Prohibiting Versus Discouraging: Exploring Mental Health Organizations Varied Stances on Sexual Orientation Change Efforts (SOCE)

Research has shown that sexual orientation change efforts results in more mental health damages than positive outcomes; yet a recent study found that 19.4% of mental health practitioners believe it is ethical to practice sexual orientation change efforts. The purpose of this paper is to highlight existing literature on sexual orientation change efforts, showcase mental health professional organization's stances on ethically prohibiting versus discouraging sexual orientation change efforts, and propose suggestions and learning objectives to mental health organizations. By doing so, we hope all mental health professional organizations enforce a clear ethical code against the practice of sexual orientation change efforts.     

Parental Absence and Non-Suicidal Self-Injury: Social Support,Social Constraints and Sense-Making

Given the rise of non-suicidal self-injury (NSSI) in youth, it is imperative to address understudied correlates that may contribute to NSSI. The primary purpose of the present study was to investigate NSSI in college students (N?=?1703) with or without a history of parental absence. We also examined the relationships between parental absence, interpersonal (i.e., support and social constraint) factors, intrapersonal (i.e., sense-making) factors, and NSSI in our sample of primarily Caucasian/White, heterosexual, single, traditional-aged, female college students. Logistic regression indicated that the odds of reporting NSSI were 5 times higher for participants who had experienced permanent parental absence (e.g., death) compared to those who had not experienced absence. The odds of reporting NSSI were 8.5 and 7.5 times higher for those respondents who had experienced non-permanent parental absence (e.g., parental travel) and both types of parental absence, respectively, when compared to those who experienced permanent parental absence. Social support, social constraint, and sense-making made significant but small contributions to the prediction of NSSI endorsement. Participants who reported experiencing both permanent and non-permanent absence exhibited the highest level (p?<?.001, η²?=?.09) of interpersonal reasons (e.g., to hurt someone) for engaging in NSSI. These findings can serve as a catalyst for future NSSI research (e.g., the potential importance of including parental absence as a background variable). Moreover, the results suggest the possible benefit of continued examination of: (a) the relationship between experiencing both types of parental absence and engagement in NSSI for interpersonal reasons; and (b) social support, sense-making, and social constraint as contributing factors of NSSI endorsement.     

Development and evaluation of a scale assessing therapist fidelity to guidelines for delivering therapist-assisted Internet-delivered cognitive behaviour therapy

Internet-delivered cognitive behaviour therapy (ICBT) is often accompanied by therapist emails, but there is limited research on the quality of this therapist-assistance. In this study, an ICBT Therapist Rating Scale (ICBT-TRS) was developed and evaluated to assess whether therapist emails showed fidelity to specific therapist behaviours. Using data from a previous ICBT trial for depression and anxiety, the ICBT-TRS was used to rate 706 emails sent by 39 therapists to 91 randomly selected patients. Emails were rated for adherence (absent/present) and quality (inadequate/competent) on the following behaviours: Builds Rapport, Seeks Feedback, Provides Symptom Feedback, Provides Psychoeducation, Facilitates Understanding, Praises Effort, Encourages Practice, Clarifies Administrative Procedures, and Communicates Effectively. Inter-rater reliability was high. Most behaviours were identified as present in 72–100% of emails, with the exception of Provides Symptom Feedback and Facilitating Understanding which were only present in 54 and 61% of emails. The majority of emails were rated as high quality (88–98% of messages). While not related to symptom improvement, ICBT-TRS ratings were higher when patients were more engaged in ICBT (e.g. log-ins) and among therapists who specialized in ICBT or had a background in Psychology. The ICBT-TRS has potential to facilitate ICBT research and clinical training.     

A case-controlled field study evaluating ICD-11 proposals for relational problems and intimate partner violence

Background/Objective: Intimate partner relationship problems and intimate partner abuse and neglect — referred to in this paper as “relational problems and maltreatment” — have substantial and well-documented impact on both physical and mental health. However, classification guidelines, such as those found in the International Classification of Diseases (ICD-10), are vague and unlikely to support consistent application. Revised guidelines proposed for ICD-11 are much more operationalized. We used standardized clinical vignette conditions with an international panel of clinicians to test if ICD-11 changes resulted in improved classification accuracy. Method: English-speaking mental health professionals (N = 738) from 65 nations applied ICD-10 or ICD-11 (proposed) guidelines with experimentally manipulated case presentations of presence or absence of (a) individual mental health diagnoses and (b) relational problems or maltreatment. Results: ICD-11, compared with ICD-10, guidelines resulted in significantly better classification accuracy, although only in the presence of co-morbid mental health problems. Clinician factors (e. g., gender, language, world region) largely did not impact classification performance. Conclusions: Despite being considerably more explicated, raters’ performance with ICD-11 guidelines reveals training issues that should be addressed prior to the release of ICD-11 in 2018 (e. g., overriding the guidelines with pre-existing archetypes for relationship problems and physical and psychological abuse).     

