Introducing Assertiveness Training in Hungary

Abstract

The preliminary results of an evaluation of a systematic assertiveness training programme (based on a cognitive-behavioural approach) in psychiatric care in Hungary are presented. The method adopted was specific to the Hungarian/Middle-European circumstances since people had difficulty in exercising their personal rights in the past. In groups of “neurotic” patients and comparison subjects three questionnaires (the Rathus-scale (R), the Assertiveness Inventory (AI) and the Uncertainty Questionnaire (UQ)) were administered at the beginning and at the end of the treatment. The training programme consisted of eight sessions with an emphasis on education about assertiveness and on the practice of skills such as saying “no” or standing up for oneself. A statistical analysis indicated significant improvement in the social skills of the participants, while an item analysis showed high internal consistency in all three questionnaires, and a concurrent validity analysis revealed a strong correlation between the Rathus-scale and the Assertiveness Inventory. The results indicate that assertiveness training can be used effectively in mental health care in Hungary.     

Eating Patterns Described by a Group of Treatment Seeking Overweight Women and Normal Weight Women

There has been a good deal of research on thought suppression in clinical and social psychology during the past 15 years. Thought suppression refers to attempts to keep certain thoughts out of consciousness. While the idea promises to shed light on various psychopathological processes, research has in many ways been inconclusive. The main focus of this review is on the relevance of thought suppression for our understanding of obsessive-compulsive symptoms. Drawing on the literature the review attempts to point out where research should be heading and to suggest to the clinician what lessons could be learnt.     

Life Events may Contribute to Family Communication About Cancer Risk Following BRCA1/2 Testing

We assessed whether certain life events contributed to the communication about cancer risk within families who have undergone BRCA1/2 testing. We also explored what type of resources participants would have valued to help in supporting family communication about genetic information. Two hundred and forty-six individuals (218 women, 28 men) who received a BRCA1/2 genetic test result 3 to 10 years earlier (mean of 6.4 years) participated in a telephone interview. Participants were asked about the occurrence of a number of life events (cancer diagnosis, death, uptake of prophylactic surgery, and providing care to a family member with cancer) in their family since their BRCA1/2 test result disclosure and, for each occurrence, whether it fostered family communication about cancer risk. A total of 182 participants (74 %) reported that they or one of their relatives received a cancer diagnosis, 176 (72 %) reported that someone died in their family, and 73 (30 %) stated that they or one of their relatives undertook a prophylactic surgery. During this period, 109 participants (44 %) also provided care for a family member who had cancer. Among participants who reported these life events, family communication was fostered by these events in proportions varying from 50 % (death) to 69 % (cancer diagnosis). Our results indicate that life events may contribute to family communication about cancer risk. Further research is needed to determine whether these events provide a “window of opportunity” to reach family members, address their needs and concerns about cancer, update family cancer history, and introduce genetic counseling and risk assessment.     

Goal disturbance,coping, and psychological distress in partners of myocardial infarction patients: Taking account of the dyad

Abstract

This study aims to explore the relationship between goal disturbance and levels of psychological distress in partners of myocardial infarction (MI) patients. Furthermore, the role of partner and patient coping behaviour in the context of goal disturbance is explored. Forty dyads were interviewed and completed questionnaires 1 month (T1) and 4 months (T2) post MI. All patients were men. Patients and partners do not differ on anxiety or depression scores, however, patients experience significantly more higher order goal disturbance at T1. Partners reporting more goal disturbance also show increased distress at T1. More use of approach coping by partners contributes to explained variance in their goal disturbance. Partner avoidant coping is moderated by patient avoidant coping. Approaches to reduce distress in partners should thus take account of goal disturbance and coping behaviours within the dyad.     

Protective effect of supportive family relationships and the influence of stressful life events on adolescent adjustment

Abstract

The purpose of this study was to determine the association between the occurrence of stressful life events and internalizing and externalizing problems, and to analyze longitudinally buffering effects of supportive family relationships. To this end, 100 Spanish adolescents were studied twice, when they were in mid-adolescence (15–16 years) and two years later. They completed questionnaires regarding stressful life events, family relationships, and adolescent adjustment. Results showed that high quality parent-adolescent relationships protected boys and girls against the negative consequences of stressful life events on externalizing, but not internalizing, symptoms. The adolescents who enjoyed good relationships with their parents in mid-adolescence did not increase their externalizing problems in late adolescence as consequence of the occurrence of stressful events. However, these stressors did lead to an increase in the number of externalizing problems when the family relationships were of a middle or low quality. These results highlight the important role that supportive family relationships play in the behavioral adjustment of adolescents, protecting them against some negative consequences of stressful life events, and suggest the relevance of supporting parents through resources such as parent education in order to help them to improve their relationships with their adolescents.     

