Obsessive ruminations : a controlled trial of thought-stopping technique

Thought-stopping treatment for obsessive ruminations was described by Wolpe and Lazarus (1966) and more recently there have been several case-reports in some of which components of the method were unsystematically varied (Stern, 1970; Kumar et al., 1971; Yamagami, 1971). The present study examined one of these variables while holding constant the other components. When thought-stopping is given, the subject is usually relaxed (using a standard set of instructions to relax his muscles) and then asked to ruminate about the obsessive thought. The therapist then shouts ‘Stop’ while making a sudden noise at the same time. At this point the patient is told that he must stop thinking his obsessive idea ; after a pause, this interruption is repeated several times until the obsessional rumination ceases. This procedure was compared to a similar technique in which the patient imagined a neutral (‘control’) thought instead of an obsessive one prior to the onset of the ‘stop’ instruction. In every other way the two procedures were identical.     

A Test by Any Other Name: P Values,Bayes Factors,and Statistical Inference

Procedures used for statistical inference are receiving increased scrutiny as the scientific community studies the factors associated with insuring reproducible research. This note addresses recent negative attention directed at p values, the relationship of confidence intervals and tests, and the role of Bayesian inference and Bayes factors, with an eye toward better understanding these different strategies for statistical inference. We argue that researchers and data analysts too often resort to binary decisions (e.g., whether to reject or accept the null hypothesis) in settings where this may not be required.     

Vicarious trauma: The psychological impact of working with survivors of trauma for South African psychologists

Traumatic events are highly prevalent in South African society and psychologists who work with survivors of trauma have been identified as particularly at risk of being adversely affected by their work, and experiencing vicarious trauma. This study aimed to explore the experiences of a group of South African psychologists who work predominantly with trauma survivors. Individual semi-structured interviews were conducted with six psychologists (females = 67%). The predominant type of trauma encountered by participants in clinical practice was interpersonal trauma in the form of physical and sexual abuse (83%). Data were analysed using thematic analysis. All participants reported symptoms of vicarious trauma including disruption in cognitive schemas, symptoms characteristic of post-traumatic stress disorder, and somatic symptoms. Participants also reported vicarious post-traumatic growth including an enhanced sense of interpersonal connectedness and positive changes in their philosophy of life and self-perceptions. The findings serve to sensitise psychologists to the impact of working with trauma survivors so as to enhance the efficiency of psychological service delivery to traumatised populations.     

On the Margin: Power and Women's HIV Risk Reduction Strategies

HIV risk and prevention research has failed to investigate adequately the effects of gender-related factors such as relationship power, sexual communication, abuse, and gender roles on women's abilities to engage in protective actions. We propose that women's HIV risk from heterosexual transmission is embedded in the context of gender, race/ethnicity, and class oppression. This context has central implications for interpersonal relationship factors relevant to women's HIV risk. We suggest a framework for understanding women's HIV risk within the context of oppression and the role of power in intimate sexual relationships. Three common dynamics of oppression are considered: (1) Silencing, (2) Violence and Fear of Violence, and (3) Internalized Oppression. These dynamics are based on characteristics of oppression discussed in the work of Jean Baker Miller on gender, Hussain Bulhan on race, and Paulo Freire on class. These dynamics are discussed in the context of findings reported in this journal issue and those of other authors. Finally, the discussion identifies common patterns across studies, as well as areas of disagreement and directions for future research and public health prevention efforts.     

The prematurity stereotype revisited: Impact on mothers' interactions with premature and full‐term infants

Research exploring the effects of labeling on maternal perceptions and behaviors was extended by simultaneously examining the cognitive and behavioral effects of prematurity stereotyping with both mothers of full‐term and premature infants, and by examining the effects of an information‐based intervention on the stereotyped responses of mothers of premature infants. An experimental design wherein mothers of both full‐term and premature infants were randomly assigned to interact with, and then rate, either a full‐term or premature infant who was described as either full‐term or premature was employed to test several hypotheses. Two hypotheses related to prematurity stereotyping received support: mothers showed more positive responses to infants labeled full‐term than to infants labeled premature, and mothers of full‐term infants exhibited more prematurity stereotyping than did mothers of premature infants. The hypothesis concerning gender effects also was supported, with mothers showing more positive responses to male infants than to female infants. In contrast to expectations, a brief cognitive intervention provided to some mothers of premature infants failed to reduce stereotyping, and, indeed, appeared to increase stereotyping. These results are compared with the results of previous studies, most of which did not include actual interactions between mothers and infants, and the implications of these results are considered. © 2000 Michigan Association for Infant Mental Health.     

Immigrant acculturation attitudes and host country identification

This study assessed the efficacy of a model predicting the host country identification of members of immigrant groups. The model proposed that host country identification is primarily determined by the positivity of the immigrants' acculturation attitude towards living according to the standards and values of the host country, followed by the degree of acceptance by members of the dominant cultural group, the success immigrants experience in the new country, and the extent to which they choose to live within their ethnic environment rather than the wider society. The study included 602 adult immigrants from a number of countries (Vietnam, People's Republic of China, Hong Kong, Taiwan, Sri Lanka, and New Zealand), which varied in their cultural similarity to the host country, Australia. Results from a multiple regression analysis of participants' questionnaire responses revealed good support for the model. As expected, acculturation attitude towards Australia was the strongest predictor of host country identification, followed by acceptance by Australians, while extent of ethnic involvement was a significant negative predictor. The results also revealed ethnic identification as a significant positive predictor of host country identification. The importance of the relationship between acculturation attitudes and identification is discussed, together with immigrants' identification processes towards their ethnic group and the host country. Copyright © 2000 John Wiley & Sons, Ltd.