Say-do correspondence to improve disruptive behaviors in adults with Down's syndrome

The most acknowledged strategies for the treatment of disruptive behaviours are those that are based on direct contingency management. Other procedures allow the therapist, or educational agent, not to be present in the context in which the behavioural change has to take place: the say-do correspondence training procedures, which have proven effective across behaviours and populations. Nevertheless, there is surprisingly little evidence of the effectiveness of such procedures with populations presenting developmental disabilities. This study describes the implementation of say-do correspondence training to modify 5 disruptive behaviours present in 5 adult subjects diagnosed with Down's syndrome, showing very positive results. The advantages of using say-do correspondence training procedures in developmental disabilities are discussed.     

Evidence-based psychological treatments for distress in family caregivers of older adults

This review identifies evidence-based psychological treatments (EBTs) for reducing distress, and improving well-being, of family members caring for an older relative with significant cognitive and/or physical impairment. Three categories of psychologically derived treatments met EBT criteria: psychoeducational programs (N = 14 studies), psychotherapy (N = 3 studies), and multicomponent interventions (N = 2 studies). Specifically, support within the psychoeducational category was found for skill-training programs focused on behavior management, depression management, and anger management and for the progressively lowered threshold model. Within the psychotherapy category, cognitive-behavioral therapy enjoys strong empirical support. Within the multicomponent category, programs using a combination of at least 2 distinct theoretical approaches (e.g., individual counseling and support group attendance) were also found to be effective. Suggestions for future research include the development of more well-integrated multicomponent approaches, greater inclusion of ethnically diverse family caregivers in research protocols, and greater incorporation of new technologies for treatment delivery.     

Bayesian Risk Assessment in Genetic Testing for Autosomal Dominant Disorders with Age-Dependent Penetrance

Risk assessment is an essential component of genetic counseling and testing, and the accuracy of risk assessment is critical for decision making by consultands. However, it has been shown that genetic risk calculations may have high error rates in practice. Risk calculations for autosomal dominant disorders are frequently complicated by age-dependent penetrance and sensitivities of less than 100% in genetic testing. We provide methods of risk calculation for prototypical pedigrees of a family at risk for an autosomal dominant disorder with age-dependent penetrance. Our risk calculations include scenarios in which the sensitivity of genetic testing is less than 100%, and in which the sensitivity of genetic testing varies for different family members at risk. Our Bayesian methods permit autosomal dominant disease probabilities to be calculated accurately, taking into account all relevant information. Our methods are particularly useful for hereditary cancer syndromes, in which genetic testing can seldom achieve 100% sensitivity. Our methods can be applied to many different scenarios, including those where the sensitivity of genetic testing varies for different family members at risk. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.     

Emotional ambivalence in risk behaviors: the case of occasional excessive use of alcohol

The purpose of this paper is to study the differential and complementary role played by the theory of planned behavior (TPB) variables and by participants' emotions when recalling and describing previous experiences of such risk behavior in the prediction of the intention to repeat a risk behavior in the immediate future. We chose the behavior of occasional excessive drinking, a risk behavior characterized by evoking attitudinal ambivalence and eliciting mixed emotions, joy and sadness. The results show that emotional ambivalence is not equivalent to attitudinal ambivalence (whose indexes include that of the affective component), and that this emotional information is relevant for predicting the intention to repeat the risk behavior in the near future, enhancing the prediction of the TPB model.     

The effects of counting blessings on subjective well-being: a gratitude intervention in a Spanish sample

This study examined a gratitude intervention repeating Emmons and McCullough study (2003) in a Spanish sample, Participants were randomly assigned to one of three conditions (gratitude, hassles and any event) and kept daily records during 2 weeks of gratitude, affect, quality of relationships, physical and subjective well-being. We added design features to assess the intervention long-term impact (follow-up measures), and to improve the design control (pre-treatment measures). Following the cited authors' analysis, i.e., comparing groups only in the post-test, we replicated their results, finding differences in positive affect and gratitude between the gratitude condition and the hassles condition. However, when including both the pre and the follow-up measures in the analysis, results were replicated only partially, as the difference in gratitude disappeared. Moreover, the difference in positive affect between groups in the post-test seemed to be influenced mainly by a decrease in positive affect in the hassles group. Post-test differences between groups in positive affect disappeared in the follow-up. Gratitude interventions may have an effect on well-being, but we consider other methods to promote gratitude besides gratitude journals should be tested.     

