Ambulatory group treatment for cocaine dependent patients combining cognitive behavioral therapy and motivational interviewing

Psychological interventions in cocaine dependent patients have demonstrated efficacy. Remarkable approaches are Contingency Management (CM) and Cognitive Behavioral Therapy (CBT). Lack of treatment adherence is the most important limitation. Motivational Interview (MI) has been shown to be an adherence enhancer. The objective of this study is to evaluate retention and abstinence in a combined CM and CBT group treatment in patients who have reached maintenance stage according to Prochaska and DiClemente's transtheoretical model (1982). Therefore, a longitudinal study was carried out with cocaine dependent patients with or without concomitant mental health disease. A 12-session open group was conducted weekly. Nineteen patients were included (78.9% men, mean age 36.6 years), 95% consumed intranasally and 47% had another psychiatric comorbidity. Treatment retention was 84%. During treatment and the first month of follow-up, all patients remained abstinent whereas at three months, 3 patients relapsed. These data confirm that using combined CM and CBT group therapy in cocaine dependents undergoing maintenance treatment enhances adherence and is effective to achieve abstinence.     

Did Somebody See It? Applying the Verifiability Approach to Insurance Claim Interviews

We examined the application of the verifiability approach to insurance claim interviews. The verifiability approach states that truth tellers and liars differ from each other in terms of the number of details they give that can be verified. Eighty‐three true and false insurance claim statements, related to damage, theft, or loss, were coded in terms of ‘witnesses’ (was the incident witnessed by others) and ‘verifiability’ (the number of perceptual and contextual details provided that could be checked by the investigator). We found that the majority of liars, compared with half the truth tellers, described unwitnessed incidents. This difference between the groups allowed for the detection of liars only. Discrimination between liars and truth tellers based on the verifiability of details was not possible. The implications of these findings are discussed. Copyright © 2014 John Wiley & Sons, Ltd.     

Cross-border mobility,European identity and participation among European adolescents and young adults

Abstract

Cross-border mobility is one of the most important factors that are assumed to strengthen young people’s commitment as European citizens. However, the existing empirical evidence does not provide consistent support. In this paper, we tested the hypothesis that cross-border mobility is associated with a stronger European identification, more positive attitudes toward the EU, and with specific visions of the EU, and that these factors, in turn, have a positive effect on engagement at EU level. Data were collected as part of the multinational research project CATCH-EyoU. Analyses were performed controlling for gender, income, country, and migrant status. Results mostly confirmed the hypotheses among both adolescents and young adults, and for both short-term and long-term mobility. EU level participation and EU voting intentions appeared to be influenced by partly different factors. The implications of the findings, both at theoretical level and for the development of international mobility programs, are discussed.     

Bringing the European Union closer to its young citizens: Youth active citizenship in Europe and trust in EU institutions

Abstract

European Union countries are participatory and representative democracies. Therefore, active citizenship in the EU and trust in EU institutions are paramount for the continuation and the strengthening of the EU project. Young Europeans who hold the future in their hands need to be actively engaged not only in the social and political life within their national communities, but also in the wider European community. The papers in this special issue examine whether and how European youth identify with the EU, trust EU institutions and engage in EU issues, and which societal and proximal-level contexts and/or individual-level attributes promote or hinder young people’s active citizenship in European context. They are based on results from the Horizon 2020 CATCH-EyoU project, standing for Constructing AcTive CitizensHip with European Youth: Policies, Practices, Challenges and Solutions. Scientists represent different disciplines (Psychology, Political Science, Sociology, Media and Communications, Education) and from eight European countries (Sweden, Estonia, U.K., Germany, Czech Republic, Greece, Portugal, Italy). Together, the papers contribute to the development of a new, cutting-edge conceptualization of youth active citizenship in the EU, and to a better understanding of the factors promoting or inhibiting young EU citizens’ engagement, participation and active citizenship at the European level.     

