Interpersonal Psychotherapy for Co-occurring Depression and Chronic Pain

Up to 37% of individuals experience chronic pain during their lifetimes. Approximately one-fourth of primary care patients with chronic pain also meet criteria for major depression. Many of these individuals fail to receive psychotherapy or other treatment for their depression; moreover when they do, physical pain is often not addressed directly. Women, socioeconomically disadvantaged individuals, African Americans and Latinos all report higher rates of pain and depression compared to other groups. This article describes a version of Interpersonal Psychotherapy tailored for patients with comorbid depression and chronic pain, Interpersonal Psychotherapy for Depression and Pain (IPT-P). While IPT-P potentially could be delivered to many different patient populations in a range of clinical settings, this article focuses on its delivery within primary care settings for socioeconomically disadvantaged women. Adaptations include a brief 8-session protocol that incorporates strategies for anticipating barriers to psychotherapy, accepting patients' conceptualization of their difficulties, encouraging patients to consider the impact of their pain on their roles and relationships, emphasizing self-care, incorporating pain management techniques, and flexible scheduling. In addition, IPT-P is designed as an adjunct to usual medical pain treatment, and seeks to engage non-treatment seeking patients in psychotherapy by focusing on accessibility and relevance of the intervention to concerns common among patients with pain. Identifying patients with comorbid depression and chronic pain and offering IPT-P as a treatment option has the potential to improve clinical outcomes for individuals with depression and chronic pain.     

Perceptions of childfree women: The role of perceivers' and targets' ethnicity

The purpose of this study was to examine the impact of ethnicity on perceptions of voluntary childfree women. We were interested in determining whether mothers were viewed as more stereotypically positive than women without children and how the ethnicity of the participant and the target impacted participants' ratings. We utilized vignettes and manipulated motherhood status and ethnicity of the target. Participants (n = 224) were comprised of female university students in the southwestern region of the United States. Results indicated that women view childfree women negatively. Moreover, women view African American mothers more favourably than childfree African American women. Results are discussed in terms of gender roles in communities of colour. Copyright © 2010 John Wiley & Sons, Ltd.     

Spatial and feature-based memory representation in free-flying homing pigeons

The memory-based recognition of a goal is a capacity well demonstrated in birds, and understanding this ability often involves determining the relative importance of spatial and feature information in representing the properties of a goal. However, surprisingly little avian research has examined goal recognition in a field setting. Here, we demonstrate that homing pigeons can be successfully trained outdoors to fly to and land on a goal platform located in an array of other platforms at a distance on the order of 100 m. They can do so under conditions when the properties of the goal are stable in time as well as when the properties of the goal periodically change; the latter condition indicating that homing pigeons can rapidly adapt their memory representations to take into account changing environmental conditions. When probed for preferential use of either spatial (location) or feature-based (color) information, the pigeons demonstrated an indifferent capacity to use both independent of task demands. The homing pigeon memory systems that support goal recognition appear to be opportunistic with respect to the information exploited, using spatial and feature information equally to guide their behavior. Therefore, and despite strong natural and artificial selection for navigational ability, spatial information is no more important than feature cues in representing a goal location for homing pigeons flying outdoors.     

Diversification: Counselors' Investment in Humanity—A Student's Opinion

The author argues that diversification can be the basis of the counseling profession's investment in humanity, attempts to inspire a united stance within the profession, and maintains that counseling professionals have a responsibility to share their knowledge of and respect for embracing all people. These statements attempt to capture the perspective of one aspiring to join the ranks of many dedicated and inspiring counseling professionals. Open your eyes and look for some [person], or some work for the sake of [all people], which needs a little time, a little friendship, a little [empathy], a little sociability, a little human toil. … It is needed in every nook and corner; therefore, search and see if there is not some place where you may invest your humanity, —Albert Schweitzer (As cited in Canfield, Hansen, McCarty, & McCarty, 1997, p. 267)     

Reliability of the Child and Adolescent Needs and Strengths-Mental Health (CANS-MH) Scale

