A critical review of psychotherapy outcome studies with adolescents: 1978-1988

Although interest in identifying effective psychotherapies for adolescent mental health problems has increased dramatically in the last decade, there have been few attempts to summarize and integrate the recent empirical literature on psychotherapy outcomes with adolescents. The present paper reviews the methods and findings of adolescent psychotherapy outcome studies published from 1978 to 1988. Evaluations of individual psychotherapy with adolescents generally reveal positive short-term outcomes, but long-term outcomes are still to be determined. Evaluations of systemic therapies (especially family therapy) with adolescents often reveal positive outcomes that are maintained over extended follow-up periods. Recommendations are presented for improving the methodology of future psychotherapy outcome studies with adolescents.     

Gender differences in autonomous and social achievement orientations

This research examined gender differences in orientations toward autonomous and social achievement. Three independent samples of subjects (total N= 359 males and 574 females) completed measures of achievement orientation (including Strumpfer's [1975] Autonomous Achievement Values and Social Achievement Values scales) and relevant cognitive, affective, and behavioral variables. Correlational and factor analyses clearly identified distinct autonomous and social achievement factors for both men and women in each of the samples. Examination of the correlates of achievement orientation indicated that whereas an autonomous achievement orientation is similarly expressed in males and females, there are considerable sex differences in the expression of an orientation toward social achievement. In particular, a social achievement orientation was associated with concerns over social approval and responsiveness to social influence among males, but was generally unrelated to these factors among females. Findings are discussed in terms of several recent hypotheses concerning the effects of sex role norms on the development and expression of achievement needs in men and women.     

Patterns of interocular transfer of visuomotor coordination reveal differences in the representation of visual space

Acquisition and interocular transfer of adaptation to optical transformations of input were examined in strabismic and orthotropic subjects. Distinct patterns of behavior were displayed by three groups: strabismic alternating suppressors, strabismic and orthotropic constant suppressors, and orthotropes with normal binocularity of vision. It is suggested that these behaviors result from the way in which visual space is represented in each group, an outcome of the pattern of use of the eyes during early development. The conditions for modification of the representation of visual space appear to parallel those for initial acquisition.     

Joint attention and perceptual experience

Synthese - Joint attention customarily refers to the coordinated focus of attention between two or more individuals on a common object or event, where it is mutually “open” to all...     

Efficacy and social validity of procedures for improving conversational skills of college students with autism

Better conversational skills correspond to a higher quality of life for adults diagnosed with autism spectrum disorder (ASD). In this study, we taught vocal–verbal responses discriminated by compound arrangements of concealed conversation partner mands to two college students with ASD. Participants learned to engage in self-questioning about their conversation partner's behavior and to reinforce three concealed mands for termination of an aversive conversation scenario. We assessed generalization to conversation probes with trained confederates and to interactions with untrained conversational partners (e.g., peers, professors). Finally, we collected peer ratings of the social validity of changes in conversational behavior as well as participants' ratings of study goals, procedures, and outcomes.     

Towards a wider conception of autonomy support in adolescence: The contribution of reflective inner-compass facilitation to the formation of an authentic inner compass and well-being

Ample research has demonstrated the benefits of basic autonomy supportive practices (e.g., perspective-taking, choice, minimizing-control) for adolescents’ psychosocial functioning. Herein, we posit that there is one additional autonomy supportive practice with specific importance for adolescents’ development: Reflective Authentic Inner Compass facilitation. This practice is posited to contribute to the formation of an Authentic Inner-Compass: An action-guiding schema, informing youth on what they truly value, need, and want, and consisting of two parts: (1) A foundation including authentic values, interests, and life-aspirations, and (2) Autonomous commitment to future-oriented goals and decisions, based on the foundation. A longitudinal study of 18–19 year-old Israeli adolescents showed that perceived Reflective Authentic Inner Compass Facilitation by instructors uniquely predicted (beyond Basic Autonomy Support) adolescents’ experience of having an authentic inner-compass in the military domain, which then predicted autonomous engagement in plan-promoting activities. A cross-sectional study with 16?18 year-old Belgian adolescents showed that perceived Reflective Authentic Inner Compass Facilitation by parents uniquely predicted (beyond Basic Autonomy Support) the experience of having an authentic inner-compass, which then related positively to well-being. Implications of the notion of the authentic inner compass for the conceptualization of autonomy support and the experience of autonomy are discussed.

     

Sketching while narrating as a tool to detect deceit

In none of the deception studies that used drawings to date, was the effect of sketching on both speech content and drawing content examined, making it unclear what the full potential is of the use of drawings as a lie detection tool. A total of 122 truth tellers and liars took part in the study who did or did not sketch while narrating their allegedly experienced event. We formulated hypotheses about the total amount of information and number of complications reported and about various features of the drawings. Participants in the Sketch-present condition provided more information than participants in the Sketch-absent condition, and truth tellers reported more details than liars, but only in the Sketch-present condition. In contrast to previous research, no Veracity differences occurred regarding the content of the drawings, perhaps because sketching was introduced as a tool that facilitated verbal recall and not as a stand-alone tool.     

Contrast effects do not underlie effects of preceding liquids on stop-consonant identification by humans

These experiments explored the claim by A. Lotto and K. Kluender (1998) that frequency contrast explains listeners' compensations for coarticulation in the case of liquid consonants coarticulating with following stops. Evidence of frequency contrast in experiments that tested for it directly was not found, but Lotto and Kluender's finding that high- and low-frequency precursor tones can produce contrastive effects on stop-consonant judgments were replicated. The effect depends on the amplitude relation of the tones to the third formant (F3) of the stops. This implies that the tones mask F3 information in the stop consonants. It is unknown whether liquids and following stops in natural speech are in an appropriate intensity relation for masking of the stop. A final experiment, exploiting the McGurk effect, showed compensation for coarticulation by listeners when neither frequency contrast nor masking can be the source of the compensations.     

Affirmation of personal values buffers neuroendocrine and psychological stress responses

Stress is implicated in the development and progression of a broad array of mental and physical health disorders. Theory and research on the self suggest that self-affirming activities may buffer these adverse effects. This study experimentally investigated whether affirmations of personal values attenuate physiological and psychological stress responses. Eighty-five participants completed either a value-affirmation task or a control task prior to participating in a laboratory stress challenge. Participants who affirmed their values had significantly lower cortisol responses to stress, compared with control participants. Dispositional self-resources (e.g., trait self-esteem and optimism) moderated the relation between value affirmation and psychological stress responses, such that participants who had high self-resources and had affirmed personal values reported the least stress. These findings suggest that reflecting on personal values can keep neuroendocrine and psychological responses to stress at low levels. Implications for research on the self, stress processes, health, and interventions are discussed.