Desensibilización sistemática,inoculación de estrés y terapia inespecífica en el tratamiento de la ansiedad a las matemáticas

RESUMEN

Las autoras comienzan ofreciendo una panorámica general de las investigaciones sobre el síndrome de fobia a las matemáticas y la ansiedad ante los exámenes, explicando a continuación que el objetivo general de su estudio es desarrollar procedimientos de modificación de conducta que ayuden a estudiantes de Psicología, con una historia previa de conductas de evitación a los exámenes, a enfrentarse a las pruebas de psicología matemática. Más específicamente, se quiere comparar la eficacia de la Desensibilización Sistemática tradicional con un paquete cognitivo complejo desarrollada por ellas siguiendo el modelo de Inoculación de Estrés, y el valor de estas dos intervenciones específicas se compara, a su vez, con un grupo de terapia no orientado al problema. Tras describir el método y resultados, las autoras destacan en la discusión la eficacia de las tres intervenciones y el hecho de que se lograse afectar al rendimiento y no sólo a la ansiedad en matemáticas. Finalmente afirman que sus resultados apoyan la actualidad de la obra de Frank (1973, 1982), quien señala que una parte muy importante de los efectos psicoterapéuticos se debe a factores comunes a todas las terapias, en los que habitualmente no recae el peso explicativo.     

Do Envy and Compassion Pave the Way to Unhappiness? Social Preferences and Life Satisfaction in a Spanish City

Mounting evidence shows that people’s self-reported life satisfaction (LS) is negatively related to income inequality. Under the interpretation that the relationship between macro-level variables and LS reflects individuals’ social preferences, this finding indicates that most people display inequality-averse preferences. We explore the relationship between self-reports on inequality aversion and LS in a citywide representative survey/experiment conducted in Spain. If self-reported well-being can be used to infer people’s social preferences, LS should correlate negatively with both “envy” and “compassion” scores (i.e., how much one suffers from disadvantageous and advantageous inequality, respectively). We find that LS relates negatively to envy but positively to compassion, which would imply that suffering from observing poorer others, paradoxically, increases well-being. Using an incentivized Dictator Game as a measure of generous behavior, we reject the hypothesis that the positive link between compassion and LS is actually driven by generosity. We discuss how these findings could indicate that the way LS is used to assess social preferences in the population should be revised.     

The Therapeutic Frame: On the Need for Flexibility

A fundamental function of the therapeutic frame is protection of the therapeutic process from the intrusion of elements antithetical to the best interest of the client and detrimental to treatment outcome. It is argued that dogmatic interpretation of the frame promotes conformity rather than growth in the client, blinds the therapist to legitimate issues of client diversity, and constricts the therapist's ability to be appropriately responsive to the client. It is suggested that while the frame is essential to maintain the focus of treatment on the welfare of the client, inflexible adherence undermines this purpose.     

The role of psychosocial context, age, and intelligence in memory performance of older men.

The hypothesis that psychosocial contextual factors contribute to developmental changes in memory was examined using 326 male World War II veterans. Availability of young adult intelligence scores made it possible to separate the contributions of contextual variables and age to maintenance of general intelligence from their direct contributions to performance on 4 memory tasks. Being younger, healthier, more educated, more introverted, more intellectually active, and more satisfied with social support predicted less intellectual decline and, indirectly, better memory performance. Age, personality, locus of control, and extent of social support directly contributed to performance on 1 or more memory tasks. Age contributions were consistent with Craik's (1986) proposed continuum of task demands for self-initiated effort. Possible elaborations of Craik's hypothesis to accommodate contextual variables are suggested.