Integrating Psychotherapeutic Processes with Cognitive Behavioral Procedures

There has been a recent focus on the processes that underlie intervention delivery for children and adolescents throughout the Cognitive-Behavioral Therapy (CBT) literature. Certain process variables have been associated with treatment outcome among youth receiving CBT. Data for these process variables including: the therapeutic alliance or therapeutic relationship, child and parent involvement, other child and therapist variables, and issues of diversity, are reviewed. Based on this data, specific clinical recommendations are made. The treatment relationship as a very important process (VIP), and the facilitation of CBT so that it is real and relevant to youth are emphatically discussed. Process issues in modular CBT are identified. Ultimately, genuine collaborative empiricism and guided discovery preserve the therapeutic relationship as a VIP, and foster the customization of therapeutic tools and the treatment trajectory.     

Unpopularity and disliking among peers: Partially distinct dimensions of adolescents' social experiences

The paper examines whether unpopularity and disliking among peers are partially distinct dimensions of adolescents' negative social experience. We recruited 418 students (187 boys, 231 girls, M = 12.12 years, SD = 4.33) from an urban junior high school. These early adolescents completed a peer nomination inventory assessing aspects of their social relationships with peers (i.e., popularity, liking, unpopularity and disliking), reciprocated friendships and behavioral reputations with peers (i.e., relationally and overtly aggressive, relationally and overtly victimized, withdrawn and prosocial). The participants also completed self-report inventories assessing their feelings of loneliness and peer victimization. In addition, academic performance data was obtained directly from school records. Hierarchical regression analyses showed that unpopularity and disliking among peers were associated with different behaviors. Unpopularity was also associated with reports of loneliness, relational victimization and low numbers of reciprocated friends, whereas disliking was associated with low academic performance. These results highlight the importance of multidimensional conceptualizations of negative social experiences in early adolescence and the differential risks associated with unpopularity and disliking among peers.     

Changes in team cognition after a retention interval: the benefits of mixing it up

This paper examines the retention of team cognition with changes in team membership. Hypotheses are developed from shared cognition and interactive team cognition theories. We report a study of the effects of Short (3-6 weeks) versus Long (10-13 weeks) retention intervals and change (Mixed) versus no change (Intact) in team membership during the interval on shared knowledge, team process, and team performance. The study context was a three-person Unmanned Aerial Vehicle (UAV) simulator. The long retention interval resulted in significantly lower team process scores and, except for the Short-Intact condition, all teams suffered a drop in performance after the break. However, those teams recovered prebreak levels of performance after one UAV mission. The counterintuitive result was that team mixing resulted in significant knowledge and process gains. An exploratory communication analysis indicated that Mixed team communication is longer in duration than Intact team communication, and Long-interval teams communicated more frequently than Short-interval teams. Unlike the Long-interval communication frequency effect, the Mixed team communication duration effect lasted throughout the experiment, suggesting greater interaction experience for Mixed teams. An exploratory mediation analysis indicated that the shared cognition Input-Process-Output framework was a good fit for the Intact team data, but not for the Mixed team data. We conclude that there are team-learning benefits of team mixing and that the interactive team cognition theory accounts better for those benefits than shared cognition theory.     

On substantial independence: a reply to Patrick Toner

Patrick Toner has recently criticized accounts of substance provided by Kit Fine, E. J. Lowe, and the author, accounts which say (to a first approximation) that substances cannot depend on things other than their own parts. On Toner??s analysis, the inclusion of this ??parts exception?? results in a disjunctive definition of substance rather than a unified account. In this paper (speaking only for myself, but in a way that would, I believe, support the other authors that Toner discusses), I first make clear what Toner??s criticism is, and then I respond to it. Including the ??parts exception?? is not the adding of a second condition but instead the creation of a new single condition. Since it is not the adding of a condition, the result is not disjunctive. Therefore, the objection fails.     

Facing Up to Aging: Mid-Life Women's Attitudes toward Cosmetic Procedures

Despite the fact that mid-life and older women are a major consumer group for cosmetic procedures (e.g., botox, face lifts), few studies have been done on their attitudes toward these procedures and their willingness to undergo them. The purpose of the present study was to gather information about the popularity of these procedures among a group of 57 mid-life American women, examine whether some personality and attitudinal measures might predict attitudes toward these procedures, and consider the ramifications of the data for the treatment of women in feminist therapy. About one third (38.5%) of our sample had had one or more cosmetic procedures, and 81% said that they would have a procedure if cost were not an issue. Positive attitudes toward cosmetic surgery and preoccupation with being over-weight best predicted women's interest in cosmetic procedures. The popularity of these procedures is discussed in light of the double standard of aging and age discrimination, weight as a “normative discontent,” and the ubiquity of advertisements for, and normalization of, these procedures in the popular media.     

Examining the relationship between at-risk gambling and suicidality in a national representative sample of young adults

Although many clinical studies document a relationship between gambling and suicidality, evidence of this association in general population surveys has been mixed. Probing this association in a nationally representative sample of young adults with data from the National Longitudinal Survey of Adolescent Health, we made same gender comparisons of depression and suicidality between 298 at-risk gamblers and 13,000 others. Although gamblers of both genders showed higher depression, only females reported significantly higher suicide thoughts and attempts. Males with gambling problems were no more likely than nongamblers to have suicide thoughts or to make prior suicide attempts on three separate measurement occasions.     

Auditory abnormalities in autism: toward functional distinctions among findings

Recently, findings on a wide range of auditory abnormalities among individuals with autism have been reported. To date, functional distinctions among these varied findings are poorly established. Such distinctions should be of interest to clinicians and researchers alike given their potential therapeutic and experimental applications. This review suggests three general trends among these findings as a starting point for future analyses. First, studies of auditory perception of linguistic and social auditory stimuli among individuals with autism generally have found impaired perception versus normal controls. Such findings may correlate with impaired language and communication skills and social isolation observed among individuals with autism. Second, studies of auditory perception of pitch and music among individuals with autism generally have found enhanced perception versus normal controls. These findings may correlate with the restrictive and highly focused behaviors observed among individuals with autism. Third, findings on the auditory perception of non-linguistic, non-musical stimuli among autism patients resist any generalized conclusions. Ultimately, as some researchers have already suggested, the distinction between impaired global processing and enhanced local processing may prove useful in making sense of apparently discordant findings on auditory abnormalities among individuals with autism.