Therapeutic tasks: what kind of help is sought in psychotherapeutic sessions?

One of the main conditions for a good psychotherapeutic alliance is the agreement on therapeutic tasks and goals. This article explores the kind of help that clients expect from therapeutic sessions. By means of a written questionnaire, the clients of a private psychotherapy center, prior to the sessions, expressed their priorities regarding the work to be carried out in them. The assessment of 873 questionnaires showed that clients prefer to participate in therapeutic work that helps them plan actions, understand what is happening, and assess possibilities for change. Also important are therapeutic tasks that help clients evaluate their own actions, both past and planned. The importance that clients attach to different kinds of help varies above all according to how near they feel to resolving their problems. Nine different kinds of psychotherapeutic tasks are identified, which cover the possible requests a client can make of his/her therapist. This article discusses the clinical application of this model as a basis for planning and classifying psychotherapeutic interventions.     

Generalized Communicative Suspicion (GCS) Among Police Officers: Accounting for the Investigator Bias Effect1

Research shows that police officers are no more accurate than non‐officers in discerning between truthful and deceptive statements, but more biased than non‐officers to judge statements as deceptive. This was labeled by Meissner and Kassin (2002) as the investigator bias effect. A likely explanation could be that, since officers are normally involved in situations where questioning the truthfulness of the interviewee is essential, they could develop a generalized communicative suspicion (GCS). Levine and McCornack's (1991) GCS scale was adapted to the Spanish context and used to compare the GCS ratings of 152 undergraduates, 88 experienced officers, and 89 police recruits. Experienced officers’ GCS scores were significantly higher than those of the other groups, which did not differ from each other. This suggests that socialization within the police force increases the officers’ suspicion, leading them to make deceptiveness judgments.     

Language crimes and the cognitive interview: testing its efficacy in retrieving a conversational event

Frequently, the only available evidence in ‘language crimes’ (e.g. verbal sexual harassment) is witness statements about criminal conversations. However, previous research has showed that recall for sentences in conversation is very poor. The main aim of this research was to find out how to solve this problem. The cognitive interview (CI) is an interview technique which has shown to be more effective in recalling criminal episodes than a comparison interview. In addition, our experience in research on the CI had been highly satisfactory; therefore, we decided to use the CI as a tool in the research on memory for conversation, so far ignored. Thus, this study tested, for the first time, whether the CI would be also successful in obtaining complete and accurate accounts for a criminal conversation. Different forms of correct recall (verbatim/gist) of the verbal information as well as different types of errors (distortions/fabrications) were also examined. It was predicted that the CI would elicit more correct information without an increase in errors than a comparison interview (i.e. a free‐recall protocol). Results confirmed these hypotheses. Interpretations of the overall findings are offered within the context of theoretical principles concerning the retrieval of information from memory. Copyright © 2008 John Wiley & Sons, Ltd.     

Effects of repetitive stress during the acute phase of Trypanosoma cruzi infection on chronic Chagas' disease in rats

The effect of repetitive stress during acute infection with Trypanosoma cruzi (T. cruzi) on the chronic phase of ensuing Chagas' disease was the focus of this investigation. The aim of this study was to evaluate in Wistar rats the influence of repetitive stress during the acute phase of infection (7 days) with the Y strain of T. cruzi on the chronic phase of the infection (at 180 days). Exposure to ether vapor for 1 min twice a day was used as a stressor. Repetitive stress enhanced the number of circulating parasites and cardiac tissue disorganization, from a moderate to a severe diffuse mononuclear inflammatory process and the presence of amastigote burden in the cardiac fibers. Immunological parameters revealed that repetitive stress triggered a reduced concanavalin A induced splenocyte proliferation in vitro with major effects on the late chronic phase. Serum interleukin-12 concentration decreased in both stressed and infected rats in the early phase of infection although it was higher on 180 days post-infection. These results suggest that repetitive stress can markedly impair the host's immune system and enhance the pathological process during the chronic phase of Chagas' disease.     

A Measure for the Reliability of a Rating Scale Based on Longitudinal Clinical Trial Data

A new measure for reliability of a rating scale is introduced, based on the classical definition of reliability, as the ratio of the true score variance and the total variance. Clinical trial data can be employed to estimate the reliability of the scale in use, whenever repeated measurements are taken. The reliability is estimated from the covariance parameters obtained from a linear mixed model. The method provides a single number to express the reliability of the scale, but allows for the study of the reliability’s time evolution. The method is illustrated using a case study in schizophrenia. The authors are grateful to J&J PRD for kind permission to use their data. We gratefully acknowledge support from the Belgian IUAP/PAI network “Statistical Techniques and Modeling for Complex Substantive Questions with Complex Data.”     

Enhancing challenged students' recognition of mathematical relations through differential outcomes training

Previous studies have reported that the differential outcomes procedure enhances learning and memory in special populations with cognitive deficits (see Goeters, Blakely, & Poling, 1992, for a review). In the present study we extend these findings to healthy adults who were asked to discriminate between the symbols " > " and " < " in mathematical statements. In Experiment 1, the performance of participants who showed difficulties in discriminating between these symbols was better (shorter response times) for the differential outcomes condition than for the nondifferential outcomes condition. In Experiment 2, the difficulty of the task was increased by using signed decimal numbers. Similar to Experiment 1, participants who initially had difficulties in discriminating between the symbols showed better performance (higher accuracy) for the differential outcomes condition than for the nondifferential outcomes condition, but only when both numbers were negative. These findings suggest that the differential outcomes procedure can be used to improve performance of challenged healthy adults on discrimination tasks with mathematical symbols and relations.     

Unconscious symmetrical inferences: A role of consciousness in event integration

Explicit and implicit learning have been attributed to different learning processes that create different types of knowledge structures. Consistent with that claim, our study provides evidence that people integrate stimulus events differently when consciously aware versus unaware of the relationship between the events. In a first, acquisition phase participants sorted words into two categories (A and B), which were fully predicted by task-irrelevant primes-the labels of two other, semantically unrelated categories (C and D). In a second, test phase participants performed a lexical decision task, in which all word stimuli stemmed from the previous prime categories (C and D) and the (now nonpredictive) primes were the labels of the previous target categories (A and B). Reliable priming effects in the second phase demonstrated that bidirectional associations between the respective categories had been formed in the acquisition phase (A<-->C and B<-->D), but these effects were found only in participants that were unaware of the relationship between the categories! We suggest that unconscious, implicit learning of event relationships results in the rather unsophisticated integration (i.e., bidirectional association) of the underlying event representations, whereas explicit learning takes the meaning of the order of the events into account, and thus creates unidirectional associations.