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.     

Pregnancy-specific stress, prenatal health behaviors, and birth outcomes

OBJECTIVE: Stress in pregnancy predicts earlier birth and lower birth weight. The authors investigated whether pregnancy-specific stress contributes uniquely to birth outcomes compared with general stress, and whether prenatal health behaviors explain this association. DESIGN: Three structured prenatal interviews (N = 279) assessing state anxiety, perceived stress, life events, pregnancy-specific stress, and health behaviors. MAIN OUTCOME MEASURES: Gestational age at delivery, birth weight, preterm delivery (<37 weeks), and low birth weight (<2,500 g). RESULTS: A latent pregnancy-specific stress factor predicted birth outcomes better than latent factors representing state anxiety, perceived stress, or life event stress, and than a latent factor constructed from all stress measures. Controlling for obstetric risk, pregnancy-specific stress was associated with smoking, caffeine consumption, and unhealthy eating, and inversely associated with healthy eating, vitamin use, exercise, and gestational age at delivery. Cigarette smoking predicted lower birth weight. Clinically-defined birth outcomes were predicted by cigarette smoking and pregnancy-specific stress. CONCLUSION: Pregnancy-specific stress contributed directly to preterm delivery and indirectly to low birth weight through its association with smoking. Pregnancy-specific stress may be a more powerful contributor to birth outcomes than general stress.     

Retrieval processes that produce interference in modified forced-choice recognition tests

Recognition can suffer if the retrieval cues activate more than one trace (e.g., for Flower A and Flower A′). We found evidence for two retrieval processes by examining interference effects in forcedchoice tests (e.g., Did you see Flower A or Flower A″?). Experiment 1 provided evidence of a problem in discriminating between temporally and contextually similar traces that were formed in the study phase. A competitor (Flower A′) interfered more if it was shown in the study phase rather than in the test phase. Experiments 2 and 3 found evidence for a blocking process in recognizing pairs of words (child—apple). A competitor interfered more if it was recent, shown at test rather than at study. This pattern occurred regardless of whether the competitor was similar to the target (child—orange) or dissimilar to it (child—truck). The importance of a particular retrieval process may depend on an item’s representation as well as on the retrieval cues.