A practice-based study of cultural humility and well-being among psychotherapy clients

One trend in psychotherapy research involves examining client factors to better understand change. Some have framed client factors as virtues. Humility is one virtue that has gained attention with evidence that suggests humility may help facilitate therapeutic change. A specific type of humility, cultural humility, however, has not been closely examined as a client factor. Cultural humility is a relational virtue that addresses an individual's ability to be open towards cultural differences and can be helpful in buffering diverse relational dynamics (e.g., student and teacher, family members and friends with different beliefs). In this study, we examined client change in cultural humility and well-being using group-based trajectory modelling. We also examined differentiation as a predictor of trajectory membership and compared trajectories on levels of symptoms. Results suggested that a subgroup of clients showed significant increases in cultural humility and well-being. Further analyses found that clients with higher levels of initial differentiation were more likely to belong to the growth trajectory. This same trajectory also decreased in symptoms over time.     

Reliability and validity of children's reports of migraine headache symptoms

The present study was concerned with whether children's responses to a questionnaire correspond with parents' reports of the child's headache symptoms and whether these responses correlate with self-monitored headache activity. Twenty-eight children, ages 7 years–16 years, participated in the study. Using a questionnaire format, data on a wide variety of headache characteristics were gathered from parents and children. During the subsequent 4 weeks, children monitored their headache activity and medication usage. Results were generally supportive of the validity and reliability of children's reports via a questionnaire format. The responses to the frequency of headache and medication usage were found to predict the responses over the next month, whereas the response on the duration of headache did not. Significant correlations for most headache-symptom items indicated that children and parents agree on their presence and severity. This investigation is the first step in developing a systematic assessment procedure for childhood headache.     

Stroboscopic visual training improves information encoding in short-term memory

The visual system has developed to transform an undifferentiated and continuous flow of information into discrete and manageable representations, and this ability rests primarily on the uninterrupted nature of the input. Here we explore the impact of altering how visual information is accumulated over time by assessing how intermittent vision influences memory retention. Previous work has shown that intermittent, or stroboscopic, visual training (i.e., practicing while only experiencing snapshots of vision) can enhance visual?Cmotor control and visual cognition, yet many questions remain unanswered about the mechanisms that are altered. In the present study, we used a partial-report memory paradigm to assess the possible changes in visual memory following training under stroboscopic conditions. In Experiment 1, the memory task was completed before and immediately after a training phase, wherein participants engaged in physical activities (e.g., playing catch) while wearing either specialized stroboscopic eyewear or transparent control eyewear. In Experiment 2, an additional group of participants underwent the same stroboscopic protocol but were delayed 24?h between training and assessment, so as to measure retention. In comparison to the control group, both stroboscopic groups (immediate and delayed retest) revealed enhanced retention of information in short-term memory, leading to better recall at longer stimulus-to-cue delays (640?C2,560?ms). These results demonstrate that training under stroboscopic conditions has the capacity to enhance some aspects of visual memory, that these faculties generalize beyond the specific tasks that were trained, and that trained improvements can be maintained for at least a day.     

The Primary Maternal Oedipal Situation and Female Homoerotic Desire

In this paper, I closely examine classical psychoanalytic theory on the female oedipal complex in order to shed light on same-sex object choice. Given that the mother is the first love object for the girl as well as for the boy, the girl's object relational constellation centrally involves the experience of homoeroticism as well as heteroeroticism. Yet, it remains a question as to whether a mother can see her daughter as a sexual subject; can mother–daughter homoerotic desire be experienced and validated by the mother? That a girl desires her mother is generally not seen or registered by the mother; it remains an unrecognized desire.

I suggest that the obscuring of female desire has to do centrally with the fate of eroticism in the early mother–daughter relationship. I propose relabeling the “negative oedipal complex” in girls as “the primary maternal oedipal situation.” Issues involving invisibility or stigmatization of one's erotic desire likely pose a significant challenge to the self–esteem of many lesbians. It is important in clinical work with lesbian patients to be open to a complex interweaving of developmental experiences, varying with each individual, some of which may have been damaging to, and others strengthening of, female sexuality.     

