Manualized Group Cognitive-Behavioral Therapy for Social Anxiety in At-Risk Mental State and First Episode Psychosis: A Pilot Study of Feasibility and Outcomes

Social anxiety has received scant attention in studies of schizophrenia and related psychoses. However, some data suggest it may be an obstacle to vocational and functional outcome. This pilot study investigated the feasibility of a group-based cognitive behavioral therapy (CBGT) to reduce social anxiety in those at risk for developing psychosis or in the early phase. Twenty-nine patients with first-episode psychosis (FEP) or at ultra high risk for developing psychosis or often referred to as at-risk mental state (ARMS) with comorbid social anxiety attended a CBGT intervention weekly for 14 weeks in 90-minute sessions. Baseline, post-treatment, and follow-up ratings of social anxiety were measured using the Social Interaction Anxiety Scale, the Social Phobia Inventory, and the Brief Social Phobia Scale. Psychotic symptoms and general psychopathology were also measured before and after the intervention. Results suggest that the proposed CBGT is feasible and beneficial for socially anxious patients at risk, or with experience of, psychosis. Participants significantly improved on three outcome measures of social anxiety after completing this intervention (all p’s < .002). Participants who completed treatment also showed a significant reduction on measures of depression and negative symptoms. Future research should examine the relative efficacy of this brief manualized CBGT intervention for the treatment of social anxiety and psychotic symptoms in a larger randomized controlled trial.     

The Cost of Caring? Emotional Labour,Wellbeing and the Clergy

Although members of the clergy experience working conditions that have been associated with “emotional labour”, little is known about the impact of this aspect of the job role on wellbeing. This study examined relationships between emotional labour and psychological distress and intrinsic job satisfaction in 188 UK-based clergy. Also investigated were the potential moderating effects of social support and training in counselling skills. Findings revealed significant associations between emotional labour and both psychological distress and job satisfaction. Evidence was found that counselling training and a wider social network may protect clergy from the negative impact of emotional labour, but social network size may also be a risk factor for wellbeing. Further research should examine the impact of emotional labour on clergy, and the factors that might help them manage this more effectively.     

Chinese children's evaluations of white lies: weighing the consequences for recipients

This research examined how Chinese children make moral judgments about lie telling and truth telling when facing a “white lie” or “politeness” dilemma in which telling a blunt truth is likely to hurt the feelings of another. We examined the possibility that the judgments of participants (7-11 years of age, N = 240) would differ as a function of the social context in which communication takes place. The expected social consequences were manipulated systematically in two studies. In Study 1, participants rated truth telling more negatively and rated lie telling more positively in a public situation where telling a blunt truth is especially likely to have negative social consequences. In Study 2, participants rated truth telling more positively and rated lie telling more negatively in a situation where accurate information is likely to be helpful for the recipient to achieve future success. Both studies showed that with increased age, children’s evaluations became significantly influenced by the social context, with the strongest effects being seen among the 11-year-olds. These results suggest that Chinese children learn to take anticipated social consequences into account when making moral judgments about the appropriateness of telling a blunt truth versus lying to protect the feelings of another.     

Children's moral evaluations of reporting the transgressions of peers: age differences in evaluations of tattling

The way children evaluate the reporting of peers' transgressions to authority figures was investigated. Participants, ages 6-11 years (N = 60), were presented with a series of vignettes, each of which depicted a child who committed either a minor transgression (such as not finishing the vegetables at lunch) or a more serious transgression (such as stealing from a classmate). Participants were asked to evaluate the decision of a child observer who either did or did not report the transgression to a teacher. Younger children considered reporting to be appropriate for both types of transgressions, but older children considered reporting to be appropriate for major transgressions only. Results are interpreted with reference to (a) a changing peer culture in which the social cost of reporting transgressions increases and (b) a developmental change in children's cognitive capabilities.     

