Racial Differences in Work Attitudes: What You See Depends on What You Study

Differences in a constellation of work attitudes were studied with respect to black and white employees using a sample of healthcare workers. Preliminary analyses using MANOVA indicated that blacks had more positive work attitudes than did whites. However, systematic analyses of set of covariates including personal, lifestyle, and organizational variables eliminated all racial differences in work attitudes. Implications of these findings and directions for future research were discussed.     

Reactions to Repeated Unpredictable Terror Attacks: Relationships Among Exposure,Posttraumatic Distress,Mood, and Intensity of Coping1

We hypothesized that exposure to Type IV trauma (involving alteration in a person's basic relation to the environment), associated with prolonged terrorist threats, would impact posttraumatic distress and that exposure to terrorism would impact the intensity of coping. The relationships revealed by the data proved to be in line with this model. Our data suggested that the relationship of exposure and coping was not direct, but seemed to be mediated by posttraumatic distress, that demoralization at the height of an unrelenting terror campaign was unrelated to trauma exposure, and that acceptance was a distinct way of coping adopted by targeted Israelis. Acceptance showed the weakest association with posttraumatic distress and was related inversely to our index of low morale.     

Vengefully ever after: destiny beliefs, state attachment anxiety, and forgiveness

Two studies examined how destiny beliefs (that potential relationships are or are not "meant to be") interact with state attachment anxiety to predict forgiveness tendencies. In Study 1, participants experienced an experimental manipulation of attachment anxiety (vs. security) before indicating the degree to which they would forgive a series of hypothetical partner offenses. In Study 2, participants reported every 2 weeks for 6 months (14 waves in total) on offenses enacted by their partner and indicated the degree to which they forgave the partner, both concurrently and 2 weeks later. Consistent with predictions, results revealed Destiny Beliefs x State Attachment Anxiety interaction effects: Strong (relative to weak) destiny beliefs predicted reduced forgiveness tendencies for individuals experiencing state attachment anxiety, but such beliefs were not associated with forgiveness for individuals experiencing state attachment security. Results from Study 2 suggest that this interaction effect was significantly mediated through trust in the partner.     

Multifactorial context effects on visual recognition memory

While effects of contextual change or constancy on memory are widely found when tested by free and cued recall, there is greater inconsistency in context effects on recognition. This study employed a paradigm maximizing target-context interactivity and specificity to reveal three levels of context effects on successful retrieval, as well as context effects on the generation of false alarms, thereby revealing separable contributions of target-context binding, additive familiarity, and configural constancy. The separability of these factors enables the use of memory context effects as tools for investigating associative memory.     

A Recursive Frame Qualitative Analysis of MFT Progress Note Tipping Points

Medically oriented psychotherapists typically record progress notes by articulating client symptoms, diagnoses, functional status, progress, and adherence to treatment plans. This orientation can challenge marriage and family therapists working from discursive or post-modern perspectives. Although there are discursive therapy friendly treatment planning guides, no published research on such practice exists. To address this gap the researchers conducted a recursive frame qualitative analysis of 206 de-identified progress notes from 30 completed cases seen by MFT master’s students learning discursive approaches to therapy in a university-based training clinic. Researchers found students noted problem to solution-focused discourse tipping or turning points in 20 cases with positive outcomes and no comparable shifts in 10 cases with negative or unclear outcomes.     

Cancer Genetics Service Interest in Women with a Limited Family History of Breast Cancer

Women with a limited family history of breast cancer may be interested in cancer genetics information although their objective risk of breast cancer may not indicate routine referral to cancer genetics services. This study examined factors related to interest and use of cancer genetics services in a community sample of women with a limited family history of breast cancer (N = 187) who had no previous contact with cancer genetics services. Participants provided demographic information and ratings of perceived risk, cancer distress, attitudes, and intentions to initiate cancer genetics services. Participants were given information about a cancer genetics clinic that served women having concerns about their breast cancer risk. Women were contacted within 6 weeks and 8 months following their study appointment. Six weeks following their study appointment, 25% of women had initiated cancer genetics services. Eight months following their study appointment, 18% of women reported having completed a cancer genetics service appointment. Baseline intentions independently predicted both initiation at 6 weeks and appointment at 8 months. Cancer distress was positively associated with cancer genetics service initiation and appointment. Results suggest that some women with a limited family history of breast cancer are interested in seeking out cancer genetics information. Women with a limited family history of breast cancer may benefit from the availability of cancer genetics information provided through primary healthcare settings.     

Managing terror: differences between Jews and Arabs in Israel

Using telephone surveys, we examined exposure to terror, coping, and mental health response in randomly selected Jewish-Israelis (n = 100) and Arab-Israelis (n = 100) living in five Israeli cities affected by terrorism. Jewish-Israelis and Arab-Israelis were randomly selected for study participation and completed telephone surveys in May 2002, following an extended string of terror attacks and hostilities. Although terrorism is designed to target Jewish-Israelis, the rates of exposure were similar in the two groups. Arab-Israelis reported using a wider array of coping strategies, yet also endorsed more frequent PTSD and more severe depression symptoms than Jewish-Israelis. We examined a variety of demographic, ethnic, and religious predictors of different coping styles and found varying results. For example, acceptance coping was best predicted by Arab-Israeli ethnicity, being female, greater religiosity, and lower education. Predictors of mental health response to terror were also examined, with Arab-Israeli ethnicity, being female, adaptation coping and collaborative coping best predicting PTSD and depression symptoms. Arab-Israelis may not have the same access to overarching sources of patriotic support that are readily available to their Jewish compatriots, and civilian and economic inequity experienced by the Arab minority may add to a sense of diminished resources. Our findings justify outreach efforts to overlooked minorities at risk for posttraumatic distress. Women seem to be at particular risk for the development of mental health symptoms following terrorism, which should also be noted for outreach purposes.     

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.     

How Master’s Students Document Stability and Change Within and Across Progress Notes

To address a gap regarding how clinicians record progress in therapy, the researchers conducted a qualitative study of de-identified progress notes from a university-based brief therapy training clinic. The researchers described trainees’ stability and change documentation with respect to problem-oriented and solution-oriented talk in their progress notes. The patterns were (a) problem-oriented stability and problem to solution change within first sessions; (b) problem-oriented and solution-oriented stability within last sessions; and (c) stability (e.g., problem to problem) and change (e.g., problem to solution) across first and last sessions. Findings suggest that first session problem and solution outcomes do not necessarily predict last session outcomes (i.e., problem continuation or change to solutions).