Adapting Manualized Treatments: Treating Anxiety Disorders Among Native Americans

Although there is a small but growing body of literature examining the psychopathology of anxiety among Native Americans, no data are available regarding the efficacy of empirically supported treatments for anxiety disorders among Native Americans. Moreover, exceptional challenges arise in adapting mainstream approaches to Native Americans, such as language barriers, contrasting beliefs about the cause and treatment of emotional illness between mainstream and traditional Native American culture, problems with homework compliance, allowing extra time for rapport building, and the need for a spiritual component in the treatment of anxiety disorders. Native Americans also confront the challenges of rural living and low socioeconomic status. The focus of this article is largely conceptual in nature, informed by the limited psychopathology data and the first author’s experience with cognitive behavioral treatment protocols for anxiety disorders and the provision of mental health services to Native Americans. In this article we highlight the unique challenges of adapting manualized anxiety treatments for Native American clients.     

After-School Supervision, Psychosocial Impact, and Adolescent Smoking and Alcohol Use in China

We examined effects of self-care after school hours and psychosocial factors on cigarette smoking and alcohol use among adolescents in China. Survey data were obtained from 4734 7th and 11th grade students from seven cities across China. Students were queried about the frequency and quantity of unsupervised self-care after school in an average week. Tobacco and alcohol usage were also obtained. Odds ratios were calculated to determine the strength of association between unsupervised self-care after school and substance use. Results indicated that the amount of self-care after-school (how many days and how many hours per week) was significantly associated with increased risk for smoking and alcohol use among Chinese adolescents. These associations remained significant even after controlling for anxiety, depressive symptoms, and peer influence. The interaction between unsupervised self-care after school and peer influence indicated that unsupervised self-care after school is a stronger risk factor for smoking among adolescents with pro-smoking friends. The findings suggest that substance use prevention programs for youth in China should try to enhance parental monitoring. As it may not be feasible for families to revert to a lifestyle that includes supervision by relatives, other approaches such as organized after-school care are worthy of consideration.     

Maternal beliefs concerning young children's private speech

The goal of this study was to understand maternal reports, beliefs, and attitudes about their young children's use of private speech. Mothers of 48 children between the ages of 3 and 5 participated in a semi‐structured interview in which they reported on the frequency and context of their child's use of private speech, maternal responses toward such speech use in children, and beliefs about the utility of such speech for children. Interviews were transcribed and responses coded. Mothers also completed surveys on children's self control and parenting style. Results indicated that practically all parents reported that their child engaged in private speech and that such speech was more likely to appear during fantasy play than during problem‐solving activities. Parents varied in their personal responses to children's self talk and, as a group, do not appear to actively discourage or encourage its use. Ignoring/allowing child private speech use was common and this response was positively associated with authoritative parenting. Parental reports of the frequency with which their child talks to himself were negatively associated with parental reports of children's self‐control. Crib speech, or bedtime monologue, was reported to be very common and was negatively associated with children's self‐control and positively associated with children's private speech use. Parents were uniformly positive in their belief that private speech serves important functions and that it helps young children during task activities. Copyright © 2006 John Wiley & Sons, Ltd.     

Modeling collective choice: decision‐making on complex intellective tasks

Three studies examined group problem‐solving on complex intellective tasks. In Study 1, a decision model proposed by Laughlin and Hollingshead ( 1995 ) provided the best fit to actual group choices. This study also compared three‐person group versus individual performance with time constrained and number of problems unconstrained, with individuals solving non‐significantly more problems and groups obtaining significantly superior trials‐to‐solution scores. In Study 2, one member of each group was given additional information on how to perform the task and member extroversion was measured. Neither factor significantly impacted the decision‐making process. In Study 3, task expertise was assessed prior to the group interaction. Results indicate that group members were twice as likely to adopt an option proposed by an expert compared to other group members. Together these studies demonstrate that group problem solving is governed jointly by qualities of the task and qualities of the group members. Copyright © 2006 John Wiley & Sons, Ltd.     

Detection of Feigned Posttraumatic Stress Disorder: A Comparison of the MMPI-2 and PAI

The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and Personality Assessment Inventory (PAI) were compared for detecting feigned posttraumatic stress disorder (PTSD) in a simulation research design. Participants were 85 undergraduates in one of three groups: PTSDs (n = 23), Fakers (n = 31), and Controls (n = 31). As expected, both the MMPI-2 and PAI discriminated PTSDs and Controls, with PTSDs scoring significantly higher on fake-bad validity scales and PTSD-relevant clinical scales. However, only the MMPI-2 discriminated Fakers and PTSDs, with Fakers scoring significantly higher on all MMPI-2 scales considered, but on only one PAI scale. Further, in logistic regression analyses the MMPI-2 demonstrated higher overall correct classification of PTSDs and Fakers than did the PAI. Although the MMPI-2 outperformed the PAI in detecting feigned PTSD, a substantial proportion of Fakers avoided detection by MMPI-2 fake-bad validity scales, suggesting that both tests are vulnerable to feigning of PTSD by motivated respondents with relatively limited coaching.     

