Recording therapy sessions: What do clients and therapists really think?

Aims: Recording therapy sessions has become part of routine practice amongst trainee psychotherapists. To date most research has focused on the benefits of recording sessions to support clinical supervision. There are few data about the benefits or risks for clients. This study aimed to explore the views of clients who had had their therapy sessions recorded and therapists who had recorded sessions. Design: Five clients and 25 therapists completed a qualitative survey, the results of which were analysed using thematic analysis. Findings: All clients and several therapists reported that the recording devices are soon forgotten. Both therapists and clients reported the benefits of recording as being purely for the therapist with none identified for clients. Conclusions: It was observed that clients perhaps did not always understand how recordings were used, suggesting the need for clearer practice guidance.     

One-person family therapy? An analysis of family therapy schools

Abstract

In this article, eight schools of family therapy (psychodynamic, intergenerational, contextual, experiential, structural, strategic, functional, behavioral) are examined regarding participation policies. Differences in schools' participation policies are compared and contrasted using comparative and content analyses. Schools' theoretical rationales and how they effect therapy practice are explored. Implications for therapy practice are presented. The study's goal is to provide information to increase therapist flexibility in working with varying client populations.     

Medical or relational language? Problem and goal formulation in family therapy with adolescents conducted in a psychiatric outpatient setting

The constructionist view assumes that therapy participants' maps of understanding depend on the institutional context and their personal perspectives. The purpose of this study was to investigate the initial maps of difficulties reported by family members starting family therapy. 106 families that were referred to a psychiatric institution for outpatient family therapy were asked open-ended questions regarding the context of the referral, and goal and problem formulation for the therapy. The data were analysed via the consensual qualitative research-modified (CQR-M) method, and comparisons between groups were performed. The obtained results show a diversity of perspectives. Of interest was the predominance of medical language in describing the problem and relational language in describing the goal of therapy. An analysis of differences between mothers, fathers, adolescent patient and their siblings was also performed. The findings highlight the complexity of notions that families start family therapy with and may help therapists navigate through the therapeutic contract formulation process.     

What do children do in the rime-analogy task? An examination of the skills and strategies used by early readers

Despite the intense debate surrounding the use of orthographic analogy in the clue word paradigm, little is known about the skills and strategies children actually use and how these compare with their everyday reading of single words. This study, with 4- and 5-year-olds (N=125), supports previous work which suggests children rely on phonological, rather than orthographic, priming in the clue word task since children most frequently produced rhyming words in response to the clue word. The extent to which phoneme and rhyme-based skills, along with letter-sound knowledge, predicted children's performance in the analogy task and in a test of single word reading was contrasted and compared. Our findings suggested that the balance of skills which children drew upon was determined by the demands of the task. The implications of these findings for the validity of the 'orthographic'-analogy task and for teaching beginning readers is discussed.     

How do adults use repetition? A comparison of conversations with young children and with multiply-handicapped adolescents

The aim of this research is to compare the types and functions of repetitions in two different corpora, one constituted of verbal interactions between adults and multiply-handicapped adolescents, the other between adults and young children of the same mental age as the adolescents. Our overall aim is to observe whether the communicative (linguistic and pragmatic) behaviour of adults varies according to the interlocutor and, if it does vary, in what ways. The main results show that adults do not use repetition strategy with the same aims according to the interlocutor. When interacting with a child, repetitions form part of a strategy of linguistic ‘tutoring’ which allow the child to take on board progressively more complex linguistic constructions; it also enriches exchanges from a pragmatic point of view. On the other hand, when adults communicate with multiply-handicapped adolescents, their main aim is the maintaining of dialogue.     

Faking psychopathy? An examination of response styles with antisocial youth

Psychopaths frequently con and manipulate others in an attempt to achieve their own objectives. In the current literature, correlational research has generally found that psychopathy has (a) an inverse relation with social desirability and (b) a positive relation with malingering. Although instructive, these correlational data do not address whether the assessment of psychopathy is vulnerable to specific response styles. This study examined 2 response styles among adolescent offenders in the context of pending adjudication: social desirability and social nonconformity. On 3 measures of psychopathy (i.e., Psychopathy Checklist: Youth Version, Psychopathy Screening Device, and Self-Report of Psychopathy-Second Edition), a simulation design was employed with a realistic scenario, incentives for successful deception, and appropriate manipulation checks. Results indicated moderate to large effect sizes for social desirability and large effect sizes for social nonconformity. The implications of these results for the clinical assessment of psychopathy are discussed.     

