Effective obesity treatments

To curb the epidemic of obesity in the United States, revised Medicare policy allows support for efficacious obesity treatments. This review summarizes the evidence from rigorous randomized trials (9 lifestyle trials, 5 drug trials, and 2 surgical trials) on the efficacy and risk- benefit profile of lifestyle, drug, and surgical interventions aimed at promoting sustained (= 2 years) reductions in weight. Both lifestyle and drug interventions consistently produced an approximate 7-lb (3.2-kg) weight loss that was sustained for 2 years and was associated with improvements in diabetes, blood pressure, and/or cardiovascular risk factors. Surgical interventions have a less solid empirical base but offer promise for the promotion of significant and sustained weight reduction posttreatment in the morbidly obese but with possible significant short-term side effects. In summary, there is strong and consistent support from rigorous randomized trials that lifestyle or drug interventions result in modest weight loss with minimal risks but disproportionate clinical benefit. Combinations of lifestyle, drug, and, where appropriate, surgical interventions may be the most efficacious approach to achieving sustained weight loss for the widest diversity of patients.     

Effective crisis intervention

Crisis intervention techniques in a community-based setting, including factors of immediacy of response, location, prior identification and flexibility of service, are examined. Using a community-based program which has received and dealt with 231 crisis situations over a 2-year period as a model, this study shows crisis intervention techniques to be viable and valuable in the identification of problems in the family and individual. Families which request service due to a crisis must be dealt with differently from those who seek service through traditional channels. Preventive intervention is employed to reduce the onset of more serious personality disturbance and family decomposition. Using Caplan's phases of crisis as a guide, most families dealt with in the model program showed signs of reduced conflict and a greater willingness to seek more traditional types of services.     

Preparing Culturally Effective Counselors

The preparation of culturally effective counselors is a familiar topic in the counseling literature. Counselor educators and practitioners have regularly discussed cultural barriers in the counseling process and have proposed models for working more effectively with multicultural populations. Still, there is no counselor education program in the United States that trains students in the special problems and advantages of counseling culturally different clients. Now more than ever, there are many compelling reasons to prepare culturally effective counselors. They include (a) the multicultural overtones of the American population; (b) the growing number of new immigrants and refugees; (c) the expressed and perceived needs of counselors working with multicultural groups; and (d) the naming of counselors as “necessary” recipients of federal training funds to develop better bilingual programs. The authors propose a counselor training program with a specialization in bilingual-multicultural education. This requires specific attitudes, skills, and competencies based on the interdisciplinary philosophies of counseling, bilingual education, and multicultural education.     

培训迁移影响因素研究述评

对培训迁移的研究从关注培训本身发展到关注培训以外影响其效果的因素,且焦点集中在对于企业来说更可控的因素上,主要是迁移气氛与组织特征。培训迁移气氛包括情境线索与结果两个维度。该文分析了影响培训迁移的几个主要因素,并根据已有的研究,提出了培训迁移研究未来的方向,例如,组织和个人的职业生涯管理与培训迁移的关系,以及培训类型的扩展对培训迁移带来的影响     

Aggressive Children and Effective Communication

Testing a component of a theoretical model which postulates that low levels of communication effectiveness accompany the social and affective problems presented by aggressive children, the study compared the communication skills of a group of aggressive (n = 49) and nonaggressive (n = 49) elementary school children (selected on the basis of teacher ratings) in a structured and cooperative communication task. Based on direct observational measures of communication effectiveness and aggression, and on teacher, peer, and self-rating measures of peer rejection and depressive symptoms, results showed that (a) aggressive children exhibited less effective communication skills and more disruptive communication skills than nonaggressive peers; (b) aggressive children experienced higher levels of peer rejection and depressive symptoms than nonaggressive peers; and (c) group differences in communication effectiveness could not be accounted for by differences in observed aggression and remained significant, even after controlling for differences in peer status and affective functioning. These findings highlight the role that ineffective communication may play in the development and maintenance of aggression and have important theoretical and applied implications, which are briefly discussed. © 1994 Wiley-Liss, Inc.     

