An evaluation of the effectiveness and acceptability of a new technology system to support psychotherapy helping skills training

Training counselling and psychotherapy skills using new technology is a relatively unresearched area of study. The findings from a pilot evaluation of the effectiveness and acceptability of a new technology, mPath, using a mixed method design are reported. The study found that progressive integration of the new mPath technology into learning helping skills had the best results on developing competency, as assessed by the Person‐Centred Experiential Psychotherapy Scale Training Version. Qualitative interviews showed the technology was acceptable to users. Further research is needed in this emerging field of deliberate practice.     

Competence to make treatment decisions in anorexia nervosa: thinking processes and values

This paper explores the ethical and conceptual implications of the findings from an empirical study of decision-making capacity in anorexia nervosa. In the study, ten female patients aged 13 to 21 years with a diagnosis of anorexia nervosa, and eight sets of parents, took part in semi-structured interviews. The purpose of the interviews was to identify aspects of thinking that might be relevant to the issue of competence to refuse treatment. All the patient participants were also tested using the MacCAT-T test of competence. This is a formalised, structured interviewer-administered test of competence, which is a widely accepted clinical tool for determining capacity. The young women also completed five brief self-administered questionnaires to assess their levels of psychopathology.The issues identified from the interviews are described under two headings: difficulties with thought processing, and changes in values. The results suggest that competence to refuse treatment may be compromised in people with anorexia nervosa in ways that are not captured by traditional legal approaches or current standardised tests of competence.     

The interrater reliability of DSM III in children

A total of 195 admissions to a child psychiatric inpatient unit were diagosed independently by two to four clinicians on the basis of case presentations at the first wardround after admission. The DSM HI as a whole and the major categories were of high or acceptable reliability, though a few were clearly unreliable. The results are generally consistent with other studies. Unlike other studies, the subcategories were examined and found to vary widely in reliability both as a whole across the system and within parent major categories, throwing considerable doubt upon their utility. The results indicate the need both for improved diagnostic datagathering techniques in child psychiatry and for more betterdesigned studies of reliability and, most necessarily, of validity.     

Suicide Ideation and Attempts among Low‐Income African American Adolescents

We examined the impact of risk and protective factors on the odds that African American adolescents seriously think about or attempt suicide. Data from students in grades 5–12 in a mostly urban, southeastern U.S. school district were analyzed. Findings support earlier work documenting differences in gender and grades. Risk factors were uniformly significant in understanding both ideation and attempts. Protective factors were not consistent predictors; the lowering role of religious protective factors was limited, though student's belonging to or their perception of belonging to a spiritual community was a significant factor in lowering the odds of suicide ideation.     

Examining the relationship between emotion regulation deficits and borderline personality disorder features: A daily diary study

This study used a six-day daily diary methodology to precisely specify the nature of emotion regulation deficits associated with borderline personality disorder (BPD) features. Three possibilities were explored: that BPD features are associated with (1) the overall underuse of emotion regulation strategies; (2) the overuse of dysfunctional and the underuse of functional strategies; and (3) the lower perceived effectiveness of emotion regulation strategies. One hundred and fifty-four undergraduate participants completed self-report measures of BPD feature severity, and then reported their daily negative emotional intensity, whether or not they used various emotion regulation strategies, and whether or not the strategies that they used were effective across a six-day period. Higher BPD features were associated with (a) higher total frequency use of emotion regulation strategies; (b) higher frequency use of dysfunctional and functional emotion regulation strategies; and (c) less self-reported effectiveness of functional strategies. BPD features may be characterized by increased attempts to regulate emotions, without corresponding increases in perceived effectiveness.     

Why are they being so nice to us? Social identity threat and the suspicion of Whites’ motives

Abstract

Stigmatizing racism has made Whites’ kindness attributional ambiguous to people of color (POC). When this ambiguity is experienced in domains where stereotypes are active, POC may experience praise from Whites as a form of social identity threat. The current article reviews how POC are predicted to respond to Whites’ positivity as a function of their beliefs about Whites’ motives. To the extent that POC are suspicious of Whites’ motives and chronically discount positivity from Whites, praise and positive overtures from Whites were predicted to be threatening. Evidence suggests that POC suspicious of Whites motives are the most sensitive to positive responses from Whites, reacting with both greater threat and social accuracy compared to non-suspicious POC. The current work reviews the empirical evidence on suspicion and highlights avenues for future research that explores suspicion’s origins and capacity to shape the academic and professional identities of POC.     

African American Women's Substance Use Recovery Experiences: A Phenomenological Inquiry

We examined the lived substance use recovery experiences of eight African American women. Specifically, in this study, we examined how participants were able to achieve sustained recovery without the aid of substance use treatment. Using transcendental phenomenological analysis, we found that participants used four components of recovery capital: family, spirituality, religion, and the Black Church. This study has important relevance to working with African American women in substance use recovery.     

BEHAVE—An automated data analysis system for observed events

This paper first defines the context of automated data analysis systems and then mentions approaches to analysis of data by systems of this type. It then briefly describes the BEHAVE data structure and proceeds to a discussion of the BEHAVE data analysis package which provides the user with summary information concerning organization of data.     

Perspectives on self and other: Male-female differences in perceptions of communication behavior

Two studies were conducted to examine male-female differences in perceptions of subjects' own and their best-liked others' communication behavior. The results of the first study indicated that males and females hold relatively stereotypical views of their own communication behavior. Males perceived themselves as more controlling and detached, while females saw themselves as more nurturant and more dependent. The results from the second study indicated that the discriminating dimensions for the same-sex friendships of both males and females were attention-seeking and self-dramatizing communication behaviors. In an opposite-sex relationship, however, the discriminating communication behaviors for males and females were nurturance and dependency. The implications of these findings are discussed.Both authors would like to thank Edmund Kaminski, currently a doctoral candidate at Michigan State University, for his valuable assistance on this project.