National attitudes towards mental health treatment: the importance of research evidence

Most conceptualizations of evidence-based practice view it as a “three legged stool” consisting of: the use of best available research evidence, clinical expertise, and client preferences. Although empirical evidence and clinical expertise have received greater empirical attention, relatively little research has systematically explored client preferences. The present study analyzed self-reported treatment preferences for various clinical and non-clinical presentations. Adult participants (n = 1262) residing in the United States were presented with diagnostic vignettes and rated their relative preferences among 5 treatment variables, including: use of an empirically supported treatment (EST), quality of the client–therapist relationship, therapist empathy, therapist experience, and client speaking for the majority of therapy sessions. Results indicated that participants endorsed significant preference for receiving an EST over other treatment variables for all clinical disorders, with effect sizes ranging from small to large depending on the diagnosis. There was slightly greater variability in treatment preferences for non-clinical issues, though participants generally reported greater preference for receiving an EST. Follow-up questions provided further evidence for EST preferences. The implications of these results are discussed.     

Effects of interviewer behavior on accuracy of children's responses

Previous research has shown that certain interviewer behaviors can evoke inaccurate answers by children. In the current study, we examined the effects of approving and disapproving statements on the accuracy of 3 children's answers to questions in an interview (Experiment 1). We then evaluated 3 questioning techniques that may be used by interviewers during a forensic interview in which a child provides eyewitness testimony (Experiment 2). All participants responded with more inaccurate answers when approving statements followed inaccurate information and disapproving statements followed accurate information in Experiment 1. During Experiment 2, 1 participant responded most inaccurately when she was requestioned after providing an initial answer, whereas the remaining 2 participants responded most inaccurately when the interviewer provided cowitness information and suggestive questions.     

Category-based Effects in Clinical Judgment

Theories of social cognition predict that counselors, once their categories are primed, more accurately recall information that is category-consistent than information that category-inconsistent. Confirmatory bias may also prompt perceivers to seek information that confirms their category hypothesis, but previous research (Hoffman, Mischel & Mazze, 1981)also suggests that task instructions might influence the magnitude of this bias.

Counselor-participants were given one of two category sets (diagnoses) about a client and one of two instructional sets. They were then shown a videotape which contained symptoms from both categories. Recall for category-consistent and -inconsistent symptoms was assessed via an incidental memory task. Participants were also asked to confer a tentative diagnosis of the client, as well as to list questions they would like to ask the client. Results indicated that participants were not affected by the type of instructions they were given, but they did recall more category-consistent symptoms than category inconsistent symptoms. Significant differences were found across tentative diagnoses conferred by participants and questions participants thought would be useful in understnading the client, but these differences did not follow predictions derived from a confirmatory bias model. Finally, correlational data demonstrated a negative relationship between recall for category inconsistent information and counseling experience.     

EXPERIENCE-BASED AND SITUATIONAL INTERVIEW QUESTIONS: STUDIES OF VALIDITY

This research compared the validity of two different types of structured interview questions (i.e., experience-based and situational) under tightly controlled conditions. The experience-based interview questions required that 108 study participants relate how they had handled situations in the past requiring skills and abilities necessary for effective performance on the job. Situational questions, administered to another group of 108 study participants, provided interviewees with hypothetical job-relevant situations and asked them how they would respond if they were confronted with these problems. The experience-based interview questions yielded higher levels of validity than the situational questions. Additional analyses showed that the interview added incrementally to the prediction of performance beyond the variance accounted for by a cognitive ability test. There were small differences in subgroup performance (White, Black, Hispanic, male, and female) on the experience-based interview, though it was equally valid for all subgroups.     

干扰任务对说谎影响的研究

摘要:本文将干扰任务对记忆的影响同测谎结合起来,试图运用这一方法来对求职者的真实学历和虚假学历进行区分。实验采用模拟面试的方式,对被试在有或无干扰任务条件下进行两次提问,结果发现,四种任务条件对被试真实经历和虚假经历都具有区分度,其中双双条件的区分度是最高的。并且,被试在双双任务条件下虚假经历的得分显著低于其他三种任务条件。     

