Patient-Informed Treatment Development of Behavioral Smoking Cessation for People With Schizophrenia

The objective of this study was to use qualitative methodology to tailor and refine an existing smoking cessation intervention for the population of people who use cigarettes and are diagnosed with schizophrenia, schizoaffective, or psychotic disorder. Successive cohort design methodology was used to iteratively modify the treatment in response to qualitative participant, therapist, and consultant feedback on the intervention. Qualitative methodology for participant feedback included analysis of semistructured interviews with participants, visualization of app utilization data, and stakeholder feedback from study therapists and consultants. Using the successive cohort design, a tailored multicomponent mobile health smoking cessation intervention was developed. The intervention included mobile contingency management (i.e., financial compensation for confirmed abstinence from smoking), pharmacotherapy for smoking cessation, cognitive-behavioral counseling sessions, and the Stay Quit app for relapse prevention. Two cohorts (N = 13) were completed in the study; after each cohort, the treatment protocol was revised. The intervention is described, as well as the qualitative findings from each cohort and subsequent changes made to the intervention based upon patient and provider feedback. Metrics of patient engagement included treatment adherence (40% in Cohort 1 and 63% in Cohort 2). Both participants and therapists reported that the intervention was helpful. Over one third of participants self-reported abstinence at posttreatment. Since qualitative methodology is often underutilized in mental health treatment development, this study demonstrates the utility of the successive cohort design for treatment development of behavior change interventions for at-risk, vulnerable populations.     

Examining Correctional Staff Members’ Engagement in Rehabilitation as Part of Their Everyday Practices in Short‐term Juvenile Detention

Research on the rehabilitation of juvenile justice‐involved youth is often focused on specific evidence‐based interventions. Less attention has been paid to everyday interactions that correctional staff members have with detained youth and, further, how these may align with trauma‐informed care principles and thus encourage a more supportive setting. Using an ethnographic case study approach, this study addressed this gap in knowledge by documenting the nature of rehabilitative practices as they naturally occurred in the context of short‐term detention staff members’ daily routine and interactions with detained youth. This study found evidence for three primary forms of routine rehabilitative practices: (a) promotion of youths’ emotional safety and well‐being, (b) provision of rights‐based information and explanations, and (c) encouraging youths’ success in and beyond detention. These practices were observed across several key setting contexts: (a) staff‐led group activities, (b) routine contact between individual youth and staff (e.g., formal procedures, informal conversations), and (c) staff‐only spaces. Our findings highlight the need for ongoing research to effectively translate promising intervention approaches, such as trauma‐informed care, into juvenile detainment settings.     

On the Psychological Function of Nationalistic “Whitelash”

A noticeable feature of the political discourse accompanying the rise of nationalism in white‐majority countries is that white people fare worse than other ethnic groups in their societies. However, it is unclear based on the extant literature why group‐based relative deprivation (GRD) would correlate with majority‐group nationalism. Here, we propose that the psychological function of nationalism for majority‐group members lies in its ability to assuage the negative feelings arising from GRD. Accordingly, in a New Zealand national probability sample (N = 15,607), we found that GRD among whites was negatively associated with well‐being. However, we also found an opposing indirect association mediated by nationalism. GRD was associated with higher nationalism, which was in turn associated with higher well‐being. These findings suggest that endorsing beliefs about national superiority is one way a nation’s dominant ethnic group can cope with the negative psychological consequences of perceiving that their group is deprived.     

Being dishonest about our prejudices: moral dissonance and self-justification

We applied the moral dissonance reduction framework, used to explain the maintenance of a positive self-concept in dishonest behavior, to understand self-justification of prejudice. Participants identified ambiguously negative intergroup behaviors, then evaluated those behaviors when performed by others and themselves. As predicted by moral dissonance reduction, participants were less critical of their own behavior when considering others’ behaviors before their own. In a third study directly comparing prejudiced and dishonest behavior, participants’ responses showed the greatest self-justification in the initial question about their behavior regardless of the content of the question, whereas subsequent questions showed more stability, consistent with the idea that participants adjusted their initial self-reports to avoid damage to their self-concepts.     

Withstanding the test of time: Multisensory cues improve the delayed retention of incidental learning

Multisensory tools are commonly employed within educational settings (e.g. Carter & Stephenson, 2012 ), and there is a growing body of literature advocating the benefits of presenting children with multisensory information over unisensory cues for learning (Baker & Jordan, 2015 ; Jordan & Baker, 2011 ). This is even the case when the informative cues are only arbitrarily related (Broadbent, White, Mareschal, & Kirkham, 2017 ). However, the delayed retention of learning following exposure to multisensory compared to unisensory cues has not been evaluated, and has important implications for the utility of multisensory educational tools. This study examined the retention of incidental categorical learning in 5‐, 7‐ and 9‐year‐olds (N = 181) using either unisensory or multisensory cues. Results found significantly greater retention of learning following multisensory cue exposure than with unisensory information when category knowledge was tested following a 24‐hour period of delay. No age‐related changes were found, suggesting that multisensory information can facilitate the retention of learning across this age range.     

The reciprocal relation between sleep and memory in infancy: Memory‐dependent adjustment of sleep spindles and spindle‐dependent improvement of memories

Sleep spindle activity in infants supports their formation of generalized memories during sleep, indicating that specific sleep processes affect the consolidation of memories early in life. Characteristics of sleep spindles depend on the infant's developmental state and are known to be associated with trait‐like factors such as intelligence. It is, however, largely unknown which state‐like factors affect sleep spindles in infancy. By varying infants’ wake experience in a within‐subject design, here we provide evidence for a learning‐ and memory‐dependent modulation of infant spindle activity. In a lexical‐semantic learning session before a nap, 14‐ to 16‐month‐old infants were exposed to unknown words as labels for exemplars of unknown object categories. In a memory test on the next day, generalization to novel category exemplars was tested. In a nonlearning control session preceding a nap on another day, the same infants heard known words as labels for exemplars of already known categories. Central–parietal fast sleep spindles increased after the encoding of unknown object–word pairings compared to known pairings, evidencing that an infant's spindle activity varies depending on its prior knowledge for newly encoded information. Correlations suggest that enhanced spindle activity was particularly triggered, when similar unknown pairings were not generalized immediately during encoding. The spindle increase triggered by previously not generalized object–word pairings, moreover, boosted the formation of generalized memories for these pairings. Overall, the results provide first evidence for a fine‐tuned regulation of infant sleep quality according to current consolidation requirements, which improves the infant long‐term memory for new experiences.     

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.     

Studying Immigrant Integration Through Self-Reported Life Satisfaction in the Country of Residence

Applied Research in Quality of Life - Aim of this paper is to measure the effect of demographic, human capital and ‘immigration’ variables on the self-reported life satisfaction of...     

A Creative Model: The Three-Selves

This article presents a Three-Selves Model illuminating ways the self can be expressed: closed, absorbent, and flexible. This model integrates three counseling approaches which are described, and a creative poster is offered to illustrate the model. Then, the model is applied to a hypothetical case to reveal how the model can promote awareness, congruence, and choice.