Implementing and Sustaining SHARE: An Exposure‐Based Psychotherapy Group for Incarcerated Women Survivors of Sexual Violence

Although incarcerated women are a highly victimized population, therapy for sexual violence victimization (SVV) sequela is not routinely offered in prison. SHARE is a group therapy for SVV survivors that was successfully implemented and sustained in a women’s correction center. Here, we aimed to identify implementation factors and strategies that led to SHARE’s success and describe incarcerated women’s perspectives on the program. We conducted a retrospective process evaluation using interviews structured according to EPIS, a well‐established implementation science framework. Participants (N = 22) were incarcerated women, members of the SHARE treatment team, and members of the correction center’s leadership, therapeutic team, and volunteer program. Factors that facilitated SHARE implementation varied by EPIS phase and organization. Positive inter‐organizational and interpersonal relationships were key across phases, as were the synergies between both the strengths and needs of each organization involved in implementation. Incarcerated women reported a strong need for SHARE and did not report any concerns about receiving trauma therapy in a carceral setting. Therapy for SVV sequelae, including exposure‐based therapy, is possible to implement and sustain in carceral settings. Community–academic partnerships may be a particularly feasible way to expand access to SVV therapy for incarcerated women.     

Within-Family Effects of Smoking during Pregnancy on ADHD: the Importance of Phenotype

We sought to test within- and between- family associations of smoking during pregnancy (SDP) and attention deficit-hyperactivity disorder (ADHD) symptoms using a structured interview based on the conventional Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) symptoms and the Strengths and Weaknesses of ADHD-Symptoms and Normal-Behavior (SWAN) scale, which is a population based measure that grew out of the notion that an ADHD diagnosis exists on the extreme end of a continuum of normative behaviors and includes both above- and below- average performance on attention and activity. We used a sibling-comparison approach in a sample of 173 families including siblings aged 7–16 years (52% male) drawn from the state of Missouri, USA, wherein mothers smoked during one pregnancy but not the other. There was a within-family effect of smoking during pregnancy on SWAN hyperactivity/impulsivity and SWAN total ADHD behaviors. The associations between SDP and DSM-IV-based ADHD symptom dimensions as well as SWAN inattention were explained by familial confounds. These findings suggest that SDP exerts a potentially causal effect on increased ADHD hyperactive/impulsive behaviors and that this SDP effect is best captured when hyperactivity/impulsivity is assessed more normatively across the population, rather than specifically assessing problematic behaviors via DSM symptoms. Thus, any potentially causal effect of SDP on ADHD symptom dimensions may be restricted to hyperactive/impulsive behaviors rather than inattention, and normative, non-DSM-IV based behavioral measures may provide a more sensitive test of mechanisms of SDP-ADHD symptom associations, particularly in non-clinical samples.     

Construing action abstractly and experiencing autonomy: Implications for physical activity and diet

Mentally representing action in terms of abstract goals rather than concrete procedures has been found to facilitate self-regulation, including meeting health goals. The present research examined whether autonomous motivation mediates the association between abstract thinking and health behavior engagement. We hypothesized that abstract (vs. concrete) thinking relates to viewing oneself as behaving autonomously, which, in turn, is positively associated with engaging in health behaviors. Two studies tested whether abstract thinking is associated with greater health behavior engagement and whether autonomous motivation statistically mediates this association. In Study 1, abstract thinking was associated positively with physical activity and fruit and vegetable intake. In Study 2, supporting pre-registered hypotheses, there was a significant indirect effect of abstract thinking on vigorous physical activity and fruit and vegetable intake through autonomous motivation. Whereas past research has emphasized that abstract thinking orients attention towards the value of broader goals, this research establishes that autonomous motivation helps explain associations between abstract thinking and health behavior engagement.     

Something Old, Something New: Evidence of Self-Accommodation to Gendered Social Change

Two studies examined how individuals adapt the self to social trends—in particular, when the social roles of the gender ingroup change, do people readily leave behind traditional roles in favor of nontraditional roles? We hypothesized that self-relevant cognitions and behaviors would accommodate to societal change, and we found that this accommodation took the shape of greater acceptance of nontraditional roles alongside continued acceptance of traditional roles. Experiment 1 included 112 undergraduates from the Midwestern U.S. who learned about social change or social stability by reading articles ostensibly published in a newspaper. Individuals who learned about social change for their gender ingroup, relative to those learning about social stability, projected greater personal success in careers, particularly for gender-nontraditional careers. Experiment 2 examined behavioral responses to social change in a sample of 198 female undergraduates from the Midwestern U.S. Participants learned about social change or social stability and then chose to view either a website focused on physical appearance (i.e., traditional choice) or leadership (i.e., nontraditional choice). Behavioral responses to social change reflected accommodation to the anticipated social structure: Individuals who learned about social change chose to view information about nontraditional rather than traditional roles. These studies provide initial experimental evidence investigating how individuals adapt the self to the social structure.     

