Stability and Change in Cognitive Behavior Therapy: Considering the Implications of ACT and RFT

Acceptance and Commitment Therapy (ACT) and Relational Frame Theory (RFT) are part of the new wave of treatments and analyses that seem to be emerging in cognitive behavior therapy. In this article, data in support of these new approaches are provided, and evidence that ACT works through different processes than traditional CBT are presented. The integrative proposals of Ciarrochi and Robb, and Ciarrochi, Robb, and Godsell are then considered. In the long run, whether such integrations are useful is an empirical matter, but concerns are raised about the effects of focusing on the content of beliefs, and the role of logical–empirical challenges to belief. Address correspondence to Steven C. Hayes, Department of Psychology/298, University of Nevada, Reno, NV 89557-0062, USA.     

Building Collaborative Mental Health Teams in Schools Through MFT School Certification: Initial Findings

Building collaborative multidisciplinary mental health teams to boost student achievement has been a growing initiative in American schools since the 1970s. Marriage and Family Therapists (MFTs)joined those teams in 2008, when Connecticut became the first state to certify MFTs for schoolbased practice. This article chronicles the history of that collaboration and reports initial research into MFT school-based participation on those teams.     

Where to look first for an explanation of induction with uncertain categories

Recent research has examined how people predict unobserved features of an object when its category membership is ambiguous. The debate has focused on whether predictions are based solely on information from the most likely category, or whether information from other possible categories is also used. In the present experiment, we compared these category-based approaches with feature conjunction reasoning, where predictions are based on a comparison among exemplars (rather than categories) that share features with a target object. Reasoning strategies were assessed by examining patterns of feature prediction and by using an eye gaze measure of attention during induction. The main findings were (1) the majority of participants used feature conjunction rather than categorical strategies, (2) people predominantly gazed at the exemplars that were most similar to the target object, and (3) although people gazed most at the most probable category to which an object could belong, they also attended to other plausible category alternatives during induction. These findings question the extent to which category-based reasoning is used for induction when category membership is uncertain.     

The effectiveness of acceptance and commitment therapy bibliotherapy for enhancing the psychological health of Japanese college students living abroad

International students often experience significant psychological distress but empirically tested programs are few. Broadly distributed bibliotherapy may provide a cost-effective approach. About half of the Japanese international students in a western university in the United States (N = 70) were randomly assigned to a wait-list or to receive a Japanese translation of a broadly focused acceptance and commitment therapy (ACT) self-help book. Although recruited without regard to health status, the sample was highly distressed with nearly 80% exceeding clinical cutoffs on one or more measures. After a 2-months period for the first treatment group to read the book and a 2-month follow up, wait-list participants also received the book. Students receiving the book showed significantly better general mental health at post and follow up. Moderately depressed or stressed, and severely anxious students showed improvement compared to those not receiving the book. These patterns were repeated when the wait-list participants finally received the book. Improvements in primary outcomes were related to how much was learned about an ACT model from the book. Follow-up outcomes were statistically mediated by changes in psychological flexibility, but not vice versa and were moderated by level of initial flexibility. Overall, the data suggest that ACT bibliotherapy improved the mental health and psychological flexibility of Japanese international students.     

The role of perceptual and cognitive processes in addition-subtraction studies with 5-month-old infants

After a brief familiarization period to either one or two toys 5-month-olds gave a clear preference for perceptually novel displays, suggesting that replicable findings of greater looking at an unexpected arithmetic outcome in addition/subtraction experiments cannot easily be attributed to simple familiarity preferences.     

The perseverance of numerical distance effect in attentional blink

In a number comparison task, it is easier to respond faster when the two numbers are further apart than when they are close. This inverse relationship between the size difference and the time to judge such difference is called the numerical distance effect (NDE). In this study we investigated whether attention plays a critical role in the surfacing of NDE and the way we process Arabic numbers. In experiments 1 and 2, with an attentional blink paradigm that was designed to modulate attention, we tested whether a limited or unlimited pool of attentional resources would have an impact on the performance and trend of NDE. The results showed a dissociable effect of attention that changed the overall accuracy but not the trend of NDE. In experiment 3 we examined whether the number priming effect, another phenomenon associated with the distance-related effect, would be affected during the attentional blink period. We found the pattern of number priming effect was not affected by attentional blink. An explanation of the role of attention in number distance processing, as well as how it interacts with Arabic number representation, is discussed.     

Intersectional Identities and the Politics of Altruistic Care in a Low-Income, Urban Community

The literatures on the ways in which social identity and social position (e.g., gender, class, race) inform altruism have developed orthogonally. In this community-based qualitative study we use intersectionality theory to explore the complex ways in which social identity and social structures jointly influence altruism among African American adults (n?=?40) in an urban, economically distressed housing community in New York City. Content analysis of participants’ narratives reveals the ways in which gender, race, ethnicity, class, age, and urbanicity work in tandem to create differential patterns of vulnerability, differential needs, differential commitments to caring for particular subgroups, and informs how altruists are perceived by others. The implications of this work for future research on altruism are highlighted.     

The pattern of subjective anxiety during in-session exposures over the course of cognitive-behavioral therapy for clients with social anxiety disorder

Exposure-based therapies are efficacious treatments for social anxiety disorder (i.e., Gould et al., 1997). Much of the theory behind these treatments is derived from Foa and colleagues' (Foa, Huppert, & Cahill, 2005; Foa & Kozak, 1986) work on emotional processing. However, there has been little research examining individual differences in emotional processing patterns within and between treatment sessions among clients with social anxiety disorder. This study utilized longitudinal data analytic methods to examine changes in subjective anxiety during the first 3 exposure sessions in group and individual cognitive-behavioral therapy for social anxiety disorder. The results of this study provide preliminary evidence that, although anxiety generally decreases across exposures, some individuals experience considerable fluctuations in anxiety during a single exposure. Although anxiety during the first exposure was not significantly related to outcome, the relationship between anxiety during exposure and outcome became stronger during subsequent exposures. Overall, this study highlights the need to conduct more fine-grained analyses to better understand the mechanisms underlying exposure-based therapies for social anxiety disorder.