Interactive voice response for relapse prevention following cognitive-behavioral therapy for alcohol use disorders: a pilot study

Relapse after alcoholism treatment is high. Alcohol Therapeutic Interactive Voice Response (ATIVR) is an automated telephone program for posttreatment self-monitoring, skills practice, and feedback. This pilot study examined feasibility of ATIVR. Participants (n = 21; 57% male) had access to ATIVR for 90 days following outpatient group cognitive-behavioral therapy (CBT) to make daily reports of mood, confidence in sobriety, urges to use substances, and actual use. Reports of relapse or risk were followed with additional questions. Participants received personalized therapist feedback based on responses, and could access recorded CBT skill reviews. Pre-post assessments included: alcohol consumption (Timeline Follow-Back), self-efficacy (Situational Confidence Questionnaire), and perceived coping ability (Effectiveness of Coping Behaviors Inventory). Participants called on 59% of scheduled days and continued making calls for an average of 84 days. Following ATIVR, participants gave feedback that ATIVR was easy to use and increased self-awareness. Participants particularly liked the therapist feedback component. Abstinence rate increased significantly during ATIVR (p = .03), and both self-efficacy and coping significantly improved from pre-CBT to post-ATIVR (p < .01). Results indicate ATIVR is feasible and acceptable. Its efficacy should be evaluated in a randomized controlled trial.     

Achievement is a Relation, Not a Trait: The Gravity of the Situation

Ability and achievement are not traits: they are relations. Mistaking traits for relations has a history even in science (our understanding of gravity). This mistake is possibly responsible for the lackluster performance of the results of our educational research when we have tried to use it to inform policy. It is particularly troublesome for interventions that target ??children at risk.?? The paper provides a quasi-formal outline of achievement as a relation and it then uses the outline to explain some problematic research findings.     

Young children's beliefs about self‐disclosure of performance failure and success

Self‐disclosure of performance information involves the balancing of instrumental, learning benefits (e.g., obtaining help) against social costs (e.g., diminished reputation). Little is known about young children's beliefs about performance self‐disclosure. The present research investigates preschool‐ and early school‐age children's expectations of self‐disclosure in different contexts. In two experiments, 3‐ to 7‐year‐old children (total N = 252) heard vignettes about characters who succeeded or failed at solving a puzzle. Both experiments showed that children across all ages reasoned that people are more likely to self‐disclose positive than negative performances, and Experiment 2 showed that children across all ages reasoned that people are more likely to self‐disclose both positive and negative performances in a supportive than an unsupportive peer environment. Additionally, both experiments revealed changes with age – Younger children were less likely to expect people to withhold their performance information (of both failures and successes) than older children. These findings point to the preschool ages as a crucial beginning to children's developing recognition of people's reluctance to share performance information.     

Affect Theory in Reading Research: Imagining the Radical Difference

Abstract

Working through four key tenets of Deleuze–Guattarian theory, the authors describe how contemporary affect theory offers a radically different perspective on reading. Asking how we can conceptualize reading differently if we conceptualize affect differently, we argue that possible meanings of reading or experiences of reading must be considered not as inherent to internal experiences of reading but as composed and recomposed in sets of affective relations. Using an example of two children reading, we consider how reading, as a material doing, takes up and is taken up by bodies, materials, spaces, histories, feelings, and ideas. To consider affect as the property of sets of present relations rather than of the individual prompts us to consider how the various elements assemble and break apart to produce intensities in which reading participates. Deprivileging human intentionality or motivations, we ask, “In a given instance, what conditions of possibility are being produced and for whom, and how are participants taking up or being moved by those conditions?” We conclude with suggestions for how contemporary affect theory can reorient our understanding of reading research.     

Children's reasoning about evaluative feedback

Children's reasoning about the willingness of peers to convey accurate positive and negative performance feedback to others was investigated among a total of 179 6‐ to 11‐year‐olds from the USA and China. In Study 1, which was conducted in the USA only, participants responded that peers would be more likely to provide positive feedback than negative feedback, and this tendency was strongest among the younger children. In Study 2, the expectation that peers would preferentially disclose positive feedback was replicated among children from the USA, and was also seen among younger but not older children from China. Participants in all groups took the relationship between communication partners into account when predicting whether peers would express evaluative feedback. Results of open‐ended responses suggested cross‐cultural differences, including a greater emphasis by Chinese children on the implications of evaluative feedback for future performance, and reference by some older Chinese children to the possibility that positive feedback might make the recipient ‘too proud’.