Cross-fertilization versus transmission: Recommendations for developing a bidirectional approach to psychotherapy dissemination research

Psychotherapy researchers are increasingly engaged in collaborations with clinical practitioners and mental health administrators. Each party brings its own perspectives, values, and agendas to bear in these encounters. Viable research—practice collaborations depend on understanding and negotiating some of the tensions in these relationships. In this article, we discuss the contexts that prevail for various participants in a psychotherapy dissemination study as well as the values, goals, costs, and benefits related to research participation. This article is a collaboration among the researchers, mental health administrators, therapists, and clients involved in an ongoing treatment dissemination study. Our recommendations for research—practice collaborations are based on our experiences and dialogues over the course of this study.     

Frequency illusions and other fallacies

[Cosmides and Tooby, 1996] increased performance using a frequency rather than probability frame on a problem known to elicit base-rate neglect. Analogously, [Gigerenzer, 1994] claimed that the conjunction fallacy disappears when formulated in terms of frequency rather than the more usual single-event probability. These authors conclude that a module or algorithm of mind exists that is able to compute with frequencies but not probabilities. The studies reported here found that base-rate neglect could also be reduced using a clearly stated single-event probability frame and by using a diagram that clarified the critical nested-set relations of the problem; that the frequency advantage could be eliminated in the conjunction fallacy by separating the critical statements so that their nested relation was opaque; and that the large effect of frequency framing on the two problems studied is not stable. Facilitation via frequency is a result of clarifying the probabilistic interpretation of the problem and inducing a representation in terms of instances, a form that makes the nested-set relations amongst the problem components transparent.     

Self‐Esteem and Suicide Ideation in Psychiatric Outpatients

Depression, hopelessness, and low self‐esteem are implicated as vulnerability factors for suicide ideation. The association of self‐esteem with suicide ideation after controlling for depressed mood and hopelessness was examined. Adult psychiatric outpatients (N = 338) completed measures of self‐esteem, suicide ideation, hopelessness, and depression. Self‐esteem was operationalized as beliefs about oneself (self‐based self‐esteem) and beliefs about how other people regard oneself (other‐based self‐esteem). Each dimension of self‐esteem was negatively associated with suicide ideation after controlling for depression and hopelessness. Of the two dimensions of self‐esteem, other‐based self‐esteem was the more robust predictor of suicide ideation. These findings suggest that even in the context of depression and hopelessness, low self‐esteem may add to the risk for suicide ideation.     

Corruption as a Propensity: Personality and Motivational Determinants Among Nigerians

Psychologically oriented studies on corruption are lacking despite the fact that psychology has contributed enormously to the understanding of criminal behaviors over the past decades. Part of this problem relates to the lack of psychological tone in the definition and measurement of corruption. Taking a clue from the extensive psychological discourse on crime, which provides strong evidence for the existence of criminal tendencies, we conceptualized corruption here in terms of propensity. Possible personality and motivation determinants of this propensity were then explored. Results revealed that extraversion and conscientiousness positively and inversely predicted corruption tendencies, respectively. Results further showed that extrinsic motivation positively potentiates corruption tendencies, whereas intrinsic motivation was inversely related to corruption tendencies. Analysis of demographic variables revealed that males were more likely to be corrupt than their female counterparts. In general, findings here are consistent with the criminal behavior literature, which strongly suggests that the study of corruption is indeed amenable to psychological theories and methods and that individual differences variables constitute important explanatory variables in this regard.     

The Integration of Noninvasive Prenatal Screening into the Existing Prenatal Paradigm: a Survey of Current Genetic Counseling Practice

Since its introduction four years ago, noninvasive prenatal screening for fetal aneuploidy (NIPS) has been widely adopted as a screening tool for women at a high risk for fetal aneuploidy. As use expands into the general population, questions arise concerning the integration of NIPS into preexisting screening paradigms. This study aims to examine the use of NIPS in current practice among prenatal counselors, predominantly in the United States, in order to inform strategies for the optimal use of both new and existing screening techniques. We electronically surveyed 208 members of the National Society of Genetic Counselors to ascertain how NIPS is currently being used. Genetic counselors were also queried as to the advantages and disadvantages of offering NIPS to all patients regardless of a priori risk. Results indicate substantial variation in practice regarding which patients are offered NIPS and how counselors have incorporated this technology into existing screening routines. The majority of participants report offering NIPS in conjunction with another method of screening for fetal aneuploidy, indicating that NIPS is being used as an addition rather than as a replacement. These screening methods primarily include nuchal translucency (NT) (45.1 %, n = 78) and first trimester serum screening, with or without an NT (19.7 %, n = 34). Furthermore, the majority report that they would be concerned about losing the clinical value of an NT in a complete transition to NIPS (85.4 %, n = 164). Counselors are evenly split on the merits of expanding the use of NIPS to the general population (con: 55.3 %, n = 105; pro: 44.7 %, n = 85). The lack of consensus suggests that updated practice guidelines might benefit counselors. In addition, respondents emphasized the need to better educate patients and providers about the risks, benefits, and limitations of the test.