Exposure Therapy Beliefs and Utilization for Treatment of PTSD: A Survey of Licensed Mental Health Providers

Exposure-based therapies for posttraumatic stress disorder (PTSD) and anxiety disorders remain underutilized, despite their effectiveness and widescale dissemination efforts. This study surveyed a broad range of licensed providers (N = 155) to examine rates at which prolonged exposure (PE) and other interventions are used to treat PTSD and to investigate provider characteristics linked to exposure beliefs and utilization. While 92.3% of clinicians reported understanding of or training in exposure, only 55.5% of providers reported use of PE to treat PTSD. Clinicians with current cognitive behavioral therapy (CBT) orientation, CBT training orientation, a doctoral degree, and training in PE endorsed greater likelihood of exposure utilization for PTSD (ps < .001, ds = 0.82–1.98) and less negative beliefs about exposure (ps < .01, ds = 0.55–2.00). Exposure beliefs also differed based on healthcare setting (p < .001). Among providers trained in exposure (n = 106), master’s degree and non-CBT current theoretical orientation were associated with high utilization yet also negative beliefs. Results suggest exposure training, accurate beliefs, and utilization still lag among some groups of providers. Additionally, negative beliefs and misunderstanding of the exposure rationale may persist even among providers who are trained and report high utilization.     

Career Services in the Post‐COVID‐19 Era: A Paradigm for Career Counseling Unemployed Individuals

The 2019 novel coronavirus (COVID‐19) pandemic has caused unprecedented economic disruption and unemployment worldwide, threatening to become both a financial and a humanitarian crisis. Prolonged labor market recession and an acute rise of unemployment are expected. The main question for career counselors will be how to provide effective career counseling to unemployed people in the post‐COVID‐19 world, where they may face many other unemployment‐related problems. In this article, we suggest application of a holistic intervention model of career counseling for unemployed people that was designed to address the consequences of the acute financial recession in Greece.     

Out of sight,out of mind: Occlusion and eye closure destabilize moving bistable structure-from-motion displays

Our brain constantly tries to anticipate the future by using a variety of memory mechanisms. Interestingly, studies using the intermittent presentation of multistable displays have shown little perceptual persistence for interruptions longer than a few hundred milliseconds. Here we examined whether we can facilitate the perceptual stability of bistable displays following a period of invisibility by employing a physically plausible and ecologically valid occlusion event sequence, as opposed to the typical intermittent presentation, with sudden onsets and offsets. To this end, we presented a bistable rotating structure-from-motion display that was moving along a linear horizontal trajectory on the screen and either was temporarily occluded by another object (a cardboard strip in Exp. 1, a computer-generated image in Exp. 2) or became invisible due to eye closure (Exp. 3). We report that a bistable rotation direction reliably persisted following occlusion or interruption only (1) if the pre- and postinterruption locations overlapped spatially (an occluder with apertures in Exp. 2 or brief, spontaneous blinks in Exp. 3) or (2) if an object’s size allowed for the efficient grouping of dots on both sides of the occluding object (large objects in Exp. 1). In contrast, we observed no persistence whenever the pre- and postinterruption locations were nonoverlapping (large solid occluding objects in Exps. 1 and 2 and long, prompted blinks in Exp. 3). We report that the bistable rotation direction of a moving object persisted only for spatially overlapping neural representations, and that persistence was not facilitated by a physically plausible and ecologically valid occlusion event.     

Remotely Close Associations: Openness to Experience and Semantic Memory Structure

Openness to experience—the enjoyment of novel experiences and ideas—has many connections to cognitive processes. People high in openness to experience, for example, tend to be more creative and have broader general knowledge than people low in openness to experience. In the current study, we use a network science approach to examine if the organization of semantic memory differs between high and low groups of openness to experience. A sample of 516 adults completed measures of openness to experience (from the NEO Five‐Factor Inventory‐3 and Big Five Aspect Scales) and a semantic verbal fluency task. Next, the sample was split into half to form high (n = 258) and low (n = 258) openness to experience groups. Semantic networks were then constructed on the basis of their verbal fluency responses. Our results revealed that the high openness to experience group's network was more interconnected, flexible, and had better local organization of associations than the low openness to experience group. We also found that the high openness to experience group generated more responses on average and provided more unique responses than the low openness to experience group. Taken together, our results indicate that openness to experience is related to semantic memory structure. © 2018 European Association of Personality Psychology     

From self‐defeating to other defeating: Examining the effects of leader procrastination on follower work outcomes

