Comparison of the Effects of Telephone Suicide Prevention Help by Volunteers and Professional Paid Staff: Results from Studies in the USA and Quebec,Canada

Research since the 1960s has consistently found that lay volunteers are better at helping suicidal callers than professionals. Yet, professional degrees are increasingly becoming requirements for helpline workers. In our first study, we conducted post hoc comparisons of U.S. helplines with all professional paid staff, all lay volunteers, and a mix of both, using silent monitoring and standardized assessments of 1,431 calls. The volunteer centers more often conducted risk assessments, had more empathy, were more respectful of callers, and had significantly better call outcome ratings. A second study of five Quebec suicide prevention centers used silent monitoring to compare telephone help in 1,206 calls answered by 90 volunteers and 39 paid staff. Results indicate no significant differences between the volunteers and paid employees on outcome variables. However, volunteers and paid staff with over 140 hours of call experience had significantly better outcomes. Unlike the United States, Quebec paid employees were not required to have advanced professional degrees. We conclude from these results and previous research that there is no justification for requiring that suicide prevention helpline workers be mental health professionals. In fact, the evidence to date indicates that professionals may be less effective in providing telephone help to suicidal individuals when compared to trained lay volunteers.     

The DSM‐IV‐TR and Culture: Considerations for Counselors

Although counselors receive training in both diagnosis and cultural foundations of human behavior, little literature or research integrates these 2 areas in order to facilitate culturally sensitive diagnostic practices. The authors attempt to rectify that lack by providing a review of the literature on the controversies associated with traditional diagnosis of cultural groups that differ from the dominant culture. Practical guidelines for culturally sensitive diagnosis are provided.     

A Relational Frame and Artificial Neural Network Approach to Computer-Interactive Mathematics

The Psychological Record - Fifteen participants unfamiliar with mathematical operations relative to reflections and vertical and horizontal shifts were exposed to an introductory lecture regarding...     

Death anxiety and sexual risk-taking: different manifestations of the process of defense

College students(n = 162) completed measures of death anxiety and sexual risk-taking, with a thought listing procedure in-between. Those who completed the death anxiety measure first (Death Salient condition) reportedgreater willingness to engage in high-risk sexual behavior than the Non-Death Salient group. This result was consistent with the hypothesis that evoking death anxiety would produce denial-based defensive activity. Also, Death Salient participants reporting more death thoughts were lower on risk-taking, as predicted. Interestingly, Death Salient participants reporting stressful thoughts about issues unrelated to personal mortality (displacement) were also less willing to engage in high-risk sexual behavior. The results are discussed in relation to a new, avowal-based model of the process of psychological defense.     

Regional Analysis of Self‐Reported Personality Disorder Criteria

ABSTRACT Building on the theoretical work of Louis Guttman, we propose that the core problem facing research into the multidimensional structure of the personality disorders is not the identification of factorial simple structure but rather detailed characterization of the multivariate configuration of the diagnostic criteria. Dimensions rotated to orthogonal or oblique simple structure are but one way out of many to characterize a multivariate map, and their current near universal application represents a choice for a very particular set of interpretive advantages and disadvantages. We use multidimensional scaling and regional interpretation to investigate the structure of 78 self‐reported personality disorder criteria from a large sample of military recruits and college students. Results suggest that the criteria have a three‐dimensional radex structure that conforms only loosely to the 10 existing personality disorder (PD) categories. Regional interpretation in three dimensions elucidates several important aspects of PDs and their interrelationships.     

Zur Dynamik der Interaktion in der Supervision

The manifold functions of a supervisor in following the course of complex processes together with the trainee, are: ? to keep the goals of the supervision in view, ? to establish a teaching alliance and to support the wish and ambitions of the candidate to learn, ? to build a platform for the complex interactions with the trainee with regard to the dynamics of the training situation and keeping in mind the institutional influences, ? to lay down the setting for the work, ? to explore and to reflect how transference and counter-transference influence the interaction between patient and analyst as well as between trainee and supervisor, ? to examine these interactions together focussing continuously on the interaction between candidate and patient, and to encourage the candidate to do the same on his own, ? to continuously formulate hypotheses about the core conflict, the transference phenomena and resistance of the patient, ? to explore and reflect on the cooperative work.