Efficacy of the third wave of behavioral therapies: a systematic review and meta-analysis

During the last two decades a number of therapies, under the name of the third wave of cognitive behavior therapy (CBT), have been developed: acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), cognitive behavioral analysis system of psychotherapy (CBASP), functional analytic psychotherapy (FAP), and integrative behavioral couple therapy (IBCT). The purposes of this review article of third wave treatment RCTs were: (1) to describe and review them methodologically, (2) to meta-analytically assess their efficacy, and (3) to evaluate if they currently fulfil the criteria for empirically supported treatments. There are 13 RCTs both in ACT and DBT, 1 in CBASP, 2 in IBCT, and none in FAP. The conclusions that can be drawn are that the third wave treatment RCTs used a research methodology that was significantly less stringent than CBT studies; that the mean effect size was moderate for both ACT and DBT, and that none of the third wave therapies fulfilled the criteria for empirically supported treatments. The article ends with suggestions on how to improve future RCTs to increase the possibility of them becoming empirically supported treatments.     

Brief Experimental Analysis of Spanish Reading Fluency: An Exploratory Evaluation

Brief experimental analyses of reading fluency are useful for identifying effective interventions for improving reading fluency. The current study extends previous research by conducting an exploratory evaluation of brief experimental analyses of reading fluency for Spanish reading. A 10-year old Hispanic male presented with reading fluency deficits for English and Spanish reading. Brief experimental analyses of English and Spanish reading identified distinct interventions for each which increased oral reading fluency. Intervention procedures evaluated during brief experimental analyses included listening passage preview, repeated readings, and reward. Replication of analyses was conducted to examine changes in instructional need over time. For English reading, the intervention identified during the initial analysis (i.e., listening passage preview with repeated readings) was identified as the most effective when the analysis was replicated. For Spanish reading, listening passage preview was identified as the most effective intervention during the initial analysis, while repeated readings was identified as most effective when the analysis was replicated. Results are discussed in terms of future research given the exploratory nature of the current study.     

James Drane's More Humane Medicine: a new foundation for twenty-first century bioethics?

James Drane's More Humane Medicine: A Liberal Catholic Bioethics is an outstanding contribution to the study of bioethics in our day. Catholics and others who are interested in the issues discussed here will benefit from this masterful treatment. The author opens with a set of definitions, starting with what he means by a \"more humane medicine.\" Drane contends that a more humane medicine has become necessary and desired, but not because the traditional medical ethic as \"a self-declared and self-imposed ethic, outlining what noble service to others entails\" is no longer valid. Rather he defines it as an advance on the traditional ethic; a \"new foundation\" based on a \"lived set of obligations derived from a felt commitment to other persons ... an ethics based on the relationship between doctors and patients and essentially an ethics of virtue.\" Drane's work is a \"liberal Catholic Bioethics\" in which he challenges his own faith tradition, the Roman Catholic Church, on such topics as sexuality, birth control, abortion, cloning, stem cell research, aging and dying, and euthanasia and physician-assisted suicide. The present article is a critical essay that analyzes the author's statements and conclusions.