How do valence and meaning interact? The contribution of semantic control

The hub-and-spoke model of semantic cognition proposes that conceptual representations in a heteromodal ‘hub’ interact with and emerge from modality-specific features or ‘spokes’, including valence (whether a concept is positive or negative), along with visual and auditory features. As a result, valence congruency might facilitate our ability to link words conceptually. Semantic relatedness may similarly affect explicit judgements about valence. Moreover, conflict between meaning and valence may recruit semantic control processes. Here we tested these predictions using two-alternative forced-choice tasks, in which participants matched a probe word to one of two possible target words, based on either global meaning or valence. Experiment 1 examined timed responses in healthy young adults, while Experiment 2 examined decision accuracy in semantic aphasia patients with impaired controlled semantic retrieval following left hemisphere stroke. Across both experiments, semantically related targets facilitated valence matching, while related distractors impaired performance. Valence congruency was also found to facilitate semantic decision-making. People with semantic aphasia showed impaired valence matching and had particular difficulty when semantically related distractors were presented, suggesting that the selective retrieval of valence information relies on semantic control processes. Taken together, the results are consistent with the hypothesis that automatic access to the global meaning of written words affects the processing of valence, and that the valence of words is also retrieved even when this feature is task-irrelevant, affecting the efficiency of global semantic judgements.     

Coping with work and family: How do dual‐earners interact?

Juggling the demands of both work and family has become increasingly difficult, especially for dual‐earner households; nevertheless, families have developed strategies to deal with work‐family challenges. This paper uses couple level analyses (APIM models) with 100 dual‐earner couples to provide insight about partners' mutual influence on the use of work‐family coping strategies. The results show that women's use of coping strategies is more associated with work‐family conflict and work‐family enrichment than men's coping. In addition, using partner coping, having a positive attitude towards multiple roles, using planning and management skills and avoiding having to cut back on professional responsibilities is associated with better outcomes (more enrichment and less conflict). Surprisingly, the use of childcare facilities is associated with women's conflict and partner effects were only found concerning the use of management and planning skills. These skills, however, have distinct effects for men and women's outcomes: their use by men reduces their own conflict but increases their wives', while their use by women decreases their own conflict and increases their own and their partner's enrichment. These results point to the fact that gender roles continue to be a hallmark of work‐family issues. Our design and results point out the need for new interventions that take couple interdependences into account.     

How well does cognitive-behavioral therapy treat symptoms of complex PTSD? An examination of child sexual abuse survivors within a clinical trial

Are brief cognitive-behavioral treatments for posttraumatic stress disorder (PTSD) also effective for the wider range of symptoms conceptualized as complex PTSD? Female rape victims, most of whom had extensive histories of trauma, were randomly assigned to cognitive-processing therapy, prolonged exposure, or a delayed-treatment waiting-list condition. After determining that both types of treatment were equally effective for treating complex PTSD symptoms, we divided the sample of 121 participants into two groups depending upon whether they had a history of child sexual abuse. Both groups improved significantly over the course of treatment with regard to PTSD, depression, and the symptoms of complex PTSD as measured by the Trauma Symptom Inventory. Improvements were maintained for at least 9 months. Although there were group main effects on the Self and Trauma factors, there were no differences between the two groups at posttreatment once pretreatment scores were covaried. These findings indicate that cognitive-behavioral therapies are effective for patients with complex trauma histories and symptoms patterns.     

Does anxiety sensitivity correlate with startle habituation? An examination in two independent samples

Individuals with anxiety disorders have previously demonstrated abnormal habituation to aversiveness over time. As anxiety sensitivity (AS), or an individuals' propensity to fear of anxiety-related sensations, has been shown to be a risk factor for anxiety disorders (particularly panic disorder), the present study examined whether AS was also associated with abnormal habituation. This association was examined in two independent samples of undergraduates (N_total=178). Habituation was operationalised as the reduction in startle response to multiple startle probes presented over 2.5 minutes and three definitions of this reduction were employed. Results indicated that individuals with higher levels of AS evidenced deficits in startle habituation, but the strength of this relationship was somewhat dependent on the definition of startle habituation, with the most robust definition being an analysis of participants' individual slopes across all nine blinks. The present findings suggest that startle habituation is a key mechanism underlying AS, and may help elucidate the role this risk factor plays in the pathogenesis of anxiety disorders.     

