Phone coaching in Dialectical Behavior Therapy: frequency and relationship to client variables

Telephone coaching is a treatment mode in Dialectical Behavior Therapy (DBT) that is designed to help clients generalize skills, prevent suicidal behaviors, and repair therapeutic ruptures. To date, phone coaching has received scant empirical investigation. The aims of this study were to (1) describe patterns in frequency of telephone calls and text messaging in DBT and (2) investigate whether demographic factors, baseline severity, suicidal behaviors, and therapeutic alliance are associated with phone and text frequency. Participants were 51 adults (35 treatment completers) with borderline personality disorder (BPD) in a six-month comprehensive DBT treatment program. Phone coaching frequency was documented by therapist weekly session notes. The average number of contacts per month was 2.55 (SD = 4.49). Four of the 35 treatment completers comprised 56% of the contacts. Having a recent history of suicidal behaviors, degree of severity at baseline, or the strength of the therapeutic alliance was not associated with phone coaching use. However, lower income was significantly associated with a higher frequency of phone coaching use. These preliminary results can help clinicians and administrators make informed decisions on how to better provide phone coaching and clarify the degree of effort involved in providing this service to clients with BPD.     

Delineating the construct network of the Personnel Reaction Blank: associations with externalizing tendencies and normal personality

Integrity testing has long been utilized in personnel selection to screen for tendencies toward counterproductive workplace behaviors. The construct of externalizing from the psychopathology literature represents a coherent spectrum marked by disinhibitory traits and behaviors. The present study drew on a sample of male and female undergraduates to examine the construct network of the Personnel Reaction Blank (PRB; H. G. Gough, R. D. Arvey, & P. Bradley, 2004), a measure of integrity, in relation to externalizing as well as normal-range personality constructs assessed by the Multidimensional Personality Questionnaire (MPQ; A. Tellegen & N. G. Waller, 2008). Results revealed moderate to strong associations between several PRB scales and externalizing, which were largely accounted for by MPQ traits subsumed by Negative Emotionality and Constraint. After accounting for MPQ traits in the prediction of externalizing, a modest predictive increment was achieved when adding the PRB scales, particularly biographical indicators from the Prosocial Background subscale. The findings highlight externalizing as a focal criterion for scale development in the integrity testing literature and help delineate the construct network of the PRB within the domains of personality and psychopathology.     

Hemispheric asymmetry in recognition memory: effects of retention level on the recognition of Portuguese words

Early findings from Broca and Wernicke led to the classical view of hemispheric specialization, where the main idea relates to left-hemisphere language capabilities compared to right-hemisphere visual capabilities. Federmeier and Benjamin (2005) have suggested that semantic encoding for verbal information in the right hemisphere can be more effective when memory demands are higher. In light of this, our main goal was to study the effect of retention level of verbal information on hemispheric processes. However, regarding the cross-linguistic differences in orthography and their subsequent effects on word recognition (Frost, Katz, & Bentin, 1987), our intent was also to test prior predictions of Federmeier and Benjamin (2005) for a "shallow" orthography language, where words have a clear correspondence between graphemes and phonemes, as opposed to English, which is a "deep" orthography language. Portuguese concrete nouns were selected. The participants were submitted to a visual half-field word presentation using a continuous recognition memory paradigm. The retention level included 1, 2, 4, 8, 20 or 40 words. Results showed that recognition accuracy was higher for words studied in the right visual field, compared to those studied in the left visual field, when the retention interval included 2, 4, or 20 words. No significant differences were found for the remaining intervals. Further analysis on accuracy data for intermediate retention levels showed that recognition accuracy was higher for the 2 words retention level than for the levels including 4, 8, or 20 words; it was higher for left-hemisphere encoding as well. Our results also indicated that reaction times were slower for left-hemisphere encoding and for the 40 words retention level when compared to that of 20 words. In summary, the current results are in partial agreement with those of Federmeier and Benjamin (2005) and suggest different hemispheric memory strategies for the semantic encoding of verbal information.     

