Is it the symptom or the relation to it? Investigating potential mediators of change in acceptance and commitment therapy for psychosis

Cognitive and behavioral interventions have been shown to be efficacious when used as an adjunct to pharmacotherapy for psychotic disorders. However, little previous research has investigated potential mediators of change in psychological treatments for psychosis. Acceptance and mindfulness-based therapies do not focus on directly reducing the psychotic symptoms themselves, but instead attempt to alter the patient's relationship to symptoms to decrease their negative impact. The current study examined this issue with data from a previously published randomized trial comparing brief treatment with Acceptance and Commitment Therapy (ACT) versus treatment as usual for hospitalized patients with psychotic symptoms (Gaudiano & Herbert, 2006a). Results showed that the believability of hallucinations at posttreatment statistically mediated the effect of treatment condition on hallucination-related distress. Hallucination frequency did not mediate outcome. The current study is a first step toward understanding the potential mechanisms of action in psychological treatments for psychosis.     

Divine authority and the virtue of religion: a Thomistic response to Murphy

In his book, An Essay on Divine Authority, Mark Murphy argues that God does not have practical authority over created, rational agents. Although Murphy mentions the possibility of an argument for divine authority from justice, he does not consider any. In this paper, I develop such an argument from Aquinas’s treatment of the virtue of religion and other parts of justice. The divine excellence is due honor, and, as Aquinas argues, honoring a ruler requires service and obedience. Thus, a classical conception of God coupled with some of Aquinas’s theses concerning justice show that God has practical authority over all created, rational agents.

     

How Does Traditional Masculinity Relate to Men and Women’s Problematic Pornography Viewing?

Sex Roles - Problematic pornography viewing (PPV) is a growing concern. Based on a masculine gender role strain framework, individuals endorsing traditional masculinity ideology (TMI) may be...     

Culture, memory, and the self: An analysis of the personal and collective self in long-term memory

We used a memory paradigm to test whether the nature of representations of the self within long-term memory differed as a function of cultural background. In Western samples words encoded in relation to the self are typically remembered better, and Euro-Canadian participants here showed this standard self-reference effect. However, Asian-Canadian participants were slower to recognize personal traits (as opposed to collective traits) when these traits had been encoded in reference to the self, suggesting a more elaborate representation of the collective self than the personal self in long-term memory. Further, memory was actually inhibited for Asian-Canadians when personal traits were encoded in reference to the self (vs. encoded with other referents). Differences in long-term memory trace strength for self-related data may emerge even as differences in the working self do not, and implications of this difference are discussed.     

Career Concerns for People Living With HIV/AIDS

The purpose of this study was to identify the career concerns of people living with HIV/AIDS. The authors used qualitative research methodology to ask participants to discuss the impact their diagnosis has had on their career development concerns and their career goals. Based on participants' interview responses, the authors classified their concerns as relating to career or workplace issues, medical issues, or coping resources. Career counseling implications for each category are discussed.     

Developing networks in disempowered communities: Experiencing hardships while focusing on opportunities

This study aims to present an evaluation and the process steps of a community‐based initiative (CBI) consisting of a group of organizations that work to enhance the lives of boys and men of colour. Using a participatory research model, the researchers collaborated with 14 community stakeholders to develop the questions during two data collection periods and reviewed the reports for accuracy. The findings were separated into two broad categories. The perceived challenges included a lack of clear goals and measurements of success, an absence of leadership and direction, and a shortage of resources. The successes included passion of partners, increased collaboration, and increasing and maintaining social capital within the community. The lessons learned from both data collection periods helped this CBI broaden its reach and collaboration efforts. Overall, this study provides suggestions to other CBIs as they embark on making changes in their own communities.     

Introduction to the Special Series: Clinical Applications of the Inhibitory Learning Model

Exposure therapies (ETs) are treatments of choice for a number of mental health disorders, particularly anxiety and associated conditions, and problems due to avoidance. Exposure has received broad empirical support as a primary intervention. Recent efforts have focused on improving the efficacy and acceptability of exposure-based treatments. As proposed by Craske etal. (2014), strategies to improve ETs based on the inhibitory learning model have shown notable promise. However, surveys suggest that clinicians continue to avoid ETs, or implement them in a manner that interrupts their efficacy. In this special series, articles focus on specific inhibitory learning strategies in exposure, and their adaptation to multiple patient populations. The aim of the special series is to critically assess the research support for inhibitory learning approaches to exposure, and provide guidance for clinicians to implement these strategies in everyday practice.