Interviewer feedback in repeated interviews involving forced confabulation

The effects of confirmatory interviewer feedback on eyewitness testimony following forcibly confabulated and accurate responses to repeated interview questions were investigated in two experiments. The first experiment showed that, relative to neutral feedback, confirmatory feedback provided after a forcibly confabulated response greatly increased the likelihood that participants would provide the same confabulated response when re‐interviewed 2 days later, led participants to report these repeated confabulations with greater speed and fewer expressions of doubt, and increased the prevalence of false memories. Confirmatory interviewer feedback provided following accurate responses appeared to have more modest consequences for consistency and confidence, but ceiling effects provided little opportunity for observing potential effects. A second experiment showed that these effects of confirmatory feedback are of considerable practical significance, in that, regardless of their accuracy, responses that had earlier been reinforced with confirmatory feedback were much more likely to be judged by others as credible. Copyright © 2006 John Wiley & Sons, Ltd.     

Interviewing a Therapist in the Presence of a Couple: A Description of the Therapeutic Process

A therapy research team interviewed a therapist in the presence of a couple. Following each of six consecutive sessions with a couple, an interviewer posed questions to the therapist and couple. While one question was standard to each interview, other questions were generated by team members who tracked the entire process via live observation. These questions were directed first at the therapist, then at the couple, and then focused on therapeutic process and outcome. Findings of this process for the therapy system included decreasing the hierarchy within the client/therapist relationship; increasing the client ownership and energy in the therapy process; discovering the presence of parallel processes between the systems; and informing the direction of future therapy sessions. Practical, clinical implications are discussed for a variety of therapy settings.     

Therapists’ Perspectives of the Cotherapy Experience in a Training Setting

The experience of cotherapy has been sparsely addressed in the literature. This qualitative study’s goals were to explore (a) the usefulness of cotherapy as a training model (b) the impact of cotherapy on services provided; (c) the impact of being trained in a cotherapy model; and (d) factors that both facilitated and hindered the process of cotherapy. The authors conducted a focus group interview with seven participants who graduated from a COAMFTE accredited MFT master’s program. Participants unanimously reported they believed cotherapy impacted client outcomes and training. They also expressed that cotherapists’ unwillingness to address issues within the cotherapy team negatively impacted the cotherapy relationship and client outcomes. Data analysis yielded four main themes, including cotherapy as a vehicle for personal growth, accountability in the cotherapy relationship, need for safety in the cotherapy relationship, and cotherapy team’s need for supervision.     

Suspects' consistency in statements concerning two events when different question formats are used

Lie detection research has typically focused on reports about a single event. However, in many forensic and security contexts, suspects are likely to report on several events, some of them may be untruthful. This presents interviewers with the challenge of detecting which reports are true and which are not. Varying question format in a second interview, we examined differences in liars' and truth‐tellers' statement consistency about two events. One hundred and fifty participants viewed a meeting in which a noncritical and a critical event were discussed. Truth‐tellers were instructed to be honest in their reports about both events, whereas liars had to lie about the critical event. In the first interview, all participants provided a free recall account. In a second interview, participants either gave another free recall account or responded to specific questions presented sequentially (concerning one event at a time) or nonsequentially (concerning both events simultaneously). Liars' accounts featured fewer repetitions than truth‐tellers for both events, particularly in response to questions presented in nonsequential order. The implications for the use of this question format are discussed.     

A component analysis of job interview training for young adults with autism spectrum disorder

The job interview is a vital component to acquire employment. Individuals with autism spectrum disorder may experience difficulties with job interviews due to notable deficits in social and communication skills. We evaluated the relative impact of several components of a job interview training package on six participants' responses to commonly asked interview questions. We used a multiple baseline design across participants to present the following components: written instructions, rehearsal and video self‐feedback with a commercially available training program, and verbal feedback delivered by the experimenter. Results demonstrated that all participants required an additional behavioral skills training session to meet our mastery criterion. However, once training was complete, all participants showed generalized performance when the interview questions were presented in a varied format and by a novel interviewer outside of the training environment. In addition, their performance was maintained at follow‐up.     

Mental reinstatement of the misinformation context and the misinformation effect in children and adults

The present study investigated the effects of mental reinstatement of the context in which misleading information about an event was presented on later recognition memory for the event. Five‐year‐olds, 7‐year‐olds and adults were shown a short video depicting a children's adventure and were asked a set of misleading questions to introduce misinformation one week later. Before the recognition memory test was administered another week later, half of the participants were given instructions to mentally reinstate the context of the misleading interview. Memory was assessed with a set of forced‐choice recognition questions once in the misleading interview context and for the children a second time at home one week later. When participants were instructed to mentally reinstate the context of the misleading interview prior to the recognition test, false memory reports occurred more often for adults than for children and had a stronger impact on peripheral information than on central information for both 7‐year‐olds and adults. When 5‐ and 7‐year‐olds were tested at home, false memory reports decreased. Thus, reinstating the context of an interview introducing misinformation can reduce the accuracy of memory reports; the context dependence of both accurate and inaccurate memory reports in children and adults is discussed. Copyright © 2003 John Wiley & Sons, Ltd.     

