Efficacy of telephone-administered cognitive behaviour therapy for obsessive-compulsive spectrum disorders: case studies

Cognitive behaviour therapy is effective for obsessive-compulsive disorder and for obsessive-compulsive spectrum disorders such as trichotillomania. Unfortunately, many people with these disorders, especially those living in rural areas, have limited access to treatment. Telephone-administered cognitive behaviour therapy may help address this problem. In a recent study of telephone treatment for obsessive-compulsive disorder, we found that such treatment was often effective (42% in remission at post-treatment, and 47% in remission at 12-week follow-up). This article presents 2 case reports of the same treatment, applied to obsessive-compulsive spectrum disorders (trichotillomania and compulsive skin picking). Treatment was associated with symptom reduction for both participants, although one subsequently relapsed. Possible reasons for relapse are discussed. The findings encourage further studies to identify the characteristics of people most likely to benefit from telephone treatment for spectrum disorders.     

"I" Value Freedom, But "We" Value Relationships: Self-Construal Priming Mirrors Cultural Differences in Judgment

The distinction between relatively independent versus interdependent self-construals has been strongly associated with several important cultural differences in social behavior. The current studies examined the causal role of self-construal by investigating whether priming independent or interdependent self-construals within a culture could result in differences in psychological worldview that mirror those traditionally found between cultures. In Experiment 1, European-American participants primed with interdependence displayed shifts toward more collectivist social values and judgments that were mediated by corresponding shifts in self-construal. In Experiment 2, this effect was extended by priming students from the United States and Hong Kong with primes that were consistent and inconsistent with their predominant cultural worldview. Students who received the inconsistent primes were more strongly affected than those who received the consistent primes, and thus shifted self-construal, and corresponding values, to a greater degree.     

Top-Down Attentional Guidance Based On Implicit Learning of Visual Covariation

The visual environment is extremely rich and complex, producing information overload for the visual system. But the environment also embodies structure in the form of redundancies and regularities that may serve to reduce complexity. How do perceivers internalize this complex informational structure? We present new evidence of visual learning that illustrates how observers learn how objects and events covary in the visual world. This information serves to guide visual processes such as object recognition and search. Our first experiment demonstrates that search and object recognition are facilitated by learned associations (covariation) between novel visual shapes. Our second experiment shows that regularities in dynamic visual environments can also be learned to guide search behavior. In both experiments, learning occurred incidentally and the memory representations were implicit. These experiments show how top-down visual knowledge, acquired through implicit learning, constrains what to expect and guides where to attend and look.     

Shades of the mirror effect: Recognition of faces with and without sunglasses

A mirror effect was found for a stimulus manipulation introduced at test. When subjects studied a set of normal faces and then were tested with new and old faces that were normal or wearing sunglasses, the hit rate was higher and the false alarm rate was lower for normal faces. Hit rate differences were reflected in remember and sure recognition responses, whereas differences in false alarm rates were largely seen in know and unsure judgments. In contrast, when subjects studied faces wearing sunglasses, the hit rate was greater for test faces with sunglasses than for normal faces, but there was no difference in false alarm rates. These findings are problematic for single-factor theories of the mirror effect, but can be accommodated within a two-factor account.     

Exploring Decision Making Around Therapist Self‐Disclosure in Cognitive Behavioural Therapy

Background

Therapist self‐disclosure (TSD) usage varies greatly among different psychotherapy orientations. Anecdotal evidence seems to suggest that there are reasons for its judicious use, and a small number of researchers have proposed guidelines for how TSD should be used to help therapists across psychotherapy models make decisions around disclosure. However, there is almost no literature specifically exploring how cognitive behaviour therapy (CBT) practitioners make decisions around employing TSD within the CBT framework.

Objective

This study aimed to explore how experienced CBT practitioners make decisions around TSD.

Method

In‐depth qualitative interviews were conducted with six clinical psychologists who were trained and experienced in CBT, and the interviews were analysed thematically.

Results

There were two overarching themes in terms of how they made decisions to self‐disclose: (A) the rules for TSD use, which included sub‐themes (a) it must have a clear purpose, (b) it must fit, (c) the therapist must maintain boundaries, and (d) the therapist must always reflect on his/her use of TSD; and (B) how they use TSD, which included subthemes of (a) using it as a tool for change and (b) using it to manage the therapeutic relationship.

Conclusion

Participants’ decisions on whether or not to self‐disclose were strongly influenced by the CBT model, and this process went beyond what is suggested in the transtheoretical literature. Understanding this process may lead to the development of CBT‐specific guidelines for making TSD‐related decisions.     

