How effective are cognitive and behavioral treatments for obsessive-compulsive disorder? A clinical significance analysis

Controlled outcome studies investigating the efficacy of psychological treatments for obsessive-compulsive disorder (OCD) have employed different methods of determining the clinical significance of treatment effects. This makes it difficult to draw conclusions regarding the absolute and relative efficacy of psychological treatments for OCD. To address this issue, standardized Jacobson methodology for defining clinically significant change was applied to recent psychological outcome trials for OCD. The proportion of asymptomatic patients following treatment was also calculated. When recovery is defined by Jacobson methodology, exposure and response prevention (ERP) appears the most effective treatment currently available (50-60% recovered). However, when the asymptomatic criterion is used as the index of outcome, ERP and cognitive therapy have low and equivalent recovery rates (approximately 25%).     

How critical is “critical thinking”?

Before criticism is justified, an account of the applicable criteria should be given. This task concerns first of all the well-known logical principles of identity, contradiction and the excluded middle. They connect critical thinking to the conceptual element of rationality and to the normed nature of logical thinking, manifest in logically sound (norm-conformative) thinking and antinormative thinking—briefly also accounting for the dialectical tradition. An analysis of these principles requires an understanding of the uniqueness of, and coherence between, the logical and non-logical aspects in the light of contraries like logical-illogical, polite-impolite and frugal-wasteful. It also questions the idea of autonomy and examines the switch from principles to values. When a school of thought does not accept all the logical principles, the criteria for scientific thinking are challenged, for example in intuitionistic logic which rejects the universal validity of the principle of the excluded middle. It is then argued that the principle of sufficient reason and that of the excluded antinomy points at a more than logical foundation for critical thinking and ultimately calls for a non-reductionist ontology.     

Engaging distortions: are we idealizing marriage?

The present study was an investigation of the premarital status of engagement in terms of relationship satisfaction and marital expectations using the Evaluation and Nurturing Relationship Issues, Communication and Happiness (ENRICH) Marital Satisfaction Scale (EMS) and its two subscales of Idealistic Distortion (ID) and Marital Satisfaction (MS) (D. G. Fournier, D. H. Olson, & J. M. Druckman, 1983). There were 104 students (23 men and 81 women), of which 15 were married, 19 were engaged, and 70 had extended dating relationships. On average, participants had been in the relationship for 3.8 years, and the mean age was 22 years. Results demonstrated that individuals engaged to be married had significantly higher idealistic distortion scores (M = 86.89) than did either married individuals (M = 56.67) or those in extended dating relationships (M = 61.19). Finally, a negative relation was found between length of relationships and marital satisfaction subscores. Results are discussed in light of factors contributing to such idealized thinking.     

Socialization toward a career as a marriage and family therapist: How is our profession doing?

To date, marriage and family therapy does not have formal socialization programs at the undergraduate level. Socialization activities may include career classes, advising, providing internships, or actively recruiting the most talented and qualified students. These socialization activities may also aid in the recruitment of minority students. A survey of the accredited programs revealed that most programs do not have formal opportunities for the faculty to interact and discuss therapy as a career option. While most programs have at least one faculty member who teaches undergraduates, this contact alone is not very good in terms of socializing students into choosing therapy as a career option. While there are some valid concerns about undergraduates, marriage and family therapy as a distinct discipline may benefit from actively recruiting the best students.     

How do constraints on leaving a marriage affect behavior within the marriage?

Like relationship satisfaction, constraints on leaving a relationship have been described as a component of global commitment. But do constraints increase or decrease efforts to maintain the relationship? To address this question, the authors of the current article describe 3 independent studies of spouses and married couples. Across all studies, wives who perceived more constraints on leaving the marriage exhibited lower levels of negative behavior only when their husbands were relatively unconstrained. In Study 3, this association was especially pronounced among less satisfied wives. In Study 2, spouses' perceived constraint also interacted to predict husbands' behavior, but in the opposite direction: Husbands who perceived more constraints behaved less negatively when their wives were similarly constrained but more negatively when their wives were less constrained. These results highlight differences in behavior between couples who persist in marriage because they desire to and those who endure because they have to, raising questions about measures of global commitment that obscure these distinctions. They also highlight the need for a dyadic perspective on the forces that keep relationships together.     

How are health care chaplains helpful to bereaved family members? Telephone survey results

After conducting telephone interviews with 130 next-of-kin whose loved one died, the authors report whether and how chaplains were helpful to these family members. Analysis of their responses indicated that chaplains were helpful in five ways. They provided comfort and support; they helped family members with details before, during, and after death; they acted as surrogate family members until other loved ones arrived; their availability provided a safety net even if contact was limited; and they functioned as a spiritual figure who provided the transition of the patient from earth to heaven. Family members rated the helpfulness of chaplains as midway between very good and excellent.     

How Satisfied are the Self-Employed? A Life Domain View

It is well-known in the literature that self-employment positively influences job satisfaction, but the effects on other life domains and overall life satisfaction are much less clear. Our study analyzes the welfare effects of self-employment apart from its monetary aspects, and focuses on the overall life satisfaction as well as different domain satisfactions of self-employed individuals in our German sample from 1997 to 2010. Using matching estimators to create an appropriate control group and differentiating between different types of self-employment, we find that voluntary self-employment brings with it positive benefits apart from work satisfaction, and leads to higher overall life satisfaction as well as increased health satisfaction, all of which increase in the first three years of self-employment. Being forced into self-employment to escape unemployment, however, confers no such benefits. Additionally, both types of self-employment lead to increasing dissatisfaction with one’s leisure time.     

