The Persistent Case of Major Depression: An Argument for Long-Term Treatment

According to psychotherapy outcome literature, treatments for major depressive disorder (MDD) yield impressive results. Study after study demonstrates the efficacy of brief, evidence-based interventions for depressed individuals. Nevertheless, MDD continues to exact a devastating toll on modern society. The World Health Organization has identified it as the leading cause of disability worldwide. This reality is surprising given the implications from the academic literature. A historical analysis of MDD treatment suggests that most people with MDD experienced complete remission and enhanced outcomes when long-term, psychodynamically influenced treatments prevailed. An analysis of the system that perpetuates the brief intervention model for MDD, managed care, is discussed. This analysis is followed by a case study that illustrates the harm managed care can do to patients with MDD who are not permitted treatment of longer duration. Implications and recommendations for psychologists to intervene at the micro and macro levels are discussed.     

The Interactive Effects of Task and External Feedback on Practice Performance and Learning

The interactions of task and external feedback on practice performance and learning were examined. While external feedback was consistently beneficial to performance during practice, regardless of the availability of feedback from the task, it was detrimental to learning when the task provided little feedback. External feedback benefited learning only when feedback was also available from the task. In addition, task feedback benefited learning, partially due to its effects on error detection and correction skills. Results suggest the importance of examining the simultaneous provision of feedback from different sources, studying the role of task feedback in learning, and more cleanly assessing learning to avoid confounding it with transient performance improvements.     

Phase Transitions and Critical Fluctuations in Rhythmic Coordination of Ipsilateral Hand and Foot

Four subjects performed rhythmic movements of the ankle and the wrist in time with an auditory metronome, in two modes of coordination, antiphase and in-phase. The forearm was placed in either a prone or a supine position. When movements were prepared in the antiphase mode, spontaneous transitions to the in-phase mode, or to phase wandering were observed as metronome frequency was increased. When prepared in the in-phase mode, transitions between in-phase modes or to phase wandering were occasionally observed. Predicted signature features of nonequilbrium phase transitions were noted, including loss of stability and critical fluctuations. The stability of the movement patterns was determined by spatial (dependent upon the direction of movement) rather than anatomical (dependent on the coupling of specific muscle groups) constraints. The position of the forearm had no consistent bearing upon the variability of the phase relations between the limbs, the frequency of phase transitions, or the time of onset of transitions. These results are discussed with reference to the coordination dynamics (e.g., multistability, loss of stability) of multijoint movements.     

Patterns of Posttraumatic Stress Symptoms Among United States Air Force Combat Search and Rescue Personnel

U.S. Air Force (USAF) combat search and rescue (CSAR) aircrew and special duty rescue personnel are specially trained airmen with high levels of direct exposure to combat-related medical trauma. The purpose of this study was to explore the prevalence rate of CSAR military personnel meeting the Diagnostic and Statistical Manual of Mental Disorders (fifth edition; DSM–5) posttraumatic stress disorder (PTSD) symptom criteria. USAF CSAR aircrew (n = 128) and rescue personnel (n = 300) across multiple units participated in the study by completing a demographics survey and the PTSD checklist based on DSM–5. Fourteen participants endorsed a pattern of symptoms of moderate to extreme level of severity meeting PTSD diagnostic criteria. Recommendations are provided for line and medical leadership to optimize health and performance among CSAR personnel.     

Relation of Age of Onset to the Type and Severity of Child and Adolescent Conduct Problems

In a cross-sectional household sample of 9-through 17-year-old youths from 4 U.S. communities, youths with earlier ages of onset of conduct problems engaged in more conduct problems than youths with later ages of onset when current age and gender were controlled. Specifically, youths with earlier ages of onset were more likely to engage in several types of physical aggression, frequent lying, theft, and vandalism and were less likely to engage in only truancy. There also was an inverse relation between age of onset and level of functional impairment, mental health service use, and meeting diagnostic criteria for conduct disorder, attention-deficit hyperactivity disorder, and oppositional defiant disorder. Within the limits of cross-sectional data, these results support the hypothesis that key aspects of the heterogeneity of conduct problems among youths are related to the age of onset of conduct problems.     

Feeling our way into empathy: Carl rogers,Heinz Kohut,and Jesus

Throughout their academic careers Carl Rogers and Heinz Kohut developed two contrasting definitions of empathy that influenced the ways in which both men sought to help their clients cope with emotional suffering. These two different understandings of empathy are contrasted to each other and finally compared with the understanding of empathy demonstrated in the teachings and actions of Jesus. It is hoped that through studying these ancient religious narratives we might be able to recover a deeper meaning of empathy.     

Gender Differences in Parent–Child Emotion Narratives

Early parent–child conversations about past emotional experiences provide a rich environment for the socialization of emotions. This study explored the role of parent and child gender in this process. Participants were 21 White, middle-class, 40- to 45-month-old children and their mothers and fathers. At separate home visits, each parent discussed with their child four specific past events during which the child experienced happiness, anger, sadness, and fear, respectively. Mothers conversed more overall, talked more about emotional aspects of the experience, and used more emotion words than did fathers. Similarly, girls talked more about emotional aspects of their experiences than did boys. Further, girls used more emotion words when discussing scary events than did boys. Most intriguingly, both mothers and fathers used more emotional utterances when discussing sad events with daughters than with sons. Parent–daughter dyads also placed emotional experiences in a more interpersonal context than did parent–son dyads. Implications for the development of gender, emotional understanding, and clinical repercussions are discussed.     

Use of the frostig DTVP with economically disadvantaged children

This research dealt with the reliability and validity of the DTVP when used with a sample of economically disadvantaged, predominantly Negro children from a large eastern city. Regarding reliability, test-retest and split-half procedures were employed; for validity the test was correlated with intelligence and achievement measures. The authors concluded that (a) the total test values alone evidence the necessary reliability to be used with confidence for diagnostic purposes, and (b) the validity of the measure has not been sufficiently demonstrated.