Cognitive processing therapy for chronic PTSD from childhood sexual abuse: A case study

This paper describes a case of chronic Post-traumatic Stress Disorder (PTSD), as described in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV, 4th edn; American Psychiatric Association, 1994). The client has a long history of childhood sexual abuse (CSA), as well as repeated sexual victimization as an adult and addiction issues. She presented with significant avoidance symptoms, including a highly restricted range of affect and distinct feelings of detachment from others. These symptoms had been greatly reduced by the end of the 17-week therapy including both individual and group modalities. The paper elaborates on theoretical issues, the Cognitive Processing Therapy model (Resick & Schnicke, 1993) as it was adapted for use with survivors of childhood sexual abuse, the various phases of the therapeutic process, and specific examples of therapeutic change with this particularly complicated case.     

Using computer-mediated conferencing to facilitate group projects in an educational psychology course

A course design is presented as a model for incorporating computer-mediated conferencing (CMC) in support of administering, organizing, and evaluating group projects in a psychology course. Students in an educational psychology course use e-mail and an electronic bulletin board system to communicate within and between student groups as well as with the instructor. Critical elements for the implementation of CMC are discussed, and suggestions for ways to avoid problems are offered.     

Chronic sorrow: A content analysis of parental differences

Sixty-eight mothers and 64 fathers of children with a neural tube defect responded to a questionnaire about chronic sorrow. Mothers reported a mood state change in very intense category from more pessimistic at time of diagnosis to more optimistic at current time. Fathers, although indicating a mood change in the very intense category to more optimistic, also had more pessimistic responses. Parental similarities and differences were also reported in both times and events that triggered the sorrow response. Categories across times and events were primarily related to health care, school/development concerns and social significance. Clinical and research implications of these findings are discussed.     

Embedding instructive feedback into teacher-student interactions during independent seat work

The effects of embedding a constant time delay procedure into an independent seat work activity and using instructive feedback were evaluated in this study. Seven students with mild disabilities participated in the study that occurred in their special education classroom. A multiple probe design across sets of target behaviors was used, and students' responses to instructive feedback stimuli were evaluated during each probe condition. The procedures were implemented with a high degree of fidelity, and the results indicate that (a) the students acquired the target behaviors taught with the constant time delay procedure that was embedded into independent seat work, and (b) the students acquired some but not all of the responses to the instructive feedback stimuli. These findings are discussed in terms of using instructive feedback in classrooms and future research on instructive feedback.     

The impact of confederate responsivity on social skills assessment

The current investigation examined the degree to which judges' ratings of skill, anxiety, and attractiveness are influenced by the responsivity of the confederate. High-, medium-, and low-skilled subject-pool groupings, as well as self-referred clinical groups, were exposed to either a moderately or a minimally responsive confederate. Results indicated that subjects were rated as more skillful when interacting with a moderately responsive confederate than when interacting with a minimally responsive confederate. Further, there was a groups × condition interaction for anxiety ratings such that both the high- and the medium-skilled groups appeared more anxious under the minimal condition, whereas the low-skilled and self-referred groups did not. Self-referred subjects received significantly lower attractiveness ratings than did the high- or medium-skilled groups. Implications of these results and future directions for research are discussed.This research is based on a M.S. thesis carried out by the first author under direction of the second author.     

Circadian factors during sustained performance: Background and methodology

Cornell University Medical College, Westchester Division, The New York Hospital, White Plains, New York It is well established that there is a complex timekeeping mechanism in the human brain. This mechanism is associated with a variety of physiological and psychological rhythms having a period of about a day, and thus referred to as circadian rhythms. The circadian system has recently been modeled in terms of two underlying oscillators, one much more resistant to changes in routine than the other. These oscillators are considered to be endogenous, that is, internal to the organism, and not reliant for their existence upon changes in the person’s environment or general behavior. They thus continue to run even when the sleep/wake cycle is suspended, as in sustained operations. Thus, by their very nature, sustained operations require the individual to override the inputs that are coming from his or her circadian system (especially the indication that sleep is required). The aim of this paper is to provide a background to the area of circadian rhythms research, including a section on the methodology, so that the impact of the circadian system on sustained operations can be better understood.     

The effects of graphemic,phonetic, and semantic relationships on access to lexical structures

The question of whether or not lexical information is accessed directly from a visual code or by a process of phonetic mediation was investigated in three lexical decision experiments. Phonetic similarity influenced decisions about visually presented words only when they were to be discriminated from orthographically regular nonwords. When consonant strings or random letter strings were used as nonwords, phonetic similarity effects were absent, and graphemic similarity exerted a powerful effect while evidence of semantic priming was found. This pattern was interpreted as evidence of direct lexical access, which is probably the normal processing mode for skilled readers. Phonetic coding, when it occurs, may be a storage strategy rather than a part of the addressing chain for lexical structures.     

Interpersonal Features of Interviews Between Psychiatric Patients and Nursing Staff1

Observer ratings of one-half hour interviews were undertaken to test two basic concepts of interpersonal relations in a sample of 51 randomly paired male psychiatric patients and female psychiatric nurses. It was hypothesized that the behavior of psychiatric patients could be organized around two orthogonal dimensions reflecting status and feeling, and that patients and nurses would exhibit complementary interpersonal behavior consistent with their institutionally ascribed roles. Interviews were rated with the Leary Interpersonal Checklist. Interjudge reliability was established for Leary's coding system. The hypothesis of status and feeling reference points for patient behavior received strong support when the results of analysis of variance were supplemented by factor analysis. Patient scores on the eight variables measured by the Leary Interperonsal Checklist and nurses' scores for 17 complementary variables were submitted to correlational analysis to test the hypothesis of interpersonal complementarity. As predicted, two hypothesized dependence-assistance response combinations provided the highest correlation coefficients. It was concluded that the study provided empirical support for the utility of an interpersonal model within psychiatric settings that has more commonly been identified with relationships free of psychiatric disturbance.     

An alternative perspective on sex differences in organizational settings: The process of legitimation

This article takes a sociological approach to a problem that has usually been considered as a psychological phenomenon. It addresses the problem of male—female interactions in work situations utilizing the organizational concepts of division of labor and legitimacy. Traditional explanations evoking sex-role socialization are reviewed and rejected for purposes of experimentation and intervention. An alternative argument, focusing on the structural arrangements of organizational settings, is presented as an explanation for behavioral effects previously attributed to inherent sex differences. The results of a pilot study are briefly described, and directions for further experimentation and possible intervention strategies are suggested.The bibliographic search and initial conceptualization of this research was supported by a grant from the Ford Foundation under the auspices of the Center for Research on Women at Stanford University. We are grateful to Miriam Rosen for much of the bibliographic work. The pilot study was supported in part by funds from the Guggenheim Foundation and by a grant from the Spencer Foundation. We also wish to thank Richard Torres and Christie Timberlake for their invaluable assistance on this project.