Factorial and Diagnostic Validity of the Beck Depression Inventory-II (BDI-II) in Croatian Primary Health Care

The aim of this study was to examine the factorial and diagnostic validity of the Beck Depression Inventory-Second Edition (BDI-II) in Croatian primary health care. Data were collected using a medical outpatient sample (N = 314). Reliability measured by internal consistency proved to be high. While the Velicer MAP Test showed that extraction of only one factor is satisfactory, confirmatory factor analysis indicated the best fit for a 3-factor structure model consisting of cognitive, affective and somatic dimensions. Receiver operating characteristics (ROC) analysis demonstrated the BDI-II to have a satisfactory diagnostic validity in differentiating between healthy and depressed individuals in this setting. The area under the curve (AUC), sensitivity and specificity were high with an optimal cut-off score of 15/16. The implications of these findings are discussed regarding the use of the BDI-II as a screening instrument in primary health care settings.     

Measuring the Contribution of Independent Christian Secondary Schools to Students' Religious,Personal, and Social Values

From the late 1960s independent Christian schools have emerged in England and Wales, initiated either by churches or by parents. Many of these new independent schools are linked through the Christian Schools Trust. The impact that these schools are exerting on their students may be of interest for the churches with which they are associated and of concern for wider society. The political debate concerning these schools has so far been informed by only a small number of empirical studies conducted in England and Wales. The present study extends previous research in three ways. It offers a comparative study by examining the responses of 271 year-nine and year-ten students (age 13 to 15 years) from 11 independent Christian schools with 20,348 students from 93 schools without a religious foundation. It examines a range of religious, social and personal values. It employs multilevel models to identify the contribution made by independent Christian schools after taking into account personal, psychological, and contextual differences within the students themselves. The hypothesis was that Christian schools were committed to developing distinctly Christian values among their students. The data supported this hypothesis. Even after allowing for differences in the religiosity of the students themselves, attendance at an independent Christian school was associated with higher self-esteem, greater rejection of drug use, lower endorsing of illegal behaviors, lower racism, higher levels of conservative Christian belief, and more conservative views on sexual morality (abortion, contraception, divorce, homosexuality, and sex outside marriage).     

Letter transpositions within and across morphemic boundaries: Is there a cross-language difference?

Research on the impact of letter transpositions that arise across morpheme boundaries has yielded conflicting results. These results have led to the suggestion that a cross-linguistic difference may exist in the recognition of Spanish and English words. In two masked-priming experiments run on separate groups of Spanish and English speakers, we tested this hypothesis by comparing the impacts of primes with letter transpositions that arose within morphemes or across morpheme boundaries on the recognition of identical or near-identical Spanish–English cognate targets. The results showed transposed-letter benefits in both Spanish and English that were not modulated by the position of the transposed letter in the prime stimulus. Our findings therefore add to the growing body of literature suggesting that the transposed-letter benefit is not affected by the position of the transposed letters relative to the morpheme boundary, and they dispel previous suggestions that there might be a genuine difference in orthographic coding across the Spanish and English writing systems.     

Updating misconceptions: Effects of age and confidence

Young adults are more likely to correct an initial higher confidence error than a lower confidence error (Butterfield & Metcalfe, 2001). This hypercorrection effect has never been investigated among older adults, although features of the standard paradigm (free recall, metacognitive judgments) and prior evidence of age-related error resolution deficits (see Clare & Jones, 2008) suggest that they may not show this effect. In Study 1, we used free recall and a 7-point confidence scale; in Study 2, we used multiple-choice questions, and participants indicated how many alternatives they had narrowed their options down to prior to answering. In both studies, younger and older adults showed a hypercorrection effect, and this effect was equivalent between groups in Study 2 when free recall and explicit confidence ratings were not required. These results are consistent with our previous work (Cyr & Anderson, 2012) showing that older adults can successfully resolve learning errors when the learning context provides sufficient support.     

The Charcot Effect: The Invention of Mental Illnesses

This article proposes the Charcot effect, in which clinicians describe what they themselves prescribe. It is argued that the Charcot effect can be a critical instrument for exposing how mental illnesses are invented in the process of developing diagnostic systems and conducting psychopharmacological research. We argue that the Charcot effect helps explain the expansion of depression to epidemic proportions, the promotion of social phobia as a pharmaceutical marketing strategy, the profile of panic disorder according to the available medication, and the worse prognosis of schizophrenia in developed countries than in developing countries. Having undertaken this review, we situate the Charcot effect in relation to constructivist psychology.