Evaluation of a psychosocial intervention on social support, perceived control, coping strategies, emotional distress, and quality of life of breast cancer patients

The purpose of this research was to demonstrate that a specific psychosocial intervention changes reactions to cancer and quality of life. This study was carried out on 66 patients with a first breast cancer. Patients were randomly divided into two groups: a specific intervention group (G1, 8 sessions) or a support group (G2, 8 sessions). A control group (G3) was composed of patients who refused to participate in psychological intervention. Social support, perceived control, repression of emotions, coping strategies, emotional distress, and quality of life were assessed one week before (T1) and at the end (T2) of the psychological intervention. Results showed that G1 did not have significantly modified quality of life or psychological scores. Patients of G2 had poorer emotional quality of life, use of internal causal attributions, and minimized their illness at T1 as compared to patients of G3. At Time 2 these differences were not observed.     

Psychometric properties of reverse-scored items on the CES-D in a sample of ethnically diverse older adults

Reverse-scored items on assessment scales increase cognitive processing demands and may therefore lead to measurement problems for older adult respondents. In this study, the objective was to examine possible psychometric inadequacies of reverse-scored items on the Center for Epidemiologic Studies Depression Scale (CES-D) when used to assess ethnically diverse older adults. Using baseline data from a gerontologic clinical trial (n = 460), we tested the hypotheses that the reversed items on the CES-D (a) are less reliable than nonreversed items, (b) disproportionately lead to intraindividually atypical responses that are psychometrically problematic, and (c) evidence improved measurement properties when an imputation procedure based on the scale mean is used to replace atypical responses. In general, the results supported the hypotheses. Relative to nonreversed CES-D items, the 4 reversed items were less internally consistent, were associated with lower item-scale correlations, and were more often answered atypically at an intraindividual level. Further, the atypical responses were negatively correlated with responses to psychometrically sound nonreversed items that had similar content. The use of imputation to replace atypical responses enhanced the predictive validity of the set of reverse-scored items. Among older adult respondents, reverse-scored items are associated with measurement difficulties. It is recommended that appropriate correction procedures such as item readministration or statistical imputation be applied to reduce the difficulties.     

Placebo-mediated, Naloxone-sensitive suggestibility of short-term memory performance

Physiological studies of placebo-mediated suggestion have been recently performed beyond their traditional clinical context of pain and analgesia. Various neurotransmitter systems and immunological modulators have been used in successful placebo suggestions, including Dopamine, Cholecystokinin and, most extensively, opioids. We adhered to an established conceptual framework of placebo research and used the μ-opioid-antagonist Naloxone to test the applicability of this framework within a cognitive domain (e.g. memory) in healthy volunteers. Healthy men (n=62, age 29, SD=9) were required to perform a task-battery, including standardized and custom-designed memory tasks, to test short-term recall and delayed recognition. Tasks were performed twice, before and after intravenous injection of either NaCl (0.9%) or Naloxone (both 0.15 mg/kg), in a double-blind setting. While one group was given neutral information (S-), the other was told that it might receive a drug with suspected memory-boosting properties (S+). Objective and subjective indexes of memory performance and salivary cortisol (as a stress marker) were recorded during both runs and differences between groups were assessed. Short-term memory recall, but not delayed recognition, was objectively increased after placebo-mediated suggestion in the NaCl-group. Naloxone specifically blocked the suggestion effect without interfering with memory performance. These results were not affected when changes in salivary cortisol levels were considered. No reaction time changes, recorded to uncover unspecific attentional impairment, were seen. Placebo-mediated suggestion produced a training-independent, objective and Naloxone-sensitive increase in memory performance. These results indicate an opioid-mediated placebo effect within a circumscribed cognitive domain in healthy volunteers.     

