Integrating traditional and non‐traditional approaches to treat a client with a co‐occurring addictive and mental disorder: A case study

This paper presents a case study of a male client with co‐occurring addictive and psychological problems. The aim is to describe this client's treatment within an inpatient facility that provided integrated care for those diagnosed with both mental illness and substance abuse. The course of treatment from admission to discharge and follow‐up are discussed in an effort to provide a detailed account of the treatment modalities used to best help this client. Implications for counselling clients with similar issues and concerns are discussed.     

Expanding the traditional user versus non‐user dichotomy amongst ecstasy users

Differences in the drug use characteristics and psychosocial variables in the use and non‐use of ecstasy within 845 16–25 year‐olds in the UK was examined. Based on levels of ecstasy use and intentions, two groups of non‐users (resistant and vulnerable), three groups of users (light, moderate and heavy) and an ex‐user group were identified. It was found that there is predictive utility in this way of expanding the widely employed ‘user versus non‐user’ dichotomy. Resistant non‐users were more likely to be younger, female, and were characterized by lower levels of use of four other drugs (amphetamine, cannabis, cocaine and LSD). Those ‘at risk’ of using ecstasy reported more frequent use of amphetamine, LSD, and cannabis than resistant non‐users. Heavy user groups reported using amphetamine, cocaine and LSD more frequently than all the other groups. Having ecstasy using friends increased the odds of being an ‘at risk’ non‐user or an ecstasy user. Normative influence also differentiated between the three user groups (light, moderate, and heavy). Beliefs about ecstasy use being immoral, ecstasy offers being difficult to resist, ecstasy use making one feel guilty and ecstasy being readily available differentiated between user and non‐user groups. These factors could usefully inform the content of health education materials designed to change ecstasy use. Copyright © 2003 John Wiley & Sons, Ltd.     

Comparing lesbian and heterosexual couples on the circumplex model: an initial investigation

This study extends the research on the Circumplex Model to a population of lesbian couples. Instruments consisted of a demographic questionnaire, FACES III, and the Family Satisfaction Scale. Lesbian couples reported significantly higher levels of cohesion, adaptability, and satisfaction than did heterosexual couples. Exceptionally high levels of cohesion and adaptability may help lesbian couples function more successfully in a predominantly heterosexual world. Further, women's socialization may predispose female couples to form more cohesive and adaptable relationships than heterosexual couples. This article also emphasizes the cultural relativity of family norms for studies of lesbian and all minority population couples.     

Family and couples therapy with gay and lesbian clients: acknowledging the forgotten minority

Family and couples therapy in the main concentrates on heterosexual clients, and has thus been described as limited in its outlook, or discriminatory. It is argued that family and couples therapy is at present not offered to gay and lesbian clients because of an absence of appropriate referrals, the inability of therapists to recognize the sexual orientation of their clients, a belief that skills held by therapists are not appropriate for this client group, or because of the homophobia of the therapist. It is suggested that family and couples therapy should be more readily available for gay and lesbian clients, and a number of different issues which these families might face are discussed. This includes problems associated with the gay adolescent and the gay or lesbian parent, as well as the gay or lesbian couple. It is concluded that established forms of intervention are effective with gay clients, provided that the specific needs and problems of the gay and lesbian community are addressed by the therapist.     

Heterosexual, lesbian, and gay male relationships: a comparison of couples in 1975 and 2000

This study examined the differences among lesbians, gay men, and heterosexuals at two points in time (1975 and 2000) using responses of 6,864 participants from two archival data sets. Groups were compared on variables representing equality of behaviors between partners in seven realms: traditionally "feminine" housework, traditionally "masculine" housework, finances, support, communication, requesting/refusing sex, and decision-making. In addition, the current study compared monogamy agreements and monogamy behaviors reported by the two cohorts of couple types. Overall, the results indicate that on the equality variables, there have been many statistically significant behavioral shifts among the different sexual orientations across 25 years. In addition, all couple types reported substantially greater rates of monogamy in the year 2000 than in 1975. The present study has important clinical implications for therapists working with couples because it provides new baseline evidence regarding how couples now interact with one another (especially about monogamy) and how this has shifted over time. In addition, it elucidates the differences that still exist between different couple types, which could serve to inform couple therapists as they strive to become more culturally competent working with same-sex couples.     