Effective elaboration and inferential reasoning

The present study investigated the effects of several variables on subjects’ abilities to draw inferences from two related premises. Contiguous presentation of the related sentences led to significantly higher inference scores than did noncontiguous presentation. The nature of the initial premise was also manipulated. For some subjects, the initial premise was relatively consistent with subjects’ semantic knowledge, whereas other subjects received initial premises that were somewhat arbitrary with respect to semantic knowledge. Inference scores were significantly higher for subjects who received the more consistent initial premises. This effect persists even when differential memory for the initial premises has been accounted for. The results suggest certain constraints on the nature of the knowledge one must possess in order to make appropriate inferences from material.     

Effective Challenging Through Additive Empathy

Empathy is a counseling skill that is highly regarded by most practitioners. Constant reflection of only expressed surface feelings however, may perpetuate a limited view of a client's problem. The ability to extend a client's original understanding is a valuable resource for a helper to offer. Through additive empathy, a helper challenges a client to examine a deep and broad perspective for assessing problems and then to take action. The purposes of this article are to identify some elements of additive empathy and to describe practical guidelines for using the skill in counseling and in systematic skill training.     

Effective Altruism and its Critics

Effective altruism is a philosophy and a social movement that aims to revolutionise the way we do philanthropy. It encourages individuals to do as much good as possible, typically by contributing money to the best‐performing aid and development organisations. Surprisingly, this approach has met with considerable resistance among activists and aid providers who argue that effective altruism is insensitive to justice insofar as it overlooks the value of equality, urgency and rights. They also hold that the movement suffers from methodological bias, reaching mistaken conclusions about how best to act for that reason. Finally, concerns have been raised about the ability of effective altruism to achieve systemic change. This article weighs the force of each objection in turn, and looks at responses to the challenge they pose.     

Building Effective Teams and Groups

In this article, important and emerging issues are described that pertain to development of effective teams and groups in schools. Relatedly, guidelines are delineated about how school special services practitioners can collaborate to develop effective teams and work groups.     

Effective psychotherapy of chronic schizophrenia

A method has been described to modify psychotherapy attitudinally and technically so that it is helpful with chronic psychotics--patients in a state hospital aftercare clinic. The method usually enables medications to be reduced and sometimes to be discontinued altogether. Two cases have been presented to demonstrate how the various new elements of the treatment method relate to each other, and to the rehabilitative services most chronic psychotics need.     

The Effective Use of Secondary Data

In primary data analysis the individuals who collect the data also analyze it; for meta-analysis an investigator quantitatively combines the statistical results from multiple studies of a phenomenon to reach a conclusion; in secondary data analysis individuals who were not involved in the collection of the data analyze the data. Secondary data analysis may be based on the published data or it may be based on the original data. Most studies of animal cognition involve primary data analysis; it was difficult to identify any that were based on meta-analysis; secondary data analysis based on published data has been used effectively, and examples are given from the research of John Gibbon on scalar timing theory. Secondary data analysis can also be based on the original data if the original data are available in an archive. Such an archive in the field of animal cognition is feasible and desirable.     

Effective Approaches to New Faculty Development

The author provides research-based and practical advice on how to foster the career development of new and junior faculty. She first reviews who the new and junior faculty are and highlights research findings on the work and career experiences of these faculty members. She then describes model programs and successful strategies to support the newest members of the professoriat, including exemplary programs for orientation, mentoring, research, and teaching development.     

Effective Analysis of Reaction Time Data

The Psychological Record - Most analyses of reaction time (RT) data are conducted by using the statistical techniques with which psychologists are most familiar, such as analysis of variance on the...     

Behavioral Foundations of Effective Autism Treatment

The Psychological Record -