How Interviewees Consider Content and Context Cues to Person–Organization Fit

The interview is an ideal opportunity for job candidates to assess their fit with potential employers. While research shows that candidates' perceptions of person–organization (PO) fit lead to important outcomes, fewer studies explore how such perceptions are formed. A policy‐capturing study modeled how job candidates detect and interpret cues from the interview to inform their determinations of PO fit. A total of 213 participants read a series of vignettes representing interview scenarios, and rated each in terms of his/her perceived PO fit. Evidence showed that participants considered context factors (interview procedure practices and interviewer behaviors) more than the values‐relevant content of interview questions when assessing their level of PO fit.     

Becoming Fully Human: The Promotion of Meaning and Spirituality in Professional Relationships and Contexts

Many intake interviews begin, explicitly or implicitly, with the expectation that there is something “wrong” with the client. The structure of many psychological assessments supports this dominant pathogenic belief. They are often composed of checklists in which the client is asked to note any past illnesses, addictions, suicidal behavior, and so on. This emphasis on pathology from the beginning may cause an already vulnerable client to feel further destabilized. Moving away from a pathology-focused intake assessment can instead be viewed as an excavation of the client's often problematic dominant story and of the implicit endorsement of the client as “fused” with his or her problem. A narrative approach is uniquely situated to assist the client in excavating hope in the intake interview by inspiring use of questions that are attuned to gathering stories of strength alongside stories of difficulty.     

New frameworks for careers guidance: developing a conceptual model of the interview

Recent research has highlighted limitations in our understanding of the dynamics occurring within the careers guidance interview. A study was conducted of how the client and practitioner engage in the exchange within the interview and how meanings are negotiated and received by each of the participants. The objectives for the study were to examine a sample of guidance interviews in order to: (i) identify which interventions by practitioners are perceived as helpful and unhelpful by clients and practitioners; (ii) establish how helpful and unhelpful interventions relate to change in understanding; and (iii) compare and contrast the identification and commentaries by practitioners and clients. The results showed that practitioners reported significantly more helpful interventions than clients and that there was limited agreement in the identification of interventions. Three thematic categories were derived to group the helpful interventions. This analysis provided the basis for the development of a conceptual model of the interview. Further research to test the model and assess its potential to inform careers guidance training and practice is outlined.     

The Assessment of Hyperactivity and Attention (AHA): development and preliminary validation of a brief self-assessment of adult ADHD

A brief self-rating scale, the Assessment of Hyperactivity and Attention (AHA), was developed and validated using a "gold standard" DSM-based semi-structured interview. The sample consisted of 101 smokers (74% male, 73% Caucasian)-38.6% with no DSM-IV ADHD diagnosis, 10.9% with a childhood diagnosis only, and 50.5% with an adult diagnosis (requiring childhood diagnosis as well). The mean age SD was 33.7 9.7; participants smoked a mean of 19.0 5.6 cigarettes/day. Results indicate that the AHA has utility as a screening tool and as a self-report assessment of ADHD with sensitivity of .80, specificity of .60, positive predictive power of .67, negative predictive power of .75, kappa of .40, odds ratio of 6.15, and an area under the curve (receiver operating characteristic analysis) of .79. Given the high rate of ADHD among smokers, the AHA may be useful in identifying smokers who may need more in-depth clinical evaluation for attentional problems.     

The Use of Structured Clinical Interviews for Assessment in Counseling

The purpose of this article is twofold: to summarize some of the major issues concerning structured clinical interviews and to review data available on some of the most widely used interview schedules. One of the key challenges with the practitioner—scientist approach to counseling is the ability to compare information from a variety of clients and counselors. A structured clinical interview can be considered an empirically driven instrument that has preestablished questions and scoring procedures that make it a useful assessment tool. Through its use, comparisons can be made among clients, and the reliability of assessment and diagnosis can be increased.