The Struggle of Behavioral Therapists With Exposure: Self-Reported Practicability,Negative Beliefs,and Therapist Distress About Exposure-Based Interventions

Exposure-based interventions are a core ingredient of evidence-based cognitive-behavioral treatment (CBT) for anxiety disorders, posttraumatic stress disorder (PTSD), and obsessive-compulsive disorder (OCD). However, previous research has documented that exposure is rarely utilized in routine care, highlighting an ongoing lack of dissemination. The present study examined barriers for the dissemination of exposure from the perspective of behavioral psychotherapists working in outpatient routine care (N = 684). A postal survey assessed three categories of barriers: (a) practicability of exposure-based intervention in an outpatient private practice setting, (b) negative beliefs about exposure, and (c) therapist distress related to the use of exposure. In addition, self-reported competence to conduct exposure for different anxiety disorders, PTSD, and OCD was assessed. High rates of agreement were found for single barriers within each of the three categories (e.g., unpredictable time management, risk of uncompensated absence of the patient, risk of decompensation of the patient, superficial effectiveness, or exposure being very strenuous for the therapist). Separately, average agreement to each category negatively correlated with self-reported utilization of exposure to a moderate degree (-.35 ≤ r ≤ -.27). In a multiple regression model, only average agreement to barriers of practicability and negative beliefs were significantly associated with utilization rates. Findings illustrate that a multilevel approach targeting individual, practical, and systemic barriers is necessary to optimize the dissemination of exposure-based interventions. Dissemination efforts may therefore benefit from incorporating strategies such as modifying negative beliefs, adaptive stress management for therapists, or increasing practicability of exposure-based interventions.     

Emotion differentiation dissected: between-category,within-category,and integral emotion differentiation,and their relation to well-being

Emotion differentiation, the ability to describe and label our own emotions in a differentiated and specific manner, has been repeatedly associated with well-being. However, it is unclear exactly what type of differentiation is most strongly related to well-being: the ability to make fine-grained distinctions between emotions that are relatively closely related (e.g. anger and irritation), the ability to make larger distinctions between very distinct emotions (e.g. anger and sadness), or the combination of both. To determine which type of differentiation is most predictive of well-being, we performed a comprehensive meta-analysis across six datasets. We examined the correlations between these three types of differentiation and several indicators of well-being (depression, emotional clarity, and self-esteem). Results showed that individuals differentiated most between very distinct emotions and least between more related emotions, and that an index computed across emotions from both the same and different emotion categories was most strongly associated with well-being indicators.     

Comparing In-Person,Sona, and Mechanical Turk Measurements of Three Prejudice-Relevant Constructs

Electronic data collection and participant pool management tools give researchers new ways to conduct research. The current study investigated the equivalency of in-person and online administrations of the Right-Wing Authoritarianism, Social Dominance Orientation, and Modern Racism scales across three modalities (administration in person, online through Sona Systems, and online through Mechanical Turk). Results indicate that in-person administration was largely equivalent to the randomly assigned online sample (Sona Systems) in terms of their intercorrelations, mean scores, variability, and reliability. However, the Sona sample consistently responded with strong attitudes for all measures, suggesting that social desirability may be decreased when completing these measures online. In addition, the Mechanical Turk sample differed in many ways from both in-person and Sona administration; although this nonequivalence is at least partially explained by sample demographic differences, other considerations may have exacerbated nonequivalence, including prior exposure to the measures and a desire to respond correctly.     

Selective exposure to information: the impact of information limits

In research on selective exposure to information, people have been found to predominantly seek information supporting rather than conflicting with their opinion. In most of these studies, participants were allowed to search for as many pieces of information as they liked. However, in many situations, the amount of information that people can search for is restricted. We report four experiments addressing this issue. Experiment 1 suggests that objective limits regarding the maximum number of pieces of information the participants could search for increases the preference for selecting supporting over conflicting information. In Experiment 2, just giving participants a cue about information scarcity induces the same effect, even in the absence of any objective restrictions. Finally, Experiment 3 and 4 clarify the underlying psychological process by showing that information limits increase selective exposure to information because information search is guided by the expected information quality, which is basically biased towards supporting information, and information limits act to reinforce this tendency. Copyright © 2005 John Wiley & Sons, Ltd.     

Severity of childhood attention-deficit hyperactivity disorder--a risk factor for personality disorders in adult life?

Some evidence points to an increased rate of cluster B and C personality disorders (PDs) in adult ADHD patients. In order to assess axis II disorders comprehensively we used the diagnostic instrument of the WHO. In sixty adult out-patients with ADHD according to DSM-IV criteria PDs were assessed with the International PD Examination (IPDE) and severity of childhood ADHD with the Wender-Utah-Rating Scale (WURS). We found at least one PD in 25% of cases. Cluster C PDs were most common (36.6%) followed by Cluster B (23.3%) and A (8.3%). Avoidant (21.7%) and borderline (18.3%) were the most frequent single PD entities. ADHD patients with PD suffered from significantly more severe childhood ADHD compared to those without co-occurring PD. Applying the IPDE we confirmed a high number of PDs among adult ADHD patients. Our findings point to a higher vulnerability for the development of PDs in patients with severe childhood ADHD.     

When children are witnesses: The effects of context,age and gender on adults' perceptions of cognitive ability and honesty

The goals of the present study were to examine how context impacts perceptions of children, and the extent to which context interacts with a child's age and gender to alter adults perceptions of children. Specifically, we examine how perceptions of honesty (i.e. knowing the difference between truth and lie, being trusted by adults, being reliable, and honest) and cognitive ability (i.e. having a good memory for events and being able to attend and concentrate) are the same or different in the context of a child sexual abuse case (CSA) than when no context is provided. First, the results revealed few significant findings with regard to either juror or child gender. The analyses did reveal several context effects, with attention, trusted, reliable and honesty each producing higher ratings, and therefore better perceived memories, in the CSA condition than the no context condition. Also, ratings of all the dependent variables varied by age and 4 out of the 5 higher order interactions involved child age. Importantly, we found that ratings of honesty and cognitive abilities were not linear with age but, typically, ratings increased with age but then leveled out or started decreasing after 8 years‐of‐age. Copyright © 2010 John Wiley & Sons, Ltd.