How do shoppers behave online? An observational study of online grocery shopping

The pace of online shopping revenue growth means it is important for retailers and manufacturers to understand how consumers behave online compared with their behaviour in brick and mortar stores. We conducted a study in which the detailed behaviour of 40 shoppers was screen recorded while they each undertook an online shopping ‘trip’. The shopping trip comprised purchasing a basket of 12 commonly bought grocery categories at one of two major retailers. The shoppers were all inexperienced in online grocery shopping. Results show that online grocery shopping is fast, even for these consumers who were new to it – half of the online shoppers spent less than 10 seconds purchasing from a category. This result is very similar to that of past studies in physical stores. Indeed, half of all the 12 item‐shopping trips took less than 10 minutes. Also, most purchases were made from the first category page displayed in the retailer's online store. Shoppers also consistently used the default display options chosen by the retailers but used a combination of navigational tools to find their products. We conclude that online shoppers do not behave differently from those offline in terms of time spent or effort expended. Online shopping, in the grocery context at least, seems to primarily reflect a desire for time efficiency on the part of the shopper. In that regard, online shopping seems very similar to in‐store shopping. The study begins the job of documenting shopper behaviour into this new channel and provides practical knowledge for retailers and manufacturers. Copyright © 2015 John Wiley & Sons, Ltd.     

How do scientists select articles in the PubMed database? An empirical study of criteria and strategies

IntroductionThe present study investigated the strategies used by experienced researchers to find articles in an online bibliographic database.ObjectiveThe goal was to shed light on researchers’ actual search behaviour by empirically observing users during the search process.MethodWe asked 16 neuroscience researchers and 16 researchers in other disciplines of life sciences to perform five search tasks on neuroscience topics using the PubMed database. Think-aloud protocols were recorded while the participants performed the search tasks.ResultsAll researchers managed to find adequate references for the tasks in the limited amount of time allocated. Most participants used similar, very basic moves and tactics to perform the tasks. However, they behaved in many different ways when they had to decide whether to read the retrieved results or to modify their query (according to the number of references they obtained), or when selecting the one or two references they finally gave as answers among all possible answers.DiscussionVariability in participants’ behaviour may result from inter-individual differences in either the participants’ mental models of PubMed or cognitive abilities and styles, but the question requires further investigation. The data further suggest that developers of online search engines and databases should concentrate their efforts on improving simple-search interfaces and helping users to correct search errors in real time.     

How does personality matter in marriage? An examination of trait anxiety, interpersonal negativity, and marital satisfaction

Although trait anxiety and its aliases (negative affectivity, neuroticism) have frequently been found to be associated with marital dissatisfaction, few efforts have been made to identify the processes through which trait anxiety exerts its influence. This study reports findings from a 13-year, 4-phase longitudinal study in which trait anxiety, measured when spouses were newlyweds, consistently predicted marital negativity which, in turn, was associated with partner's marital dissatisfaction. Some support was also found for effects of trait anxiety on partner's marital satisfaction, independent of marital negativity, as well as for the idea that trait anxiety is directly related to spouses' own marital satisfaction. Trait anxiety did not distinguish couples who divorced from those who remained married, and it generally did not predict declines in marital satisfaction. The disagreeable impact of trait anxiety on marriage was evident at the outset of marriage and was stable over time.     

How do changes in speed affect the perception of duration?

Six experiments investigated how changes in stimulus speed influence subjective duration. Participants saw rotating or translating shapes in three conditions: constant speed, accelerating motion, and decelerating motion. The distance moved and average speed were the same in all three conditions. In temporal judgment tasks, the constant-speed objects seemed to last longer than the decelerating objects, which in turn seemed to last longer than the accelerating stimuli. In temporal reproduction tasks, the difference between accelerating and decelerating stimuli disappeared; furthermore, watching an accelerating shape lengthened the apparent duration of the subsequent (static) display. These results (a) suggest that temporal judgment and reproduction can dissociate for moving stimuli because the stimulus influences the apparent duration of the subsequent interval, and (b) constrain theories of time perception, including those which emphasize memory storage, those which emphasize the existence of a pacemaker-accumulator timing system, and those which emphasize the division of attention between temporal and non-temporal information processing.     

A theoretical frame of reference for family systems therapy? An introduction to Luhmann's theory of social systems

The starting point for this paper is that family therapy lacks a theoretical frame of reference of its own; thus a stepwise search for such a frame of reference is described. First, social systems are defined as communication systems. Second, it is shown in what way a family can be seen as a social system. With the help of the theory of social systems of the sociologist Luhmann, a theoretical frame of reference for systems therapy is drafted. Finally, we hint at the implications such a theoretical framework could have for clinical practice.