A Transtheoretical Approach to Case Formulation

In answer to the need for a comprehensive, systematic, yet flexible case formulation method, the present article describes the Causal Analysis and Synthesis of Events (CASE) system, a transtheoretical case formulation method. This method of functional case formulation is useful in terms of explicating the problem and identifying potential areas for intervention when dealing with clinical problems of both an intrapersonal and interpersonal nature. Further, this formulation method may improve communication between the therapist and the client during case conceptualization and facilitate dialogue between therapists of different theoretical orientations. This paper describes the case formulation method and includes an example incorporating this case formulation technique for a young man with social phobia.     

Understanding Public Attitudes Toward Tobacco Harm Reduction: The Role of Attitude Structure1

The present research examines whether and to what extent the underlying structure of attitudes toward harm reduction and specific reduced‐exposure products contributes to an understanding of public attitudes toward harm reduction. Past research has focused on the extent to which some attitude objects are primarily affective or cognitive. Using survey data from a 5‐state Upper Midwest sample, we tested the relevance of 4 pertinent properties of attitudes for predicting overall attitudes toward tobacco harm reduction: affective and cognitive bases of attitudes; knowledge; experience with smoking and reduced‐harm products; and affective/cognitive consistency. We found that feelings about harm reduction are most predictive of overall attitudes toward harm reduction and specific reduced‐harm products. Theoretical and policy implications are discussed.     

The effects of different intensity levels of background noise on dichotic listening to consonant-vowel syllables

It has previously been shown that the right ear advantage in dichotic listening to consonant-vowel syllables is affected if a background noise is presented at the same time as the dichotic stimuli. What is not known is, however, if there is also an effect of varying the intensity level of the background noise. We therefore presented conversation or traffic noise background noise simultaneously with the dichotic syllable stimuli to healthy adult subjects. The intensity of the background noises varied between 50-65 dB in steps of 5 dB. The results showed that the right ear correct reports decreased, while left ear correct reports increased as a consequence of increasing background noise intensity. The effects were also stronger for the right ear, and for the traffic background noise condition, particularly at the two highest intensity levels. The results are discussed in terms of alertness and attentional mechanisms.     

Selection in Teams: An Exploration of the Teamwork Knowledge,Skills, and Ability Test

In 1994, Stevens and Campion introduced the Teamwork Knowledge, Skills, and Ability test (teamwork KSA test) for selecting employees for team–based organizations. Using experimental data from 57 ad hoc student teams (N = 227), we examined this test's relationship with both the behavior of the assigned leader in a team and the behavior of the other team members, respectively. We found that the teamwork KSA test successfully predicted individual team member behavior as indexed by external raters (r= .31) and peers (r= .34) such that higher scores on the teamwork KSA test related to greater individual effectiveness within the team. The teamwork KSA test was unrelated to the behavior of the assigned leader in the teams studied. Self–efficacy for teamwork was not related to individual behavior in teams, nor did it moderate the relationship between the teamwork KSA test and individual performance in teams. Limitations as well as directions for future research in team selection are discussed.     

Assessment of the Effectiveness of Genetic Counseling by Telephone Compared to a Clinic Visit

Maternal serum screening, also known as the triple screen, is used during pregnancy to assess the risk of carrying a fetus with specific chromosome abnormalities or open spina bifida. All women in British Columbia who screen positive are eligible for genetic counseling and are offered amniocentesis. The purpose of this study is to determine what differences (if any) exist in patients' understanding and/or anxiety when genetic counseling for a positive triple screen is conducted in person versus over the telephone. Each patient who participated was given the choice of having genetic counseling in person or over the telephone, this after a randomized design failed to elicit any participants. Using a written postcounseling questionnaire, each patient was assessed for her understanding of the information presented in the session, and her anxiety regarding her risk. In this small pilot study, no large differences were detected in patients' understanding or anxiety when genetic counseling was conducted by telephone versus in person.     

卫生保健的伦理教学:寻求一种新的教育学

鉴于要使全球性的生命伦理学包括边缘化人群进入主流社会,一个重要方面就是重构教育学.通过这种重构,伦理语境从一代代的医学专业人士或社会/医学研究者中复制出来.我们当前的伦理学教学是哲学的,从理性的观点来看,这不是奇怪的.如果伦理学教学方法本身是家长主义的,这种伦理学教学如何传递文化上的多种声音或真理的相对性?     

Life Satisfaction is not a Balanced Estimator of the Good Life: Evidence from Reaction Time Measures and Self-Reported Emotions

A widespread belief in happiness research is that measures of life satisfaction capture the variety of an individual’s experiences along a single favorable—unfavorable dimension. The current article points to a possible violation of this assumption. With a combination of data and theory it argues that life satisfaction is not a balanced reflection of subjective experiences because the evaluation that drives judgments of life satisfaction is tilted towards pleasure and away from engagement. We postulate that feelings of pleasure are overrated in statements of life satisfaction, whereas feelings of engagement are underrepresented. Feelings of engagement and interest are further supposed to be indicators of personal growth. Measures of personal growth and life satisfaction should thus be unrelated. Empirical evidence for our model is provided by self-report and reaction time data from a Norwegian convenience sample (N = 30). Detection latencies for pleasant stimuli correlated significantly with life satisfaction but not with measures of personal growth. Life satisfaction correlated significantly with pleasant experiences, but not with engagement. Personal growth correlated significantly with feelings of engagement. Life satisfaction and personal growth were uncorrelated.     

Do tests of executive functioning predict ability to downregulate emotions spontaneously and when instructed to suppress?

Behavioral regulation is a hallmark feature of executive functioning (EF). The present study investigated whether commonly used neuropsychological test measures of EF (i.e., working memory, Stroop, trail making, and verbal fluency) were related to ability to downregulate emotion both spontaneously and when instructed to suppress emotional expressions. To ensure a wide range of EF, 24 frontotemporal lobar degeneration patients, 7 Alzheimer's patients, and 17 neurologically normal controls participated. Participants were exposed to an acoustic startle stimulus (single aversive noise burst) under three conditions: (1) unwarned, (2) warned with no instructions (to measure spontaneous emotion downregulation), and (3) warned with instructions to suppress (to measure instructed emotion downregulation). Results indicated that higher verbal fluency scores were related to greater emotion regulation (operationalized as reduction in body movement and emotional facial behavior when warned of the impending startle) in both regulation conditions. No relationships were found between emotion regulation in these conditions and the other EF measures. We conclude that, of four commonly used measures of EF, verbal fluency best indexes the complex processes of monitoring, evaluation, and control necessary for successful emotion regulation, both spontaneously and following instructions to suppress.     

Working harder to obtain more snack foods when wanting to eat less

This study investigates individual differences in the reinforcing value of snack food. More specifically, it was investigated whether differences in restraint status are associated with differences in working for high-caloric snack food. Thirty-six unrestrained non-dieters, twenty restrained non-dieters and fifteen current dieters performed a concurrent schedules task in which they had the option to work for points for either snack food or fruit and vegetables. By progressively increasing the “price” of the snack foods (i.e., the amount of work required to obtain extra snack points) the relative reinforcing value of snack food was determined. As hypothesized, restrained non-dieters worked harder and current dieters worked less hard to obtain snack food as compared to unrestrained non-dieters.