Racial/ethnic disparities in therapist effectiveness: a conceptualization and initial study of cultural competence

As a result of mental health disparities between White and racial/ethnic minority clients, researchers have argued that some therapists may be generally competent to provide effective services but lack cultural competence. This distinction assumes that client racial/ethnic background is a source of variability in therapist effectiveness. However, there have been no direct tests of the therapist as a source of health disparities. We provided an initial test of the distinction between general and cultural competence by examining client racial/ethnic background as a source of variability in therapist effectiveness. We analyzed cannabis use outcomes from a psychotherapy trial (N = 582) for adolescent cannabis abuse and dependence using Bayesian multilevel models for count outcomes. We first tested whether therapists differed in their effectiveness and then tested whether disparities in treatment outcomes varied across therapist caseloads. Results suggested that therapists differed in their effectiveness in general and that effectiveness varied according to client racial/ethnic background. Therapist effectiveness may depend partially on client racial/ethnic minority background, providing evidence that it is valid to distinguish between general and cultural competence.     

Infants recognize similar goals across dissimilar actions involving object manipulation

We investigated infants’ ability to recognize the similarity between observed and implied goals when actions differed in surface-level motion details. In two experiments, 10- to 12-month-olds were habituated to an actor manipulating an object and then shown test actions in which the actor contacted the object with a novel hand configuration that implied a goal either similar or dissimilar to the habituation event. Infants in both experiments looked significantly longer at test actions depicting a novel implied goal, suggesting that infants glossed over some surface-level motion details and compared implied goals.     

Evidence for ‘motionese’: modifications in mothers’ infant‐directed action

We investigated the possibility that mothers modify their infant‐directed actions in ways that might assist infants’ processing of human action. In a between‐subjects design, 51 mothers demonstrated the properties of five novel objects either to their infant (age 6–8 months or 11–13 months) or to an adult partner. As predicted, demonstrations to infants were higher in interactiveness, enthusiasm, proximity to partner, range of motion, repetitiveness and simplicity, indicating that mothers indeed modify their infant‐directed actions in ways that likely maintain infants’ attention and highlight the structure and meaning of action. The findings demonstrate that ‘motherese’ is broader in scope than previously recognized, including modifications to action as well as language.     

The invalidity of disclaimers about the effects of social feedback on self-esteem

Despite the fact that several theories suggest that people's self-esteem is affected by social approval and disapproval, many individuals steadfastly maintain that how other people regard them has no effect on how they feel about themselves. To examine the validity of these beliefs, two experiments compared the effects of social approval and disapproval on participants who had indicated either that their self-esteem is affected by how other people evaluate them or that their self-esteem is unaffected by interpersonal evaluation. Results of both studies converged to show that approval and disapproval clearly affected the self-esteem of even those individuals who denied that social evaluations affected their feelings about themselves.     

Further evidence of associations of type a personality scores and driving-related attitudes and behaviors

The present study examined the effects of Type A personality on specific self-reported driving attitudes and behaviors when operating a motor vehicle. 102 undergraduate students completed the student version of the Jenkins Activity Survey (Form T) and several questionnaires asking participants about their driving history, driving attitudes, and driving behaviors. When the full range of Type A scores were examined, Type A personality was significantly related to more traffic accidents, greater frequency of breaking traffic laws, higher impatience when driving, more displays of aggression on the road, and engaging in more risky driving behaviors (rs<.17). When extreme Type A and Type B scores were compared, Type A drivers reported being involved in significantly more motor vehicle accidents and reported displaying more aggression on the road. Further research should examine actual behavioral data using more diverse samples to validate the results.     

Social Comparison,the Threat of AIDS,and Adolescent Condom Use1

This study tested hypotheses from social comparison theory about adolescent condom use. Questionnaires were administered to 457 twelfth-grade students (284 sexually active). Three different operationalizations of social comparison were used—comparative ratings, affiliative preferences, and derogation; each produced different results. Low condom users who felt threatened by AIDS made more downward comparative ratings regarding condom use than did unthreatened low users. In contrast, low users preferred upward affiliations with high users. Adolescents with higher self-esteem derogated adolescents with AIDS less as threat increased. Adolescents with lower self-esteem who made downward comparative ratings were more satisfied with their own past condom use. Satisfied low condom users were less likely to intend condom use in the future. The results provide evidence that downward comparison may act indirectly to deter behavioral change.