Parents, children, and trauma: Parent role perceptions and behaviors related to the 9/11 tragedy

The trauma associated with 9/11 affected and continues to influence children, families, and other groups of people. While research is cataloging the various coping difficulties experienced, few studies specifically address issues related to parenting perceptions and related activities or behaviors. We examined individuals employed in close proximity to Ground Zero and considered these individuals’ perspectives regarding their parenting perceptions and behaviors. In addition to capturing parenting subsequent to 9/11, the researchers also asked participants about their parenting beliefs and behaviors prior to and immediately after 9/11. Additional variables, such as directly viewing 9/11 and participating in the evacuation, parent age and gender, child age and gender, and ethnicity, were considered in light of parenting beliefs and practices. The retrospective questions, while not ideal methodologically, reveal that some parent characteristics and behaviors changed immediately following 9/11 and subsequently returned to pre-9/11 levels, others changed and remain altered, while others stayed relatively stable over time. Implications of this research for further study as well as mental health practice related to children and families are presented.     

Competing for a desired reward in the Stroop task: when attentional control is unconscious but effective versus conscious but ineffective.

Recent studies using Stroop's paradigm have shown that word recognition processes can be controlled when the local context of the task is manipulated. In the present study, factors related to the participants' broader context (i.e., presence vs. absence of a competitor and of a desired reward) were manipulated. The results (1) support the conclusion that control of semantic-level activation can be unconscious but effective versus conscious but ineffective, (2) suggest that unconscious control alone operates on line (i.e., when the participant is responding), and (3) clarify the impact of socio-contextual factors that have been confounded in past research. Taken together, these findings strengthen the view that word recognition processes are controllable and offer new reasons to pay constant attention to the social environment of cognition.     

Using the Performance Diagnostic Checklist–Human Services to identify an indicated intervention to decrease employee tardiness

We assessed and reduced the tardiness of 4 direct‐care staff employed at a school that provides educational services to children with autism. The Performance Diagnostic Checklist – Human Services was administered to participants and their supervisors to identify one or more indicated interventions. Relative to baseline, tardiness was lower during intervention. The most effective intervention included task clarification, a problem‐solving discussion, tokens exchangeable for back‐up reinforcers, and weekly graphic feedback. Moreover, participants reported that the intervention components, particularly praise and a token, had high acceptability.     

Shifting from Treatment Plans to Action Plans: Solidifying the Therapeutic Alliance

This article summarizes the evolution of my theoretical orientation and treatment intervention style over the past thirty-something years. It discusses the pathways taken, influences felt, and experiences that have contributed to my expanding mindset and current therapeutic modus operandi, progressing from past to present. As to what will be in the future, that is difficult to predict as the metamorphosis keeps happening, although some components remain essential ingredients and provide grounding and balance. Que será, será sums up the future succinctly.     

Treating holocaust survivors

Contemporary Family Therapy - There has been a substantial body of literature on the political, economic and emotional legacy of the holocaust on the victims who survived and their families. It has...     

Cluttering: A matter of perspective

The evolution of a discipline such as speech-language pathology pivots around three points: theoretical underpinnings, research questions and methodologies, and clinical acumen. Moreover, the advancement of a given discipline rests on the extent to which these three elements are integrated. Cluttering, however, has attracted little interest in the United States until rather recent times, having experienced a long hiatus of relative neglect by speech-language pathologists. This hiatus was preceded by an initial spurt of clinical insights from phoniatrists and logopedists originally trained in Europe during the early decades of this century.     

Long Lasting Marriages in Chile

Reports the Chilean segment of a multicultural, multicountry (Canada, Germany, Israel, Netherlands, South Africa, Sweden, USA) study on long-term marriages. This pilot study is seen as a starting point in research focusing on the childhood background and family history of long-term marital partners in Chile. No statistically significant association between marital satisfaction and economic or educational level was found. A positive correlation was found between marital satisfaction and happiness during childhood. Love, trust, and loyalty appear to be the main ingredients of satisfaction for both satisfied and unsatisfied couples. The findings across countries as to the essential ingredients reported here have been remarkably similar.