Effects of tonic and phasic respiratory sinus arrhythmia on affective stress responses

Adaptive affective responses in the face of environmental challenges require flexible physiological responding. The present study examined the extent to which tonic respiratory sinus arrhythmia (RSA)-a putative marker of regulatory capacity-moderated the association between stress-related changes in RSA (i.e., phasic RSA) and concurrent changes in affect. Ninety-eight healthy, young adults completed ratings of affect during a resting baseline and following the recall of a recent stressor. Tonic RSA moderated the association of phasic RSA with stress-related change in positive affect (PA), such that change in RSA had a positive association with PA for individuals with higher tonic RSA and a negative association for those with lower tonic RSA. Examination of specific aspects of PA indicated that phasic RSA was positively associated with changes in ratings of attentive engagement among individuals with higher tonic RSA. These findings inform our understanding of phasic RSA and support the notion that flexible parasympathetic nervous system functioning is an important component of adaptive stress regulation.     

Suggestibility effects persist after one year in children who experienced a single or repeated event

The study of long-term memory for repeated events has important implications for understanding autobiographical memory in a forensic context. Recall accuracy and suggestibility for details of an instance of a repeated event versus a single event were examined in children aged 5–6 and 7–8 years after a one-year delay. Children who reported an instance of a repeated event were more likely to report that a non-experienced detail had occurred and reported less correct information than did single-event children. After one year a significant suggestibility effect was still present. The present experiment provides further evidence for both the capabilities and limitations of children's long-term recall and reinforces the importance of non-suggestive interviews of children at all stages of investigation.     

THE INTENSIFYING INTERSECTION OF ETHICS,RELIGION, THEOLOGY,AND PEACE STUDIES

The intersection of ethics, religion, theology, and peace studies is intensifying through increasingly multi‐disciplinary, contextual, explicitly normative scholarship. This book discussion demonstrates this claim through its profiles of an introduction to Christian ethics by Ellen Ott Marshall, a case study of the School of the Americas Watch by Kyle B. T. Lambelet, a case study of the American Jewish Palestine solidarity movement by Atalia Omer, and a global, historical study of Christian ethics by Cecilia Lynch. Though their methods and subjects vary, these authors are collectively renewing a history of mutual enrichment between religious ethics and peace studies, employing theories of lived, ambivalent religion. To begin, this essay provides introductory remarks about the field of peace studies, highlighting the evolving involvement of religious actors. To conclude, it makes a plea for greater use of conflict theory and peace practice in religious ethics.     

Fear and Implicit Racism: Whites’ Support for Voter ID laws

Oftentimes, Whites are unaware that they may have slighted Blacks. Although researchers have spent a considerable amount of attention disentangling this form of implicit (unconscious) racial bias from explicit (conscious) racial bias, we are less clear about the conditions that cause implicit racism to matter in American politics. In this article, we offer a theory of how fear and Whites' unconscious racial bias are tightly linked in memory, and triggering this emotion can make these implicit attitudes more salient in public opinion. To test our theory, we focus on Whites’ opinions toward voter ID laws. Our expectation is that inducing fear should cause implicit racism to play an important role in Whites’ evaluation of the policy. Using an adult national experiment over two waves, we induced several emotions to elicit fear, anger, or relaxation. The findings show that the fear condition causes Whites high in implicit racism to be more supportive of voter ID laws than similar individuals in the anger and control conditions. On the other hand, fear does not cause Whites high in explicit racism to be more supportive of voter ID laws.     

Power and Action in Critical Theory Across Disciplines: Implications for Critical Community Psychology

Although critical scholarship and community psychology share similar aspirations, the links between them remain unexplored and under-theorized. In this article we explore the implications of critical scholarship in various specialties for the field of community psychology. To understand the contributions of critical scholarship to a theory of power and action for social change, we conducted a systematic analysis of a ten-year period of publications in seven journals associated with the critical scholarship tradition. We created precise criteria for the concepts of power and action and applied them to the publications. Results indicate an interesting paradox at play. Whereas community psychology is more action oriented than critical scholarship, its actions fall short of challenging institutionalized power structures and the status quo; and whereas critical scholarship is more challenging of the status quo than community psychology in theory, it has failed to produce viable actions that challenge the status quo. We discuss the implications of this state of affairs for the development of a more critical community psychology.