The Relationship Between Treatment Acceptability and Youth Outcome in Group CBT for Youth with ASD and Anxiety

Anxiety is one of the most common co-occurring diagnoses in youth with autism spectrum disorder (ASD). Cognitive behavior therapy (CBT) is an evidence-based treatment that has been tailored for youth with ASD and anxiety and has shown good efficacy in reducing youth anxiety immediately after treatment. One area that has not been widely studied is acceptability of CBT for anxiety in this population. Acceptability includes beliefs about the potential helpfulness and satisfaction with a given treatment and may be important in understanding treatment outcomes. This study focuses on parent, youth, and clinician acceptability of a well-researched CBT program, Facing Your Fears, for youth with ASD and anxiety. Data was collected as part of a larger multi-site study that compared three different instructional conditions for clinicians learning the intervention. Results indicated that parents rated acceptability as higher for the overall treatment compared to youth. Further, youth and parents rated exposure related sessions as more acceptable than psychoeducation, and higher exposure acceptability ratings were predictive of lower youth anxiety levels post-treatment. Clinicians who received ongoing consultation rated treatment acceptability lower than clinicians in the other training conditions. While some clinicians may be hesitant to implement exposure techniques with this population, findings suggest that it is the technique that parents and youth rated as the most acceptable. Results are discussed in terms of treatment and research implications for youth with ASD and their families.     

A Latent Growth Curve Modeling Approach to Pooled Interrupted Time Series Analyses

This paper presents a latent variable approach for the estimation of treatment effects within a pooled interrupted time series (ITS) design. Although considered quasi-experimental, the ITS design has been noted as representing one of the strongest alternatives to the randomized experiment, making it highly appropriate for use in documenting the presence of effects that might warrant further evaluation in a large-scale randomized study. Results suggest that the latent variable growth modeling (LGM) is capable of detecting simultaneous differences in both level and slope, and provides tests of significance for these two necessary indicators of an ITS intervention effect. As shown in the analyses, the LGM framework provides a comprehensive and flexible approach to research design and data analysis, making available to a wide audience of researchers an analytical framework for a variety of analyses of growth and developmental processes.     

Using group consciousness theories to understand political activism: case studies of Barack Obama, Hillary Clinton, and Ingo Hasselbach

I describe and integrate several theories of group consciousness and collective action, along with 3 case studies of political activists. I have 2 goals: (1) to use the theories to help us understand something puzzling about each life and (2) to use the cases to complicate and expand the theories. Barack Obama's case raises the question of how someone with a politicized Black identity evolved into a politician working for all oppressed people and complicates racial identity development theory. Hillary Clinton's case raises the question of how a middle-class White girl raised in a conservative family became a prominent Democratic Party politician and complicates group consciousness theories by demonstrating the importance of generation and personality. Ingo Hasselbach's (a former German neo-Nazi leader) case illustrates relative deprivation theory and raises the question of whether theories developed to explain subordinate group consciousness can be applied to movements of dominant group consciousness.     

Is there a burden attached to synaesthesia? Health screening of synaesthetes in the general population

Synaesthesia has long been considered a benign alternative form of perception most often associated with positive rather than negative outcomes. The condition has been associated with a variety of cognitive and perceptual advantages, including benefits in memory, processing speed, and creativity. It is not currently recognized in the DSM‐IV. Recently, however, several studies have raised the question of a possible link between synaesthesia and clinical conditions. Here, we present the first large‐scale screening of the general population in which we (1) objectively identified grapheme‐colour synaesthetes and (2) elicited information from our participants about a range of clinical conditions. We compared the prevalence rates of these conditions in synaesthetes versus non‐synaesthetes to establish whether any conditions were found at a higher rate among synaesthetes. In our initial study, screening 3,742 people (95 synaesthetes and 3,647 controls), we found initially that grapheme‐colour was significantly comorbid with two conditions (anxiety disorder and obsessive compulsive disorder). In our second study, screening a new population of 120 synaesthetes and 166 non‐synaesthetes, we replicated our finding that grapheme‐colour synaesthesia is comorbid with anxiety disorder. At the same time, we also addressed a methodological concern that likely elevated rates of OCD in Study 1. We consider the aetiology of synaesthesia to determine whether there may be a shared genetic or neurological basis with anxiety disorder, and we question the status of synaesthesia within a mental health framework.     

Positive Emotional Experiences in Scottish and Italian Young Adults: a Diary Study

This research focused on the nature and frequency of positive emotion in a sample of Scottish and Italian young adults and is part of larger scale on-going cross-cultural studies on positive emotion, well-being and happiness. A total of 1043 positive incidents were collected from 157 students who completed diaries in the two countries. Positive incidents were frequent in the course of daily life and were triggered by a wide variety of personal, social and environmental antecedents. Although each culture had a very similar life-satisfaction rating some cultural differences in the phenomenology of positive incidents and their emotions still emerged. As hypothesised Italian and Scottish cultures differed in the domain of independence and interdependence. Italians reported more social interactions involving talking with another and intimacy with a significant other. The Scots, in contrast, reported positive feelings associated with relaxation and being alone as frequently as other social categories, thus exemplifying independence. Recording positive incidents, as they occur moment to moment deconstructs the global and retrospective study of subjective well-being and happiness and fulfills the necessity for ecologically valid research.