Group Cognitive Behavioral Treatment for PTSD: Treatment of Motor Vehicle Accident Survivors

Individual cognitive behavioral therapies (CBT) are now considered the first-line treatment for posttraumatic stress disorder (PTSD; Foa, Keane, & Friedman, 2000). As mental health reimbursement becomes more restricted, it is imperative that we adapt individual-format therapies for use in a small group format. Group therapies have a number of advantages, including provision of a natural support group, the ability to reach more patients, and greater cost efficiency. In this article, we describe the development of a group CBT for PTSD in the aftermath of a serious motor vehicle accident (MVA). Issues unique to the group treatment format are discussed, along with special considerations such as strategies to reduce the potential for triggering reexperiencing symptoms during group sessions. A case example is presented, along with discussion of group process issues. Although still in the early stages, this group CBT may offer promise as an effective treatment of MVA-related PTSD.     

CHANCE AND NECESSITY IN ARTHUR PEACOCKE'S SCIENTIFIC WORK

Arthur Peacocke was one of the most important scholars to contribute to the modern dialogue on science and religion, and for this he is remembered in the science‐religion community. Many people, however, are unaware of his exceptional career as a biochemist prior to his decision to pursue a life working as a clergyman in the Church of England. His contributions to studies of deoxyribonucleic acid (DNA) structure, effects of radiation damage on DNA, and on the interactions of DNA and proteins are among the most important in the field at the time and have had a lasting scientific impact that is still felt today. Peacocke's arguments with Jacques Monod over stochastic (chance) and deterministic (necessity) processes driving evolution became important independently for both the science and the religion communities and appear to have contributed significantly to his decision to become involved in science‐religion dialogue rather than continuing his work exclusively in the field of science. Nevertheless, although Peacocke took on an active church life and ceased his experimental work, he never left science but continued to read the scientific literature and published a scientific review on different approaches in defining DNA structure as recently as 2005.     

Correlates of changes in voluntary physical activity associated with the Youth Fit For Life intervention during after-school care

Overweight in youth is increasing and physical inactivity has been implicated as a causal factor. An after-school care intervention, Youth Fit For Life, has been associated with significant improvements in physiological factors and frequency of moderate-to-vigorous physical activity voluntarily completed outside of structured settings. Correlates of the observed changes in physical activity amounts were, however, unknown. A multiple regression equation with simultaneous entry of sex, age, race, initial Body Mass Index, and initial frequency of voluntary physical activity as predictor variables for changes in physical activity was calculated on Euro-American and African-American participants ages 8 to 12 years (N=217). A statistically significant 16% of the variance in changes in frequency of voluntary physical activity over 12 wk. was accounted for, with only voluntary physical activity at baseline and age making significant, unique contributions. For participants either overweight or at risk for overweight (n=72), the changes in physical activity significantly correlated with changes in Body Mass Index. Implications of findings to maximize treatment effects on voluntary physical activity were suggested.     

From Sole Learning to Soul Learning

Abstract. Is it effective or even possible to teach an introductory course in religious studies that not only provides first‐year university students with the fundamental vocabulary, concepts, and critical tools of religious inquiry but also invites and stimulates the transformation of the religious imagination? In what kind of teaching and learning method could the process of personal transformation occur and how might one assess it? These are the questions that led to an experiment in teaching religion the objective of which was to prepare beginning students for the academic approach to religion and, at the same time, transmit the experience of learning as an embodied process that engages personal narrative within a community context. This essay is based on a three‐year project that has made considerable progress in meeting these goals and answering these questions. (Supplementary materials for this essay are available on the Wabash Center for Teaching and Learning in Theology and Religion web site http://www.wabashcenter.wabash.edu/journal/baldwin.html .)     

Virtual Reality Exposure Therapy for PTSD symptoms after a road accident: an uncontrolled case series

This report examined whether Virtual Reality Exposure Therapy (VRET) could be used in the treatment of posttraumatic stress disorder (PTSD) symptoms in the aftermath of a serious motor vehicle accident. Six individuals reporting either full or severe subsyndromal PTSD completed 10 sessions of VRET, which was conducted using software designed to create real-time driving scenarios. Results indicated significant reductions in posttrauma symptoms involving reexperiencing, avoidance, and emotional numbing, with effect sizes ranging from d=.79 to d=1.49. Indices of clinically significant and reliable change suggested that the magnitude of these changes was meaningful. Additionally, high levels of perceived reality ("presence") within the virtual driving situation were reported, and patients reported satisfaction with treatment. Results are discussed in light of the possibility for VRET to be useful in guiding exposure in the treatment of PTSD following road accidents.     

Understanding the relationship between posttraumatic stress disorder and trauma cognitions: The impact of thought control strategies

Several models of PTSD suggest that dysfunctional beliefs play an important role in the maintenance of PTSD. This study examined whether thought control strategies intermediated in the relationship between PTSD and dysfunctional cognitions. It was hypothesized that PTSD would be positively associated with dysfunctional cognitions and that negative thought control strategies (worry and self-punishment) would partially account for this relationship. These maladaptive strategies were predicted to be associated with increased levels of PTSD and more trauma-related beliefs. Additionally, it was predicted that positive thought control strategies (social control and reappraisal) would be associated with decreased levels of PTSD and fewer trauma-related beliefs. Finally, because the literature supports distraction as both an adaptive and a maladaptive thought control strategy, no a priori hypothesis was made. Results support worry and self-punishment as maladaptive intervening variables in the association between PTSD and dysfunctional cognitions, resulting in greater levels of PTSD and trauma cognitions. Social control and distraction emerged as adaptive strategies, resulting in lower levels of PTSD and trauma cognitions, while reappraisal showed no relationship with PTSD severity. Although the results are cross-sectional, continued focus on the effects of thought control strategies as meditational maintenance variables over time appears warranted.     

The 'open circle' in counsellor education and training: Rationale and criticisms

The apparently simple open circle is described and five elements of a rationale are discussed: that it acts as a 'buffer'; contributes efficiently towards developing trust; highlights aspects of self-disclosure; enhances awareness of emotions, biases etc; and, most subtly, provides practice of feeling sympathetic but not 'rescuing'. In the final section, four criticisms of the open circle are countered: that it is pointless; artificial; taxing; and insensitive.     

The Portrayal of Men's Family Roles in Television Commercials

This study examines the portrayal of men infamily roles, as fathers and husbands, on televisioncommercials. A content analysis of commercials airedduring football, daytime, and prime time is carried out. The sample size of characters is 944, mostof whom are middle-class, non-Hispanic whites. Men withchildren but no spouse are more likely to be shownduring football than are women with children but no spouse. Advertisements for computers andelectronics are more likely to include men with childrenbut no spouse than women with children but no spouse.Men appearing alone with children are more likely to be shown outside than women alone withchildren. Men are less likely to be portrayed cooking,cleaning, washing dishes, and shopping than women. Menwithout spouses are more likely to be shown with boys and less likely to be shown with infants thanwomen without spouses. Men are infrequently shown takingcare of a child and are never shown caring for girls.However, men are often shown teaching, reading, talking, eating, and playing with children. Tothe extent that men are shown as more involved in familylife, they still tend to depend largely on knowledge andactivities that are stereotypically male.