Internet-based cognitive behavioral therapy for anxiety in an outpatient specialized care setting: A qualitative study of the patients’ experience of the therapy

Knowledge about user experiences of internet-based cognitive behavioral therapy (iCBT) has mostly been drawn from non-clinical groups or with iCBT offered via self-referral. The present study therefore focused on patients who had undergone iCBT with minimal support while actively awaiting outpatient psychological treatment in the form of face-to-face CBT. To seek out barriers to adherence the study also included patients who had withdrawn from the iCBT treatment before completion. The study was performed in an outpatient clinic for anxiety disorders where twelve participants with a primary diagnosis of either social anxiety disorder or panic disorder were recruited from an ongoing randomized control trial for semi-structured interviews. Statements from the interviews showed that the iCBT treatment was unfavorably compared to the usual face-to-face treatment at the clinic. Despite this, a majority of the interview participants still expressed to have experienced various benefits from the treatment. Some participants did however, experience difficulties putting the materials to practical use. Furthermore, a large majority of the participants expressed a need for additional support, with a strong tendency for non-completers specifically expressing a need for face-to-face contact with a clinician. Implications for future research and implementation of iCBT in clinical practice are discussed.     

Effects of Incest in Aging Survivors: Psychopathology and Treatment Issues

Most older people who have been sexually abused in childhood have probably never been treated for the consequences of their destructive experiences. The character pathology and long-term effects of child sexual abuse are described. Parallels were drawn between delayed Posttraumatic Stress Disorder seen in older veterans and World War II victims and later-life onset of posttraumatic psychopathology in aging incest survivors. Special geropsychological treatment issues, such as the appropriateness of explicit inquiry regarding a history of abuse and the role of power, gender, and shame in the psychotherapeutic relationship, are presented. The dilemma of uncovering repressed malignant childhood trauma in aging individuals is discussed. With proper medical and psychological preparation, demanding curative interventions with older survivors may be considered.     

The Impact of Attributional Processes on Triggered Displaced Aggression

The current study examined the role of attributional processes on triggered displaced aggression and specified the conditions wherein affect versus attributions would predict the degree of aggressive responding. Consistent with expectations, attributions for a minor provoking event predicted the degree of aggression towards targets that had violated expectations or where a specific attribution was provided. When no such expectancy violation occurred, only negative affect generated by the provocation predicted aggression. Furthermore, results indicated that initial feelings toward a provoking target impacted aggressive responding by influencing attributions made for a target's provoking action. When faced with a minor provocation, individuals were more likely to spontaneously attribute that event to external causes for people they like (e.g., positive valence targets), thus reducing the subsequent degree of aggressive retaliation. In contrast, for disliked targets, individuals were more likely to attribute provoking behavior to internal causes, resulting in an increase in aggression. The new model provides a theoretical extension to the cognitive-neoassociationistic perspective on aggression (L. Berkowitz, 1989, 1990, 1993).

A longitudinal multilevel model analysis of the within-person and between-person effect of effortful engagement and academic self-efficacy on academic performance

Using data from an accelerated longitudinal study, we examined the within-person and between-person effect of effortful engagement and academic self-efficacy on academic performance across students (N = 135) in elementary school. Teachers assessed participants' effortful engagement and participants rated their academic self-efficacy once per year for 3 years. Academic performance was assessed through standardized test scores in reading and math. Multilevel models indicated that within-person change in Effortful Engagement and Academic Self-Efficacy scores significantly predicted concomitant within-person change in reading test scores, B = 2.71, p = .043, Pseudo-R² = .02 and B = 4.72, p = .005, Pseudo-R² = .04, respectively. Participants with higher between-person levels of Effortful Engagement had higher initial reading test scores, B = 10.03, p = .001, Pseudo-R² = .09, and math test scores, B = 11.20, p < .001, Pseudo-R² = .15, whereas participants with higher between-person levels of Academic Self-Efficacy showed a faster rate of increase in math test scores across elementary school, B = 10.21, p = .036, Pseudo-R² = .25. At the between-person level, Effortful Engagement mediated the association between Academic Self-Efficacy and both reading and math test scores, although no support was found for mediation at the within-person level. Collectively, results suggest that trait-level psychological factors can vary meaningfully within school-aged children and that both within-person change and between-person individual differences in these traits have important consequences for academic performance.     

A Measurement Theoretic Account of Propositions

In the first section of this paper I review Measurement Theoretic Semantics – an approach to formal semantics modeled after the application of numbers in measurement, e.g., of length. In the second section it is argued that the measurement theoretic approach to semantics yields a novel, useful conception of propositions. In the third section the measurement theoretic view of propositions is compared with major other accounts of propositional content.