Notetaking in non‐academic settings: a review

There is considerable research on notetaking in academic settings but relatively little of it in non‐academic ones. This paper reviews the effects of notetaking in legal situations, counselling and interviewing, and assesses the usefulness of notetaking as a memory aid for older people and as a prospective memory device for brain‐injured persons. The results suggest that: notetaking has no significant effect on recall in ‘real‐life’ jury situations; there is some evidence that notetaking by counsellors in counselling sessions might be harmful for clients; there is some evidence that notetaking in interviews can reduce bias in decision making; there is some evidence that notetaking is helpful for older persons; and that too little research has been conducted on the use of notetaking as a device for aiding the prospective memory for brain‐injured persons to reach any firm conclusions. The general limitations of the research are reviewed and implications for future work considered. Copyright © 2002 John Wiley & Sons, Ltd.     

Checking ID‐cards for the sale of restricted goods: Age decisions bias face decisions

Matching unfamiliar faces is highly error‐prone, and most studies highlight the implications for real‐world ID‐checking. Here we study a particular instance of ID‐checking: proof of age for buying restricted goods such as alcohol. In this case, checkers must establish that an identity document is carried by its legitimate owner (i.e., that the ID photo matches the face of the bearer) and that the ID proves the bearer to be old enough to make the purchase. Across three experiments, using two common forms of photo‐ID (i.e., driving licenses, PASS+ cards) we show that observers produce very high error rates when age requirements are met, but faces mismatch. This bias away from detecting a face mismatch remained evident in experienced cashiers—though to a somewhat attenuated level. We discuss interactions between face matching and other tasks, and the practical consequences of a bias which favours those using photo‐ID with fraudulent intent.     

The distribution of influence in purchase decisions by male homosexual couples

The purchase decisions of families are of great interest to marketing researchers, yet families also have become increasingly multi‐faceted, especially in Western societies, where non‐traditional families are far more prevalent and evident in public and business life than they once were. Even as it attempts to adapt to some changes, marketing has not kept up with every development; homosexual couples in particular remain poorly researched. This article therefore examines which factors affect the distribution of influence between partners in male homosexual, long‐term relationships when they make purchase decisions. In line with some extant predictions, male homosexual families tend to use highly egalitarian processes to make purchase decisions. Sex‐role orientation generally does not significantly affect the distribution of influence. In contrast with prior work, this study also shows that a partner's resources affect his relative influence. The investigation demonstrates that some conflict resolution styles employed by partners have significant effects on influence distribution in the context of purchase decisions by male homosexual couples. By providing insights into the purchase decision‐making of male homosexual couples, this research broadens the understanding of homosexual consumers in general. Moreover, the findings about the effect of conflict resolution styles on the influence distribution in male homosexual couples adds significantly to consumer research. Copyright © 2013 John Wiley & Sons, Ltd.     

The deterioration of relationship quality for gay and lesbian cohabiting couples: A five-year prospective longitudinal study

Data are reported from both partners of 60 gay and 46 lesbian couples, a subset of whom annually completed mailed surveys over a S-year period. At Year I, relationship quality was found to be comprised of three factors: positivity, relationship conflict, and personal autonomy. Compared to stable couples, couples who eventually separated reported a decrease in positivity, an increase in relationship conflict, and an increase in personal autonomy in the preseparation period. When the three dimensions of change in relationship quality were considered together, relationship dissolution was predicted by an interaction between change in positivity and change id personal autonomy such that decreases in positivity were linked to dissolution, especially when personal autonomy increased. Year 1 personal risk factors (inexpressiveness, dysfunctional relationship beliefs, and social anxiety) were unsuccessful in predicting relationship dissolution and linear change in either positivity or personal autonomy. Findings were not moderated by type of couple. It is concluded that change is a core relationship process.     

