Improving academic performance and mental health through a stress management intervention: outcomes and mediators of change

Two hundred and nine pupils were randomly allocated to either a cognitive behaviourally based stress management intervention (SMI) group, or a non-intervention control group. Mood and motivation measures were administered pre and post intervention. Standardized examinations were taken 8-10 weeks later. As hypothesized, results indicated that an increase in the functionality of pupils' cognitions served as the mechanism by which mental health improved in the SMI group. In contrast, the control group demonstrated no such improvements. Also, as predicted, an increase in motivation accounted for the SMI group's significantly better performance on the standardized, academic assessments that comprise the United Kingdom's General Certificate of Secondary Education. Indeed, the magnitude of this enhanced performance was, on average, one-letter grade. Discussion focuses on the theoretical and practical implications of these findings.     

Acceptance and commitment therapy: model, processes and outcomes

The present article presents and reviews the model of psychopathology and treatment underlying Acceptance and Commitment Therapy (ACT). ACT is unusual in that it is linked to a comprehensive active basic research program on the nature of human language and cognition (Relational Frame Theory), echoing back to an earlier era of behavior therapy in which clinical treatments were consciously based on basic behavioral principles. The evidence from correlational, component, process of change, and outcome comparisons relevant to the model are broadly supportive, but the literature is not mature and many questions have not yet been examined. What evidence is available suggests that ACT works through different processes than active treatment comparisons, including traditional Cognitive-Behavior Therapy (CBT). There are not enough well-controlled studies to conclude that ACT is generally more effective than other active treatments across the range of problems examined, but so far the data are promising.     

Inconsistent responding to repeated MMPI items: is its major cause really carelessness?

Previous authors have recommended using the number of inconsistent responses given to repeated MMPI items as a measure of the carelessness with which an individual has responded to the test. Such a recommendation assumes that a respondent who reads the items carefully must necessarily give an identical response to both presentations of the same item. Contrary to this assumption of a single cause, three potential causes of inconsistency--maladjustment, carelessness, and indecision--were investigated among 202 normal undergraduates who responded to the whole MMPI twice. The results suggest that indecision may be a more important cause of inconsistency than carelessness, thereby calling into question the use of inconsistencies on repeated MMPI items as a "carelessness" scale. Implications regarding the processes involved in responding to personality items are discussed.     

Using psychodynamic concepts in strategic family therapy: A suicidal adolescent case

This paper describes the treatment of a suicidal adolescent with strategic family therapy. The cotherapists conceptualized the case psychoanalytically and systemically. They propose that their understanding of psychodynamics enhanced their ability to tailor their interventions to the family's unique style and capacities. Rather than dismiss psychodynamic concepts as irrelevant to strategic family therapy, they maintain that an appreciation of individual members' ego strengths, defenses, affects, and unacknowledged impulses leads to the construction of more effective metaphors and a set of interventions more isomorphic to family patterns.     

The miscommunication of deception: An adaptive perspective

Undergraduates were videotaped as they told lies and truths about their last job. Later, these undergraduates viewed the videotape and tried to guess which of their fellow subject were lying. Monetary incentives had been offered for successful lying and lie detection. Our subjects showed a “demeanor bias”—some looked honest even when they were lying; others looked dishonest even when they were telling the truth. These differences in apparent honesty were the primary determinant of deception judgments; perceivers' detection skills played a lesser role. Honest-looking subjects were predisposed to perceive others as dishonest. In general, our liars used hand gestures, maintained eye contact, and refrained from smiling. Perceivers misconstrued these behaviors as signs of honesty and could not often detect deceit—unless the lie was being told by a subject who had earlier told the truth. We draw on sociobiological concepts and offer an adaptive perspective on human deceit.     

