Developing an outcome-based assessment for family therapy training: the Rochester Objective Structured Clinical Evaluation (ROSCE)

This paper addresses a growing need for cost-effective, outcome-based assessment in family therapy training. We describe the ROSCE, a structured, evidence-informed, learner-centered approach to the assessment of clinical skills developed at the University of Rochester Medical Center. The ROSCE emphasizes direct observation of trainees demonstrating clinical competencies. The format integrates both formative and summative assessment methods. It can readily be adapted to a wide variety of educational and training settings.     

Why did she put nail polish in my drink? Applying the Therapeutic Assessment model with an African American foster child in a community mental health setting

Although the majority of research on Therapeutic Assessment (TA) discusses the application of TA in research or private practice settings, we found that the model could be applied in a community mental health setting. We argue that when implementing this model with racially diverse, low socioeconomic status children, it is essential to integrate issues of class, privilege, and race into the assessment process. A case is presented that illuminates the specific concerns and struggles of adapting this model to a community psychology population. This analysis includes the interface with systems, placement stability, and consideration of culturally responsible treatment. We also demonstrate how the support of a treatment team helps the individual clinician process and integrate the levels of trauma and pain with which these families present.     

Preference and reinforcer efficacy of high‐ and low‐tech items: A comparison of item type and duration of access

This study examined the interactions of stimulus type (high‐ vs. low‐tech) and magnitude (duration of access) on preference and reinforcer efficacy. Two preference assessments were conducted to identify highly preferred high‐tech and low‐tech items for each participant. A subsequent assessment examined preference for those items when provided at 30‐s and 600‐s durations. We then evaluated reinforcer efficacy for those same items when provided for a range of durations using progressive‐ratio schedules. Results suggested item type and access duration interacted to influence preference and reinforcer efficacy. Participants preferred high‐tech items at longer durations of access and engaged in more responding when the high‐tech item was provided for long durations, but these patterns were reversed for the low‐tech item. In addition, participants engaged in less responding when the high‐tech item was provided for short durations and when the low‐tech item was provided for long durations.     

Work Values and Their Effect on Work Behavior and Work Outcomes in Female and Male Managers

A longitudinal sample of over 800 MBA graduates surveyed across a 16-year period was recruited to investigate the relationship of work values to work effort, salary levels, and other work outcomes. As predicted, certain work values were related to higher salary levels and to the number of hours worked. Changing companies more often and receiving more promotions were also significantly related to work values. Work values did not differ for women and men in the sample, except that women were higher in the value of wanting to do an excellent job. Controlling for work values did not explain significantly higher salaries for men as compared to women. Implications of these data are discussed.     

Choosing the shortest way to Mum: auditory guided rotation in 6- to 9-month-old infants

The purpose of this study was to investigate the use of auditory information for rotation of the shortest way in twelve 6- to 9-month-old sighted infants. Behavior was manipulated by means of an auditory stimulus presented in four different directional angles (90°, 112.5°, 135°, and 157.5°) to the right and to the left behind the infants, and in one non-directional angle (180°). Infants lay in a prone position and had magnetic trackers fastened to the head and body which measured their rotation direction and angular velocity. The results showed that infants not only consistently chose the shortest over the longest way, but also rotated with a higher peak angular velocity as the angle to be covered between themselves and the goal increased. The results did not show significant preferences for one particular rotation direction. The study can contribute to the understanding of the auditory system as a functional listening system where auditory information is used as a perceptual source for prospectively guiding behavior in the environment.     

Executive functioning and memory as potential mediators of the episodic feeling-of-knowing accuracy

The study focused on the cognitive determinants of the accuracy of feeling-of-knowing (FOK) judgments made on episodic memory information. An individual differences approach was used on a sample of healthy older adults assessed on an episodic FOK task and on several neuropsychological measures. At a global level of analysis of FOK accuracy, the contributions of four general cognitive processes--episodic memory, executive functioning, fluid intelligence and processing speed--were examined concurrently. Stepwise regression analyses showed that executive functioning accounted for the major part of variance on FOK accuracy, followed by a significant contribution of episodic memory. After controlling for executive and memory involvement, fluid intelligence and processing speed no longer accounted for significant variance. At a more detailed level of analysis of FOK accuracy, the contributions of three specific executive processes--shifting, updating and inhibition--were assessed. The results revealed shifting function as the primary executive process engaged in the production of accurate FOK judgments in episodic memory. Some hypotheses are put forward to better understand the central role of executive functioning in the production of accurate FOK judgments.     

Barr Donald A: <Emphasis Type="Italic">Introduction to U.S. Health Policy: The Organization,Financing and Delivery of Health Care in America</Emphasis> 2nd edition. Baltimore,MD, The Johns Hopkins University Press; 2007. xiv + 303 pages,ISBN – 13:978-0-8018-8574-7 (hardcover) and 13:978-0-8018-8574-4 (pbk)

Donald A. Barr's Introduction to U.S. Health Policy: The Organization, Financing, and Delivery of Health Care in America (second edition, 2007) offers a lucid and informative overview of the U.S. health system and the dilemmas policy makers currently face. Barr has provided a balanced introduction to the way health care is organized, financed, and delivered in the United States. The thirteen chapters of the book are quite comprehensive in the topics they cover. Even those knowledgeable about the U.S. health care system are likely to find much to stimulate their thinking in the text. The book can also appropriately serve as a basic text for a health policy course or in the medical or nursing school curriculum.     

Sexual Side Effects of Antidepressant Medications: An Informed Consent Accountability Gap

Sexual side effects of antidepressant medications are far more common than initially reported, and their scope, quality, and duration remain poorly captured in the literature. Antidepressant treatment emergent sexual dysfunctions may decrease clients’ quality of life, complicate psychotherapy, and damage the treatment alliance. Potential damage to the treatment alliance is greatest when clients have not been adequately informed of risks related to sexual side effects. It had previously been assumed that sexual side effects always resolve shortly after medications are discontinued. Emerging evidence, however, suggests that in some individuals, sexual dysfunction side effects may persist indefinitely. The authors argue that all psychologists should be well-informed about sexual side effects risks of antidepressant medications, should routinely conduct a pre-medication baseline assessment of sexual functioning, and take an active role in the informed consent process.