Mental Health Research in Correctional Settings: Perceptions of Risk and Vulnerabilities

With more than half of individuals incarcerated having serious mental health concerns, correctional settings offer excellent opportunities for epidemiological, prevention, and intervention research. However, due to unique ethical and structural challenges, these settings create risks and vulnerabilities for participants not typically encountered in research populations. We surveyed 1,224 researchers, Institutional Review Board (IRB) members, and IRB prisoner representatives to assess their perceptions of risks and vulnerabilities associated with mental health research conducted in correctional settings. Highest ranked risks were related to privacy, stigma, and confidentiality; lowest ranked risks were related to prisoners’ loss of privileges or becoming targets of violence due to having participated in research. Cognitive impairment, mental illness, lack of autonomy, and limited access to services emerged as the greatest sources of vulnerability; being male, being female, being older than age 60, being a minority, and being pregnant were the lowest ranked sources of vulnerability. Researchers with corrections experience perceived lower risks and vulnerabilities than all other groups, raising the question whether these researchers accurately appraise risk and vulnerability based on experience, or if their lower risk and vulnerability perceptions reflect potential bias due to their vested interests. By identifying areas of particular risk and vulnerability, this study provides important information for researchers and research reviewers alike.     

The operant-respondent distinction: Future directions

The operant-respondent distinction has provided a major organizing framework for the data generated through the experimental analysis of behavior. Problems have been encountered, however, in using it as an explanatory concept for such phenomena as avoidance and conditioned suppression. Data now exist that do not fit neatly into the framework. Moreover, the discovery of autoshaping has highlighted difficulties in isolating the two types of behavior and conditioning. Despite these problems, the operant-respondent framework remains the most successful paradigm currently available for organizing behavioral data. Research and theoretical efforts should therefore probably be directed to modifying the framework to account for disparate data.     

Observed communication and associations with satisfaction during traditional and integrative behavioral couple therapy

To investigate changes in couple communication and potential mechanisms of change during treatment, 134 distressed couples, who were randomly assigned to either traditional or integrative behavioral couple therapy (TBCT; IBCT), were observed in relationship and personal problem discussions prior to and near the end of treatment. Analyses were conducted using the Hierarchical Linear Modeling program. Over the time in therapy, during relationship problem discussions, positivity and problem solving increased while negativity decreased. Compared to IBCT, TBCT couples had the largest gains in positivity and reductions in negativity. During personal problem discussions, negativity decreased, while withdrawal increased and positivity decreased. TBCT couples had larger declines in negativity. In both discussion types, increases in marital satisfaction were associated with increases in positivity and problem solving. Declines in marital satisfaction were associated with increased negativity during relationship problem interactions and increased withdrawal during personal problem interactions. However, no treatment differences in these associations were found. Differences in rule-governed and contingency-shaped behavior change strategies between the two therapies and implications of findings are discussed.     

The effect of testing procedure on remember-know judgments

Remember-know (R-K) judgments are commonly used to assess conscious recollection of the study episode during recognition. We varied whether participants judged items as R, K, or new (one-step) or first made an old-new judgment and then made the R-K judgment (two-step). The one-step group had a higher R hit rate and K false alarm rate than did the two-step group. In addition, the K responses of the one-step group did not reliably discriminate between old and new items. When a “guess” response category was available, both groups were able to discriminate old and new items using the K response; however, K responses remained more accurate in the two-step condition. R responses appeared to be relatively immune to the effects of testing procedure when the guess category was provided. This suggests that, under some conditions, the R label can reliably indicate a distinct form of recognition memory, suggesting that allowing participants to use a guess response may help them to confine their R-K judgments to confidently recognized items. When participants are not given the option of making a guess response, they may use the R-K distinction to indicate the trace strength of the memory.     

Seeing what you hear: Visual feedback improves pitch recognition

The present study examined the effect of visual feedback on the ability to recognise and consolidate pitch information. We trained two groups of nonmusicians to play a piano piece by ear, having one group receiving uninterrupted audiovisual feedback, while allowing the other only to hear, but not see their hand on the keyboard. Results indicate that subjects for whom visual information was deprived showed significantly poorer ability to recognise pitches from the musical piece they had learned. These results are interesting since pitch recognition ability would not intuitively seem to rely on visual feedback. In addition, we show that subjects with previous experience in computer touch-typing made fewer errors during training when trained with no visual feedback, but did not show improved pitch recognition ability posttraining. Our results demonstrate how sensory redundancy increases robustness of learning, and further encourage the use of audiovisual training procedures for facilitating the learning of new skills.     

CORRELATES OF RELATIONSHIP SATISFACTION IN LESBIAN COUPLES

This study broadens the construct of intimate relationships to include the experience of lesbian couples. Various psychological variables were assessed in both partners of 275 lesbian couples who considered themselves to be dual career. Because of the paucity of information on lesbian relationships in the literature, considerable attention is first given to describing this sizable sample. Individual and couple scores on each variable were correlated with relationship satisfaction scores. Among individuals, role conflict and personal autonomy were found to correlate negatively with relationship satisfaction, whereas dyadic attachment, power, intimacy, self-esteem, and life satisfaction were all positively correlated with relationship Satisfaction. Although career commitment was not correlated with relationship satisfaction among individuals, differences between partners'levels of career commitment correlated negatively with each partner's relationship satisfaction. The findings counter extant stereotypes regarding lesbian relationships and provide a more accurate basis for developing an heuristic model of intimate relationships among women.     

What Changes in Therapy? Who Changes?

SUMMARY

A central component of therapeutic change involves facilitating the capacity to move and be moved by the other. Another way of saying this might be that change entails experiencing a greater freedom of relational movement. The question of who and what actually changes in the process of therapy is the focus of the three vignettes that follow. They highlight, among other things, the recognition and acknowledgment of mutuality as an essential force within the relational matrix and the ever-changing landscape that this creates. Each of these examples of a change process bears, as well, a particular stamp of its own, and thus speaks to the unique personality of every therapeutic dyad.