Dialectical Behavior Therapy: Does It Bring About Improvements in Affect Regulation in Individuals with Eating Disorders?

The current investigation sought to determine whether a standard outpatient dose of dialectical behavior therapy (DBT) skills training (2 h per week) coupled with standard CBT treatment would be sufficient to produce changes in affect regulation over the course of day hospitalization treatment. In an uncontrolled pre-post treatment design, 65 women diagnosed with anorexia nervosa or bulimia nervosa were assessed at the beginning of treatment and at the end of treatment on affect regulation. Findings indicated that participants demonstrated a significant improvement in their ability to regulate affect, suggesting that weekly DBT treatment may play an important role in producing changes in affect regulation. Secondary analyses on eating disorder outcomes revealed a significant increase in weight gain as well as a significant reduction in restriction, bingeing, purging and eating disordered cognitions. Findings are discussed in the context of clinical and treatment implications for those with severe eating disorders.     

The Beneficial Role of Spiritual Counseling in Heart Failure Patients

To ascertain the beneficial role of spiritual counseling in patients with chronic heart failure. This is a pilot study evaluating the effects of adjunct spiritual counseling on quality of life (QoL) outcomes in patients with heart failure. Patients were assigned to “religious” or “non-religious” counseling services based strictly on their personal preferences and subsequently administered standardized QoL questionnaires. A member of the chaplaincy or in-house volunteer organization visited the patient either daily or once every 2 days throughout the duration of their hospitalization. All patients completed questionnaires at baseline, at 2 weeks, and at 3 months. Each of the questionnaires was totaled, with higher scores representing positive response, except for one survey measure where lower scores represent improvement (QIDS-SR16). Twenty-three patients (n = 23, age 57 ± 11, 11 (48 %) male, 12 (52 %) female, mean duration of hospital stay 20 ± 15 days) completed the study. Total mean scores were assessed on admission, at 2 weeks and at 3 months. For all patients in the study, the mean QIDS-SR16 scores were 8.5 (n = 23, SD = 3.3) versus 6.3 (n = 18, SD = 3.5) versus 7.3 (n = 7, SD = 2.6). Mean FACIT-Sp-Ex (version 4) scores were 71.1 (n = 23, SD = 15.1) versus 74.7 (n = 18, SD = 20.9) versus 81.4 (n = 7, SD = 8.8). The mean MSAS scores were 2.0 (n = 21, SD = 0.6) versus 1.8 (n = 15, SD = 0.7) versus 2.5 (n = 4, SD = 0.7). Mean QoL Enjoyment and Satisfaction scores were 47.2 % (n = 23, SD = 15.0 %) versus 53.6 % (n = 18, SD = 16.4 %) versus 72.42 % (n = 7, SD = 22 %). The addition of spiritual counseling to standard medical management for patients with chronic heart failure patients appears to have a positive impact on QoL.     

Religious Tradition,Religiosity, or Everyday Theologies? Unpacking Religion’s Relationship to Support for Legalizing Same-Sex Marriage Among a College Student Sample

This study explores the differential impact of religious tradition, religiosity, and everyday theologies on support for legalizing same-sex marriage among a sample of undergraduate college students. The findings suggest that among college students in the United States the group of everyday theologies—personal religious beliefs that emerge through individuals’ lived experiences and social interactions—that we examine has a larger influence on attitudes about legalizing same-sex marriage than do either religious tradition or religiosity (measured as attendance, prayer, and guidance). We operationalize the concept of everyday theologies as levels of endorsement for six different religious themes. Implications for social movements promoting same-sex marriage and future research are discussed.     

Confabulating reasons for behaving bad: The psychological consequences of unconsciously activated behaviour that violates one's standards

Numerous studies have been conducted to demonstrate that behaviours are frequently activated unconsciously. The present studies investigate the downstream psychological consequences of such unconscious behaviour activation, building on work on the explanatory vacuum and post‐priming misattribution. It was hypothesized that unconsciously activated behaviours trigger a negative affective response if the behaviour violates a personal standard and that this negative affect subsequently motivates people to confabulate a reason for the behaviour. Results provided evidence for this mediated moderation model. Study 1 showed that participants who were primed to act less prosocially indeed reported increased levels of negative affect and, as a result, were inclined to confabulate a reason for their behaviour. Study 2 replicated these findings in the domain of eating and provided evidence for the moderating role of personal standards as well as the entire mediated moderation model. These findings have relevant theoretical implications as they add to the modest number of studies that demonstrate that the effect of unconscious priming may extend well beyond performing the primed behaviour itself to influence subsequent affect and attribution processes. Copyright © 2014 John Wiley & Sons, Ltd.     