How effective is workplace counselling? A review of the research literature

The provision of counselling for work‐related problems has expanded in recent years, as organisations have recognised the value of this approach to staff support. However, there has been relatively little research into the outcomes of workplace counselling, and no systematic reviews have been conducted into the effectiveness of counselling in this setting. This paper presents the results of a preliminary review of evidence in this area. 34 studies of the effectiveness of workplace counselling were identified, of which 16 were sufficiently well designed to be considered as comprising reliable findings. The results of these studies suggest that, in general, workplace counselling is effective for clients for a wide variety of type and severity of presenting problems, employed across a range of different organisational contexts. The paper includes discussion of methodological issues associated with this research, recommendations for further research, and implications for practice.     

How effective is school consultation?: A review of recent research

This paper reviews the results of 29 studies on the effectiveness of school consultation published between 1972 and 1977. Twenty-two of the studies reviewed (76%) reported at least one or more positive effects resulting from consultation interventions. Behavioral consultation was found to be particularly effective. Several methodological limitations of the studies which reduce the generality of their findings are discussed. These include lack of appropriate experimental control procedures, failure to control for individual consultant and consultee characteristics, infrequent use of multiple dependent measures assessing both attitudinal and behavioral changes, and the absence of follow-up data. Despite the problems entailed in measuring consultation outcomes, the practice does appear to be effective. Further research investigating the influence of specific consultation models and processes is recommended.     

How automatic are crossmodal correspondences?

The last couple of years have seen a rapid growth of interest (especially amongst cognitive psychologists, cognitive neuroscientists, and developmental researchers) in the study of crossmodal correspondences – the tendency for our brains (not to mention the brains of other species) to preferentially associate certain features or dimensions of stimuli across the senses. By now, robust empirical evidence supports the existence of numerous crossmodal correspondences, affecting people’s performance across a wide range of psychological tasks – in everything from the redundant target effect paradigm through to studies of the Implicit Association Test, and from speeded discrimination/classification tasks through to unspeeded spatial localisation and temporal order judgment tasks. However, one question that has yet to receive a satisfactory answer is whether crossmodal correspondences automatically affect people’s performance (in all, or at least in a subset of tasks), as opposed to reflecting more of a strategic, or top-down, phenomenon. Here, we review the latest research on the topic of crossmodal correspondences to have addressed this issue. We argue that answering the question will require researchers to be more precise in terms of defining what exactly automaticity entails. Furthermore, one’s answer to the automaticity question may also hinge on the answer to a second question: Namely, whether crossmodal correspondences are all ‘of a kind’, or whether instead there may be several different kinds of crossmodal mapping (e.g., statistical, structural, and semantic). Different answers to the automaticity question may then be revealed depending on the type of correspondence under consideration. We make a number of suggestions for future research that might help to determine just how automatic crossmodal correspondences really are.     

How stable are borderline diagnoses?

Borderline diagnostic terms are still being routinely and rather unreliably made in many centers. In the present sample of probands with various borderline states other diagnoses from the entire spectrum of psychiatric disorders, especially schizophrenia, were also found. Thus, in those cases with multiple admissions, a borderline diagnosis demonstrated only little stability over time. There was a strong tendency for borderline cases towards a diagnosis of schizophrenia and vice versa. Indeed, probands, with both borderline and schizophrenic diagnoses had no clear-cut course characteristics. It is suggested that the criteria of DSM-III for borderline personality disturbance be provisionally used for research purposes.     

How automatic are social judgments?

Do people infer personality dispositions automatically when they encode behavior? Tulving's encoding-specificity paradigm was adapted to test three operational indicants of automatism: absence of intention, of interference from other mental activity, and of awareness. Recruited for a digit-recall study, subjects read sentences describing actions during the retention interval of either an easy or a difficult digit recall task. Later, sentence recall was cued by (a) disposition cues, (b) strong semantic associates to the sentence actor, or (c) words representing the gist of the sentence, or (d) sentence recall was not cued. Awareness was measured immediately after the last sentence was read. Disposition-cued recall was higher than (b) or (d) and was unaffected by digit recall difficulty. Awareness of making dispositional inferences was only weakly correlated with disposition-cued recall. Results suggest that disposition inferences occurred at encoding, without intention, without interference by differential drain on processing capacity, and with little awareness. Thus, making dispositional inferences seems to be largely, but not entirely, automatic.     

How are scientific corrections made?

This paper provides examples drawn from the author’s experience that support the conclusion that errors and deceptions in archival science are often not easily or quickly corrected. The difficulty in correcting errors and deceptions needs wider recognition if it is to be overcome. In addition, the paper discusses how subtle abuses introduce errors into the archival literature.     

Which topics are important to address in premarital counseling? A survey of clergy

Pastoral counselors who provide premarital counseling must address the topics that are most relevant to couples as they prepare for marriage. This article presents the results of a survey of clergy who provide premarital counseling, demonstrating the relative importance that clergy ascribe to premarital counseling topics, as well as the relationship between religious affiliation and ratings of topic importance.     

How honest are the signals? A protocol for validating wearable sensors

There is growing interest among organizational researchers in tapping into alternative sources of data beyond self-reports to provide a new avenue for measuring behavioral constructs. Use of alternative data sources such as wearable sensors is necessary for developing theory and enhancing organizational practice. Although wearable sensors are now commercially available, the veracity of the data they capture is largely unknown and mostly based on manufacturers’ claims. The goal of this research is to test the validity and reliability of data captured by one such wearable badge (by Humanyze) in the context of structured meetings where all individuals wear a badge for the duration of the encounter. We developed a series of studies, each targeting a specific sensor of this badge that is relevant for structured meetings, and we make specific recommendations for badge data usage based on our validation results. We have incorporated the insights from our studies on a website that researchers can use to conduct validation tests for their badges, upload their data, and assess the validity of the data. We discuss this website in the corresponding studies.