Group cognitive-behavioral therapy for hoarding disorder: an open trial

Although cognitive-behavioral therapy (CBT) appears to be a promising treatment approach for hoarding disorder, treatment to date has been quite labor intensive. The goal of this study, therefore, was to assess the potential effectiveness of group CBT for hoarding, without home visits by the clinician. Forty-five individuals with hoarding disorder enrolled in either a 16 or 20 session program of group CBT; 30 (67%) completed treatment. Using mixed-effects models to account for missing data, we report data from 35 (78%) participants who provided enough data for analysis. Participants demonstrated significant improvements in hoarding symptoms, as well as symptoms of depression and anxiety, and quality of life. Improvements in hoarding symptoms were comparable to two published clinical trials on individual CBT for hoarding disorder. Results of this study suggest that group CBT for hoarding, without home discarding sessions by the clinician, may be an effective treatment option with the potential advantage of increasing treatment access by reducing clinician burden and cost of treatment.     

That All Might Proclaim: Continuing Luther's Legacy of Access

This article proposes that the next century of Lutheranism focus on equipping the priesthood of all believers to proclaim. Access was one of Martin Luther's central reforms and continues to be a hallmark of the Lutheran church. However, access to the pulpit has not gone far enough. For the sake of the gospel, a robust movement toward homiletical education for the laity must accompany a movement toward lay preaching.     

Obsessional Beliefs and Symptoms of Obsessive–Compulsive Disorder in a Clinical Sample

The aim of the present study was to investigate the relationships among a broad range of obsessive–compulsive disorder (OCD) symptoms and obsessional beliefs in a clinical sample of OCD patients. Ninety-nine treatment-seeking adult OCD patients completed the Obsessive Beliefs Questionnaire and the Obsessive–Compulsive Inventory-Revised. Hierarchical regression analyses, controlling for comorbid symptoms, suggested that washing was predicted by responsibility/threat estimation beliefs. Checking/doubting was not predicted by any obsessional beliefs. Hoarding was predicted by perfectionism/certainty beliefs. Neutralizing was predicted by responsibility/threat estimation beliefs. Obsessing was predicted by importance/control of thoughts and perfectionism/certainty beliefs. Ordering was predicted by perfectionism/certainty beliefs. A principal components analysis of OCD symptom dimensions and accompanying beliefs yielded two components, accounting for 53% of the variance: one, which was labeled “Fear/Threat,” consisted of importance/control of thoughts, obsessing, responsibility/threat estimation, and washing. The second, which was labeled “Incompleteness/Not Just Right,” consisted of neutralizing, perfectionism/certainty, checking/doubting, and hoarding.     

Changes in older Dutch adults’ role networks after moving

Using the convoy model (R. L. Kahn & T. C. Antonucci, 1980), this study examined the differential impact of relocation, depending on the distance moved, on the size of 3 types of role networks. A total of 890 Dutch nonmovers and 445 movers (aged 55–86 years) were selected from the Longitudinal Aging Study Amsterdam. Results of analyses of variance showed that the neighbor networks changed most after relocation. Long‐distance movers discontinued the largest number of relationships with fellow club members. As expected, moving did not affect coworker networks. The findings show that, consistent with the convoy model, role networks proved to be unstable. Older adults, however, restored their partial networks at the second observation by starting new relationships.     

The use of drawings as concrete referents in conditional reasoning problems

A mixed group containing university students, mostly studying mathematics, and some senior school pupils took two paper‐and‐pencil conditional reasoning tests in varying order with a one‐week interval between the tests. One test consisted of five problems presented entirely in written form. The second test took one of two forms, both identical to the first test except that in the first form inessential drawings were added to the presentation of four of the problems and in the second form drawings, which acted as concrete referents and were essential, were added to the same four problems. Irrespective of the order of testing, subjects' performance on the problems with drawings used as concrete referents was significantly worse than on the corresponding problems presented in written form. Furthermore, the results of the initial testing session showed the school group performed significantly worse on both the form of test with inessential drawings and the form with concrete referents than on the written form. In addition, a group of students with recent training in reasoning significantly outperformed all others. Finally, negative conclusion bias was only observed for the Modus Tollens inference. Copyright © 2002 John Wiley & Sons, Ltd.     

Influence of parent,child, and contextual factors on the quality of the home environment

The purpose of this study was to examine factors related to the quality of the home environments mothers provide for their infants. Data from the National Longitudinal Survey of Youth on 602 mothers with infants between 12 and 23 months of age were used for this study. Consistent with Belsky's model of the determinants of parenting, the quality of the home environment was influenced by maternal characteristics, child characteristics, and contextual factors. A positive linear relation was found between scores on a family risk index and the probability that infants were experiencing a relatively unsupportive home environment.     

Chief executive leadership style,consensus decision making,and top management team effectiveness

Using data from 79 high technology firms in the US and Ireland this study concludes that leadership style has both direct and indirect relationships with consensus decision making and with the reported effectiveness of top management teams. It focuses on what effective leaders do rather than the individual traits they possess and distinguishes between four styles of leadership: authoritarian (characterized by the use of instruction and non-contingent reprimand), transactional (influence via exchange of valued rewards for services/behaviours), transformational (inspiring followers to do more than originally expected), and laissez faire (avoiding decision making and supervisory responsibility). The transformational style of leadership was significantly and positively related, and the laissez faire style was significantly negatively related to reported team