Self-Defeating Behavior Workshops: Systems Approach for Hard-to-Serve Veterans

For the past two and one-half years, the self-defeating behavior (SDB) theory has been applied to a population of veterans who had a history of problems in job training, vocational placement, and academic settings. A group-therapy structure meeting eight times during a four-week period is the basic approach of the SDB seminar. In conjunction with the SDB seminar, a variety of support people and agencies have combined efforts to develop a systems approach to helping the veterans eliminate behaviors that are self-defeating. Results from the systems approach have been excellent.     

A Re-Examination of the Current Status and Future of Family Therapy in India

Marital and family counseling has existed in India for many decades. However, the formalized discipline of marital and family counseling/therapy has its theoretical foundation in the West. The purpose of this paper is to present an overview of the need for and the current status of the practice of marriage and family therapy (MFT) in India. Based on our limited experiences we have attempted to prognosticate the future of the profession of family therapy in India by proposing a number of salient issues that we think would be useful discussion points as the development and advancement of family therapy in India is considered.     

Factor structure of the Eating Disorder Examination Questionnaire (EDE-Q) in male and female college athletes

The study explored the psychometric properties of the Eating Disorder Examination Questionnaire (EDE-Q) among 1637 university students. Participants were divided into male (n = 432) and female (n = 544) competitive athletes, and male (n = 229) and female (n = 429) comparison groups comprised of individuals who had not engaged in competitive sports for at least one year. All groups were subjected to confirmatory factor analysis (CFA) to test the fit of the published factor structure in this population, and then exploratory FA (EFA). A three-factor solution was the best fit for three out of four groups, with a two-factor solution providing best fit for the male comparison group. The first factor for all groups resembled a combined Shape and Weight Concern subscale. The factor structure among male and female competitive athletes was remarkably similar; however, non-competitive athletic/low activity males appear qualitatively different from other groups.     

THE ENCHANTED BEDSIDE

This paper is based on the authors' work offering psychological therapies to patients and their families in a specialist palliative care unit, pre‐ and post‐death. In addressing issues of family interaction around the bedside of the dying patient, the authors have noted a pattern of events that arise from strongly ambivalent relationships.

In particular, family adjustment to the declining health of the patient is acted out in a physical and emotional move around the bedside, with a ‘hierarchy of bereavement’ indicating the status of the relationship to the patient. Previously conflicted feelings towards the dying patient are replaced by an impermeable idealization, lasting throughout bereavement.

In trying to understand this process of idealization the authors have used an analytical frame, referring to Freud and Klein and their work on mourning. This leads on to an exploration of the implications for clinical practice within palliative care. An unshifting idealization can be problematic for many reasons. The reader is left with a discussion about how to work best with families whose initial protective defence can easily crystallize into a long‐term grief reaction.     

Does trauma memory play a role in the experience of reporting sexual assault during police interviews? An exploratory study

A recent study indicated that 94.4% of reported sexual assault cases in the UK do not result in successful legal prosecution, also known as the rate of attrition (Kelly, Lovett, & Regan, 2005 Kelly, L., Lovett, J. and Regan, L. 2005. A gap or a chasm? Attrition in rape cases, London: Home Office.  [Google Scholar]). Scant research has examined the role of trauma-related psychological processes in attrition. Victims of sexual assault (N =22) completed questions about peri-traumatic dissociation, trauma memory fragmentation, account incoherence during police interview, and likelihood of proceeding with legal cases. Higher levels of dissociation during sexual assault were associated with participants reporting more fragmented trauma memories. Memory fragmentation was associated with participants indicating that they provided more incoherent accounts of trauma during police interview. Importantly, people who viewed themselves as providing more incoherent accounts predicted that they would be less likely to proceed with their legal cases. The findings suggest trauma impacts on memory, and these trauma-related disruptions to memory may paradoxically contribute to attrition.     

Clinical Commentary

Abstract

This paper is the narrative of a first-time father with a son born seven weeks early by Caesarean section. Against the anxiety and trauma of his infant's birth and his wife's illness, another inner darker drama is being relived. Michael shows all the wounds of a battered child. He asks two awesome questions - Will I be to my son as my father was to me? Will my son be to me as I was to my father? Fearful and at first unvoiced questions, the developing interviews gave them a voice. We respected Michael's sharing of the early and fearful days and nights when his infant first came home. We sometimes found it hard to empathize with his running away to hide in work, until we understood what he was hiding from. Most poignant was his struggle with his anger and hurt with his father and his desire to understand, ‘Why?’, so that he would not be like this to his son. We saw a sensitive revelation of life being born inside him anew, as he made contact with his real infant and his psychic infant within. Of particular interest was the therapeutic use of the research interview space and the interviewer.     

Brightness enhancement seen through a tube

We report a fascinating phenomenon that emerges when a surface is viewed through a tube held close to one eye, with the other eye open. The disk-shaped area seen through the tube looks strikingly brighter and, when viewed on a textured background, also of higher spatial contrast than the same surface area viewed without a tube. The effect is reminiscent of a spotlight illuminating the area under consideration. We call this the 'tube effect'. The tube effect is one of the strongest contrast illusions known to us. It requires a matching luminance that is twice as high as the reference luminance seen through the tube. Brightness ratings increase linearly with the log of the background luminance. The effect (i) produces a dark afterimage, (ii) reverses in polarity with low ambient illumination, (iii) assumes the complementary colour of the illuminant, and (iv) persists with fully dilated pupils. Potential explanations include simultaneous contrast (due to the penumbra and dark inner walls of the tube) and veiling of the surround (due to local adaptation and a lower gain factor).     

Adolescent Motivations to Engage in Pro‐Social Behaviors and Abstain From Health‐Risk Behaviors: A Self‐Determination Theory Approach

The present study used self‐determination theory to examine adolescents' motivations to engage in charitable donating and community volunteering and to abstain from sexual intercourse and marijuana use. The sample consisted of 419 late adolescents recruited from across the country through an online survey panel. Participants completed online measures of motivations to engage in donating and volunteering, motivations to abstain from sex and marijuana, and single‐item indexes of the four behaviors. Variable‐centered analyses (correlation and regression) found evidence for a general motivational factor, motivational specificity by behavioral domain (positive and negative behaviors), motivational specificity by particular behavior (charitable donating, volunteering, sexual risk‐taking, and marijuana use), and a stronger relative role for autonomous motivations than controlled motivations. Person‐centered analyses (cluster analysis) found four motivation profiles (low motivation, medium motivation, high motivation, and mixed motivation) for all four behaviors and suggested that level of autonomous motivation was a key factor differentiating the groups on levels of behavior. The findings suggest different levels of motivational specificity and highlight the importance of autonomous motivations in predicting behaviors as compared to controlled motivations. Further, similar patterns were found for motivations to engage and to abstain.     

Psychological Skills Do Not Always Help Performance: The Moderating Role of Narcissism

Psychological skills are typically viewed as beneficial to performance in competition. Conversely, narcissists appear to thrive in competitive environments so should not need psychological skills to the same degree as less narcissistic individuals. To investigate this moderating hypothesis high-standard ice-skaters completed measures of narcissism, psychological skills, and anxiety before performing their competition routine during training. A week later, participants performed the same routine in competition. Performance was operationalized as the difference between competition and training scores. Moderated regression analyses revealed that narcissism moderated the relationship between psychological skills and performance. Psychological skill effectiveness depends on an individual's degree of narcissism.