A preliminary investigation on improving functional communication training by mitigating resurgence of destructive behavior

Despite the effectiveness and widespread use of functional communication training (FCT), resurgence of destructive behavior can occur if the functional communication response (FCR) contacts a challenge, such as lapses in treatment integrity. We evaluated a method to mitigate resurgence by conducting FCT using a multiple schedule of reinforcement prior to extinction. After functional analyses of 2 boys’ destructive behavior and treatment with FCT (Study 1), we compared levels of resurgence during an extinction challenge either after a typical FCT sequence or after exposure to schedule thinning in the context of a multiple‐schedule arrangement (Study 2). Results for both participants suggested that schedule thinning using discriminative stimuli in a multiple schedule mitigated the resurgence of destructive behavior.     

Mental Health Concerns of Older Adults Living in Long-Term Care Facilities: An Area of Expansion for MFTs

As baby boomers reach retirement age, the number of older adults living in long-term care will inevitably increase. Living in long-term care often brings psychological, relational, and emotional challenges for older adults, their families, and professional care-providers. Despite these trends and associated challenges, there appears to be an underrepresentation of attention addressing the mental health care of older adults and their families in marriage and family therapy (MFT) literature. Emphasis needs to be turned to assessing the quality and effectiveness of mental health resources for older adults in residential facilities, and to filling the gap where needed services are unavailable. The current review summarizes research addressing residential care for older adults, detailing a) mental health challenges faced by residents, families, and professional care-providers, b) effective mental health treatment options, and c) how MFTs are uniquely suited to working in long-term care settings.     

“Speaking More than Words”: Classifying Men with Social Anxiety Disorder via Vocal Acoustic Analyses of Diagnostic Interviews

The relationship between vocal pitch and social anxiety has been examined with encouraging results across a growing number of studies, highlighting increased fundamental frequency (F0) as a potential disorder-specific physiological marker of social anxiety. The purpose of the present study was to examine the relationship between mean F0 emitted during diagnostic interviews and social anxiety disorder (SAD) symptoms. Patients who qualified for a diagnosis of SAD (n?=?26) and a subsample of demographically-matched healthy controls (HCs; n?=?12) were administered clinical diagnostic interviews. We examined mean F0 emitted during select segments of the diagnostic interviews utilizing specialized vocal analysis equipment. Men (but not women) who qualified for a diagnosis of SAD emitted greater overall mean F0 in comparison to HCs throughout the course of the diagnostic interviews, and mean F0 emitted during the introductory segment of the diagnostic interviews was positively related to SAD symptoms for men (but not women). Furthermore, a previously-established threshold of mean F0 which demonstrated excellent differentiation between men with SAD and controls was successfully replicated in the present design, with regard to F0 emitted during the introductory segment of the interviews. These results provide strong additional support for increased F0 as a physiological indicator and behavioral marker of SAD in samples of men. Implications for the assessment and treatment of SAD are discussed.     

An Examination of Concurrent and Incremental Validity of Four Mindfulness Scales

General consensus among psychologists supports the beneficial effects of mindfulness in the treatment of a wide range of clinical conditions such as personality, mood, and anxiety disorders. Several scales used to assess this psychological construct, mainly rooted in Eastern traditions, are currently available to researchers and clinicians. However, the conceptualization and measurement of mindfulness has been considerably diverse. The present study examines the concurrent and incremental validity of four scales: the Philadelphia Mindfulness Scale (PHLMS), the Toronto Mindfulness Scale (TMS), the Five-Facet Mindfulness Questionnaire (FFMQ), and the Langer Mindfulness Scale (LMS). Two independent samples of 176 adults and 397 students, respectively, were recruited. With few exceptions, results were consistent across the two samples and indicated that measures based on an Eastern conceptualization of mindfulness (TMS, PHLMS, and FFMQ) show a different pattern of association with the chosen outcomes compared to the LMS, which is based on a Western conceptualization. Overall, the PHLMS showed the strongest predictive effects and the LMS the weakest in terms of both number of predicted criteria and average effect size. Implications for research and practice are discussed.     

