Effectiveness of Imagery Rehearsal Therapy for the Treatment of Combat-Related Nightmares in Veterans

Imagery Rehearsal Therapy (IRT) has been shown to be efficacious in reducing nightmares, but the treatment has not been well-studied in veterans. The effectiveness of IRT was assessed from a chart review of veterans seeking outpatient treatment for chronic, trauma-related nightmares. Of those offered IRT, veterans who completed a full course of treatment for PTSD in the past year were more likely to initiate treatment. However, completion of IRT was not related to previous treatment, demographic variables, or nightmare severity reported at the first treatment session. Treatment completers reported significant reductions in nightmare frequency and intensity, severity of insomnia, and subjective daytime PTSD symptoms. Insomnia and PTSD symptoms, on average, were below clinical cutoffs following treatment, and 23% of patients showed a complete treatment response (≤ 1 nightmare/week). Findings suggest IRT may be an effective short-term treatment for nighttime and daytime PTSD symptoms among veterans who complete a full course of treatment.     

Maternal teaching techniques and preschool children's ideational fluency

As a counterpart to research showing relationships between parental behaviors and attitudes and children's divergent thinking, this study investigated mothers’ teaching techniques and preschool children's ideational fluency, one aspect of creativity. Twenty mother‐child dyads were videotaped interacting in both a warm‐up and structured teaching session. Mothers’ teaching behaviors were assessed with the Maternal Teaching Observation Technique (MTOT) and children's ideational fluency was measured with the Multidimensional Stimulus Fluency Measure (MSFM). Correlational analyses indicated relationships between children's divergent thinking and mothers’ use of verbal negative feedback (r = .51), physical control (r = ‐.40), and visual cues (r = ‐.44).     

Counselor Education and Supervision: The Development of the CACREP Doctoral Standards

The purpose of this article is to illuminate the unique features of the Council for Accreditation of Counseling and Related Educational Programs guidelines and accreditation standards that shaped doctoral preparation in counselor education. Current issues that affect advanced training in counselor education and implications for future doctoral standards revisions are also presented.     

“I Don’t feel like melting butter”: An interpretative phenomenological analysis of the experience of ‘inorgasmia’

Inorgasmia is under-studied in the domain of sexual health psychology. This study explores women's experiences of inorgasmia and the meanings giving to this experience. Interviews with six inorgasmic women were analysed using interpretative phenomenological analysis (IPA). The analysis showed that the absence of orgasm was experienced as problematic and disturbing. A search for reasons for their condition, and its effects on self-image and self-confidence underpinned the experience of inorgasmia as a problem. The spectrum of meanings surrounding female orgasm demonstrates that, far from being perceived as a merely physical experience, the moment of orgasm takes on relational significance and it has implications for the women's identities. The paper identifies areas for future research and theorising.     

The Transracial Adoption Debate: Counseling and Legal Implications

Over the last 30 years, the practice of White American parents adopting African American children has been the focus of much deliberation and commentary. In this article, the authors illuminate relevant literature and research regarding transracial adoption. Counseling and legal implications are also discussed.     

Organizational social context and psychopathology of youth in residential care: The intervening role of youth–caregiver relationship quality

Drawing on an ecological approach with multiple informants, this study investigated the mediating role of youth–caregiver relationship quality in associations between different features of residential care settings' organizational social context and youth's psychopathology. Participants were 378 youth aged between 12 and 25 years old, and 54 caregivers aged between 24 and 57 years old, from 29 generalist residential youth care settings in Portugal. Given the hierarchical structure of data, analyses were performed using multilevel modeling. Results revealed that organizational social contexts characterized by higher levels of engagement, stress, and centralization, as perceived by the caregivers, were associated with lower levels of youth's externalizing problems (e.g., aggressive behavior and delinquency), reported by the caregivers, via better youth–caregiver relationship quality, perceived by the youth in care. These findings highlight the relevance of creating an organizational social context in residential care settings that supports caregivers in establishing high-quality relationships with the youth in care, thereby promoting their mental health. This study contributes to the clarification of conflicting findings in previous studies of this field, by offering further empirical investigation of these issues.