Assessment of executive functions in a Brazilian sample of bipolar subjects

Research has demonstrated impairments in executive functions in Bipolar Mood Disorder patients. Evidence shows that this impairment is present in both periods of active symptoms of the disorder, as well as euthymic stages, and is compounded by mood episodes, especially manic phases. The purpose of this study was to compare the executive performance of a sample of Brazilian bipolar patients in depressive episodes, (44 participants), euthymia (37 participants), and in controls (43 participants). The main instrument for evaluation was the Wisconsin Card Sorting Test. Significant differences were found in performance on the Wisconsin Card Sorting Test between Bipolar subjects (Type I) (both in depression and euthymia) and the controls. No significant correlations were found between the number of manic episodes and the performance on execute measurement variables. The findings suggest that the executive dysfunctions in Bipolar Disorder may be related to both transitory and permanent deficits.     

The Catholic Church, moral doctrine, and HIV prevention in Recife, Brazil: Negotiating the contradictions between religious belief and the realities of everyday life

Religious beliefs have had a key role in shaping local responses to HIV and AIDS. As the world's largest Catholic country, Brazil is no exception. Yet little research has been conducted to document how the religious doctrine is enacted in practice among its lay leaders and followers. In this article, we present ethnographic research from Recife, Brazil, conducted to understand the way in which religious doctrines are interpreted on a local level. Contextualized within the sociology of contemporary Brazilian Catholicism, we draw on interviews with clergy members, lay leaders and parishioners in order to discuss how the Catholic Church's vision of sexuality translates into the everyday lives of its followers by. We explore the disjuncture between the Catholic ideals of fidelity and delaying sex until marriage with the everyday reality of the Church's followers, highlighting the role that gender plays in defining sexual roles and expectations. We conclude posing questions for future research and HIV prevention strategies considering the formal institutional response of the Brazilian Catholic Church to AIDS on one hand, and the social and cultural contexts in which Catholics live their daily lives on the other.     

Violence and Latin‐American preadolescents: A study of social brain function and cortisol levels

The present study investigated exposure to violence and its association with brain function and hair cortisol concentrations in Latin‐American preadolescents. Self‐reported victimization scores (JVQ‐R2), brain imaging (fMRI) indices for a social cognition task (the ‘eyes test’), and hair cortisol concentrations were investigated, for the first time, in this population. The eyes test is based on two conditions: attributing mental state or sex to pictures of pairs of eyes (Baron‐Cohen, Wheelwright, Hill, Raste, & Plumb, 2001). The results showed an association among higher victimization scores and (a) less activation of posterior temporoparietal right‐hemisphere areas, in the mental state condition only (including right temporal sulcus and fusiform gyrus); (b) higher functional connectivity indices for the Amygdala and Right Fusiform Gyrus (RFFG) pair of brain regions, also in the mental state condition only; (c) higher hair cortisol concentrations. The results suggest more exposure to violence is associated with significant differences in brain function and connectivity. A putative mechanism of less activation in posterior right‐hemisphere regions and of synchronized Amygdala: RFFG time series was identified in the mental state condition only. The results also suggest measurable effects of exposure to violence in hair cortisol concentrations, which contribute to the reliability of self‐reported scores by young adolescents. The findings are discussed in light of the effects of exposure to violence on brain function and on social‐cognitive development in the adolescent brain. A video abstract of this article can be viewed at https://www.youtube.com/watch?v=qHcXq7Y9PBk     

Load-dependent modulation of affective picture processing

Because of the biological significance of emotional stimuli, their processing is considered largely automatic. In the study reported herein, we tested the alternative hypothesis—namely, that the processing of emotional stimuli requires some level of attention. Our experiments utilized highly negative and arousing visual stimuli comprising mutilated bodies. All experiments employed a single task, which consisted of determining whether two peripheral bars were like oriented or not, thereby eliminating potential task-difference confounds that may have contaminated prior studies. Our results revealed that task-irrelevant unpleasant images slowed reaction time during the performance of the main task. Such interference was modulated by task difficulty as well as by alcohol consumption, showing that the processing of emotional visual stimuli is not immune to attentional manipulations. These results suggest that it is essential to utilize attentional manipulations that more fully consume attentional resources in order to demonstrate that the processing of emotional stimuli is resource limited.