A context-independent situational judgment test to measure prosocial implicit trait policy

Two studies developed and validated a context-independent situational judgment test (SJT) of prosocial implicit trait policy (ITP). The first study developed a SJT based on critical incidents about the prosocial behavior of physicians, lawyers, community service volunteers, and human factors engineers. In a sample of 396 undergraduates, scores obtained from this SJT were internally consistent and correlated significantly with other trait constructs related to prosocial ITP. In the second study with 134 undergraduates, the SJT was significantly correlated with relevant trait constructs and prosocial performance in role-plays simulating scenarios in which others needed help. These results show that a generic SJT developed from items that describe situations and actions specific to several occupations can predict behavior in situations unlike any that appear in its items.     

Are Shunt Revisions Associated with IQ in Congenital Hydrocephalus? A Meta -Analysis

Although it is generally acknowledged that shunt revisions are associated with reductions in cognitive functions in individuals with congenital hydrocephalus, the literature yields mixed results and is inconclusive. The current study used meta-analytic methods to empirically synthesize studies addressing the association of shunt revisions and IQ in individuals with congenital hydrocephalus. Six studies and three in-house datasets yielded 11 independent samples for meta-analysis. Groups representing lower and higher numbers of shunt revisions were coded to generate effect sizes for differences in IQ scores. Mean effect size across studies was statistically significant, but small (Hedges’ g = 0.25, p < 0.001, 95 % CI [0.08, 0.43]) with more shunt revisions associated with lower IQ scores. Results show an association of lower IQ and more shunt revisions of about 3 IQ points, a small effect, but within the error of measurement associated with IQ tests. Although clinical significance of this effect is not clear, results suggest that repeated shunt revisions because of shunt failure is associated with a reduction in cognitive functions.     

Minimal Risk of Internalizing Problems in Typically-Developing Siblings of Children with High-Functioning Autism Spectrum Disorder

We examined anxiety and depression clinical symptom levels in 42 typically-developing (TD) siblings of children with high-functioning autism spectrum disorder (HFASD), compared to 42 TD siblings of TD children, matched on age, ethnicity, and gender. Participants were between the ages of 6 and 16. Groups were compared using the parent-report and child self-report versions of the Behavior Assessment System for Children, Second Edition, anxiety and depression clinical scales. Within-group differences were examined for parent versus child ratings. Multivariate procedures did not support clinically elevated levels of internalizing problems in siblings of children with HFASD. Results from both sources were consistent with the overall finding. The findings do not support an increased need for targeted intervention, though clinical and school-based practitioners should attend to clinical warning signs if presented.     

The Role of Life Satisfaction in Predicting Student Engagement and Achievement

Much research has investigated how individual components of subjective well-being (e.g., life satisfaction, positive affect, negative affect) influence adolescent functioning. Little is known, however, about how the third component of subjective well-being (SWB), life satisfaction, contributes to positive adolescent outcomes when investigated simultaneously with positive and negative emotions. The current study extends Lewis et al.’s (J Psychoeduc Assess 27:397–408, 2009. doi:10.1177/0734282908330571) work by considering the incremental validity of life satisfaction (LS) relative to negative affect (NA) and positive affect (PA) as predictors of student engagement and achievement in a sample of middle school students. Results indicated LS provided incremental validity over affective states in predicting student engagement and some aspects of academic achievement. Gender also moderated these relationships. Practitioners are encouraged to include all components of SWB in assessments, especially when trying to understand students’ school functioning.     

Resisting self-compassion: Why are some people opposed to being kind to themselves?

Although self-compassion is associated with positive emotions, resilience, and well-being, some people resist recommendations to treat themselves with kindness and compassion. This study investigated how people’s personal values and evaluations of self-compassionate behaviors relate to their level of self-compassion. After completing measures of trait self-compassion and values, participants rated how they would view themselves after behaving in a self-compassionate and self-critical way. Overall, participants associated self-compassion with positive attributes that connote emotional well-being, yet only those who were low in trait self-compassion associated self-compassionate responding with negative attributes that involve low motivation, self-indulgence, low conscientiousness, and poor performance. Participants’ endorsement of basic values was not meaningfully related to their evaluations of self-compassionate vs. self-critical behaviors or to self-compassion scores. We propose that self-compassion might operate as an instrumental value insofar as those high vs. low in self-compassion differ in their beliefs about whether self-compassion affects performance-related outcomes positively or negatively.