Gender, Race, and Class in Organizational Contexts

Creating settings that support diversity has been a long-standing concern of community psychology. In this paper, I propose two qualities as important aspects of organizational contexts that support the meaningful participation of diverse groups:(a) a culture of connection and (b) recognition of multiple realities. For each theme, I first examine countervailing values that can undermine meaningful participation of nondominant groups. I suggest that organizational values for independence and a press for sameness can contribute to settings where members of traditionally oppressed groups will be prevented from meaningful participation. I also suggest that fostering a culture of connectedness that actively legitimizes multiple realities is a constructive alternative. To illustrate these points, I share observations based on experiences in manufacturing, educational, and community-based settings. Then, I explore two dynamics that are important when confronting the countervailing values and building more inclusive contexts: (a) accountability for impact and (b) privilege dynamics. Last, I turn to some possibilities for change through a stance of connected disruption.     

Predictors of High School Achievement in a Hong Kong International School

Asian students consistently achieve academically at higher rates than other students. This study reports on the prediction of grades by teenagers' values and autonomy expectations, and their mothers' reports on these variables. Fifty-eight Western and 66 Asian juniors and seniors and their mothers were recruited from an international high school. Teenagers' value priority for Openness to Change and their autonomy expectations predicted academic achievement in the entire group of students, unpackaging the effect of culture on academic achievement. Mothers' value priorities and autonomy expectations did not associate with their teenagers' grades. Teenagers' value for Openness to Change emerged as a significant independent predictor in the combined group; however, the effect was stronger in Western than in Asian teenagers. This study provides unusual evidence for pancultural correlates of academic achievement.     

Testing a Rebt Theory: The Effects of Rational Beliefs, Irrational Beliefs, and Their Control or Certainty Contents on the Functionality of Inferences: I. In a Social Context

This article presents two experiments that examine the validity of REBT's suggestion that contents do not influence the effect that rational and irrational beliefs (beliefs) have on the functionality of inferences (FI). Specifically, two role-playing experiments indicated that control and certainty contents that refer to rational and irrational beliefs influence the effect that those beliefs have on the FI. This finding was demonstrated when beliefs and their contents referred to either one's self or other people in a social context. Based upon the results of these two experiments, it may be prudent for REBT to modify its hypothesis that contents do not influence the effects that rational and irrational beliefs have on the FI. Specifically, it may wish to hypothesise that beliefs interact with contents to affect the FI.     

"Little rapes," specious claims, and moral hubris: a reply to Korn, Huelsman, Reed, and Aiello

Because they failed to include our informed consent, guided imagery scenarios, and debriefing, the relevance of Koren, Huelsman, Reed, and Aiello's (1992) data remains unknown. The design of their Study 1 did not test the greater objectivity of role taking over involved participation. The design of their Study 2 did not demonstrate the effects of demand characteristics. The older "personal acquaintances" were not at higher risk of rape as they claimed. Properly gathered data from the University of Connecticut's laboratory demonstrated that participants regarded the guided imagining of rape to be personally and scientifically beneficial, educating them about the crime and the experience of the rape victim. Prior research had demonstrated that exposure to rape stimuli in combination with debriefing had an educational effect on the decreased endorsement of rape myths. Previously published ethical principles for balancing the rights of scientists, subjects, and society explicate our ethical stance. Informed consent precludes the occurrence of wrongful harms. This poorly designed and poorly reasoned "ethical" critique was unfounded; yet, it might produce a chilling effect on both the use of guided imagery and freedom of inquiry into politically sensitive topics.     

Assertive community treatment for frequent users of psychiatric hospitals in a large city: A controlled study

Evaluated a large-city adaptation of the assertive community treatment (ACT) model (Stein & Test, 1980). Outcomes were examined after 1 year for 82 clients, averaging over 17 lifetime psychiatric hospitalizations, randomly assigned either to ACT or to a drop-in (DI) center. After 1 year, 76% of the ACT clients and only 7% of DI clients were involved in the respective programs. The ACT team averaged 2 home and community visits per week to each client. ACT clients averaged significantly fewer state hospital admissions and state hospital days than did DI clients. ACT clients reported greater satisfaction with program services, fewer contacts with the police, and less difficulty with practical problems associated with psychiatric readmission. More ACT clients were known to have stable community housing. Annual per-client treatment costs for ACT were estimated to be $1,500 less than for DI.