Women’s Precollege Sports Participation, Enjoyment of Sports, and Self-esteem

This study tested a model that specifies that the psychosocial impact of women’s precollege sports participation depends on the quality of their sports experience, that is, on participants’ enjoyment of sports and the benefits derived from athletic pursuits. A sample of 245 college women (mean age?=?19.9 years) provided retrospective reports of their precollege sports involvement as well as assessments of their enjoyment of sports, perceived physical competence, body image, gender role orientation, and self-esteem. Consistent with past research, women students’ precollege sport participation was a modest predictor of their self-esteem in bivariate analyses. Follow-up analyses revealed that enjoyment of sports mediated the sports participation/self-esteem relationship and implied that female participants who find sports less enjoyable may be at risk of experiencing declining self-esteem. However, enjoyment of sports explained little unique variance in global self-esteem after we controlled for the influence of other sports-related benefits (e.g., improved physical competence). Implications for those who hope to help more girls reap psychosocial benefits from sporting activities are discussed.     

Replication of the Self-Concept and Identity Measure (SCIM) Among a Treatment-Seeking Sample

Identity distress occurs within a variety of psychiatric conditions. Reliable tools for assessing identity-related functioning among clinical populations are greatly needed. The Self-Concept and Identity Measure (SCIM) is a brief self-report scale designed to assess healthy and disturbed identity dimensions. This measure has been validated within normative but not treatment-seeking samples. The present study used an a priori confirmatory approach to replicate the SCIM’s factor structure among disadvantaged women enrolled in treatment for chemical dependence (N = 216). The original three-factor structure and item loadings generally replicated within this diagnostically diverse, significantly impaired sample. Higher SCIM scores were also associated with other problems, such as emotion dysregulation and depression. Results support the SCIM’s use and scoring with clinical populations.     

A Critical Appraisal of Amish Studies’ De Facto Paradigm, “Negotiating with Modernity”

The predominant paradigm for Amish research over the past three decades has been “negotiating with modernity” (NWM). NWM explains how the Amish as a distinctive American culture and religion have overcome the threats modernity poses to their existence. This article argues that NWM has been accepted and replicated uncritically and without empirical testing due to properties making it inherently untestable. We first synthesize the central NWM literature, as the paradigm has never been fully constructed in one place. We then call attention to two sets of impairments that prevent empirical tests. First, the perspective contains several logical fallacies and terminology problems. NWM reifies “the Amish” as its unit of analysis; creates circular variable relationships (the Amish are Amish because they are not something else); employs terms problematically, notably “modernity” and “modernization”; dichotomizes phenomena; and is grounded in no particular theoretical tradition. Second, we argue that the production of knowledge within core NWM literature has not been sufficiently substantiated. Data collection procedures and methodological strategies are unclear or undefined and scientific peer review is relatively low. We conclude by suggesting more promising theoretical directions for Amish studies.     

Interpersonal Subtypes Within Social Anxiety: The Identification of Distinct Social Features

Although social anxiety disorder is defined by anxiety-related symptoms, little research has focused on the interpersonal features of social anxiety. Prior studies (Cain, Pincus, & Grosse Holtforth, 2010; Kachin, Newman, & Pincus, 2001) identified distinct subgroups of socially anxious individuals' interpersonal circumplex problems that were blends of agency and communion, and yet inconsistencies remain. We predicted 2 distinct interpersonal subtypes would exist for individuals with high social anxiety, and that these social anxiety subtypes would differ on empathetic concern, paranoia, received peer victimization, perspective taking, and emotional suppression. From a sample of 175 undergraduate participants, 51 participants with high social anxiety were selected as above a clinical cutoff on the social phobia scale. Cluster analyses identified 2 interpersonal subtypes of socially anxious individuals: low hostility–high submissiveness (Cluster 1) and high hostility–high submissiveness (Cluster 2). Cluster 1 reported higher levels of empathetic concern, lower paranoia, less peer victimization, and lower emotional suppression compared to Cluster 2. There were no differences between subtypes on perspective taking or cognitive reappraisal. Findings are consistent with an interpersonal conceptualization of social anxiety, and provide evidence of distinct social features between these subtypes. Findings have implications for the etiology, classification, and treatment of social anxiety.