We examined the interrater reliability of the Child and Adolescent Needs and Strengths-Mental Health (CANS-MH) scale among researchers and between researchers and clinicians. All children presenting to a treatment facility for either protective or mental health needs were eligible to be included in the study. As part of standard assessment procedure, all children entering the facility were described by caseworkers using the CANS-MH. A random sample of 60 cases was selected and researchers made retrospective assessments using the CANS-MH based on chart review. Results of the interrater reliability support previous findings that the CANS-MH is a reliable measure of clinical and psychosocial needs and strengths. Results also suggest that ratings on the CANS-MH based on medical record abstraction by researchers relate to ratings performed by clinical staff, demonstrating the clinical and research utility of the CANS-MH. The CANS-MH can be used reliably to assess the type and severity of problem presentation, risk behaviors, functioning, care intensity and organization, caregiver capacity and strengths among children with protective and mental health needs. In addition, items of the CANS-MH appear to be reliable supporting the use of these items individually. Findings are relevant to the ongoing delivery of clinical services, monitoring of quality assurance, and outcomes.     

Invisible Mothers: A Content Analysis of Motherhood Ideologies and Myths in Magazines

The purpose of this study is to identify prevalent motherhood ideologies and myths in contemporary women's magazines. The results indicate that contemporary magazines promote a traditional motherhood ideology, yet perpetuate motherhood myths that undermine mothers who stay home. Traditional motherhood, which excludes Women of Color and employed mothers, is promoted. Mothers are almost exclusively presented in the domestic, rather than the public or integrated domestic–public, contexts. Myths that employed mothers are busy, tired, and guilty, and that employed mothers neglect and are unattached to their children, are not upheld. However, negative myths that at-home mothers are confused, overwhelmed, and interested only in superficial topics are upheld in the magazines analyzed. The implications of these results on the perpetuation of patriarchy are discussed.     

First impressions online: The inclusion of transgender and gender nonconforming identities and services in mental healthcare providers' online materials in the USA

Background: When accessing mental healthcare services, transgender and gender nonconforming (TGNC) individuals face systemic barriers to gender-affirmative care. Initial points of contact, like intake forms, may show limited consideration for the heterogeneity of TGNC identities and can lead to negative consequences prior to face-to-face interaction with providers. Aims: The first aim was to mimic a likely pathway a TGNC individual may follow to seek mental healthcare services in the USA and to describe the extent to which they may encounter enacted stigma or affirmative messages that may impede or facilitate access to care. The second aim was to determine if a positive State legal climate for TGNC people was associated with more affirmative provider materials. Methods: Content analysis was used to examine a national sample of websites and intake forms of mental healthcare providers who advertise online as working with TGNC clients. Intake forms were coded for usage of affirmative language in gender/sex questions and including questions for a client's pronouns and preferred name. Websites were coded for mentioning a variety of services or resources for TGNC clients. Results: While provider websites were found through Google searches for a “gender therapist,” only 56.6% of websites stated a provider specialty to work with TGNC clients and 32.1% of websites had no mention of services or resources for TGNC people. Additionally, a significantly larger proportion of intake forms from States with legal protections for TGNC people used affirmative language in gender/sex questions and asked for a client's pronouns than intake forms from States without legal protections. Discussion: Barriers to affirmative healthcare for TGNC people within patient and provider interactions have been identified in previous research and these data show TGNC individuals may face enacted stigma even in their search for a provider, particularly those TGNC people living in States without legal protections.     

SEX ROLE ORIENTATION AND TYPE A BEHAVIOR PATTERN

Male and female college students completed the Bem Sex-Role Inventory (BSRI) and the Jenkins Activity Survey, a part of which is the Type A Scale. Correlational results showed that as Type A scores increased, BSRI scores decreased (more masculine sex role orientation). Analysis of variance showed that males and females with masculine sex role orientations (SROs) had significantly higher Type A scores than those with androgynous SROs, who in turn had significantly higher Type A scores than those with feminine SROs.     

Divining testimony? The impact of interviewing props on children’s reports of touching

There is a long-held assumption that objects help bridge the gap between what children know and what they can (or are willing to) explain. In this review, we present research on the extent to which two types of objects used as props in investigative interviews of children, anatomical dolls and body (human figure) diagrams, actually help children report accurate information about autobiographical events. We explain why available research does not instill confidence that props are the best solution to interviewing challenges, and we consider practitioners’ and policy-makers responses to this evidence. Finally, we discuss the types of developmental research that are necessary to advance the field of evidence-based interviewing of children.