ON THE NEED FOR A BASIC SCIENCE APPROACH TO PSYCHOTHERAPY RESEARCH

Abstract— This article argues that the greatest progress in developing more effective psychotherapist will come from a renewed emphasis on designing and conducting therapy research as basic science devoted lo the acquisition of cause-and-effect relationships and from collaborations between clinical researchers and basic researchers from other domains of psychology.     

EFFECTS OF REINFORCER QUALITY ON BEHAVIORAL MOMENTUM: COORDINATED APPLIED AND BASIC RESEARCH

The high-probability (high-p) instructional sequence has been an effective treatment for noncompliance. However, treatment failures have also been reported. We hypothesized that the efficacy of the high-p treatment may be improved by using higher quality reinforcers for compliance to high-p instructions. The resistance of compliance to change was tested by varying reinforcer quality in two applied studies and a basic laboratory experiment. Experiment 1 tested the hypothesis that an increase in reinforcer quality for high-p compliance will increase the effectiveness of the high-p treatment when it fails to increase compliance. Experiment 2 assessed the effects of reinforcer quality on resistance of compliance to change by presenting successive low-p requests following the high-p treatment. A basic laboratory study (Experiment 3) was conducted to further isolate the relation between reinforcer quality and behavioral momentum. Two different liquid reinforcers (sucrose and citric acid solutions) were presented in a two-component multiple variable-interval variable-interval schedule followed by a single extinction test session. Results of all three experiments showed a generally consistent relationship between reinforcer quality and behavioral momentum.     

THEOLOGY AND SCIENCE OF MENTAL HEALTH AND WELL‐BEING

The approach to mental health and well‐being taken here illustrates the complementary perspectives approach and assumes that there are useful and intersecting contributions from science (including medicine) and from religion and spirituality. What counts as poor mental well‐being depends on the interaction of relatively objective criteria with culturally contingent value judgments. I then discuss theological perspectives on depression, including a consideration of sources of hope and tolerance of dysphoria, and argue that depression can be part of a spiritual journey. I then look at the relationship between psychosis and religion, including the work of Isabel Clarke, arguing that a spiritual approach to psychosis can complement a medical approach. Finally, I present a pastoral case study illustrating the interface between neurological and spiritual aspects of the sense of presence. A religious perspective can challenge and complement current assumptions about mental health in a potentially fruitful way.     

南京金陵中学高中生心理健康教育研究

学校心理健康教育是心理学在新形势下应运而生的一个新问题。作者认为,学校心理健康教育应强调教育与发展模式;应突出教育对象的积极向上性;应强调自我认识、自我教育、自我控制;应根据学生的心理困惑,及时有效地给予帮助;应教会他们模仿某些策略和新的行为,最大限度地发展他们的心理机能,促进内在潜力的开发,加速实现学生个体的社会化。作者还根据三年的实验实践,提出了一套学生心理困惑诊断模式。     

BEHAVIORAL THERAPY DEVELOPMENT AND PSYCHOLOGICAL SCIENCE:

Abstract— An abundance of research from diverse areas of psychological science is potentially relevant to behavioral therapy development research. The National Institute on Drug Abuse of the National Institutes of Health convened a workshop to reinforce the connection between basic behavioral and therapy development research. The articles in this Special Section are the product of this workshop. Several lines of basic behavioral research are described, and implications for the development of behavioral therapies are discussed. This Special Section highlights the notion that strengthening the bond between behavioral therapy development research and basic behavioral science will accelerate the advancement of knowledge about behavior, behavioral change and therapeutic interventions.     

EXPERIMENTS IN A COMMUNITY MENTAL HEALTH CENTER: INCREASING CLIENT PAYMENTS FOR OUTPATIENT SERVICES

Although public health care systems often depend on revenue generated from client payment for services, inadequate agency fee payment systems continue to create substantial administrative problems. The first study examined the effects of implementing a system for producing and maintaining routine client fee payment. The second study was a replication of the first study. The Credit Criterion System was designed to: (a) allow clients to establish intra-agency credit by paying cash for each of the first three visits; and (b) pay for services monthly after credit was established. The system resulted in a baseline collection rate of 20%, compared with the Credit Criterion rate of 96.6%. The Credit Criterion System did not create additional administrative costs and it had no effect on attendance. Thus, the Credit Criterion System appears to be a reasonable set of procedures for allowing clients to meet their financial obligations to an agency.     

EMPIRICAL MINDFULNESS: TRADITIONAL CHINESE MEDICINE AND MENTAL HEALTH IN THE SCIENCE AND RELIGION DIALOGUE

As science and religion researchers begin to engage questions of mental health, mindfulness may prove to be a fruitful area of investigation. However, quantifying the physical effects of mindfulness on the brain is difficult because mindfulness deals with the problem of mental and physical interaction or, the mind/body problem. One system of understanding which may aid science and religion scholars in the pursuit of mindfulness is traditional Chinese medicine (TCM). Within TCM, heart Qi manages the body's present connection to time and space. If the “being in the moment” is disrupted, then the heart Qi is blocked and mental illness or various neurological disorders occur. Succinctly, within TCM, mindfulness is understood as a nonphysical phenomenon (Qi) which directly affects physical systems, resulting in empirical data. This is tracked and treated through the TCM understanding of Qi. The TCM view of Qi in mental health may therefore provide a helpful new paradigm to investigations concerning mindfulness and the human brain.     

