The piloting of a brief relational psychodynamic protocol (psychodynamic addiction model) for problem gambling and other compulsive addictions: A retrospective analysis

The paper describes a treatment pilot for gambling and compulsive addiction within an NHS problem gambling clinic. The pilot study used a brief relational psychodynamic treatment protocol specifically designed to meet the needs of a group of patients who had not responded to CBT and who had other addictions or co‐morbidities. Seventy‐two (n = 72) patients were offered 12 sessions of therapy by four psychodynamic counsellors. Results were assessed using scores from a pre‐ and post‐treatment patient health questionnaire, the generalised anxiety disorder—7 (GAD‐7) and the Problem Gambling Severity Index (PGSI). Weekly feedback and supervision from counsellors and patients were used to assess the treatment model. The results highlighted that the psychodynamic addiction model was associated with reduced depression (Mean = 14.9; SD: 6.7), anxiety (Mean = 11.5; SD: 5.9), and gambling severity (p < .001), suggesting that a relational psychodynamic treatment is needed for complex patients with compulsive addiction, where CBT had not been successful. These results also highlight the importance of the therapeutic relationship as a critical factor in the treatment of patients with compulsive addiction problems.     

Exploration of likely engagement with Monetary Contingency Contracts for weight loss: a questionnaire study

Monetary Contingency Contracts (MCCs) are schemes that ask individuals to pledge money that is returned contingent on behaviour change. In relation to weight loss, this study explored likely levels of engagement with MCCs, how much individuals would be willing to pay into an MCC, and how these amounts vary under different contract conditions. Fifty-six individuals with BMI above 25 who were motivated to lose weight were recruited. The majority of participants (87.5%) indicated that they would be willing to engage with weight loss MCCs, but showed more reluctance to subscribe to pair-based MCCs which offered; (a) refunds contingent on the weight loss of a weight loss partner, and (b) ‘all or nothing refunds’ in which no reward is given for any weight loss below the target weight loss goal. This study provides preliminary evidence that individuals motivated to lose weight may be willing to engage with weight loss MCCs. Further research is needed to explore reasons for reluctance to subscribe to MCCs with certain conditions, to inform the design of future experimental studies testing the efficacy of MCCs as part of an intervention for weight loss.     

Specialization of the motor system in infancy: from broad tuning to selectively specialized purposeful actions

In executing purposeful actions, adults select sufficient and necessary limbs. But infants often move goal‐irrelevant limbs, suggesting a developmental process of motor specialization. Two experiments with 9‐ and 12‐month‐olds revealed gradual decreases in extraneous movements in non‐acting limbs during unimanual actions. In Experiment 1, 9‐month‐olds produced more extraneous movements in the non‐acting hand/arm and feet/legs than 12‐month‐olds. In Experiment 2, analysis of the spatiotemporal dynamics of infants’ movements revealed developmental declines in the spatiotemporal coupling of movements between acting and non‐acting arms. We also showed that the degree of specialization in infants’ unimanual actions is associated with individual differences in motor experience and visual attention, indicating the experience‐dependent and broad functional nature of these developmental changes. Our study provides important new insights into motor development: as in cognitive domains, motor behaviours are initially broadly tuned to their goal, becoming progressively specialized during the first year of life.     

Response to Kathleen Fisher's “Look Before You Leap”

This article provides two short responses to Kathleen M. Fisher's essay “Look Before You Leap: Reconsidering Contemplative Pedagogy,” published in this issue of the journal.     

Educating Adolescents with Fetal Alcohol Spectrum Disorder: Caregiver Support Needs

The purpose of this study was to identify caregivers’ needs in helping youth with fetal alcohol spectrum disorder (FASD) succeed in school. Sixteen caregivers raising a youth with FASD participated in telephone interviews that included the question: “What do caregivers need to help youth be successful in school?”. Participants then sorted responses to these questions into piles they believed to be a conceptual fit with one another, and the data was analyzed using multi-dimensional scaling and cluster analysis. Five concepts emerged: (1) Working to meet the needs of the individual, (2) educational accommodations, (3) FASD-literate schools, (4) resources, and (5) therapeutic supports. These concepts were compared and contrasted with the existing literature.