Reframing the DSM‐IV‐TR From a Multicultural/Social Justice Perspective

The Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; American Psychiatric Association, 2000) represents a medical model that can be reframed for more effective use in counseling. To achieve this goal, the authors describe how they can shift from client diagnosis to case formulation. In describing this shift, the authors offer an example of a theory‐based etiology and relate case formulation to specific counseling interventions.     

Panic disorder: the psychobiology of external treat and introceptive distress

Panic disorder seems to be mediated by the neuronal circuitry and neurochemical systems that have evolved to respond to external threatening stimuli. Distant threats activate prefrontal cortex (involved in complex planning of avoidance strategies), while immediate threats activate midbrain structures (involved in fast reflexive behaviors). Panic disorder may, however, also involve more specific interoceptive mechanisms. For example, the association between respiratory dysfunction and panic disorder has bolstered a false suffocation alarm hypothesis. Genetic and environmental contributors to panic disorder are beginning to be delineated. Effective pharmacotherapy and psychotherapy are able to normalize the relevant psychobiology.     

Community psychology,digital technology,and loss: Remembrance activities of young adults who have experienced the death of a close friend

We argue for community psychology to include digital communications technology in research on ways that the social environment shapes fundamental human experiences. We present a qualitative study that examined the narrative accounts of 20 young adults who experienced the death of a close friend to describe both traditional and digital forms of remembrance in coping with loss. Findings suggest that young adults' activities both online and offline were intended to acknowledge the loss, exchange social support, create and sustain memories of their deceased friend, and facilitate continued communication with the deceased. Participants described both costs and benefits to their real and virtual remembrance activities. Findings illustrate ways that the study of digital technology adds to our understanding of grief and bereavement and contributes to dominant cultural narratives about coping with death. Implications of findings for research in community psychology are discussed.     

A meta-analytic review of cognitive processing therapy for adults with posttraumatic stress disorder

Numerous studies have demonstrated the efficacy of cognitive processing therapy (CPT) for treating posttraumatic stress disorder (PTSD). Two prior meta-analyses of studies are available but used approaches that limit conclusions that can be drawn regarding the impact of CPT on PTSD outcomes. The current meta-analysis reviewed outcomes of trials that tested the efficacy of CPT for PTSD in adults and evaluated potential moderators of outcomes. All published trials comparing CPT against an inactive control condition (i.e. psychological placebo or wait-list) or other active treatment for PTSD in adults were included, resulting in 11 studies with a total of 1130 participants. CPT outperformed inactive control conditions on PTSD outcome measures at posttreatment (mean Hedges’ g = 1.24) and follow-up (mean Hedges’ g = 0.90). The average CPT-treated participant fared better than 89% of those in inactive control conditions at posttreatment and 82% at follow-up. Results also showed that CPT outperformed inactive control conditions on non-PTSD outcome measures at posttreatment and follow-up and that CPT outperformed other active treatments at posttreatment but not at follow-up. Effect sizes of CPT on PTSD symptoms were not significantly moderated by participant age, number of treatment sessions, total sample size, length of follow-up, or group versus individual treatment; but, older studies had larger effect sizes and percent female sex moderated the effect of CPT on non-PTSD outcomes. These meta-analytic findings indicate that CPT is an effective PTSD treatment with lasting benefits across a range of outcomes.     

Evaluating scientific research: Belief,hindsight bias,ethics, and research evaluation

Students may exhibit two forms of cognitive biases, belief and hindsight bias, in evaluating a scientific experiment. Counter to disagreement, they may only believe an outcome that agrees with their belief to be more predictable in hindsight than foresight. The focus of this research is on the relationship between these biases. Students were queried about their dichotomous beliefs (learned vs. genetic) about behavior for an animal experiment and then assigned randomly to a no‐outcome or genetic outcome condition. With agreement between students' belief and outcome, the findings revealed hindsight bias (foreseeability) supported by the outcomes for surprise, disappointment, ethics, and research evaluation. With disagreement, hindsight bias was trumped along with perceiving the experiment as being less ethical and scientifically sound. Regardless of the outcome, students seem to adhere to their beliefs. Hence, students may believe that the outcome is inconsequential because it is obvious or contrary to their beliefs.     

Social anxiety disorder: psychobiological and evolutionary underpinnings

Social anxiety disorder (SAD) also know as social phobia is increasingly recognized as a highly prevalent and disabling psychiatric disorder. SAD patients demonstrate cognitive-affective distortions in relation to social situations and abnormal activation patterns in limbic structures during functional imaging. Behavioral inhibition is an endophenotype that may be useful in understanding vulnerability to SAD, and that has specific imaging and genetic correlates. From an evolutionary perspective, it has been speculated that SAD represents a false appeasement alarm. It is notable that SAD responds to selective serotonin reuptake inhibitors and monoamine oxidase inhibitors, but not to most tricyclic antidepressants; this finding is consistent with the importance of serotonin and dopamine in mediating this disorder.     

The Familiar Made Strange: An Orientation to Biblical Study in Vancouver

Abstract. This paper originated in a Wabash‐funded colloquium organized by Richard Ascough and Leif Vaage, on the theme: “Teaching the Bible for Leadership in the United Church of Canada.” Professors teaching biblical studies at United Church seminaries and theological schools met over three years to share pedagogy, things that have worked and not worked in the classroom, changes in teaching Bible over the years, and the role of context in shaping teaching. In the final year they presented their philosophy of teaching to one another; this paper arose from that meeting. The paper describes an orientation to teaching New Testament Studies at Vancouver School of Theology, a theologically liberal school in the context of Vancouver, Canada – paradoxically one of the most secular and multi‐religious cities in the world. Guided by Denise Levertov's poem, “Overland to the Islands,” it explores the promises and challenges of biblical study grounded in the material reality of the world, amidst older students who bear the marks of secularity, who are impatient with traditional orthodoxies, and who long more for life before the grave than after it. Adopting ideas from Roland Barthes, Paul Ricoeur, and Julia Kristeva, it explores teaching the Bible in a way that promotes the polyvalence, strangeness, and irreducibility of biblical texts, in order to move students away from exegetical and hermeneutical theories content with recovering authorial intent and reconstructing historical origins as the primary tasks of biblical study. The paper describes a model of teaching that celebrates the materiality of the New Testament together with its textual, social, theological, and historical complexity, as well as a tradition‐constituted means of apprehending the world, and which treasures students as living texts who in the course of interpretation awaken ever‐fresh meanings relevant to their own communal and personal identities.