A WAY FORWARD FOR SOCIOLOGICAL RESEARCH ON SCIENCE AND RELIGION: A REVIEW AND A RIFF

John Evans’s new book Morals Not Knowledge pushes scholars to rethink contemporary debates about religion and science by moving past the rhetoric of societal elites to examine the perspectives of everyday Americans, identifying the moral conflicts at the heart of debates. We review Evans’s key contributions while also extending and challenging his arguments, urging consideration of how renewed moral debates might be informed by a broader set of U.S. “publics.” Drawing on empirical research, we highlight four sets of voices that are missing from Evans’s analysis. Specifically, we highlight the voices of racial and ethnic minorities, religious communities (as opposed to individuals), members of minority religious traditions, and everyday religious scientists. Through doing so we offer avenues for future research on these diverse publics that will help facilitate a broader set of better and more informed debates about moral conflict between religious and scientific communities.     

THE MUTUAL ENRICHMENT OF BASIC AND APPLIED RESEARCH IN PSYCHOLOGICAL SCIENCE AND PRACTICE

Abstract— Dealing with the problems of substance abuse requires both an appreciation of clinical reality and an understanding of basic psychosocial principles. Each of the conference presentations of theory and research most of them nonapplied in nature, created a welcome and rare occasion for experimental and clinical psychologists (and hybrids) to reflect together on the applied implications of some basic research and on the research implications of some applied professional activities. Among the issues found especially noteworthy by this discussant. Here the following the return of cognition and rational decision making as legitimate and critical foci in behavior therapy, the role of exposure to aversive events in reducing their fearsomeness, the advantages of not working doggedly to achieve goals that are better approached with a nonachievement attitude the possibility that the difficulty in altering pathological behavior derives from the properties of human language, appreciation of individual differences in psychotherapy outcome research, the importance of considering the meaning that therapeutic ministrations can have for certain patients, and the need to reexamine the utility of patients expressing their concerns.     

农村中学生心理健康状况的调查研究

本研究运用SCL-90量表对农村545名中学生进行了调查,结果发现:中学生存在一些轻微的心理健康问题,在年龄、性别方面也有一定的差异。并就存在的问题进行了全面分析,提出了促进中学生心理健康的几点应对措施。     

GENDER AS A MODERATOR OF THE RELATION BETWEEN RACE-RELATED STRESS AND MENTAL HEALTH SYMPTOMS FOR AFRICAN AMERICANS

The present study tested gender as a moderator of the relationship between race-related stress and mental health symptoms among African American adults. Because African American women are exposed to stressors associated with race and gender, we hypothesized that African American women would have higher levels of race-related stress and more severe mental health outcomes related to experiences of race-related stress compared to African American men. Multivariate analyses revealed that African American men had higher stress appraisals for institutional racism than did women. No significant gender differences were found for cultural and individual racism. Moderated regression analyses revealed that increases in stress appraisals for individual racism were associated with increases in anxiety and obsessive-compulsive symptoms for African American women. Race-related stress had no significant effects on mental health symptoms for African American men. The findings suggest that gender is an important factor in determining the impact of race-related stress on mental health.     

积极心理资本：测量及其与心理健康的关系

在文献分析和参考国内外相关测量工具的基础上,编制了包含自我效能、韧性、乐观、希望等4个因子的积极心理资本问卷(PPQ)。信度和效度验证的结果显示,该问卷具有良好的结构效度和内部一致性信度;验证性因子分析的结果也支持了心理资本这一高阶因子的合理性。研究还发现,积极心理资本及其子成分与自尊、内控性、情感平衡以及焦虑、抑郁、偏执、人际敏感等心理健康指标有显著的相关,回归分析的结果也显示心理资本对心理健康有积极的促进作用。     

THE CHURCH AND MENTAL HEALTH: THEOLOGICAL AND PRACTICAL RESPONSES

Over the past few years, the number of Christian projects and charities working in the mental health sector in the United Kingdom has increased dramatically. At the same time, scientific and medical understandings of mental health have been advancing rapidly. These parallel trends beg a serious question: is the Christian Church's response to mental health authentically engaging with a changing scientific picture? Are theological questions like responsibility, sin, redemption, and reconciliation taking account of a changing landscape? This is not a theoretical question, but has major practical consequences for developing practical pastoral responses.     

VISITING THE DENTIST: A BEHAVIORAL COMMUNITY ANALYSIS OF PARTICIPATION IN A DENTAL HEALTH SCREENING AND REFERRAL PROGRAM

One-hundred and twenty-five families in the Medicaid Early Periodic Screening, Diagnosis and Treatment Program were assigned to one of five treatments to encourage parents to obtain health care service following the dental screening of their children: (a) a control procedure, in which parents were given a dentist's name; (b) a multiple contact procedure, in which parents received a postcard and two telephone call reminders; (c) a problem-solve procedure, in which a social worker aide conducted a brief session with the parent; (d) an incentive procedure, in which parents selected among four gifts that were contingent on seeking care; (e) an incentive + problem-solve procedure, in which the latter two treatments were combined. The multiple contact, incentive, and incentive + problem-solve techniques were significantly more effective in initiating dental visits than the control procedures. Families assigned to the intensive strategies were most likely to complete treatment. A cost-efficiency analysis showed the multiple contact technique to be a low-cost and highly effective procedure.