Developing Social Entrepreneurship as an Intervention to Enhance Disadvantaged Young People’s Sense of Self-Worth and Career Competence in Hong Kong

Applied Research in Quality of Life - This is the first empirical research in Hong Kong to examine the impact of social entrepreneurship training on disadvantaged young peoples’ career...     

Cost Analysis of Integrated Behavioral Health in a Large Primary Care Practice

A residency-based Family Medicine outpatient clinic chose to implement an integrated behavioral health care program in a large primary care clinic in the Southeast to improve patient access to behavioral health care. We hypothesized that embedding a BHP in a primary care setting would be a cost neutral intervention. We implemented a prospective cohort design and included expenses from both inpatient and outpatient visits. We implemented a mixed effects linear regression model to evaluate pre- and post-BHP exposure costs. A total of 1256 patients were identified in the post-BHP exposure period that had more than one-year post-exposure. After applying exclusion criteria, there were 926 patients included in analysis. These patient had an average total cost during the one-year pre-BHP exposure period of $5113 (SD = 7712) and one-year post-BHP exposure period of $5462 (SD = 7813). Our analysis shows a relatively cost neutral impact following the introduction of BHPs in a primary care setting. The results of this study provide a gauge for future planning of services.

     

Contemporary Visions of Psychotherapy Supervision: Sharing Perspective,Identifying Need,and Charting Possibility

Psychotherapy supervision has now celebrated its first centennial, is poised to move boldly forward into its second century of contribution to psychotherapy education, and seems perfectly positioned to further advance our knowledge about and practice of how to effectively facilitate, influence, and mentor our supervisees. Professional interest in and recognition of psychotherapy supervision appears to be at an all time high, and its value as a potentially alchemical educational event seems increasingly incontrovertible. But if supervision is to maintain and even enhance its substance and significance in 21st century psychotherapy education, what are the matters to which we as supervision practitioners, researchers, and theorists must vigilantly attend and vigorously address? In this special supervision issue of the Journal of Contemporary Psychotherapy, we would like to examine some of those matters. The topics that are addressed include: competencies, evidence-based practice, and supervising psychoanalytic/psychodynamic, cognitive/behavioral, humanistic/existential, and integrative/eclectic psychotherapies. The binding theme of “pressing needs and impressing possibilities” will be evident throughout this journal issue. In this introductory paper, I briefly define psychotherapy supervision, consider its beginnings, provide a rationale for this special issue, and identify the specific questions that give focus and frame to each of the succeeding contributions.     

When nasty breeds nice: Threats of violence amplify agreeableness at national, individual, and situational levels

Humans have perennially faced threats of violence from other humans and have developed functional strategies for surviving those threats. Five studies examined the relation between threats of violence and agreeableness at the level of nations, individuals, and situations. People living in countries with higher military spending (Study 1) and those who chronically perceive threats from others (Study 2) were more agreeable. However, this threat-linked agreeableness was selective (Studies 3-5). Participants primed with threat were more agreeable and willing to help familiar others but were less agreeable and willing to help unfamiliar others. Additionally, people from large families, for whom affiliation may be a salient response to threat, were more likely than people from small families to shift in agreeableness. Returning to the national level, military spending was associated with increased trust in ingroup members but decreased trust in outgroups. Together, these findings demonstrate that agreeableness is selectively modulated by threats of violence. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

The Value of Task Conflict to Group Decisions

We tested the ability of task conflict to improve the quality of decisions made by four‐person groups. In a choice between two entrepreneurial investments, conflict was created by endowing group members with a preference for either one investment or the other. Because the decision was subjective, decision quality was necessarily judged by a process criterion, the reduction in the biased evaluation of new information to support the leading alternative. Groups in which conflict was installed exhibited less bias than individuals, who themselves exhibited less bias than groups without such conflict. Regardless of whether conflict was installed, groups that reached an early consensus exhibited the greatest information bias, while groups that experienced sustained conflict exhibited the least. Before achieving consensus, information bias was not significantly different from zero, but then rose steadily after that agreement. This result identifies one specific mechanism by which conflict can improve the process of group decisions. Copyright © 2011 John Wiley & Sons, Ltd.     

The Strengths Assessment Inventory: Reliability of a New Measure of Psychosocial Strengths for Youth

A new measure, the Strengths Assessment Inventory—Youth self-report (SAI-Y), was recently developed to assess the strengths of children and adolescents between the ages of 10 and 18 years. The SAI-Y differs from similar measures in that it provides a comprehensive assessment of strengths that are intrinsic to the individual as well as strengths associated with an individual’s interaction with his or her environment. Based on over 10 years of test development as well as previous research, the 120 items of the SAI-Y contribute to 11 content scales (e.g., Strengths at Home) and 12 empirical scales (e.g., Commitment to Family Values). The purpose of the current report is to describe the procedure that guided the development of the SAI-Y coupled with an initial study of the psychometric properties of the instrument. The SAI-Y was administered to 572 elementary and secondary school students of which 455 also completed the measure following a one- to two-week interval. Based on this data, the following psychometric properties were examined: internal consistency, standard error of measurement, and test–retest reliability. Overall, results indicated that the SAI-Y demonstrates acceptable to good levels of reliability and may be a valuable addition to current measures that assess aspects of positive functioning. Ongoing research projects and future directions are discussed.     

Risk dishabituation: in repeated gambling, risk is reduced following low-probability "surprising" events (wins or losses)

In path-dependent risk taking, like playing a slot machine, the wager on one trial may be affected by the outcome of the preceding trial. Previous studies have shown that a person's risk-taking preferences may change as a result of the preceding trial (win or loss). For example, the "house money effect" suggests that risk taking may increase after a win, whereas the "break even effect" posits that risk taking increases after a loss. Independent of those findings, a person's emotional state has been found to influence risk taking. For example, the "mood maintenance hypothesis" supports the notion that positive affect decreases risk taking, and related research finds that increased negative affect increases risk taking. Because winning and losing may influence one's emotional state, we sought to investigate how both previous outcomes, as well as a person's emotional responses to those outcomes, independently influence subsequent risk taking. To do this, data were collected using three simplified slot machines where the chance of winning each trial was set to 13%, 50%, and 87%, respectively. Evidence for the break even and house money effects were found on the 13% and 87% games, respectively. Likewise, emotional valence was found to predict risk taking on these two tasks, with emotional valence fully explaining the break even effect observed on the 13% game. In addition to these results, the present research revealed that risk taking is reduced following low-probability ("surprising") events (i.e., a win in the 13% condition or loss in the 87% condition). Dubbed "risk dishabituation," this phenomenon is discussed, along with its likely corresponding emotional experience--surprise.     

The six most essential questions in psychiatric diagnosis: a pluralogue part 1: conceptual and definitional issues in psychiatric diagnosis

In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM - whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part I of this article will take up the first two questions. With the first question, invited commentators express a range of opinion regarding the nature of psychiatric disorders, loosely divided into a realist position that the diagnostic categories represent real diseases that we can accurately name and know with our perceptual abilities, a middle, nominalist position that psychiatric disorders do exist in the real world but that our diagnostic categories are constructs that may or may not accurately represent the disorders out there, and finally a purely constructivist position that the diagnostic categories are simply constructs with no evidence of psychiatric disorders in the real world. The second question again offers a range of opinion as to how we should define a mental or psychiatric disorder, including the possibility that we should not try to formulate a definition. The general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances.