Changes in Clients' Images of God Over the Course of Outpatient Therapy

The authors examined the impact of outpatient counseling on clients' psychological symptoms and on their image of God. Thirty participants in a counseling treatment group and 68 participants in a no‐treatment control group completed the Brief Symptom Inventory and the Adjective Checklist at 2 separate times. Counseled participants experienced significant reductions of psychological symptoms over the course of treatment whereas the control group showed no changes. Furthermore, ratings of God's agreeableness significantly increased (toward compassion) for clients in the treatment group, whereas no such changes were noted for the control group.     

Depression Following Traumatic Brain Injury: The Validity of the CES-D as a Brief Screening Device

The validity, reliability, and factor structure of the Center for Epidemiological Studies-Depression Scale (CES-D) was examined with 253 patients seen for neuropsychological evaluation following traumatic brain injury (TBI). All patients completed the CES-D; 31 also completed the Beck Depression Inventory (BDI) and 17 completed the Minnesota Multiphasic Personality Inventory-II (MMPI-II). The CES-D demonstrated good concurrent, construct validity, significantly correlating with the BDI (r = .673, p < .0001) and the MMPI-II (Depression Scale T score r = .536, p = .027). The CES-D also demonstrated good internal consistency (coefficient alpha = .8195) and split-half reliability (Spearman–Brown r = .8284). Principal components factor analysis with varimax rotation resulted in a four-factor solution that accounted for 56.01% of the variance. The factor structure differed from the originally reported factor structure, and indicated that somatic difficulties were strongly associated with dysphoric affect in TBI patients. The CES-D is a valid and reliable screening instrument for use with TBI patients.     

Meta-analyses and systematic reviews of psychological treatments for chronic pain: relevance to an evidence-based practice.

As evidence-based practitioners become more reliant on systematic reviews to inform treatment, it becomes important to systematize reporting details as well as improve the quality of the primary studies that will later be incorporated into this secondary literature. In this article, the authors consider several specific factors that can serve this function in the area of chronic pain: (a) adhering to a standardized set of reporting standards; (b) measuring a standardized set of short- and long-term outcome variables; (c) providing information about individual differences; and (d) providing detailed, easily accessible documentation of the treatment program (or progams). The article also highlights ways that practitioners and researchers can collaborate on treatment outcome research, thereby improving the ability to discover and disseminate effective treatments for patients who suffer from chronic pain.     

Qualities Underlying the Definitions of Gender

Dimensions underlying the definition of items as feminine and masculine were examined in a set of three studies. Items chosen by children as belonging to males or females were used as the initial stimuli. These included traditionally stereotyped items such as a hammer and an iron, as well as more metaphorically related items such as bears and flowers. The raters in all three studies were undergraduates (70% White, 30% minorities). In Study 1, the items were rated using a set of 40 common adjectives. Three factors resulted: two related to masculine items and one to feminine items. In Study 2, a subset of the adjectives were used to rate abstract paintings that had been designated feminine or masculine by another group of adults. In Study 3, a set of stimuli were developed using the adjectives from the previous two studies. The items were rated as feminine or masculine and matched the initial coding of the adjective. The new items were also rated on the same adjectives by another set of adults. Again, the masculine adjectives were assigned to masculine items and feminine to feminine items. There was excellent agreement across three different sets of stimuli on the underlying dimensions of gender definition, even using items that were not traditionally stereotyped.     

RESEARCHING GENDER-ROLE IDEOLOGIES INTERNATIONALLY AND CROSS-CULTURALLY

Although many studies have compared gender-role ideologies internationally and cross-culturally, few researchers have attended to cultural differences in the meaningfulness or conceptual equivalence of the scale items. The literature on the use of instruments internationally is reviewed with respect to potentially universal (etic) constructs and findings. Gender differences in attitudes and the domains in which gender-related behavior is expressed differ internationally. A potential universal dimension is represented by a modern, egalitarian ideology on the one pole and a traditional ideology on the other. Using scales developed in three cultural contexts, we demonstrate that ratings of meaningfulness are correlated with the use of scores distant from the midpoint. Specific recommendations for researchers include consultation with cultural informants and incorporation of culturally specific (emic) items.     

Effects of Deviant Child Behavior on Parental Distress and Alcohol Consumption in Laboratory Interactions

Levels of adult distress and ad lib alcohol consumption following interactions with child confederates were investigated in parents of children with no diagnosable psychiatric disorders. Sixty parents (20 married couples and 20 single mothers) interacted with boys trained to enact behaviors characteristic of either normal children or deviant children with externalizing behavior disorders — attention-deficit hyperactivity disorder (ADHD), conduct disorder (CD), and oppositional defiant disorder (ODD). Relative to the normal child role, interactions with deviant confederates were rated as significantly more unpleasant, resulted in feelings of role inadequacy, and produced significantly more anxiety, depression, and hostility. After the interactions, parents were given the opportunity to drink as much of their preferred alcoholic beverage as they desired while anticipating a second interaction with the same child. The participants consumed more alcohol following exposure to deviant as opposed to normal confederates.     

The child's expectations of differences in adult male and female interactions

Children of two different age groups, 2-year-olds and 4-year-olds, were placed with male and female adults in a laboratory play situation where the children were forced to control the choice of toys and mode of interaction. The 4-year-old children elicited different types of play behaviors from male and female adults, while the younger children did not.Final preparations of this paper was completed on a post-doctoral fellowship (Grant No. 1 T32MH 16955-01) at Oregon Social Learning Center. The study with older children was presented at the biennial conference of the Society for Research in Child Development, San Francisco, March 1979.     

Group therapy as an adjunct to medication in the management of bipolar affective disorder

This paper asserts that, contrary to the beliefs of many clinicians, patients with bipolar affective disorder often experience a deteriorating course characterized by pervasive social dysfunction. It reviews the literature, identifying a rationale for group psychotherapy as an adjunct to medication in the management of these chronic patients. It outlines a theoretical approach to bipolar group therapy, and presents a retrospective study comparing the course of 43 lithium-treated bipolar patients before and after entering bipolar groups. During the year in group therapy, bipolar patients displayed significant improvements in symptom relief as well as social functioning. It is proposed that group process enhances treatment with medication, providing benefits not evident with medication alone.