Framing Charity Advertising: Influences of Message Framing,Image Valence,and Temporal Framing on a Charitable Appeal1

This study examined when and how charitable advertisements could be effective in the context of child poverty. An experiment investigated the influences of message framing, image valence, and temporal framing on a charitable appeal. The results indicate that image valence enhances framing effects on advertising effectiveness of a charitable appeal when the image is congruent with the framed message, especially when the image and the message are presented negatively. A short‐term temporal frame facilitates effects of a negatively framed message with a negative pictorial presentation. Alternatively, a long‐term temporal frame increases advertising influences of a positively framed message with a positive pictorial image. Relevance for information processing of charity advertising is discussed.     

老年人对情绪性事件的情景模拟:回忆过去与想象未来

研究采用自传体访谈技术,首次考察了老年人在对情绪性事件进行回忆和想象中生成的内部细节和外部细节数量,及其对回忆和想象内容的主观评估。结果发现:(1)无论是回忆还是想象任务,老年人都比年轻人提供了更少的内部细节和略多的外部细节;(2)与年轻人相似,老年人在想象未来积极事件时产生了更多的内部细节,表现出对积极信息的加工偏好;(3)老年人比年轻人更倾向于认为想象的事件与过去发生的事件相似度高,表明该群体在想象过程中更多地依赖了过去的记忆。该结果揭示了老年人对情绪性事件的回忆和想象特点,说明在回忆和想象过程中出现的与年龄有关的缺陷同样会体现在情绪性事件中,这很好地支持了建构性情景模拟假说。     

Learning through observing: Effects of modeling truth‐ and lie‐telling on children’s honesty

The current study examined the influence of observing another's lie‐ or truth‐telling – and its consequences – on children's own honesty about a transgression. Children (N = 224, 5–8 years of age) observed an experimenter (E) tell the truth or lie about a minor transgression in one of five conditions: (a) Truth‐Positive Outcome – E told the truth with a positive outcome; (b) Truth‐Negative Outcome – E told the truth with a negative outcome; (c) Lie‐Positive Outcome – E lied with a positive outcome; (d) Lie‐Negative Outcome – E lied with a negative outcome; (e) Control – E did not tell a lie or tell the truth. Later, to examine children's truth‐ or lie‐telling behavior, children participated in a temptation resistance paradigm where they were told not to peek at a trivia question answer. They either peeked or not, and subsequently lied or told the truth about that behavior. Additionally, children were asked to give moral evaluations of different truth‐ and lie‐telling vignettes. Overall, 85% of children lied. Children were less likely to lie about their own transgression in the TRP when they had previously witnessed the experimenter tell the truth with a positive outcome or tell a lie with a negative outcome.     

Shared Communities: A Multinational Qualitative Study of Immigrant and Receiving Community Members

Community psychology is central to understanding how immigrants and more established residents of their new settings join together to develop a shared sense of community and membership. In our present study, we explored how newer (i.e., first‐ and second‐generation immigrants) and more established community members form multiple positive psychological sense of community (PSOC) with one another. We conducted a multinational, qualitative study of PSOC through interviews with 201 first‐ and second‐generation immigrants and third generation or more “receiving community members” in three contexts (Baltimore‐Washington corridor of the U.S.; Torino, Italy; Lecce, Italy). Results indicated numerous similarities among the ways in which participants constructed PSOC in shared and nonshared communities, regardless of immigration/citizenship status, length of community residence, city, country, age, or gender. Small, proximal, and salient communities were often particularly important to building positive PSOC, which was formed around diverse membership boundaries. As intersectional beings, members converged and diverged on many characteristics, providing multiple opportunities for members to bring diversity to their communities while sharing other characteristics deemed essential to membership. Nonetheless, findings point to significant, structural challenges rooted in power and privilege that must be confronted to bridge the community‐diversity dialectic and build strong, shared sense of community.     

Borderline personality disorder features predict negative outcomes 2 years later

In a sample of 351 young adults, the authors assessed whether borderline personality disorder (BPD) features prospectively predicted negative outcomes (poorer academic achievement and social maladjustment) over the subsequent 2 years, over and above gender and both Axis I and Axis II psychopathology. Borderline traits were significantly related to these outcomes, with impulsivity and affective instability the most highly associated. The present findings suggest that the impulsivity and affective instability associated with BPD leads to impairment in relating well with others, in meeting social role obligations, and in academic or occupational achievement. Therefore, these may be especially important features to target in interventions for BPD.