Spontaneous non‐verbal counting in toddlers

A wealth of studies have investigated numerical abilities in infants and in children aged 3 or above, but research on pre‐counting toddlers is sparse. Here we devised a novel version of an imitation task that was previously used to assess spontaneous focusing on numerosity (i.e. the predisposition to grasp numerical properties of the environment) to assess whether pre‐counters would spontaneously deploy sequential (item‐by‐item) enumeration and whether this ability would rely on the object tracking system (OTS) or on the approximate number system (ANS). Two‐and‐a‐half‐year‐olds watched the experimenter performing one‐by‐one insertion of ‘food tokens’ into an opaque animal puppet and then were asked to imitate the puppet‐feeding behavior. The number of tokens varied between 1 and 6 and each numerosity was presented many times to obtain a distribution of responses during imitation. Many children demonstrated attention to the numerosity of the food tokens despite the lack of any explicit cueing to the number dimension. Most notably, the response distributions centered on the target numerosities and showed the classic variability signature that is attributed to the ANS. These results are consistent with previous studies on sequential enumeration in non‐human primates and suggest that pre‐counting children are capable of sequentially updating the numerosity of non‐visible sets through additive operations and hold it in memory for reproducing the observed behavior.     

Effects of self‐disclosure and responsiveness between couples on passionate love within couples

Previous work shows that high‐self‐disclosure interactions between couples can increase feelings of closeness within couples. We investigated whether couple friendships created in the lab through high‐self‐disclosure and closeness‐building activities would boost feelings of passionate love. In Study 1, couples randomly assigned to a high (vs. low) closeness induction task, either alone or with another couple, showed significantly greater increases in passionate love when they were highly self‐disclosing with other couples. Study 2 showed that the responsiveness of the other couple mediated the effects of self‐disclosure on increases in passionate love following high‐self‐disclosure interactions with other couples. The creation of couple friendships may be an additional way to reignite feelings of passionate love in romantic relationships.     

Child care before 6 months of age: a qualitative study of mothers' decisions and feelings about employment and non‐maternal care

Employment of women while their children are infants has increased in the UK in the last decade. This study of 57 employed mothers of infants less than seven months old examined their retrospective reports of planning child care and their contemporaneous feelings about the child care they were using, based on qualitative interviews. Issues addressed included mothers' reasons for returning to employment at that time, their theoretical preferences among a range of child care types and providers and the process of making actual choices, including the range and types of advice received and the involvement of fathers. Mothers were also encouraged to discuss their feelings about how child care was working out once the infant was settled. Continuing concerns expressed by mothers included the importance of open communication with caregivers, their desire to keep control over infants' daily lives and upbringing, worries about infants' safety and concerns about the levels of cognitive stimulation they received. Copyright © 2006 John Wiley & Sons, Ltd.     

Stigma, social context, and mental health: lesbian and gay couples across the transition to adoptive parenthood

This is the first study to examine change in depression and anxiety across the first year of adoptive parenthood in same-sex couples (90 couples: 52 lesbian, 38 gay male). Given that sexual minorities uniquely contend with sexual orientation-related stigma, this study examined how both internalized and enacted forms of stigma affect the mental health of lesbians and gay men during the transition to parenthood. In addition, the role of contextual support was examined. Higher perceived workplace support, family support, and relationship quality were related to lower depressive and anxious symptoms at the time of the adoption, and higher perceived friend support was related to lower anxiety symptoms. Lower internalized homophobia and higher perceived neighborhood gay-friendliness were related to lower depressive symptoms. Finally, individuals with high internalized homophobia who lived in states with unfavorable legal climates regarding gay adoption experienced the steepest increases in depressive and anxious symptoms. Findings have important implications for counselors working with sexual minorities, especially those experiencing the transition to parenthood.     

