Applications of cognitive testing to group therapies with the chronically mentally ill

Appreciation of the various cognitive deficits displayed by many chronic patients offers an alternative way of understanding each patient's predicament and an alternative way of approaching group and milieu therapies with chronic patients. Case examples taken from a test protocol based on neuropsychological testing procedures illustrate the clinical information that can be obtained in this important, but relatively unexplored area.     

No longer, not yet: reading history grammatically

I would like to thank the Earhart Foundation and its President, Mr. David Kennedy, for their generous support of my current undertaking. In an historical moment when both time and place for unfettered reflection are under some pressure, it is reassuring to find oneself in contact with liberty's friends.     

Examining coach–athlete interactions using state space grids: An observational analysis in competitive youth sport

Objective

The purpose of this study was to compare the coach–athlete interaction structures of two competitive youth synchronized swimming teams differentiated on the basis of level of success.

Design

This comparison was a pilot test of the state space grid (SSG) observational methodology (Hollenstein, 2007) in sport settings.

Method

Two teams (two head coaches and 17 athletes in total) were observed over five training sessions. Coach and athlete behaviour was coded continuously for the duration of each training session. Measures of coach–athlete interaction were derived from these coded behaviours and compared between teams.

Results

Results revealed significant differences between the teams on measures of interaction variability, behavioural content patterns, and the sequencing of coach behaviours. The more successful team was characterized by less variable, more patterned interactions between coaches and athletes. The sequencing of coach behaviours for the more successful team emphasized the pairing of technical correction and positive reinforcement.

Conclusions

The findings suggest that positive environments characterized by a deliberate pattern of coach–athlete interaction may be associated with youth sport settings producing more satisfied and successful athletes. These results support the utility of SSGs for the analysis of interpersonal interactions in sport and highlight the unique insights made available through use of this methodology.     

Evidence-based mental health interventions for traumatized youth: a statewide dissemination project

Psychological trauma in childhood has been shown to increase a variety of psychological disturbances and psychiatric disorders. Although evidence-based treatments for children who have been traumatized exist, they are infrequently used by clinicians treating children. The present paper describes the creation of the Treatment Collaborative for Traumatized Youth (TCTY) which is a statewide partnership in North Dakota designed to disseminate efficacious treatments for traumatized children and monitor outcomes across a broad, rural, geographic expanse. The paper reviews the dissemination strategy developed by the TCTY, reports outcomes regarding both clinicians and child participants, and highlights problems identified in the project and solutions that were generated.     

Prospective Evaluation of Perceived Control, Predictability, and Anxiety Sensitivity in the Pathogenesis of Panic

Increasing evidence suggests that anxiety sensitivity (AS) may be a premorbid risk factor for the development of anxiety pathology. Perceived control and predictability have also been implicated as factors relevant to the genesis of anxiety. The principal aim of this study was to extend this work to examine independent and interactive effects of perceived control, predictability, and AS in the pathogenesis of panic. A large nonclinical sample of young adults (N = 1296) was prospectively followed over a 5- week highly stressful period of time (i.e., military basic training). Perceived control and predictability did not independently predict panic. However, there was evidence suggesting that AS interacted with perceived control such that high perceived control regarding basic training was protective against panic for individuals with high AS. Similarly, high perceived predictability during basic training reduced anxiety symptoms for individuals with high AS.     

Parent–Child Interaction Therapy: One- and Two-Year Follow-Up of Standard and Abbreviated Treatments for Oppositional Preschoolers

The long-term effect of two parent training programs for conduct problem preschoolers is reported. Families of 54 behaviorally disturbed preschool-aged children were randomly assigned to 1 of 3 treatment conditions: standard Parent-Child Interaction Therapy (STD), an abbreviated form of PCIT (ABB), and a no-treatment waitlist control group (WL). Of the families who completed treatment (STD and ABB), data were collected on 97% and 94% of families at 1- and 2-year follow-up, respectively. Follow-up assessment of parent report and independent observations indicated that treatment gains were largely maintained for both treatment conditions with little difference between the two treatments. The findings suggest that an abbreviated form of PCIT has long-term benefits for families with young children displaying early conduct problems.     

Rule-based extrapolation in perceptual categorization

Erickson and Kruschke (1998) provided a demonstration that in certain situations people will classify novel stimuli according to an extrapolated rule, even when the most similar training exemplar is an exception to the rule. This result challenged exemplar models. Nosofsky and Johansen (2000) have called this finding into question by offering an exemplar-based explanation for those data based on the perceptual features of the stimuli. Here, we describe the results of a new experiment that yields results similar to those found previouslywithout the questionable perceptual features:Participantswho learn to classify all the training stimuli have patterns of generalization that indicate a combination of rule and exemplar representation. ATRIUM, a hybrid rule and exemplar model (Erickson & Kruschke, 1998), is shown to account for these data much better than ALCOVE, an exemplar model (Kruschke, 1992).Moreover, four alternate exemplar explanations, including one suggested by Nosofsky and Johansen, cannot account for our new findings.     

Ethnic differences in clinical presentation of depression in adult women

This study examined ethnic differences in self-report and interviewer-rated depressive symptoms and estimated the contributions of sociodemographic and psychosocial factors in predicting severity of depression. One hundred twenty-five clinically depressed African American (n = 46), Caucasian (n = 36), and Latina (n = 43) women were recruited. After controlling for differences in socioeconomic status, African American women reported more symptoms of distress and Latinas were rated as significantly more depressed than the other groups. However, these ethnic differences were not moderated by either education or employment. Finally, hierarchical regression analysis indicated that severity of depression was predicted by low education, being single, being Latina, high perceived stress, and feelings of hopelessness. Additional research is needed to validate these results and to investigate their clinical significance.     

Coping with Gulf War combat stress: mediating and moderating effects

The authors examined relationships between method of coping with combat-related stress and psychological symptoms among Gulf War Army personnel (N = 1,058). Participants were surveyed on return from the Gulf region (Time 1) with the Coping Responses Inventory (R. Moos, 1990) and a measure of combat exposure. Outcomes were symptom measures of posttraumatic stress disorder (PTSD) and depression. At Time 2 (18-24 months) participants completed the same symptom measures and an index of postwar stress. Higher proportions of approach-based coping in the war zone were related to lower levels of psychological symptoms. Combat exposure moderated the effects of coping on Time 1 PTSD. Coping predicted changes in symptoms of depression but not PTSD. Combat exposure affected changes in depression through postwar stress but had a direct negative effect on PTSD.