Perceptions of adolescent bullying: Attributions of blame and responsibility in cases of cyber‐bullying

Cyber‐bullying (where victims are targeted via online social networking or other electronic means) has gained increased attention in research and the broadcast media, but previous research has not investigated attribution of blame in such cyber‐bullying events. This experiment hypothesized that participants would assign higher ratings of blame to bullying perpetrators when the bullying situations were depicted as having highly foreseeable outcomes (vs. unforeseeable outcomes), and as occurring in school (vs. online). In addition, a significant interaction was predicted between outcome foreseeability and bullying situation, with highly foreseeable in‐school events being rated as the most predictable and attributable to the bully's actions. One‐hundred sixty‐three participants completed surveys containing demographic items, items regarding their past experiences of victimization, and one of four randomly‐assigned vignettes detailing a bullying situation (which participants rated). While hypotheses regarding outcome foreseeability were supported, no cyber‐bullying vs. in‐school main effects (or corresponding interaction effects) were detected. Implications for future research and practice, as well as study limitations, are discussed.     

The Id and the Regulatory Principles of Mental Functioning by Max Schur

The authors draw on their experience as male and female cotherapists with a group of adults having a history of incest. These patients repeat in therapy numerous roles learned in childhood. These roles influence countertransference through projective identification, inducing role suction and/or role reversals. Acknowledging the pressure to assume these roles facilitates treatment. The role fluctuations may cause additional confusion.

Countertransference experiences are described, ranging from disbelief, revulsion, and rage, to fantasies of rescue, feelings of attraction, and defensive fears. The authors were, on and off, deskilled by their extraordinarily intense countertransference responses when treating the emotional scars of incest.     

Perceived Ability to Cope With Trauma Among U.S. Combat Veterans

The Perceived Ability to Cope With Trauma (PACT) scale measures perceived forward-focused and trauma-focused coping. This measure may also have significant utility measuring positive adaption to life-threatening trauma, such as combat. Our objective was to examine perceived ability to cope with trauma, as measured by the PACT, and the relationships between this perceived ability and clinically pertinent information (anxiety, depression, posttraumatic stress disorder [PTSD]) among U.S. military veterans. Data were provided from 71 combat veterans, consisting of 47 veterans with PTSD and 24 veterans without PTSD who had subthreshold symptoms of the disorder. All veterans completed standardized clinical interviews as well as a battery of well-validated self-report symptom measures. We found that veterans with PTSD had significantly lower PACT scores than veterans without PTSD; those without PTSD self-reported more ability to engage in forward-focused and trauma-focused coping than those with PTSD. Importantly, we also showed relationships between the PACT scores and indices of psychological difficulties as both Forward Focus and Trauma Focus coping scores negatively correlated with PTSD, depression, anxiety, and alexithymia. Finally, the Forward Focus PACT scale improved prediction of PTSD severity over combat exposure alone. The PACT, especially the Forward Focus scale, appears to be a useful measure of perceived positive coping ability with trauma in combat-exposed veterans who report symptoms of traumatic stress, extending the utility of the measure from normative to clinical populations. The importance of adopting forward-focused coping is discussed.     

Suppression-induced forgetting on a free-association test

The repeated suppression of thoughts in response to cues for their expression leads to forgetting on a subsequent test of cued recall (Anderson & Green, 2001). We extended this effect by using homograph cues and presenting them for free association following suppression practice. Cue–target pairs were first learned under integrating imagery instructions; then in the think/no-think phase students practised suppressing thoughts connected to some homograph cues, with or without the assistance of thought substitutes that changed their meaning. Below-baseline forgetting on the subsequent free-association test was found in the production of suppressed targets. Following aided suppression this effect was also obtained in the production of other responses denoting the target-related meaning of the homograph cues. Discussion emphasises the ecological value of the test; rarely do people deliberately attempt recall of unwanted thoughts.     

Social Responsibility among Low-Income Youth in Physical Activity-Based Positive Youth Development Programs: Scale Development and Associations with Social Relationships

Relationships with peers and adults are expected to foster social responsibility in physical activity-based positive youth development programs. Low-income youth (N = 479) were surveyed pre- and post-program.Psychometric properties of a new social responsibility scale were supported. Belonging predicted changes in social responsibility, and leader emotional support moderated the autonomy support- and belonging-social responsibility associations. Those with higher leader emotional support had a stronger positive association between autonomy support and social responsibility. Those with lower leader emotional support had a stronger positive association between belonging and social responsibility. Positive social relationships with peers and staff may facilitate social responsibility.