Valuing clients' perspective and the effects on the therapeutic alliance: a randomized controlled study of an adjunctive instruction

The patterns of growth and development of the therapeutic alliance over the course of therapy have been of continued interest to psychotherapy researchers. The purpose of this study was to investigate whether a simple institutional metacommunication intervention with clients had an effect on the development of the alliance. This adjunctive instruction involved inviting therapy clients to take a proactive role in their treatment by encouraging feedback to their therapist about various aspects of the therapy process. In this randomized controlled study (N = 94), clients were assigned to 1 of 2 conditions: (a) an institutional adjunctive instruction condition in which patients were contacted by clinic personnel at the beginning of the remediation phase (Session 5) and encouraged to take a proactive role in their treatment and (b) a control condition that contained no institutional adjunctive instruction. Between-condition differences in the alliance were tested, controlling for baseline influences and the early therapeutic alliance. Clients' postsession reports from Sessions 1 to 24 indicated that the adjunctive instruction increased the alliance over the course of therapy vis-à-vis the control condition. The adjunctive instruction appeared to have fostered clients' evaluation of their therapists' interest in their welfare. The results indicate that interventions, even brief or subtle, can produce lasting benefits in the alliance when targeted at specific psychological processes. Systematic metacommunication from the institutional level appeared to reinforce clients' therapeutic alliance with their therapists in individual treatment.     

Forgive and Forget? Forgiveness,Personality, and Wellness Among Counselors‐in‐Training

Forgiveness as a method of addressing “wounds” has been linked to enduring aspects of personality and improved physical and mental health outcomes. The aim of this study was to understand the effects of forgiveness on counseling students’ overall wellness. Counseling students (N= 115) from 5 universities completed self‐report measures of forgiveness, wellness, and personality. Results indicate that, when personality factors are controlled, forgiveness contributes a significant proportion (10%) of the variance in wellness for counseling students. Implications for counselor training and counseling are discussed.     

Temporal pattern of pre-shooting psycho-physiological states in elite athletes: A probabilistic approach

Objective

The IZOF-based probabilistic approach provides a methodology to study within-individual patterns of a performer's states. So far, the time course of physiological data before performance have not been investigated within the probabilistic methodology framework. The purpose of this study was to examine the value of the probabilistic approach in the assessment of the time course of physiological indicators of arousal/activation and vigilance during the period preceding the shot, in comparison with the performance-based method.

Design

Longitudinal assessment of psycho-physiological data and performance outcomes was conducted on eight elite pistol shooters in a controlled setting.

Methods

Each participant performed 60 air-pistol shots in 2 sessions. Skin conductance level and cardiac activity were recorded. Affective states intensity was evaluated on a modified 11-point Borg scale. Affect, HR and SC level were evaluated with a Performance-based approach and a Probabilistic method, and results compared at an individual level.

Results

Findings showed the higher effectiveness of the probabilistic method to analyse physiological parameters (skin conductance and heart rate) and to describe the physiological mechanisms associated with shooters’ performance.

Conclusions

The probabilistic method better discerned the contribution of arousal/activation and vigilance to optimal and non-optimal performance in elite shooters, thereby providing a sharper representation of the temporal pattern of performers' states before shooting. From an applied perspective, we believe that the probabilistic approach can help athletes become aware of the subtle variations occurring in their psychophysical states during the preparatory period preceding the shot and not only at the moment of shot release.     

Failure of Engineering Artifacts: A Life Cycle Approach

Failure is a central notion both in ethics of engineering and in engineering practice. Engineers devote considerable resources to assure their products will not fail and considerable progress has been made in the development of tools and methods for understanding and avoiding failure. Engineering ethics, on the other hand, is concerned with the moral and social aspects related to the causes and consequences of technological failures. But what is meant by failure, and what does it mean that a failure has occurred? The subject of this paper is how engineers use and define this notion. Although a traditional definition of failure can be identified that is shared by a large part of the engineering community, the literature shows that engineers are willing to consider as failures also events and circumstance that are at odds with this traditional definition. These cases violate one or more of three assumptions made by the traditional approach to failure. An alternative approach, inspired by the notion of product life cycle, is proposed which dispenses with these assumptions. Besides being able to address the traditional cases of failure, it can deal successfully with the problematic cases. The adoption of a life cycle perspective allows the introduction of a clearer notion of failure and allows a classification of failure phenomena that takes into account the roles of stakeholders involved in the various stages of a product life cycle.     

