Rational Emotive Behavior Therapy: The Past,Present, and Future

The intent of this article is to describe the significant contributions Albert Ellis made to rational emotive education and to a preventative approach to psychotherapy, which represents a major shift from many other counseling theories. The author notes that REBT as a preventative mental health approach was very important to Albert Ellis because he believed that it would extend the influence of REBT, but unfortunately he and other REBT practitioners have not put enough systematic emphasis on training teachers to implement rational concepts into the curriculum. Given the number of children and adolescents needing mental health services, this is an area that should be emphasized and would extend Al’s legacy. The article also addresses Dr. Ellis’ contributions in the area of parenting, where once again he was a pioneer in teaching parents how to deal with their irrational beliefs that interfere with effective parenting. The author concludes with a discussion about “where we go from here,” focusing on training at the university level, developing a standardized REE program that includes a train the trainer component, becoming more of a presence in the field of health care, and putting more emphasis on the therapeutic relationship which may attract more people to the theory.     

Evidence-based mental health interventions for traumatized youth: a statewide dissemination project

Psychological trauma in childhood has been shown to increase a variety of psychological disturbances and psychiatric disorders. Although evidence-based treatments for children who have been traumatized exist, they are infrequently used by clinicians treating children. The present paper describes the creation of the Treatment Collaborative for Traumatized Youth (TCTY) which is a statewide partnership in North Dakota designed to disseminate efficacious treatments for traumatized children and monitor outcomes across a broad, rural, geographic expanse. The paper reviews the dissemination strategy developed by the TCTY, reports outcomes regarding both clinicians and child participants, and highlights problems identified in the project and solutions that were generated.     

Numerosity and number signs in deaf Nicaraguan adults

What abilities are entailed in being numerate? Certainly, one is the ability to hold the exact quantity of a set in mind, even as it changes, and even after its members can no longer be perceived. Is counting language necessary to track and reproduce exact quantities? Previous work with speakers of languages that lack number words involved participants only from non-numerate cultures. Deaf Nicaraguan adults all live in a richly numerate culture, but vary in counting ability, allowing us to experimentally differentiate the contribution of these two factors. Thirty deaf and 10 hearing participants performed 11 one-to-one matching and counting tasks. Results suggest that immersion in a numerate culture is not enough to make one fully numerate. A memorized sequence of number symbols is required, though even an unconventional, iconic system is sufficient. Additionally, we find that within a numerate culture, the ability to track precise quantities can be acquired in adulthood.     

Men's media use, sexual cognitions, and sexual risk behavior: testing a mediational model

Efforts to link media use to adolescents' sexual initiation have produced somewhat inconsistent results, perhaps as a result of the limited framing of the question. This study sought to expand current approaches by sampling college students instead of high school students, by investigating a range of sexual behaviors and media formats, and by testing a model that featured sexual cognitions as mediators. We tested our model with a sample of 796 heterosexual, male college students who reported on their regular consumption of 4 media (prime-time TV programs, music videos, movies, and men's magazines); their attitudes toward abstinence, the male sexual role, and nonrelational sex; their perceptions of peer sexual behavior; and several aspects of their sexual behavior (e.g., number of sexual partners). Findings revealed strong support for our mediated model, with exposure to men's magazines and movies contributing most strongly to their sexual cognitions, and with men's cognitions, in turn, contributing heavily to their sexual behavior. Some direct connections from media use to sexual behavior also emerged. Together, the findings provide insight into both potential mechanisms for and new approaches to addressing this issue.     

Sex differences and sex similarities in disgust sensitivity

Across two studies, we test for sex differences in the factor structure, factor loadings, concurrent validity, and means of the Three Domain Disgust Scale. In Study 1, we find that the Three Domain Disgust Scale has indistinguishable factor structure and factor loadings for men and women. In Study 2, we find a small sex difference in sensitivity to pathogen and moral disgust and a large sex difference in sensitivity to sexual disgust, with women more sensitive to disgust across domains. However, correlations between Three Domain Disgust Scale factors and the five factors and 30 facets of the NEO Personality Inventory were indistinguishable between the sexes. These findings suggest that, despite mean sex differences in disgust sensitivity, the Three Domain Disgust Scale measures similar constructs in men and women. Implications for understanding the constructs measured by the Three Domain Disgust Scale are discussed.     

How Do Mothers Feel About Their Very Low Birth Weight Infants? Development of a New Measure

The early relationship between a mother and her very low birth weight (VLBW; <1.5 kg) infant may be difficult to evaluate. Therefore, we aimed to develop a useful and practical method to describe a mother's early relationship with her VLBW infant. Mothers (mean age=27 years, 46% married) of 119 singleton VLBW infants (mean BW=1,056 g, mean GA=28 weeks) admitted to the neonatal ICU at Rainbow Babies and Children's Hospital completed a novel questionnaire regarding their feelings about their infant at 3 weeks' postnatal age, and at 35 weeks', 40 weeks' (term), and 4 months' postmenstrual ages. Factor analysis of initial interview data was used to construct subscales to measure unique domains hypothesized to underpin the beginning maternal–infant relationship. Three subscales were identified: (a) The Worry subscale focuses on the mother's concerns about her infant's current medical condition and future development, (b) the Enjoyment subscale examines the mother's positive feelings about and responsiveness to her infant, and (c) the Separation Anxiety subscale examines the mother's mental anxiety about being physically separated from her infant. Statistical and clinical validation of the subscales produced positive supporting evidence that the subscales are a meaningful measure of the mother–infant relationship. We have developed a unique and practical measure for describing the early mother–VLBW infant relationship.     

Couples therapy: effectiveness of treatment and long‐term follow‐up

Most couples therapy theories are developed and tested in the USA. In this clinical study, we investigated such therapies in a Swedish context. Over 300 couples were enrolled in the study of whom just under half completed the end‐of‐treatment assessment and just over 40 per cent a two‐year follow‐up. At the start, the study group displayed severe problems in marital adjustment, dyadic interactions and psychiatric symptoms. A relatively short treatment was used and 50 per cent of the couples attended less than nine sessions. Outcomes of treatment showed significant improvements in relationship matters, individual mental health and enhanced coping abilities. At long‐term follow‐up, all results remained the same and in some aspects improved for both sexes. This study confirms the effectiveness of such therapies in a Swedish context.