The Functional Analytic Psychotherapy Rating Scale: a Replication and Extension

Few theories of psychotherapy give direction to the therapist on a moment-to-moment level or make predictions about how specific therapist techniques change client behavior in session. Functional analytic psychotherapy (FAP, Kohlenberg and Tsai in Functional analytic psychotherapy: a guide for creating intense and curative therapeutic relationships. Plenum, New York 1991) provides this direction and prediction. Specifically, FAP claims that client problem behaviors will be displayed in the therapeutic relationship and that the therapist can improve client in-session behavior through differential, contingent responding. Further, it is assumed that these improvements in session can be generalized to out of session relationships. The FAP rating scale (FAPRS) was developed for the purpose of coding in-session client and therapist behaviors in an effort to test FAP’s purported mechanism of change. The current study seeks to replicate and extend initial FAPRS findings (Callaghan et al. in J Contemp Psychother 33:321–339, 2003) regarding mechanism of change and to address transportability. FAPRS coding data from a single successful case of an individual diagnosed with Borderline Personality Disorder and treated with FAP is presented. Results indicate that the FAPRS system is transportable and are generally supportive of the claim that therapist contingent responding leads to client improvement.     

Mothers’ and Fathers’ Responsive Problem Solving with Early Adolescents: Do Gender,Shyness, and Social Acceptance Make a Difference?

We assessed the extent to which youths’ (n = 231) shyness and social acceptance in preadolescence were associated with parents’ responsive problem solving 1 year later after controlling for initial levels of parents’ problem solving. Teachers (n = 176) completed assessments of youths’ shyness and social acceptance, and parents (n = 231 married pairs) completed assessments of their responsive problem solving with the child. For shy daughters, higher levels of social acceptance from peers predicted more responsive problem solving from fathers. Greater social acceptance predicted marginally less maternal problem solving for sons, but greater social acceptance predicted marginally more maternal problem solving with daughters. Results suggest the salience of child gender, shyness, and social acceptance when considering typical levels of parental involvement with youth. Implications for parents include the importance of successful problem solving discussions with emerging adolescents, especially youth who are shy or excluded by peers.     

Generalist and specialist graduate business degrees: Tangible and intangible value

Completion of a graduate degree in business, be it the general MBA or a specialized Master program, should add value to graduates and provide them with certain competencies to make them better managers and leaders. This article evaluates the impact of several Master level studies in business at a large, urban university in the southwestern US. We analyzed competencies, skills, self-perception, and career progress as well as salary and performance. Participant choice of degree program was either the generalist MBA degree or specialist graduate Master degree. Responses from 318 alumni, most of them now working managers, clearly indicate the value they gained from pursuing a graduate business degree. The most prominent impact of competencies and skills portfolio gained was on both internal and external measures of career success, for both the MBA and specialized programs.     

A Confirmatory Comparison of the Factor Structure of the Children's Depression Inventory between European American and African American Youth

We examined the factor structure of the Children's Depression Inventory (CDI) among a sample of 523 African American children (m age = 12.76) and a sample of 564 European American youth (m age = 12.43). Previous investigations have produced discrepant factor structures among samples of predominantly majority-culture children, but fewer investigations of the factor structure of the CDI have been conducted among non-European American samples. Confirmatory factor analyses of the original 5 factors identified by Kovacs (1983, 1991) revealed that the items had invariant measurement properties across the samples. The latent factor structure, however, revealed telling differences between the two samples. For European American youth, only one of the original five factors was meaningfully differentiated from the others, whereas for the African American youth, two of the factors clearly emerged as unique facets of depression. Consistent with other reports, between-group mean differences on the CDI and its factors were noted. We argue that further validation of the CDI among traditionally underserved populations is warranted. Predictive validation investigations, in particular, are needed to examine the relationship between CDI factor scores and clinical outcomes.     

A face recognition by similarity (FRBS) conjecture

Cohen (1963) investigated free recall in two lists of words. The first contained unrelated words. The second comprised words drawn from several semantic categories, where the number of categories was equal to the number of words in the first list. He found that recall of unrelated words was equal to the recall of categories. The face recognition by similarity (FRBS) conjecture proposes that this relation cannot be applied to face recognition. Following Cohen's design, two different experimental situations for generating two target faces were constructed. The findings showed that the number of correct recognitions of specific facial features belonging to the first target face (e.g., nose, chin) was greater than or equal to the number of categories of visually similar facial features belonging to the second target face (e.g., different long noses, round chins). In addition, theoretical underpinnings for the FRBS conjecture were suggested.     

Participants' understanding of the process of psychological research: informed consent

Sixty-five undergraduates participating in a wide range of psychological research experiments were interviewed in depth about their research experiences and their views on the process of informed consent. Overall, 32% of research experiences were characterized positively and 41% were characterized negatively. One major theme of the negative experiences was that experiments were perceived as too invasive, suggesting incomplete explication of negative aspects of research during the informed consent process. Informed consent experiences were viewed positively 80% of the time. However, most of the participants had a limited view of the purpose of informed consent: less than 20% viewed the process as a decision point. Results suggest a number of common pitfalls to standard informed consent practices that have not generally been recognized. Results are discussed in terms of both ethical and methodological implications. Suggestions for improving the informed consent process are also provided.     

EDMUND D. PELLEGRINO's PHILOSOPHY OF FAMILY PRACTICE

Family medicine has grown as a specialty from its early days of general practice. It was established as a Board Certified specialty in 1969. This growth and maturation can be traced in the philosophy of family medicine as articulated by Edmund D. Pellegrino, M.D. Long before it was popular to do so, Pellegrino supported the development of family medicine. In this essay I examine the development of Pellegrino's philosophical thought about family practice, and contrast it to other thinkers like Ian McWhinney, Kerr White, Walter Spitzer, Donald Ransom, and Hebert Vandervoort. The arguments focus on whether the goals of family medicine and family practice (possibly two distinct entities) can be articulated, especially considering the definitional problems of “family” and “community.” I conclude by echoing Pellegrino's hope that family medicine can contribute a fresh alternative to isolated, individualistic and technological thinking in medicine.     

Critical importance of exposure duration for affective discrimination of stimuli that are not recognized

Previous research has found that repeated exposure to briefly presented visual stimuli can increase the positive affect for the stimuli without enhancing their recognition. Subjects could discriminate target and distractor shapes by affective preference in the absence of recognition memory. This study examined this phenomenon as a function of stimulus exposure duration. Over exposure durations of 0, 2, 8, 12, 24, and 48 ms, the functions for affect and recognition judgments exhibited different temporal dynamics. Target selection by affect was possible at very brief exposures and was influenced little by increasing durations; target selection by recognition required longer stimulus exposures and improved with increasing durations. Affective discrimination of stimuli that are not recognized is a reliable phenomenon, but it occurs only within a narrow band of time. This parametric study has specified the relationship between exposure duration and affect and recognition judgments and has located that temporal window.     

The importance of primary care for theoretical medicine: A commentary

Froom and Froom all attention to referral bias as a frequent cause for misinterpreting the medical literature. This is particularly a source of false certainty, and therefore false science, in U.S. practice, where referral centers are often seen as the only legitimate source of medical knowledge and where primary care is discounted as a source of scientific observations. Appreciation of the primary care setting is therefore a critical element in theoretical understanding of medical epistemology.