Executive functions in decision making: An individual differences approach

This individual differences study examined the relationships between three executive functions (updating, shifting, and inhibition), measured as latent variables, and performance on two cognitively demanding subtests of the Adult Decision Making Competence battery: Applying Decision Rules and Consistency in Risk Perception. Structural equation modelling showed that executive functions contribute differentially to performance in these two tasks, with Applying Decision Rules being mainly related to inhibition and Consistency in Risk Perception mainly associated to shifting. The results suggest that the successful application of decision rules requires the capacity to selectively focus attention and inhibit irrelevant (or no more relevant) stimuli. They also suggest that consistency in risk perception depends on the ability to shift between judgement contexts.     

Effects of Augmenting Response Options on MMPI–2 RC Scale Psychometrics

A number of empirical investigations indicate that tests with a greater number of response options tend to yield better psychometric performance. We hypothesized that a version of the MMPI–2 with a polytomous response format would outperform the standard dichotomous format in terms of observed score reliability and validity. Two versions of the MMPI–2 RC scales were administered consecutively in counterbalanced order to 199 undergraduate students attending a large Midwestern university: the standard true–false version, and an experimental version containing 4 response options (very true, mainly true, slightly true, and false, not at all true). After participants completed both versions, 2 scales from the Multidimensional Personality Questionnaire (MPQ) were administered to assess differences in convergent validity. Results showed enhancements in reliability for all RC scale scores and increases in the convergent validity of scores. Directions for further investigation and potential implications for future test development are discussed.     

Hope and Burden among Latino Families of Adults with Schizophrenia

This study examined hope and family burden among Latino families of individuals with schizophrenia. The sample consisted of 54 family members, one family member per outpatient adult recruited from public mental health programs in a diverse urban community. Hierarchical linear regression analyses were used to test the hypothesis that the family member's increased hope for the patient's future would be associated with decreased family burden beyond effects explained by the patient's length of illness and severity of symptoms. Results supported the study hypothesis. Family hope for the patient's future was associated with four of five types of family burden. Findings point to the prominent role of hope as a source of resilience for Latino families dealing with severe mental illness of a loved one.     

The Effects of Video-Taped Feedback on Form,Accuracy, and Latency in an Open and Closed Environment

40 college women performed a modification of the classical fencing lunge against 2 laterally-arranged targets, under closed and open environmental conditions. Form (rating scale), accuracy (proximity to target center), and response latency were taken to measure the effects of video-taped feedback (VT). Administration of VT with specific instructions to direct S’s attention to parts of the display resulted in closer approximation of the externally-imposed form, higher accuracy, and shorter response latency. Performing the skill in the closed environmental condition resulted in less deviation from the imposed form, higher accuracy scores, and longer response latency. No significant correlations were found between imposed form and accuracy.     

Researching a client's experience of preconceptions of therapy - A discourse analysis

This paper uses discourse analysis to look at clients' preconceptions of therapy, through the presentation of a case study. Further findings suggest that discourse analysis may be a useful approach to helping psychotherapists and counsellors as part of their practice.     

The Cognitive Effectiveness of Subtitle Processing

In an experimental study, we analyzed the cognitive processing of a subtitled film excerpt by adopting a methodological approach based on the integration of a variety of measures: eye-movement data, word recognition, and visual scene recognition. We tested the hypothesis that the processing of subtitled films is cognitively effective: It leads to a good understanding of film content without requiring a significant tradeoff between image processing and text processing. Following indications in the psycholinguistic literature, we also tested the hypothesis that two-line subtitles whose segmentation is syntactically incoherent can have a disruptive effect on information processing and recognition performance. The results highlighted the effectiveness of subtitle processing: Regardless of the quality of line segmentation, participants had a good understanding of the film content, they achieved good levels of performance in both word and scene recognition, and no tradeoff between text and image processing was detected. Eye-movement analyses enabled a further characterization of cognitive processing during subtitled film viewing. This article discusses the theoretical implications of the findings for both subtitling and multiple-source communication and highlights their methodological and applied implications.