This research examines the influence of leader procrastination on employee attitudes and behaviours. While previous studies have typically viewed procrastination as a form of self‐defeating behaviour, this research explores its effects on others in the workplace. In Study 1, using data collected from 290 employees, we demonstrate the discriminant and relative predictive validity of leader procrastination on leadership effectiveness compared with laissez‐faire leadership and directive leadership. In Study 2, based on dyadic data collected in three phases from 250 employees and their 23 supervisors, we found that leader procrastination was associated with follower discretionary behaviour (organizational citizenship behaviour and deviant behaviour). Additionally, job frustration was found to mediate the relationship between leader procrastination and follower outcomes. The quality of the leader–follower relationship, as a boundary condition, was shown to mitigate the detrimental effects of leader procrastination. Together, the findings suggest that leader procrastination is a distinct form of negative leadership behaviour that represents an important source of follower job frustration.

Practitioner points

• Leader procrastination is different from laissez‐faire and directive leadership and can be detrimental to followers.
• Job frustration mediates the relationship between leader procrastination and follower discretionary behaviour.
• Organizations should facilitate high‐quality LMX relationships as a method for mitigating the negative effects of leader procrastination.

     

On the advancement and software support of decision‐making in focused ultrasound therapy

Focused ultrasound therapy (FUS) is a modern and promising way for minimally invasive cancer treatment. Recent advances in treatment technology, bio‐physical models, and numerical simulation methods have given rise to a significant curative potential. However, clinical routine of FUS still features classical planning approaches, which widely fail in exploiting this potential. The structure of FUS planning problems strongly suggests interactive multi‐criteria decision‐making concepts in order to improve treatment quality. This research work introduces an multi‐criteria decision‐making approach to FUS planning and explains how to bridge the conceptual gap between the clinical state of the art and this new planning paradigm.     

Sex differences in navigation strategy and efficiency

Research on human navigation has indicated that males and females differ in self-reported navigation strategy as well as objective measures of navigation efficiency. In two experiments, we investigated sex differences in navigation strategy and efficiency using an objective measure of strategy, the dual-solution paradigm (DSP; Marchette, Bakker, & Shelton, 2011). Although navigation by shortcuts and learned routes were the primary strategies used in both experiments, as in previous research on the DSP, individuals also utilized route reversals and sometimes found the goal location as a result of wandering. Importantly, sex differences were found in measures of both route selection and navigation efficiency. In particular, males were more likely to take shortcuts and reached their goal location faster than females, while females were more likely to follow learned routes and wander. Self-report measures of strategy were only weakly correlated with objective measures of strategy, casting doubt on their usefulness. This research indicates that the sex difference in navigation efficiency is large, and only partially related to an individual’s navigation strategy as measured by the dual-solution paradigm.     

Republican Voters Prefer Candidates Who Have Conservative‐Looking Faces: New Evidence From Exit Polls

Research shows people share common political facial stereotypes: They associate faces with political ideologies. Moreover, given that many voters rely on party affiliation, political ideology, and appearances to select political candidates, we might expect that political facial stereotypes would sway voting preferences and, by extension, the share of votes going to each candidate in an election. And yet few studies have examined whether having a stereotypically conservative‐looking (or liberal‐looking) face predicts a candidate's vote shares. Using data from U.S. election exit polls, we show that the Republican voters within each state are more likely to vote for a candidate (even a Democrat) the more that person has a stereotypically Republican‐looking face. By contrast, the voting choices of the Democratic voters within each state are unrelated to political facial stereotypes. Moreover, we show that the relationship between political facial stereotypes and voting does not depend on state‐level ideology: Republican voters in both right‐leaning (“red”) and left‐leaning (“blue”) states are more likely to vote for candidates with conservative‐looking faces. These results have several important practical and theoretical implications concerning the nature and impact of political facial stereotypes, which we discuss.     

The social psychology of disordered eating: The Situated Identity Enactment model

Eating disorders and subclinical behaviours such as dangerous dieting are a significant public health burden in the modern world. We argue that a social-psychological model of disordered eating is needed to explain how sociocultural factors are psychologically represented and subsequently reflected in an individual’s cognitions and behaviour. We present evidence that three central elements shape disordered eating – social norms, social identity and social context – and integrate these within a Situated Identity Enactment (SIE) model. Specifically, the SIE model states that social context determines the salience of both social norms and social identities. Social norms then influence disordered eating behaviour, but only to the extent that they are consistent represented in the content of a person’s social identities. We conclude by outlining the implications of the SIE model for researchers and practitioners in the domain of disordered eating, focusing in particular on the need for, and potential value of, theory-derived social interventions.