yoga and mindfulness: a five week randomized controlled study evaluating the effects of the YOMI program on stress and worry

Background and objectives: The YOMI program is a psychoeducational training and physical practice-based program that bridges knowledge from evidence-based psychotherapy with the practice of mindfulness and yin yoga. It consists of 10 content-specific sessions and does not include home assignments. The primary purpose of this randomized controlled trial is to evaluate the effects of the five-week YOMI program on perceived stress, worry and mindfulness in a non-clinical sample.

Design and method: In this randomized controlled trial participants were assigned to two groups. Group 1 participated in the five-week intervention twice a week while Group 2 was assigned to a waiting-list condition and participated in the intervention after Group 1. All measures were administered through self-report questionnaires, conducted via a web-based program.

Results and conclusions: The results of the study indicated significant effects of the YOMI program on decreasing stress and worry, and increasing mindfulness. Notably these changes were still present at five-week follow up. Consistent with the hypotheses, results suggested that the YOMI program established a group setting where individuals learned to use tools and methods to facilitate better self-directed practice. The study shows moderate to large effect sizes.     

Towards an ecological understanding of mutual-help groups: The social ecology of “fit”

Adopted an ecological framework to view mutual-help groups, and illustrated its usefulness by examining aspects of the social ecology of "fit" among 163 members of Compassionate Friends (bereaved parents; CF), Multiple Sclerosis (MS), and Overeaters Anonymous (OA) groups. Concerning person-group fit, personal Spirituality was positively related to (a) Providing Support, and to (b) Group Satisfaction for members of a group whose helping ecology emphasized "reliance on a higher power" (OA). (Contrary to prediction, the relationship with Group Satisfaction was also manifest for members of MS). Furthermore, OA members reported higher levels of Spirituality than CF members. Concerning helping mechanism-focal problem fit, Friendship Development was positively related to Group Satisfaction only for individuals with a focal problem characterized by high levels of social network disruption (MS). In addition, Time in Group was inversely related to Depression for members of life stress (CF) and medical disorder (MS) groups, but not for members of a "behavioral control" type group (OA). The implications of the ecological perspective for future research are discussed.     

The Teacher of Reading: The First Twenty-Five Years Are the Most Challenging

This study investigated approaches to reading acquisition used in four first grades of a suburban elementary school. Individual teacher interviews established the differences in program emphases. Group A used the basal reader program; Group B, the basal reader and an additional phonics program; Group C, the basal reader and the language experience approach; Group D, the language experience approach and a wide range of supplementary readers and trade books. All groups participated in supportive language arts activities. Nine randomly selected subjects from each class participated‐‐three from each high, middle, and low reading group. Informal reading inventories were individually administered and scored for levels of word recognition in context and reading comprehension. Results support the use of a language experience approach as a viable alternative to the basal reader approach for teaching reading and writing.     

Case Groups: An In-Service Education Technique

An elementary public school utilized Case Groups as part of a comprehensive in-service education program for its staff. The Case Group was designed as a paced learning experience incorporating elements from discussion, case study, and sensitivity training groups in the attempt to facilitate both cognitive and experiential aspects of the teachers' continuing professional growth. The kinds of growth experienced by the participants are described and subjectively evaluated to the conclusion that the Case Group, or modifications thereof, has high potential for the in-service education of teachers.     

The effect of group psychological counselling in Greek university students’ anxiety,depression, and self-esteem

Objective: During the last decades there has been a marked increase in both the number of students with severe psychological problems on campus and the number of students seeking counselling services. The present study measured the effect of a group psychological counselling program on university students’ anxiety, depression, and self-esteem. Design: Data were derived from six separate groups and a total of 53 participants (19 male, 34 female). The intervention was based on Cognitive-Behavioural Group Therapy (CBGT) and included cognitive and behavioural techniques in eight, two-hour weekly sessions. The quasi-experimental longitudinal study used a pretest/posttest group design. The participants completed the Spielberger's State–Trait Anxiety Inventory (STAI), the Beck Depression Inventory (BDI), and the Rosenberg Self-esteem Scale (RSE) before and after the intervention. Data were analyzed using t-tests. Results: The results indicated the existence of meaningful differences in terms of state and trait anxiety, depression and self-esteem from pre-treatment to post-treatment. Conclusion: The program was effective in decreasing significantly participants’ anxiety and depressive symptoms, as well as increasing their self-esteem. These are encouraging results demonstrating an effective form of the intervention on student population.     