Working with unrealistic or unshared hope in the counselling session

Hope has long been identified as an important therapeutic factor in counselling. Further, research evidence for the importance of hope to counselling practice and outcome is abundant. However, the field is only beginning to explicitly consider how hope can be effectively and intentionally practised. One of the most challenging dilemmas encountered by counsellors committed to working with this important therapeutic factor is that of so-called unrealistic hope. In this paper, we outline two real-life counselling vignettes illustrating unrealistic hope, and consider these scenarios alongside relevant scholarship and practice experience. Guiding principles and practices for conceptualising and working with unrealistic hope are offered as a means of beginning the conversation about this complex aspect of working with client hope.     

Psychological closure as a memory phenomenon

A theory is proposed that life events are remembered with a satisfying sense of closure when there is decreased emotional detail in the constructed autobiographical memory representation. The first three studies show that, although properties of the experienced event (such as valence and recency) accounted for some variance in participants' sense of closure, the amount of emotional detail in the memory was also a significant predictor. The third study shows that emotion-focused biased retelling of the experience increased emotional detail and decreased the sense of closure participants reported. Related approaches and implications for psychological adjustment are discussed.     

Gratitude,Psychopathology and Subjective Well-Being: Results from a 7.5-Month Prospective General Population Study

Gratitude is considered an important source of human strength in achieving and maintaining good mental health. Although complete mental health encompasses the absence of psychopathology and the presence of subjective well-being, no studies to date have examined relations between gratitude and both mental health dimensions together. Moreover, most studies focused on specific samples with a restricted demographic range. Our study, therefore, examined (a) demographic variability in the grateful trait, and (b) prospective associations between gratitude and both dimensions of mental health: psychopathology and subjective well-being. Using a four wave prospective survey design in a large (N = 706) sample of Dutch adults (M age = 44, SD age = 14, Range = 18–80), we measured gratitude with the SGRAT, symptoms of psychopathology with the SCL-90, and subjective well-being with the PANAS and SWLS. Gratitude was significantly associated with age, gender, education level, and employment status. Multilevel time-lagged regression analyses showed that the grateful trait did not predict symptoms of psychopathology, but was a significant albeit weak predictor of subjective well-being, when adjusting for the effects of demographic factors, and prior levels of subjective well-being and psychopathology. Our findings indicate that the grateful trait is associated with demographic factors, and shows complex connections with the presence of well-being and absence of psychopathology. These dynamics should be taken into consideration when studying the role of gratitude in mental health, and developing, applying, and evaluating gratitude interventions with the aim of enhancing subjective well-being and/or reducing psychopathology.     

Historical Examination of United States Intentional Mass School Shootings in the 20<Superscript>th</Superscript> and 21<Superscript>st</Superscript> Centuries: Implications for Students,Schools, and Society

The deadliest U.S. school shooting to date, occurring on February 14, 2018 at Marjory Stoneman Douglas High School in Parkland, Florida serves as a powerful reminder that school violence is ever present. Addressing school violence, however, has been an elusive endeavor. The purpose of this review is to provide a historical examination of United States intentional mass school shootings in the 20^th and 21^st centuries. In addition, implications for students, schools, and society are discussed in light of policy and legislative initiatives as well as school-based prevention and intervention tiered models of support, such as positive behavior interventions and supports (PBIS).     

Firearm Violence across the Lifespan: Relevance and Theoretical Impact on Child and Adolescent Educational Prospects

Firearm violence in United States has been a persistent concern for decades particularly in light of mass shootings. Firearm violence is increasingly viewed as a public health crisis, and results in a heavy financial burden to society. In light of the continuous challenges associated with firearm violence, limited research in the area, it is necessary to examine current trends regarding firearm deaths and injuries. Extant data from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Web-based Inquiry Statistics Query and Reporting System fatal and nonfatal injury reports were used for this study. Available data were examined in light of age groups across the life span, region, gender, and minority status for both fatalities and injuries related to firearms. Strategies for reducing firearm fatalities, particularly among children and youth, are also discussed.     

How ‘other people matter’ in a classroom-based strengths intervention: Exploring interpersonal strategies and classroom outcomes

Interventions that identify and develop character strengths have been shown to benefit well-being, academic engagement and achievement. Strengths research within positive psychology has focused primarily on individual outcomes with less attention on group or relationships effects. This study (N?=?193) examined the effect of a classroom-based strengths intervention on class cohesion and friction, relatedness, engagement, well-being and strengths use. A six-session programme was trialled with 9–12-year-old students. Students learned to recognise strengths and practised strengths-related goal setting. At three-months post-test, multi-level modelling indicated that intervention group participants scored significantly higher on class cohesion and relatedness need satisfaction, and lower on class friction than the non-randomised control group. Programme participants also reported higher levels of positive affect, classroom engagement, autonomy need satisfaction and strengths use. School-based strengths interventions may influence individual perceptions of class climate, engagement and student relatedness in addition to individual well-being.