The curious,context‐dependent case of anger: Explaining voting intentions in three different national elections

Collective action is typically studied in social protest contexts and predicted by different motivations (i.e., ingroup identification and efficacy beliefs, and outgroup‐directed anger). Assuming that voting to some extent reflects a form of collective action, we tested whether these three different motivations predicted voting in Dutch, Israeli, and Italian national election contexts. Based on previous meta‐analyses on voting and collective action, we hypothesized that identification with and efficacy beliefs regarding this party would motivate voting across the different elections (i.e., context‐independent effects). As for anger, we predicted more context‐dependent effects, depending on whether the anger is targeting the previous government or at the political system at large. Results were largely in line with predictions, showing the relatively context‐independent motivational power of party identification and efficacy beliefs, and clearly context‐dependent effects for anger. Specifically, we found little support for a similar motivational power of anger targeting previous government policies, but anger targeting politics in general demotivated Dutch and Israeli participants to vote (interpreted as an expression of political cynicism), while curiously motivating Italian participants to vote (interpreted as a desire for system change from “old” to “new” politics). We discuss these findings in the context of voting in national elections, and recommend further integration of the voting and social protest literatures.     

Attention and movement execution during handwriting

Two studies were performed in order to test the hypothesis that movement execution during handwriting in skilled writers is independent of attention. Study I examined the relationship between attentional functioning and kinematic aspects of handwriting movements in 24 adult participants. A digitizing tablet was used for the assessment of handwriting movements. Participants were asked to perform a simple writing task and various components of their attention were assessed. Correlation analysis indicated no significant relationship between attention functions and both kinematic aspects of handwriting movements and quality of handwriting. In Study II, 20 participants underwent total sleep deprivation (TSD) for 24h. While attention, as assessed with alertness and vigilance tasks, deteriorated during TSD, the execution of handwriting movements, as assessed with a digitizing tablet, improved markedly. The quality of handwriting was not affected by TSD. These findings may suggest an independence between attention and movement generation during handwriting.     

Cognitive-behavioral treatment of childhood obsessive-compulsive disorder in community-based clinical practice: clinical significance and benchmarking against efficacy

Objective

To evaluate the feasibility and outcomes of evidence-based (EB) manualized, cognitive-behavioral treatment (CBT) for childhood obsessive-compulsive disorder (OCD), when delivered in an outpatient community-based specialist clinic.

Method

This study, conducted in an outpatient private clinic in South-East Queensland Australia, involved thirty-three children and adolescents with OCD. Children were assessed at pre- and post-treatment, by means of diagnostic interviews, symptom severity interviews, and self-report. Treatment involved 12 sessions CBT delivered either individually or in small groups and included parental involvement.

Results

Manualized CBT could be transported to the community setting effectively, with 63% of the current sample responding positively, based on post-treatment diagnosis. Significant change was evident across a wide-range of outcomes; including, diagnostic severity, symptom severity, child reported depression and anxiety, and both child and parent reported OCD functional impairment.

Conclusions

This study provides evidence for the transportability of manualized CBT in clinical community practice for pediatric OCD. The next important step is larger community based dissemination and effectiveness studies to advance both research and clinical practice outcomes.     

Water as a Commons: An Exploratory Study on the Motives for Collective Action Among Italian Water Movement Activists

In many communities, supplying water and sanitation is a huge task, and the fact that these essential services can be carried out by the private sector is a debated issue. This article presents an exploratory study aimed to identify the range of motives for collective action shared by activists of the Italian Movement for ‘Public Water’. In‐depth interviews were conducted with 28 activists and were qualitatively analysed. Five main motivational categories emerged: defending the right to water, preserving community ties, opposing to the Government and ‘water sellers’, preserving the environment and money interests. Each motive is based on a specific representation of the issue of water and privatization process. Findings provide further support for the importance of moral convictions and sense of community in collective action development and suggest a critical reconsideration of the role played by collective efficacy. The results are discussed in the framework of the psychosocial literature on collective action and community psychology perspectives on participatory processes. Copyright © 2012 John Wiley & Sons, Ltd.