Classification of spelling errors and their relationship to reading ability, sex, grade placement, and intelligence

A simple scheme for the classification of spelling errors was applied to the errors of four groups of children, totaling 483 subjects, in grades 3 to 12. The subjects in two of the groups, Group I and Group IV, consisted of individuals who attended special schools for children with dyslexia or specific reading disability (SRD). Group II included school age siblings of subjects in Group I, and Group III included subjects drawn from regular school programs. It was shown that (a) type of spelling error is independent of sex, (b) there are no consistent effects of IQ or grade level on type of spelling error, and (c) disabled readers as a group are more likely to produce dysphonetic errors than are normal readers. Although the type of spelling error produced by children who had a spelling disability only was shown to be similar to that of normal readers and to differ from that of disabled readers as a group, disabled readers were shown to differ among themselves, lending strong support to the use of spelling error type as a characteristic for identifying subgroups.     

Evaluating a primary prevention program for children of divorce

The effectiveness of a primary prevention program for children of divorce is evaluated. Subjects included 82 mother-child pairs. Mothers had been separated for 33 months or less and did not have prior histories of using mental health services. Subjects were assigned to one of four conditions: (a) the Children's Support Group alone (CSG), (b) the CSG and the Single Parents' Support Group (SPSG), (c) the SPSG alone, or (d) a no-treatment control group. Data collected before, after, and 5 months following intervention, were analyzed using analyses of covariance with preintervention scores as covariates and pre-post and post-follow-up difference scores as dependent measures. Children in the CSG-alone condition improved most in self-concept and parents in the SPSG-alone condition improved the most in adjustment. Improvements were either maintained or did not change differentially across groups at follow up. Adaptive social skills of CSG-alone children compared to children in the CSG/SPSG groups showed significant post-to-follow-up improvements.     

Multiple goals, writing strategies, and written outcomes for college students learning English as a second language

This study examined relations of achievement goals of writers who are speakers of English as a foreign language (EFL), the frequency of their writing strategy use, and the quality of their writing from a multiple goals perspective. The goal profiles of 57 EFL college students with similar writing proficiency were based on rating items of an unpublished scale; Group 1 had strong mastery and strong performance-approach goals, and two groups included students with only one strong mastery (Group 2) or performance (Group 3) goal. Think-aloud protocols indicated that the participants adopted 21 strategies in an argumentative writing task, classified into five categories. Group 1 was found to use writing strategies of monitoring or evaluating, revising, and compensating significantly more often than the other two groups, and produced better essays. Strong mastery and performance-approach goals might be beneficial for EFL college writers.     

Cognitive Behavioral Principles Within Group Mentoring: A Randomized Pilot Study

This study evaluated the effectiveness of a group mentoring program that included components of empirically supported mentoring and cognitive behavioral techniques for children served at a community mental health center. Eighty-six 8- to 12-year-old children were randomly assigned to either group mentoring or a wait-list control group. Group mentoring significantly increased children's reported social problem-solving skills and decreased parent-reported child externalizing and internalizing behavior problems after controlling for other concurrent mental health services. Attrition from the group mentoring program was notably low (7%) for children. The integration of a cognitive behavioral group mentoring program into children's existing community mental health services may result in additional reductions in externalizing and internalizing behavior problems.     

Examining dosage effects on prevention outcomes: Results from a multi-modal longitudinal preventive intervention for young disruptive boys

The present study examined (a) the predictive effect of disruptive boys' attendance to a prevention program (i.e., dosage) on post-intervention academic achievement and behavior and (b) the potential moderating effects of child and family characteristics in this context. The 3-year intervention program included reading, self-regulation, and social skills training for the boys, parental support and skills training for parents, and teacher support. A multiple-screening procedure selected 58 disruptive, low socioeconomic status boys at the age of 6 years for program participation. Multiple regression analyses and logistic regression analyses showed that the number of program sessions attended did not contribute to the prediction of boys' post-intervention disruptive behavior. However, the number of attended sessions was positively related to boys' post-intervention likability, as well as to their post-intervention writing, reading, math, and human science performances. Interaction terms revealed that family constellation moderated the link between program dosage and likability and math success, respectively, whereas boys' IQ moderated the links between dosage and boys' success in writing and math. The discussion stresses the importance of dosage-effect analysis and the examination of moderating variables in this context.     