Do Parenting Variables Have Specific or Widespread Impact on Parenting Covariates? The Effects of Manipulating Self-Efficacy or Verbal Responsiveness

ABSTRACT

This research aimed at determining to what extent manipulating a specific parenting variable, self-efficacy beliefs or verbal responsiveness, causes specific change in this variable alone, or conversely to what extent it causes widespread change that affects other parenting covariates—in particular behavioral and emotional responsiveness, positive affect irritability, support, and control. Two microtrials were used to achieve this goal. The 45 parents participating were randomly assigned to an 8-week waiting list followed by an 8-week intervention condition focusing on self-efficacy manipulation, or to an 8-week intervention condition focusing on verbal responsiveness manipulation. It can be concluded from the results that the two specific parenting variables under consideration had widespread effects on the six parenting behaviors, with the exception of control in the self-efficacy beliefs condition. The results are discussed for both empirical and clinical purposes.     

Operant conditioning of autobiographical memory retrieval

Functional avoidance is considered as one of the key mechanisms underlying overgeneral autobiographical memory (OGM). According to this view OGM is regarded as a learned cognitive avoidance strategy, based on principles of operant conditioning; i.e., individuals learn to avoid the emotionally painful consequences associated with the retrieval of specific negative memories. The aim of the present study was to test one of the basic assumptions of the functional avoidance account, namely that autobiographical memory retrieval can be brought under operant control. Here 41 students were instructed to retrieve personal memories in response to 60 emotional cue words. Depending on the condition, they were punished with an aversive sound for the retrieval of specific or nonspecific memories in an operant conditioning procedure. Analyzes showed that the course of memory specificity significantly differed between conditions. After the procedure participants punished for nonspecific memories retrieved significantly more specific memories compared to participants punished for specific memories. However, whereas memory specificity significantly increased in participants punished for specific memories, it did not significantly decrease in participants punished for nonspecific memories. Thus, while our findings indicate that autobiographical memory retrieval can be brought under operant control, they do not support a functional avoidance view on OGM.     

The impact of valence framing on response expectancies of side effects and subsequent experiences: a randomised controlled trial

Abstract

Objective: Pre-treatment side effect expectancies often influence subsequent experiences; however, expectancy-based reduction strategies are lacking. We explored whether framing information about adverse responses (in positive or negative formats) altered expectancies and experiences of a cold pressor task. We further investigated associations between expectancies and experiences, to inform potential interventions.

Design: Healthy volunteers (N?=?134), randomised to receive positively- or negatively-framed pre-cold pressor task information, self-rated 12 expectancies for cold pressor experiences, emotional state and coping style.

Main Outcome Measures: Self-reports of the same 12-experiences (recorded during and after the experiment) were assessed.

Results: Framing had minimal impact on expectancies and experiences; however, discomfort threshold (p?=?.08, d?=?0.22) showed a trend in the expected direction. Hierarchical regressions revealed expectancies uniquely, significantly predicted 6–23% of the variance for 11 subsequent experiences. Following a popular charity event (Ice Bucket Challenge), all participants showed higher ‘discomfort thresholds’ (p?=?.001, d?=?0.59), and those in the negative frame reported more overall ‘discomfort’ (p?=?.01, d?=?0.60) than participants in the positive condition.

Conclusion: Expectancies uniquely influenced subsequent cold pressor experiences. Framing had minimal impact in this ‘analogue’ medical setting, only influencing ‘discomfort threshold’. ‘Discomfort threshold’ and overall ‘discomfort’ were also impacted by a social media challenge, highlighting a potential area for intervention.     

Classroom Peer Relationships and Behavioral Engagement in Elementary School: The Role of Social Network Equity

Applying social capital and systems theories of social processes, we examine the role of the classroom peer context in the behavioral engagement of low-income students (N = 80) in urban elementary school classrooms (N = 22). Systematic child observations were conducted to assess behavioral engagement among second to fifth graders in the fall and spring of the same school year. Classroom observations, teacher and child questionnaires, and social network data were collected in the fall. Confirming prior research, results from multilevel models indicate that students with more behavioral difficulties or less academic motivation in the fall were less behaviorally engaged in the spring. Extending prior research, classrooms with more equitably distributed and interconnected social ties—social network equity—had more behaviorally engaged students in the spring, especially in classrooms with higher levels of observed organization (i.e., effective management of behavior, time, and attention). Moreover, social network equity attenuated the negative relation between student behavioral difficulties and behavioral engagement, suggesting that students with behavioral difficulties were less disengaged in classrooms with more equitably distributed and interconnected social ties. Findings illuminate the need to consider classroom peer contexts in future research and intervention focused on the behavioral engagement of students in urban elementary schools.