High‐conflict divorced couples: combining systemic and psychodynamic perspectives

This article describes typologies of couples in high‐conflict divorces and explores their dynamics through the prism of family systems and British object relations theories. The article argues that couples embroiled in high‐conflict divorce often have primitive object relations. They tend to use splitting and projection processes and find it difficult to tolerate ambivalence or disagreement. Fear of the ex‐spouse's retaliation is often accompanied by fear of their own destructiveness and by a wish to make reparation. However, it seems that reparation attempts in primitive object relations rarely achieve reconciliation. A case study demonstrates the complicated dynamics of these couples. Clinical recommendations are made.     

Coping with non‐purchase: Managing the stress of inaction regret

This research presents a framework based on coping theory to explain the different ways of managing the stress of regret for inaction. We theorize that primary appraisals of goal-relevance and secondary appraisals of reversibility affect how consumers cope with the stress of inaction regret resulting in different behavioral outcomes. Prior research has focused on two outcomes of regret for inaction—inaction inertia and dissonance reduction—that result in the decreased intent to avail of a similar future opportunity. This research proposes that these are not inevitable outcomes, but rather coping responses. Further, if the forgone opportunity is appraised to be goal-relevant and reversible, consumers engage in active coping that results in increased behavioral intent.     

Worth the wait: Children trade off delay and reward in self‐ and other‐benefiting decisions

Human prosocial behaviors are supported by early‐emerging psychological processes that detect and fulfill the needs of others. However, little is known about the mechanisms that enable children to deliver benefits to others at costs to the self, which requires weighing other‐regarding and self‐serving preferences. We used an intertemporal choice paradigm to systematically study and compare these behaviors in 5‐year‐old children. Our results show that other‐benefiting and self‐benefiting behavior share a common decision‐making process that integrates delay and reward. Specifically, we found that children sought to minimize delay and maximize reward, and traded off delays against rewards, regardless of whether these rewards were for the children themselves or another child. However, we found that children were more willing to invest their time to benefit themselves than someone else. Together, these findings show that from childhood, other‐ and self‐serving decisions are supported by a general mechanism that flexibly integrates information about the magnitude of rewards, and the opportunity costs of pursuing them. A video abstract of this article can be viewed at: https://youtu.be/r8S0DGe7f8Q     

Testing and modelling non‐normality within the one‐factor model

Maximum likelihood estimation in the one‐factor model is based on the assumption of multivariate normality for the observed data. This general distributional assumption implies three specific assumptions for the parameters in the one‐factor model: the common factor has a normal distribution; the residuals are homoscedastic; and the factor loadings do not vary across the common factor scale. When any of these assumptions is violated, non‐normality arises in the observed data. In this paper, a model is presented based on marginal maximum likelihood to enable explicit tests of these assumptions. In addition, the model is suitable to incorporate the detected violations, to enable statistical modelling of these effects. Two simulation studies are reported in which the viability of the model is investigated. Finally, the model is applied to IQ data to demonstrate its practical utility as a means to investigate ability differentiation.     

The link between sociotropy/autonomy and dimensions of relationship commitment: Evidence from gay and lesbian couples

The tendency to be excessively concerned about either interpersonal relationships (sociotropy) or self‐reliance (autonomy) has been regarded as increasing one's susceptibility to experience symptoms of depression. In this study, both one's own and one's partner's scores for each tendency were linked to two dimensions of one's own appraisal of relationship commitment (attractions to the relationship and constraints against leaving the relationship) in a sample of both partners from 29 gay and 35 lesbian cohabiting couples. One's own high autonomy was linked to perceiving few attractions to the relationship, whereas one's own high sociotropy was linked to perceiving many constraints to leaving the relationship under two conditions: when one's partner's sociotropy was low or when one regarded the partner as highly dependable. Findings support the view that individual differences variables may serve as either risk factors for or protective factors against difficulties in maintaining a close relationship and underscore the need to examine cross‐partner effects and moderating effects in identifying the individual differences variables linked to relationship functioning.