PROMOTING AUTOMOBILE SAFETY BELT USE BY YOUNG CHILDREN

A program using behavioral practice, assertiveness training, and social and contrived reinforcers was developed to establish and maintain automobile safety belt use by young children. Sixteen children (ages 4.8 to 7 years) who never used their safety belts during a 5-day preexperimental observation period were randomly assigned to two groups of eight each. A multiple baseline design across groups was used to evaluate the effectiveness of the training program. During the 8-day baseline period for Group 1, no children used their safety belts when unobtrusively observed while being driven from school. During the 26-day intervention period, the children were buckled up on 96% of the observations. Follow-up probes conducted 2–3 months after program discontinuance found safety belt use to range from 86% to 100%. For Group 2, the 14-day baseline safety belt use averaged 6% and increased to a mean of 81% during the 20-day training and maintenance program. Follow-up probes 2–3 months later found safety belt use to occur during 75% to 96% of the observations. Parent questionnaires indicated the generalizability and social validity of the program.     

Counseling the incest offender

The Center Against Sexual Assault in Phoenix, Arizona is currently treating 50 incest offenders in its Offender Group treatment program. The average age range is 31–45 years old, and 80 percent were sexually or physically abused as children. These men have been found to be extremely self-centered, exhibit poor impulse control, and possess a strong denial of reality. The treatment program includes several intake sessions to ascertain suitability of the offender to this type of therapeutic approach and a stated self-admission of at least the possibility of incestuous involvement. The offenders work in groups, as well as individual sessions.     

The Impact of Explanations and Demographic Group Membership: Reactions to Diversity Initiatives

In a laboratory experiment, we investigated the impact of procedural explanations and demographic group membership on dependent measures of diversity program support. Our analysis took one important perspective: the examination of work-force-diversity programs from the perspective of multiple beneficiary (i. e., targeted) demographic groups. The experiment's design used 99 student volunteers in a 3 × 3 (Explanation × Demographic Group) factorial design. Our findings reveal that both adequate explanation and demographic group membership have a significant impact on how potential work-forcediversity program beneficiaries expect their coworkers to perceive them. In addition, group membership was a significant predictor of potential beneficiaries' attitudes toward the diversity program and their self-perceptions of competence. Finally, we discuss implications for future research and diversity practice.     

Cross‐Cultural Examination of the Tripartite Model in Adults

Abstract

Operant conditioning was applied to a total of 32 female anorexia nervosa patients in order to restore their normal weight. A comparative study was carried out on two groups of 16 patients each, who were treated with two different therapeutic procedures. The group having informational feedback, more flexible contacts with their family and a special psychomotor program (Group B), achieved a greater rate of weight gain compared to the other group (Group A), with an average of 1.75 versus 1.30 per week. The differences in weight evolution and problems during treatment are discussed. The fact that the study only is a short-term one concerning a limited aspect of the treatment of anorexia nervosa, and also the need for further follow-up research is strongly emphasized.     

A Comparison of Behavioral Parent Training Programs for Fathers of Children With Attention-Deficit/Hyperactivity Disorder

Few behavioral parent training (BPT) treatment studies for attention-deficit/hyperactivity disorder (ADHD) have included and measured outcomes with fathers. In this study, fathers were randomly assigned to attend a standard BPT program or the Coaching Our Acting-Out Children: Heightening Essential Skills (COACHES) program. The COACHES program included BPT plus sports skills training for the children and parent-child interactions in the context of a soccer game. Groups did not differ at baseline, and father ratings of treatment outcome indicated improvement at posttreatment for both groups on measures of child behavior. There was no significant difference between groups on ADHD-related measures of child outcome. However, at posttreatment, fathers who participated in the COACHES program rated children as more improved, and they were significantly more engaged in the treatment process (e.g., greater attendance and arrival on time at sessions, more homework completion, greater consumer satisfaction). The implications for these findings and father-related treatment efforts are discussed.